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psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events
November 22, 2017 - Book/Report
VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events.
Citation Text:
VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. Washington, DC: United States Government Accountability Office; July 29, 2015…
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psnet.ahrq.gov/issue/rudeness-and-medical-team-performance
June 21, 2016 - Study
Rudeness and medical team performance.
Citation Text:
Riskin A, Erez A, Foulk T, et al. Rudeness and Medical Team Performance. Pediatrics. 2017;139(2):e20162305. doi:10.1542/peds.2016-2305.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote …
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psnet.ahrq.gov/issue/disclosure-medical-error-parents-and-paediatric-patients-assessment-parents-attitudes-and
November 16, 2022 - Study
Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors.
Citation Text:
Matlow AG, Moody L, Laxer R, et al. Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influe…
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psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-measurement-tools-remain-elusive
July 13, 2010 - Review
Patient handoffs: standardized and reliable measurement tools remain elusive.
Citation Text:
Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010;36(2):52-61.
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psnet.ahrq.gov/issue/animated-stories-medical-error-means-teaching-undergraduates-patient-safety-evaluation-study
June 10, 2020 - Study
Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study.
Citation Text:
Cooper K, Hatfield E, Yeomans J. Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. Perspect Med Edu…
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psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
February 23, 2019 - Study
Classic
The business case for quality: case studies and an analysis.
Citation Text:
Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30.
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psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
November 16, 2022 - Review
Disparities in patient safety voluntary event reporting: a scoping review.
Citation Text:
Hoops K, Pittman E, Stockwell DC. Disparities in patient safety voluntary event reporting: a scoping review. Jt Comm J Qual Patient Saf. 2024;50(1):41-48. doi:10.1016/j.jcjq.2023.10.009.
Co…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-intensive-care-units-prospective
March 29, 2012 - Study
Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter study.
Citation Text:
Benkirane RR, Abouqal R, R-Abouqal R, et al. Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter s…
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psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine
June 05, 2019 - Study
Medical error: using storytelling and reflection to impact error response factors in family medicine residents.
Citation Text:
Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. J Med …
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psnet.ahrq.gov/issue/cpoe-iran-viable-prospect-physicians-opinions-using-cpoe-iranian-teaching-hospital
June 30, 2011 - Study
CPOE in Iran—a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital.
Citation Text:
Kazemi A, Ellenius J, Tofighi S, et al. CPOE in Iran--a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital. Int J Med Inform. 2009;7…
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psnet.ahrq.gov/issue/medical-error-reporting-patient-safety-and-physician
February 04, 2009 - Study
Medical error reporting, patient safety, and the physician.
Citation Text:
Anderson B, Stumpf PG, Schulkin J. Medical Error Reporting, Patient Safety, and the Physician. J Patient Saf. 2009;5(3):176-179. doi:10.1097/pts.0b013e3181b320b0.
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psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature
July 21, 2011 - Review
Predictors and triggers of incivility within healthcare teams: a systematic review of the literature.
Citation Text:
Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035…
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psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use-health-care
November 16, 2022 - Study
Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms.
Citation Text:
Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. JAMA H…
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psnet.ahrq.gov/issue/drivers-unprofessional-behaviour-between-staff-acute-care-hospitals-realist-review
July 24, 2024 - Review
Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review.
Citation Text:
Aunger JA, Maben J, Abrams R, et al. Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. BMC Health Serv Res. 2023;23(1):1326. doi:1…
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - in
http://www.fda.gov/Safety/MedWatch/
processes of care requires attention to inter-professional culture … determine whether the devices under consideration are
likely to be helpful at that site, given that site’s culture
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - The new cross-cutting topics, such as Safety Culture, Teamwork and Communication, etc. also help to highlight … The included cross-cutting topics/practices are: improving safety culture; teamwork and team training
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - However, as we shift our culture, we have also shifted to referring to great catches and patient care … Kathy Helak: I think all organizations embrace a learning culture, but we have been deliberate in operationalizing … I also had a mistaken belief that regulatory bodies would insist that you've done an RCA. … This is safety culture transformation at the organizational level and an important overall strategy for
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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - However, as we shift our culture, we have also shifted to referring to great catches and patient care … Kathy Helak: I think all organizations embrace a learning culture, but we have been deliberate in operationalizing … I also had a mistaken belief that regulatory bodies would insist that you've done an RCA. … This is safety culture transformation at the organizational level and an important overall strategy for
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - accurately as measurement of serum troponin.( 3,16 )
The evidence also shows, in contrast to common belief … But, systemic changes are also required, because we now live in a medical culture that allows clinicians … Until this culture changes, constrictive pericarditis will continue to be misdiagnosed as liver disease … , 2023
Association of implementation and social network factors with patient safety culture
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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - All in the History
March 21, 2009
Fee C. All in the History. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/all-history
Case Objectives
Describe the Emergency Medical Treatment and Active Labor Act (EMTALA) and understand that it
does not apply to transfers to emergency departments from non-acute care faci…