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  1. The many faces of error disclosure: a common set of elements and a definition. | PSNet

    psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition
    December 16, 2009 - Study Classic The many faces of error disclosure: a common set of elements and a definition. Citation Text: Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):75…

  2. IDEA4PS: the development of a research-oriented learning healthcare system. | PSNet

    psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system
    April 24, 2018 - Commentary IDEA4PS: the development of a research-oriented learning healthcare system. Citation Text: Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.…

  3. Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. | PSNet

    psnet.ahrq.gov/issue/reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-draft-report
    November 18, 2020 - Book/Report Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. Citation Text: Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. The Clinical Center Working Group Report to the Advisory Committee to the…

  4. Daily Goals Checklist | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
    December 01, 2012 - Daily Goals Checklist CUSP Toolkit Effective communication is particularly important in the unit if complicated care plans are to be effectively managed by the care team Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased l…

  5. New U.S. health crisis looms as patients without COVID-19 delay care. | PSNet

    psnet.ahrq.gov/issue/new-us-health-crisis-looms-patients-without-covid-19-delay-care
    July 29, 2020 - Newspaper/Magazine Article New U.S. health crisis looms as patients without COVID-19 delay care. Citation Text: Bernstein S. New U.S. health crisis looms as patients without COVID-19 delay care. Reuters. 2020;July 13. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

  6. Structural racism in behavioral health presentation and management. | PSNet

    psnet.ahrq.gov/issue/structural-racism-behavioral-health-presentation-and-management
    September 23, 2020 - Commentary Structural racism in behavioral health presentation and management. Citation Text: Rainer T, Lim JK, He Y, et al. Structural racism in behavioral health presentation and management. Hosp Pediatr. 2023;13(5):461-470. doi:10.1542/hpeds.2023-007133. Copy Citation Format: …

  7. Benefactor or burden: exploring the professional identity of safety professionals. | PSNet

    psnet.ahrq.gov/issue/benefactor-or-burden-exploring-professional-identity-safety-professionals
    October 11, 2017 - Study Benefactor or burden: exploring the professional identity of safety professionals. Citation Text: Provan DJ, Dekker SWA, Rae AJ. Benefactor or burden: Exploring the professional identity of safety professionals. J Safety Res. 2018;66:21-32. doi:10.1016/j.jsr.2018.05.005. Copy Cit…

  8. Dailygoals (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
    January 01, 2003 - Daily Goals Checklist Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communication is particularly important in the unit if complicated care plans are to be …

  9. Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. | PSNet

    psnet.ahrq.gov/issue/bad-behavior-healthcare-insidious-threat-patients-staff-and-organizations
    October 16, 2019 - Commentary Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Citation Text: Crowe L, Riley CM. Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Curr Opin Cardiol. 2024;39(4):331-337. doi:10.1097/hco.00000000000011…

  10. Weight stigma and barriers to effective obesity care. | PSNet

    psnet.ahrq.gov/issue/weight-stigma-and-barriers-effective-obesity-care
    August 18, 2021 - Review Weight stigma and barriers to effective obesity care. Citation Text: Puhl RM. Weight stigma and barriers to effective obesity care. Gastroenterol Clin North Am. 2023;52(2):417-428. doi:10.1016/j.gtc.2023.02.002. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  11. Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report. | PSNet

    psnet.ahrq.gov/issue/advancing-patient-safety-reviews-agency-healthcare-research-and-qualitys-making-healthcare
    March 18, 2020 - Special or Theme Issue Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report. Citation Text: Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality’s Making Healthcare Safer III Report. J …

  12. Regional variations in diagnostic practices. | PSNet

    psnet.ahrq.gov/issue/regional-variations-diagnostic-practices
    July 15, 2020 - Study Regional variations in diagnostic practices. Citation Text: Song Y, Skinner J, Bynum JPW, et al. Regional variations in diagnostic practices. N Engl J Med. 2010;363(1):45-53. doi:10.1056/nejmsa0910881. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

  13. 'Speaking Up' for patient safety and staff well-being: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/speaking-patient-safety-and-staff-well-being-qualitative-study
    November 16, 2016 - Study 'Speaking Up' for patient safety and staff well-being: a qualitative study. Citation Text: Delpino R, Lees-Deutsch L, Solanki B. ‘Speaking Up’ for patient safety and staff well-being: a qualitative study. BMJ Open Qual. 2023;12(2):e002047. doi:10.1136/bmjoq-2022-002047. Copy Cita…

  14. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/effect-diagnostic-accuracy-cognitive-reasoning-tools-workplace-setting-systematic-review-and
    February 02, 2022 - Review Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. Citation Text: Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review…

  15. Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. | PSNet

    psnet.ahrq.gov/issue/addressing-nursing-shortages-and-patient-safety-using-maslows-hierarchy-needs
    April 26, 2023 - Commentary Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. Citation Text: Giuffrida P, Davila S. Addressing nursing shortages and patient safety using Maslow's hierarchy of needs. Nursing. 2024;54(1):35-40. doi:10.1097/01.nurse.0000995608.56374.f5. Co…

  16. Uptake of quality-related event standards of practice by community pharmacies. | PSNet

    psnet.ahrq.gov/issue/uptake-quality-related-event-standards-practice-community-pharmacies
    November 09, 2016 - Study Uptake of quality-related event standards of practice by community pharmacies. Citation Text: Boyle TA, Bishop A, Overmars C, et al. Uptake of Quality-Related Event Standards of Practice by Community Pharmacies. J Pharm Pract. 2015;28(5):442-9. doi:10.1177/0897190014522066. Copy …

  17. Critical care nurses' role in rapid response teams: a qualitative systematic review. | PSNet

    psnet.ahrq.gov/issue/critical-care-nurses-role-rapid-response-teams-qualitative-systematic-review
    May 18, 2022 - Review Critical care nurses' role in rapid response teams: a qualitative systematic review. Citation Text: Holtsmark C, Larsen MH, Steindal SA, et al. Critical care nurses' role in rapid response teams: a qualitative systematic review. J Clin Nurs. 2024;33(10):3831-3843. doi:10.1111/jocn…

  18. Who's covering our loved ones: surprising barriers in the sign-out process. | PSNet

    psnet.ahrq.gov/issue/whos-covering-our-loved-ones-surprising-barriers-sign-out-process
    October 19, 2022 - Study Who's covering our loved ones: surprising barriers in the sign-out process. Citation Text: Antonoff MB, Berdan EA, Kirchner VA, et al. Who's covering our loved ones: surprising barriers in the sign-out process. Am J Surg. 2013;205(1):77-84. doi:10.1016/j.amjsurg.2012.05.009. Co…

  19. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? | PSNet

    psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected
    February 14, 2024 - Commentary The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Citation Text: Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86. Copy Citation Format: Google Scholar P…

  20. Attitudes toward safety and teamwork in a maternity unit with embedded team training. | PSNet

    psnet.ahrq.gov/issue/attitudes-toward-safety-and-teamwork-maternity-unit-embedded-team-training
    November 20, 2013 - Study Attitudes toward safety and teamwork in a maternity unit with embedded team training. Citation Text: Siassakos D, Fox R, Hunt L, et al. Attitudes toward safety and teamwork in a maternity unit with embedded team training. Am J Med Qual. 2011;26(2):132-7. doi:10.1177/1062860610373…
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