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  1. psnet.ahrq.gov/print/pdf/node/845971
    January 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Value and Patient Safety Curated Library Foundations Safety is the preservation of value. Vandeskog B. J Safety Res. 2024;89:105-115. Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among safety resea…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44562/psn-pdf
    April 13, 2016 - Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. April 13, 2016 Wild JRL, Ferguson HJM, McDermott FD, et al. Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. Int J Surg. 201…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837759/psn-pdf
    January 01, 2023 - Employee silence in health care: charting new avenues for leadership and management. August 3, 2022 Montgomery A, Lainidi O, Johnson J, et al. Employee silence in health care: Charting new avenues for leadership and management. Health Care Manage Rev. 2023;48(1):52-60. doi:10.1097/hmr.0000000000000349. https://ps…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61029/psn-pdf
    October 14, 2020 - A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist. October 14, 2020 Horowitz SH. Washington Post. October 4, 2020. https://psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im- neurologist The harm of misdiagnosis can be exte…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867530/psn-pdf
    January 15, 2025 - Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. January 15, 2025 Lee E, De Gagne J C, Randall P S, et al. Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. J Adv Nurs. 2024;Epub Nov 4. doi:10.1111/jan.16592. https://psnet.ahrq.gov/issue/ex…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838133/psn-pdf
    January 01, 2023 - Nurse managers' leadership, patient safety, and quality of care: a systematic review. September 21, 2022 Lee SE, Hyunjie L, Sang S. Nurse managers' leadership, patient safety, and quality of care: a systematic review. West J Nurs Res. 2023;45(2):176-185. doi:10.1177/01939459221114079. https://psnet.ahrq.gov/issue/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837666/psn-pdf
    July 13, 2022 - Developing and aligning a safety event taxonomy for inpatient psychiatry. July 13, 2022 Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935. https://psnet.ahrq.gov/issue/developing-a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46487/psn-pdf
    May 16, 2018 - High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. May 16, 2018 van Stralen D, Byrum SL, Inozu B. North Charleston, SC: CreateSpace Publishing; 2018. ISBN: 1974506371. https://psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-b…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47375/psn-pdf
    November 02, 2018 - Ethical duty of health care systems to address interfacility medical error discovery. November 2, 2018 Antunez AG, Shuman AG, Jagsi R, et al. Ethical Duty of Health Care Systems to Address Interfacility Medical Error Discovery. J Am Coll Surg. 2018;227(5):543-547. doi:10.1016/j.jamcollsurg.2018.08.184. https://psn…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60525/psn-pdf
    May 27, 2020 - Public sector organizational failure: a study of collective denial in the UK national health service. May 27, 2020 Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10.1007/s10551-020-04517-1. https://p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43108/psn-pdf
    September 28, 2023 - Maryland Hospital Patient Safety Program Annual Report. September 28, 2023 Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene. https://psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report This annual report summarizes never events in Maryland hospit…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866114/psn-pdf
    June 12, 2024 - Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons' perspectives. June 12, 2024 Øyri SF, Wiig S, Tjomsland O. Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons’ perspectives. BMJ Open Qual. 2024;13(2):e002672. doi:10.11…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851917/psn-pdf
    January 01, 2024 - Incivility in healthcare: the impact of poor communication. August 2, 2023 Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication Incivi…
  14. www.ahrq.gov/teamstepps-program/evidence-base/nursing.html
    June 01, 2023 - TeamSTEPPS Research/Evidence Base: Nursing Creating a safe health care culture: Teaching communication skills and strategies. Nurse Educ . 2018;43(5):241. Epub 2018/08/24. doi: 10.1097/NNE.0000000000000522. PMID: 30138225. Fukuta D, Iitsuka M. Nontechnical skills training and patient safety in undergraduate …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36559/psn-pdf
    July 14, 2010 - Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. July 14, 2010 Galt KA, Paschal KA, O'Brien RL, et al. Description and Evaluation of an Interprofessional Patient Safety Course for Health Professions and Related Sciences Students. J Patie…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50932/psn-pdf
    February 26, 2020 - Clinician-directed performance improvement: moving beyond externally mandated metrics. February 26, 2020 Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. https://psnet.ahrq.gov/issue/clinician-direct…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61032/psn-pdf
    October 14, 2020 - System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. October 14, 2020 Auraaen A, Saar K, Klazinga N for the Organisation for Economic Co-operation and Development. OECD Publishing, Paris, France; 2020. OECD Health Working Papers, No. 120. https://psnet.ahrq.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853074/psn-pdf
    February 06, 2024 - Patient Experience, Patient Safety, and Provider Well- Being: Associations and Paths for Quality Improvement. February 6, 2024 Rockville, MD: Agency for Healthcare Research and Quality; January 2024. AHRQ Publication no. 24-0030. https://psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72777/psn-pdf
    January 01, 2022 - The effect of health care professional disruptive behavior on patient care: a systematic review. February 24, 2021 Hicks S, Stavropoulou C. The effect of health care professional disruptive behavior on patient care: a systematic review. J Patient Saf. 2022;18(2):138-143. doi:10.1097/pts.0000000000000805. https://p…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45456/psn-pdf
    October 27, 2016 - On the relationship between safety climate and occupational burnout in healthcare organizations. October 27, 2016 Zarei E, Khakzad N, Reniers G, et al. On the relationship between safety climate and occupational burnout in healthcare organizations. Saf Sci. 2016;89:1-10. doi:10.1016/j.ssci.2016.05.011. https://psn…