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psnet.ahrq.gov/node/38347/psn-pdf
May 24, 2015 - Using Telehealth to Improve Quality and Safety: Findings
from the AHRQ Portfolio.
May 24, 2015
Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD:
Agency for Healthcare Research and Quality; December 2008. AHRQ Publication No. 09-0012-EF.
https://psnet.ahrq.gov/issue/usin…
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psnet.ahrq.gov/node/48087/psn-pdf
July 10, 2019 - The rise of human factors: optimising performance of
individuals and teams to improve patients' outcomes.
July 10, 2019
Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to
improve patients' outcomes. J Thorac Dis. 2019;11(Suppl 7):S998-S1008. doi:10.21037/jtd.20…
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psnet.ahrq.gov/node/34907/psn-pdf
August 03, 2009 - Physicians' views of interventions to reduce medical
errors: does evidence of effectiveness matter?
August 3, 2009
Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors:
does evidence of effectiveness matter? Acad Med. 2005;80(2):189-92.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/848378/psn-pdf
May 04, 2023 - Ensuring competency and safety when onboarding newly
hired professional staff.
May 3, 2023
ISMP Medication Safety Alert! Acute care edition. April 20, 2023;28(8):1-4; May 4, 2023;23(9):1-3.
https://psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional-
staff
Psychological sa…
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psnet.ahrq.gov/node/856631/psn-pdf
November 29, 2023 - Experiences and perceptions of healthcare stakeholders
in disclosing errors and adverse events to historically
marginalized patients.
November 29, 2023
Olazo K, Gallagher TH, Sarkar U. Experiences and perceptions of healthcare stakeholders in disclosing
errors and adverse events to historically marginalized patien…
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psnet.ahrq.gov/node/46362/psn-pdf
January 01, 2021 - Making patient safety event data actionable:
understanding patient safety analyst needs.
October 4, 2017
Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding
Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.1097/pts.0000000000000400.
https:/…
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psnet.ahrq.gov/node/43426/psn-pdf
July 03, 2016 - Discussing the undiscussable with the powerful: why and
how faculty must learn to counteract organizational
silence.
July 3, 2016
Dankoski ME, Bickel J, Gusic ME. Discussing the undiscussable with the powerful: why and how faculty
must learn to counteract organizational silence. Acad Med. 2014;89(12):1610-3.
doi:…
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psnet.ahrq.gov/node/853241/psn-pdf
September 06, 2023 - Hiding in plain sight: inconvenient facts for patient safety
in non-24/7 theatre on-site staffed obstetric units.
September 6, 2023
McGurgan P. Hiding in plain sight: Inconvenient facts for patient safety in non?24/7 theatre on?site staffed
obstetric units. Aust N Z J Obstet Gynaecol. 2023;63(4):606-611. doi:10.111…
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psnet.ahrq.gov/node/45563/psn-pdf
October 19, 2016 - Using a change model to reduce the risk of surgical site
infection.
October 19, 2016
Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-
955.
https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
Surgical site infections can resul…
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psnet.ahrq.gov/node/73708/psn-pdf
September 15, 2021 - Patient safety and ethical implications of healthcare sick
leave policies in the pandemic era.
September 15, 2021
Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave
policies in the pandemic era. Jt Comm J Qual Patient Saf. 2021;47(10):673-676.
doi:10.1016/j.jc…
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psnet.ahrq.gov/perspective/safety-medical-devices
June 01, 2011 - Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and culture … that is that organizations can start to deviate from established procedures and bend them if in their culture … The culture created at the top is more important than any number of experts that you have there. … Japan's culture made it harder to discuss the risk.
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psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
September 01, 2014 - Beliefs are a factor. … Physicians and patients have their beliefs about medicine and its possibilities and limitations. … RW : So the reasons for overuse include financial incentives, cultural beliefs, marketing, and production … of overutilization," formed from the confluence of many reinforcing drivers, including a physician culture
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psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - For example, safety culture. Remember the Eric Cropp case? … RW: You talked a little about culture in terms of punitive culture, you talked about production pressures
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psnet.ahrq.gov/node/859302/psn-pdf
December 20, 2023 - Drivers of unprofessional behaviour between staff in
acute care hospitals: a realist review.
December 20, 2023
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:10.1186/s12913-023-10291-3.
http…
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psnet.ahrq.gov/node/857445/psn-pdf
January 01, 2024 - The racial disparities in maternal mortality and impact of
structural racism and implicit racial bias on pregnant
Black women: a review of the literature.
December 6, 2023
Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and
implicit racial bias on pregnant b…
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psnet.ahrq.gov/node/854627/psn-pdf
October 18, 2023 - Implementing strategies to prevent home medication
administration errors in children with medical complexity.
October 18, 2023
Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in
children with medical complexity. Clin Pediatr (Phila). 2023;20(18):6788. doi:10.1177/0…
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psnet.ahrq.gov/node/34710/psn-pdf
February 18, 2011 - Fatigue among clinicians and the safety of patients.
February 18, 2011
Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. New Engl J Med.
2002;347(16):1249-1255.
https://psnet.ahrq.gov/issue/fatigue-among-clinicians-and-safety-patients
Acknowledging the inevitable connection b…
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psnet.ahrq.gov/node/866960/psn-pdf
October 16, 2024 - The consequences of misdiagnosing race-based trauma
response in Black men: a critical examination.
October 16, 2024
Sanders AA, Roberts JD, McDowell MC, et al. The consequences of misdiagnosing race-based trauma
response in Black men: a critical examination. Soc Work Public Health. 2024;39(7):721-733.
doi:10.1080/…
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psnet.ahrq.gov/node/37054/psn-pdf
September 30, 2011 - Impact of the nurse shortage on hospital patient care:
comparative perspectives.
September 30, 2011
Buerhaus P, Donelan K, Ulrich BT, et al. Impact of the nurse shortage on hospital patient care: comparative
perspectives. Health Aff (Millwood). 2007;26(3):853-62.
https://psnet.ahrq.gov/issue/impact-nurse-shortage-…
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psnet.ahrq.gov/node/854381/psn-pdf
October 11, 2023 - Addressing bias in acute postoperative pain
management.
October 11, 2023
Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management.
Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0.
https://psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pa…