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psnet.ahrq.gov/node/34740/psn-pdf
November 29, 2017 - Through the Patient’s Eyes: Understanding and
Promoting Patient-Centered Care.
November 29, 2017
Gerteis M, Edgman-Levitan S, Daley J, et al. San Francisco: Jossey-Bass; 1993. ISBN: 9781555425449
https://psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
Authored by severa…
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psnet.ahrq.gov/node/857459/psn-pdf
December 06, 2023 - Five strategies for a safer EHR modernization journey.
December 6, 2023
Sittig DF, Yackel EE, Singh H. Five strategies for a safer EHR modernization journey. J Gen Intern Med.
2023;38(S4):940-942. doi:10.1007/s11606-023-08331-z.
https://psnet.ahrq.gov/issue/five-strategies-safer-ehr-modernization-journey
Large-sca…
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psnet.ahrq.gov/node/36511/psn-pdf
January 07, 2011 - Facing ambiguous threats.
January 7, 2011
Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13,
157.
https://psnet.ahrq.gov/issue/facing-ambiguous-threats
This study describes how organizations respond to signs that may or may not portend future
catastrophes. The authors…
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psnet.ahrq.gov/node/42783/psn-pdf
January 15, 2014 - Sign-out snapshot: cross-sectional evaluation of written
sign-outs among specialties.
January 15, 2014
Schoenfeld AR, Al-Damluji MS, Horwitz LI. Sign-out snapshot: cross-sectional evaluation of written sign-
outs among specialties. BMJ Qual Saf. 2014;23(1):66-72. doi:10.1136/bmjqs-2013-002164.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/35374/psn-pdf
January 02, 2017 - Intimidation: practitioners speak up about this unresolved
problem.
January 2, 2017
Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J
Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4.
https://psnet.ahrq.gov/issue/intimidation-practitioners-s…
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psnet.ahrq.gov/node/837516/psn-pdf
June 22, 2022 - Fostering ethical conduct through psychological safety.
June 22, 2022
Ferrere A, Rider C, Renerte B et al. Sloan Manag Rev. Summer 2022;39-43.
https://psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety
A baseline expectation in a safe organization is that employees feel comfortable and supp…
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psnet.ahrq.gov/node/43410/psn-pdf
August 20, 2014 - Antibiotic prescribing practice in residential aged care
facilities—health care providers' perspectives.
August 20, 2014
Lim CJ, Kwong MW-L, Stuart RL, et al. Antibiotic prescribing practice in residential aged care facilities--
health care providers' perspectives. Med J Aust. 2014;201(2):98-102.
https://psnet.ahr…
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psnet.ahrq.gov/node/33650/psn-pdf
May 01, 2007 - A more open culture, in which errors or service failures can be reported and discussed. … To drive up reporting rates, the NPSA also began to work on ways to change the culture from one of blame … Tools, techniques, and training packages have also been developed
and rolled out in safety culture assessment
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psnet.ahrq.gov/node/73999/psn-pdf
October 27, 2021 - Human factors of training and culture must also be considered. … Finally, the culture within the institution should be supportive and protective of personnel who report … Trainee supervision and institutional culture should encourage error reporting and prioritizing patient
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psnet.ahrq.gov/node/33832/psn-pdf
April 01, 2017 - When I got a job at Michigan, I had known that Karl had done his work on organizational culture as a … psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
https://psnet.ahrq.gov/issue/organizational-culture-source-high-reliability … around crisis management, Tylenol, etc. rather as a way of doing work and setting an organizational
culture
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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - The concept of just culture , now widely used in health care, emphasizes that most errors result from … Further aspects of this issue are discussed in the Culture of Safety Primer and in a 2024 Perspective … focus on enhancing patient and caregiver engagement, tracking and sharing safety data, promoting a culture
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psnet.ahrq.gov/node/46328/psn-pdf
August 09, 2017 - Critical incident stress debriefing after adverse patient
safety events.
August 9, 2017
Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual.
2017;23(5):310-312.
https://psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events…
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psnet.ahrq.gov/node/47039/psn-pdf
September 12, 2018 - Overdiagnosis in primary care: framing the problem and
finding solutions.
September 12, 2018
Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ.
2018;362:k2820. doi:10.1136/bmj.k2820.
https://psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-findi…
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psnet.ahrq.gov/node/39870/psn-pdf
September 22, 2010 - Is it time to pull the plug on 12-hour shifts?: Part 3. Harm
Reduction Strategies if Keeping 12-Hour Shifts.
September 22, 2010
Geiger-Brown J, Trinkoff AM. Is it time to pull the plug on 12-hour shifts? Part 3. harm reduction strategies
if keeping 12-hour shifts. J Nurs Adm. 2010;40(9):357-9. doi:10.1097/NNA.0b013…
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psnet.ahrq.gov/node/39529/psn-pdf
June 02, 2010 - Patient safety in primary care has many aspects: an
interview study in primary care doctors and nurses.
June 2, 2010
Gaal S, van Laarhoven E, Wolters R, et al. Patient safety in primary care has many aspects: an interview
study in primary care doctors and nurses. J Eval Clin Pract. 2010;16(3):639-43. doi:10.1111/j.…
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psnet.ahrq.gov/node/38063/psn-pdf
February 23, 2009 - CPOE in Iran—a viable prospect? Physicians' opinions on
using CPOE in an Iranian teaching hospital.
February 23, 2009
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;78(3):199-207.
doi:10.1016/j.ijme…
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psnet.ahrq.gov/node/36017/psn-pdf
June 14, 2006 - Medical errors and quality of care: from control to
commitment.
June 14, 2006
Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment.
California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353.
https://psnet.ahrq.gov/issue/medical-errors-and-quality-care-control…
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psnet.ahrq.gov/node/843431/psn-pdf
January 02, 2001 - The girl who cried pain: a bias against women in the
treatment of pain.
January 2, 2001
Hoffmann DE, Tarzian AJ. The girl who cried pain: a bias against women in the treatment of pain. J Law
Med Ethics. 2001;29(1):13-27. doi:10.1111/j.1748-720x.2001.tb00037.x.
https://psnet.ahrq.gov/issue/girl-who-cried-pain-bias-…
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psnet.ahrq.gov/node/74140/psn-pdf
December 15, 2015 - The influence of race and gender on pain management: a
systematic literature review.
December 15, 2015
Hampton SB, Cavalier J, Langford R. The influence of race and gender on pain management: a systematic
literature review. Pain Manag Nurs. 2015;16(6):968-977. doi:10.1016/j.pmn.2015.06.009.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/37883/psn-pdf
July 02, 2008 - The limits of knowledge management for UK public
services modernization: the case of patient safety and
service quality.
July 2, 2008
Currie G, Waring J, Finn R. THE LIMITS OF KNOWLEDGE MANAGEMENT FOR UK PUBLIC SERVICES
MODERNIZATION: THE CASE OF PATIENT SAFETY AND SERVICE QUALITY. Public Adm. 2008;86(2).
doi:10.…