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2421. The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings. | PSNet
      psnet.ahrq.gov/issue/psychological-safety-scale-safety-communication-operational-reliability-and-engagement-score
      August 24, 2022 - Study The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings. Citation Text: Adair KC, Heath A, Frye MA, et al. The Psychological S…

2422. Early experience of peer advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating room. | PSNet
      psnet.ahrq.gov/issue/early-experience-peer-advocate-program-using-quality-improvement-optimize-behavioral-and
      September 23, 2020 - Study Early experience of peer advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating room. Citation Text: Eckhouse SR, Huston M, Smith ER, et al. Early experience of peer advocate program: using quality improvement to optimize be…

2423. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. | PSNet
      psnet.ahrq.gov/issue/creation-root-cause-analysis-and-action-rca2-standard-work-multidisciplinary-team-prevent
      October 19, 2022 - Study Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. Citation Text: Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidis…

2424. Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. | PSNet
      psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems
      January 12, 2022 - Commentary Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. Citation Text: Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):…

2425. Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. | PSNet
      psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
      August 28, 2013 - Study Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. Citation Text: Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Pati…

2426. A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. | PSNet
      psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care
      December 09, 2020 - Study A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. Citation Text: Kaufmnan J, Twite M, Barrett C, et al. A handoff protocol from the cardiovascular operating room to cardiac I…

2427. Failures in the respectful care of critically ill patients. | PSNet
      psnet.ahrq.gov/issue/failures-respectful-care-critically-ill-patients
      December 19, 2018 - Study Failures in the respectful care of critically ill patients. Citation Text: Law AC, Roche S, Reichheld A, et al. Failures in the Respectful Care of Critically Ill Patients. Jt Comm J Qual Patient Saf. 2019;45(4):276-284. doi:10.1016/j.jcjq.2018.05.008. Copy Citation Format: …

2428. Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. | PSNet
      psnet.ahrq.gov/issue/patient-and-caregiver-perspectives-causes-and-prevention-ambulatory-adverse-events
      November 24, 2021 - Study Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. Citation Text: Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitati…

2429. Changes in medical errors after implementation of a handoff program. | PSNet
      psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program
      April 24, 2018 - Study Classic Changes in medical errors after implementation of a handoff program. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…

2430. Medication discrepancies in resident sign-outs and their potential to harm. | PSNet
      psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm
      March 28, 2011 - Study Medication discrepancies in resident sign-outs and their potential to harm. Citation Text: Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5. Copy Citation Format: Goog…

2431. Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. | PSNet
      psnet.ahrq.gov/issue/patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing
      February 23, 2022 - Study Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. Citation Text: Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty t…

2432. Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches. | PSNet
      psnet.ahrq.gov/issue/using-consumer-engagement-strategies-improve-healthcare-safety-young-people-exploration
      September 15, 2021 - Study Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches. Citation Text: Newman B, Joseph K, McDonald FEJ, et al. Using consumer engagement strategies to improve healthcare safety for y…

2433. A road map for advancing the practice of respect in health care: the results of an interdisciplinary modified Delphi consensus study. | PSNet
      psnet.ahrq.gov/issue/road-map-advancing-practice-respect-health-care-results-interdisciplinary-modified-delphi
      August 01, 2018 - Study A road map for advancing the practice of respect in health care: the results of an interdisciplinary modified Delphi consensus study. Citation Text: Sokol-Hessner L, Folcarelli P, Annas CL, et al. A Road Map for Advancing the Practice of Respect in Health Care: The Results of an In…

2434. A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. | PSNet
      psnet.ahrq.gov/issue/mixed-methods-study-examining-teamwork-shared-mental-models-interprofessional-teams-during
      January 08, 2020 - Study A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. Citation Text: Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge…

2435. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37280/psn-pdf
      December 23, 2011 - Special Issue on Health Literacy. December 23, 2011 Am J Health Behav. 2007;31 Suppl 1:1-133. https://psnet.ahrq.gov/issue/special-issue-health-literacy This issue supplement includes articles and commentaries that explore avenues for improvement in health literacy research. https://psnet.ahrq.gov/issue/special-i…

2436. In Conversation with…Gerald B. Hickson, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
      December 01, 2009 - In Conversation with…Gerald B. Hickson, MD December 1, 2009  Also Read an Essay Citation Text: In Conversation with…Gerald B. Hickson, MD . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

2437. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40485/psn-pdf
      June 01, 2011 - Implementing standardized reporting and safety checklists. June 1, 2011 Stevens JD, Bader MK, Luna MA, et al. Cultivating quality: implementing standardized reporting and safety checklists. Am J Nurs. 2011;111(5):48-53. doi:10.1097/01.naj.0000398051.07923.69. https://psnet.ahrq.gov/issue/implementing-standardized-…

2438. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37279/psn-pdf
      January 04, 2012 - Studying the technical work of emergency care. January 4, 2012 Nemeth CP, Cook RI, Wears RL. Studying the technical work of emergency care. Ann Emerg Med. 2007;50(4):384-6. https://psnet.ahrq.gov/issue/studying-technical-work-emergency-care The authors introduce a set of articles that explore how clinicians plan a…

2439. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40141/psn-pdf
      April 04, 2011 - Words: the "drug" with the highest frequency of dispensing errors. April 4, 2011 Lamba S. Words: the "drug" with the highest frequency of dispensing errors. Acad Emerg Med. 2011;18(1):93-5. doi:10.1111/j.1553-2712.2010.00965.x. https://psnet.ahrq.gov/issue/words-drug-highest-frequency-dispensing-errors To illustr…

2440. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40510/psn-pdf
      June 08, 2011 - Causes of near misses: perceptions of perioperative nurses. June 8, 2011 Cohoon B. Causes of near misses: perceptions of perioperative nurses. AORN J. 2011;93(5):551-65. doi:10.1016/j.aorn.2010.02.017. https://psnet.ahrq.gov/issue/causes-near-misses-perceptions-perioperative-nurses Perioperative nurses implicated…