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psnet.ahrq.gov/node/866408/psn-pdf
July 31, 2024 - Influences of leadership, organizational culture, and
hierarchy on raising concerns about patient deterioration … Influences of leadership, organizational culture, and hierarchy
on raising concerns about patient deterioration … https://psnet.ahrq.gov/issue/influences-leadership-organizational-culture-and-hierarchy-raising-concerns … Traditional organizational hierarchies can prevent staff and patients from speaking up about safety
concerns … Overlaying all themes is the importance of
psychological safety where staff feel their concerns will
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
June 01, 2023 - This change will also reduce stress, frustration, and burnout of staff whose safety concerns have been … You should also be persistent and persuasive, providing evidence or data to support your concerns. … Clear assertions of concerns and suggestions. … An assertive statement could be used to express her concerns about the staff member's behavior in the … How would you construct an assertive statement to express the nurse's concerns?
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psnet.ahrq.gov/node/852276/psn-pdf
August 09, 2023 - Parent experiences with the process of sharing inpatient
safety concerns for children with medical complexity … Parent experiences with the process of sharing inpatient safety
concerns for children with medical complexity … https://psnet.ahrq.gov/issue/parent-experiences-process-sharing-inpatient-safety-concerns-children- … This study included parents of children with medical complexity who had
reported safety concerns to … those whose concerns were
invalidated or ignored felt disrespected and judged.
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psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record
April 13, 2022 - for diagnostic errors were asked to review their most recent visit notes and indicate any diagnostic concerns … Physician chart reviewers identified diagnostic concerns in 31 cases, of which only 11 were also identified … Related Resources From the Same Author(s)
Inviting patients to identify diagnostic concerns … April 13, 2022
Use of patient complaints to identify diagnosis-related safety concerns … November 16, 2022
Inviting patients to identify diagnostic concerns through structured
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psnet.ahrq.gov/issue/failure-report-poor-care-breach-moral-and-professional-expectation
March 05, 2025 - Culture, hierarchy, and lack of opportunity can hinder reporting of concerns and mistakes. … This commentary advocates for reporting of concerns to be considered a moral requirement , incorporating … education and awareness regarding challenges to reporting concerns, and promoting a culture that is … June 29, 2011
Telling cultures: 'cultural' issues for staff reporting concerns about
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-e.html
May 01, 2017 - ___| Type of anesthesia
|___| Anticipated airway and aspiration risk
|___| Patient-specific concerns … available
Anesthesia Professional Shares:
|___| Anesthetic plan
|___| Airway and other concerns … Nursing Team Shares:
|___| Any equipment issues
|___| Other concerns
Nursing Team Confirms … form
|___| Procedure site
Proceduralist States:
- "Does anybody have any concerns … If you see something that concerns you during this case, please speak up."
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psnet.ahrq.gov/issue/trade-offs-between-voice-and-silence-qualitative-exploration-oncology-staffs-decisions-speak
November 05, 2014 - voice and silence: a qualitative exploration of oncology staff's decisions to speak up about safety concerns … voice and silence: a qualitative exploration of oncology staff's decisions to speak up about safety concerns … voice and silence: a qualitative exploration of oncology staff's decisions to speak up about safety concerns … November 9, 2015
Threats to patient safety in the primary care office: concerns of physicians … it without words': a qualitative study of oncology staff's experiences with speaking up about safety concerns
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psnet.ahrq.gov/node/866401/psn-pdf
January 01, 2025 - Nurse judgements of hospitalized patients' safety
concerns are affected by patient, nurse and event … Nurse judgements of hospitalized patients' safety concerns
are affected by patient, nurse and event … https://psnet.ahrq.gov/issue/nurse-judgements-hospitalized-patients-safety-concerns-are-affected-patient … -
nurse-and-event
As patients with safety concerns frequently report the concerns to their nurse, nurses … https://psnet.ahrq.gov/issue/nurse-judgements-hospitalized-patients-safety-concerns-are-affected-patient-nurse-and-event
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psnet.ahrq.gov/node/836934/psn-pdf
March 12, 2025 - Top 10 Patient Safety Concerns.
March 12, 2025
Plymouth Meeting, PA: ECRI; March 2025. … https://psnet.ahrq.gov/issue/top-10-patient-safety-concerns
This annual consensus report identifies … The top ten concerns for 2025 include poor response to patient and family concerns, oversight of artificial … https://psnet.ahrq.gov/issue/top-10-patient-safety-concerns
https://psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings … https://psnet.ahrq.gov/issue/parent-experiences-process-sharing-inpatient-safety-concerns-children-medical-complexity
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digital.ahrq.gov/ahrq-funded-projects/getting-same-page-leveraging-inpatient-portal-engage-families-hospitalized-children/citation/parent
January 01, 2023 - Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity … Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity
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digital.ahrq.gov/ahrq-funded-projects/implementation-digital-mental-health-tools-ambulatory-care-coordination/citation/job
January 01, 2023 - Designing digital tools that meet the needs of care managers and their patients with mental health concerns … Designing digital tools that meet the needs of care managers and their patients with mental health concerns
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psnet.ahrq.gov/node/73890/psn-pdf
September 29, 2021 - Why do systems for responding to concerns and
complaints so often fail patients, families and healthcare … Why do systems for responding to concerns and complaints so often
fail patients, families and healthcare … https://psnet.ahrq.gov/issue/why-do-systems-responding-concerns-and-complaints-so-often-fail-patients … Based on narrative interviews with people raising and responding to
concerns and complaints in six English … National Health Service (NHS) organizations, this study explored
how substandard responses to concerns
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap1b.html
October 01, 2014 - One where staff are punished for reporting safety concerns. … One in which only supervisors/leadership may address concerns about residents.
Mr. … One where staff are punished for reporting safety concerns. … One in which only supervisors/leadership may address concerns about residents.
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www.ahrq.gov/antibiotic-use/long-term-care/improve/index.html
September 01, 2021 - Three presentations about appropriate collection of microbiological samples, discussing infectious concerns … about residents with health care practitioners, and discussing infectious concerns about residents with … Specimens (presentation, narrated presentation, and one-page document)
Communicating Infectious Concerns … With Antibiotic Prescribers (presentation and narrated presentation)
Discussing Infectious Concerns … an Intervention and Measuring Change
Collecting Microbiological Specimens
Discussing Infectious Concerns
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psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
November 22, 2017 - Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns … Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns … Tracking concerns related to individual clinician performance has the potential to uncover opportunities … Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns
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psnet.ahrq.gov/issue/young-surgeons-speaking-when-and-how-surgical-trainees-voice-concerns-about-supervisors
April 13, 2017 - Study
Young surgeons on speaking up: when and how surgical trainees voice concerns … Young surgeons on speaking up: when and how surgical trainees voice concerns about supervisors' clinical … Surgical residents are often hesitant to speak up when they have concerns about decisions made by … Young surgeons on speaking up: when and how surgical trainees voice concerns about supervisors' clinical
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psnet.ahrq.gov/node/836921/psn-pdf
April 13, 2022 - Inviting patients to identify diagnostic concerns through
structured evaluation of their online visit … Inviting patients to identify diagnostic concerns through
structured evaluation of their online visit … https://psnet.ahrq.gov/issue/inviting-patients-identify-diagnostic-concerns-through-structured-evaluation … This study asked patients who may be “at-risk” for diagnostic
error about perceived concerns in their … Patients were more likely to report having concerns if
they did not trust their provider and did not
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psnet.ahrq.gov/issue/patient-voices-hospital-safety-during-covid-19-pandemic
March 17, 2021 - Patients can provide a unique perspective on safety concerns but may hesitate to speak up. … conducted with 19 recently discharged patients or their family members to understand safety or quality concerns … The paper presents types of concerns and, if parents did not have concerns, what made them feel safe … From the Same Author(s)
Nurse sensemaking for responding to patient and family safety concerns
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psnet.ahrq.gov/issue/what-counts-voiceable-concern-decisions-about-speaking-out-hospitals-qualitative-study
June 16, 2021 - aspect of patient safety culture is the perception that all team members should speak up about safety concerns … four factors: certainty that something is wrong and is an occasion for voice ; system versus conduct concerns … From the Same Author(s)
The role of the informal and formal organisation in voice about concerns … soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns … Quality
April 26, 2023
Speaking up or remaining silent about patient safety concerns
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pharma-nonpharma-ptsd-2022-update-app-g2-3.xlsx
January 01, 2022 - C: 30.0% (3/10) Some concerns No No No (CAPS) NA NA Low No NI NI Some concerns Some concerns
Beidel … concerns
Boggio, 2010 No information No information No information Some concerns No No information … C: 33.3% (3/9) Some concerns Yes No NA NA NA High No Probably no No Some concerns High
Bremner, 2017 … C: 51.6% (16/31) Some concerns No No No (CAPS) NA NA Low Yes No No Low Some concerns
Bryant, 2003 No … C: 40.0% (6/15) Some concerns No No No (CAPS) NA NA Low No Probably no No Some concerns Some concerns