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psnet.ahrq.gov/issue/profiles-patient-safety-authority-gradients-medical-error
August 28, 2019 - Review
Profiles in patient safety: authority gradients in medical error.
Citation Text:
Cosby K, Croskerry P. Profiles in patient safety: authority gradients in medical error. Acad Emerg Med. 2004;11(12):1341-5.
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - forces that undermine a strategic emphasis on safety ( 2 ), and have difficulty implementing abstract concepts
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psnet.ahrq.gov/issue/interactions-between-context-health-care-organisation-and-failure-situational-impact-failure
May 17, 2012 - Review
Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning.
Citation Text:
Horck S. Interactions between the context of a health-care organisation and failure: the situational impact of failure on organi…
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psnet.ahrq.gov/print/pdf/node/865308
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Organizational Learning
Curated Library
Foundations
Organizational learning: health care leaders need to design structures and processes that enhance
collective learning.
Bohmer RM, Edmondson AC. Health Forum J. 2001;44:32-35.
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psnet.ahrq.gov/print/pdf/node/866100
August 30, 2023 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Nurse Wellbeing and Patient Safety
Curated Library
Foundations
Keeping Patients Safe: Transforming the Work Environment of Nurses.
Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care
Services. Wash…
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - Both education modules were computer-based, and they presented the same general concepts about VTE prevention … One module provided sequential education using PowerPoint slides with voiceover to cover the concepts
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psnet.ahrq.gov/issue/burnout-nursing-home-health-care-aide-systematic-review
May 18, 2022 - Review
Burnout in the nursing home health care aide: a systematic review.
Citation Text:
Cooper SL, Carleton HL, Chamberlain SA, et al. Burnout in the nursing home health care aide: A systematic review. Burn Res. 2016;3(3):76-87. doi:10.1016/j.burn.2016.06.003.
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psnet.ahrq.gov/issue/unmasking-bias-artificial-intelligence-systematic-review-bias-detection-and-mitigation
March 24, 2019 - Review
Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models.
Citation Text:
Chen F, Wang L, Hong J, et al. Unmasking bias in artificial intelligence: a systematic review of bias detection and m…
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psnet.ahrq.gov/issue/safety-organizing-emotional-exhaustion-and-turnover-hospital-nursing-units
April 04, 2012 - Study
Safety organizing, emotional exhaustion, and turnover in hospital nursing units.
Citation Text:
Vogus TJ, Cooil B, Sitterding M, et al. Safety organizing, emotional exhaustion, and turnover in hospital nursing units. Med Care. 2014;52(10):870-6. doi:10.1097/MLR.0000000000000169.
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psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
September 24, 2016 - Study
Classic
Driving improvement in patient care: lessons from Toyota.
Citation Text:
Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm. 2003;33(11):585-595.
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - Virginia Mason has aligned the concepts, methods, and elements of innovation with their counterparts … discoveries people were making in the very early 2000s were about the applicability of Lean management concepts
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - Rapid Response Systems
September 15, 2024
Rapid Response Systems. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/rapid-response-systems
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field.…
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psnet.ahrq.gov/print/pdf/node/867659
July 10, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Rapid Response Systems
Curated Library
Primers
Rapid Response Systems
UC Davis PSNet Editorial Team | September, 15 2024
Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of
imminent clinical de…
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - Breadcrumb
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Value and Patient Safety
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Tea…
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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - Update: Patient Engagement in Safety
January 1, 2018
Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/update-patient-engagement-safety
Annual Perspective 2018
Background
Patient engagement has become a cornerstone of patient safety. A Patient Saf…
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psnet.ahrq.gov/node/50948/psn-pdf
February 26, 2020 - Patient Safety
February 26, 2020
Nicklin W, Hughes L, eds. Healthc Q. 2020;22(Sp2):1-128.
https://psnet.ahrq.gov/issue/patient-safety-12
Articles in this special issue report on initiatives undertaken by the Canadian National Patient Safety
Consortium with a focus on the effect patient partnerships on initiative p…
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psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - Annual Perspective
Update: Patient Engagement in Safety
Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2018
View more articles from the same authors.
Citation Text:
Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. Rockvi…
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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - Therefore, a third educational competency is training students to understand basic quality improvement concepts
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psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
August 30, 2023 - Breadcrumb
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Created By: Lorri Zipperer, Cybrarian, AHRQ…
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September 16, 2024 - Culture of Safety
September 16, 2024
Culture of Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/culture-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …