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3261. The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. | PSNet
      psnet.ahrq.gov/issue/top-six-standardized-safety-practices-us-army-medical-department-treatment-facilities
      March 18, 2020 - Study The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. Citation Text: Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…

3262. Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. | PSNet
      psnet.ahrq.gov/issue/physician-behaviors-associated-increased-physician-and-nurse-communication-during-bedside
      December 14, 2011 - Study Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. Citation Text: Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and nurse communication during bedside interdisc…

3263. Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. | PSNet
      psnet.ahrq.gov/issue/development-and-reliability-explicit-professional-oral-communication-observation-tool
      April 23, 2014 - Study Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. Citation Text: Kemper PF, van Noord I, de Bruijne M, et al. Development and reliability of the explicit professional oral communi…

3264. Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-awareness-pediatric
      January 19, 2022 - Study Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. Citation Text: Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive c…

3265. TeamSTEPPS Teamwork Attitudes Questionnaire (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
      June 02, 2025 - TeamSTEPPS Teamwork Attitudes Questionnaire TeamSTEPPS Teamwork Attitudes Questionnaire The TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) is designed to assess attitudes related to team structure and the four essential skills taught in TeamSTEPPS. The 30-item self- report tool uses 5…

3266. Pathologists' perspectives on disclosing harmful pathology error. | PSNet
      psnet.ahrq.gov/issue/pathologists-perspectives-disclosing-harmful-pathology-error
      January 22, 2020 - Study Pathologists' perspectives on disclosing harmful pathology error. Citation Text: Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. Copy Citation …

3267. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867685/psn-pdf
      March 05, 2025 - Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. March 5, 2025 Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operative vaginal birth through multidis…

3268. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837730/psn-pdf
      January 01, 2023 - Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. July 28, 2022 Walker D, Moloney C, SueSee B, et al. Factors influencing medication errors in the prehospital paramedic environment: a mixed method systematic review. Prehosp Emerg Care. 2023;27(5):669-…

3269. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40355/psn-pdf
      July 09, 2012 - The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. July 9, 2012 Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalSmarts; 2011. https://psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives Silence Kills was a 2005 report that highligh…

3270. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47725/psn-pdf
      March 06, 2019 - Overcoming human barriers to safety event reporting in radiology. March 6, 2019 Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. https://psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-…

3271. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47498/psn-pdf
      March 05, 2019 - Data omission by physician trainees on ICU rounds. March 5, 2019 Artis KA, Bordley J, Mohan V, et al. Data Omission by Physician Trainees on ICU Rounds. Crit Care Med. 2019;47(3):403-409. doi:10.1097/CCM.0000000000003557. https://psnet.ahrq.gov/issue/data-omission-physician-trainees-icu-rounds Reporting complete p…

3272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47361/psn-pdf
      April 07, 2019 - Implementing bedside handoff in the emergency department: a practice improvement project. April 7, 2019 Campbell D, Dontje K. Implementing Bedside Handoff in the Emergency Department: A Practice Improvement Project. J Emerg Nurs. 2019;45(2):149-154. doi:10.1016/j.jen.2018.09.007. https://psnet.ahrq.gov/issue/imple…

3273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73157/psn-pdf
      April 21, 2021 - The impact of power on health care team performance and patient safety: a review of the literature. April 21, 2021 Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090. doi:10.1080/00140139.2021.1906454.…

3274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864370/psn-pdf
      March 13, 2024 - How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? March 13, 2024 DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? Diagnosis (Berl). 20…

3275. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47612/psn-pdf
      February 27, 2019 - The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. February 27, 2019 Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clinical decision support on pharm…

3276. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44370/psn-pdf
      November 20, 2015 - Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. November 20, 2015 Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of physicians at a university medi…

3277. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47356/psn-pdf
      September 05, 2018 - 'Cyberloafing' in health care: a real risk to patient safety. September 5, 2018 Ross J. 'Cyberloafing' in Health Care: A Real Risk to Patient Safety. J Perianesth Nurs. 2018;33(4):560- 562. doi:10.1016/j.jopan.2018.05.003. https://psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety The health ca…

3278. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73187/psn-pdf
      April 28, 2021 - Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. April 28, 2021 van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Jt Comm J Qual Patient Saf. 2020;47(4…

3279. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73637/psn-pdf
      August 25, 2021 - Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. August 25, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General.  July 29, 2021. Report No. 21-00657-197. https://psnet.ahrq.gov/issue/failures-care-coordination-and-re…

3280. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45145/psn-pdf
      January 08, 2018 - The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. January 8, 2018 Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote Patient and Family Involvement in Care in a Pediatric…