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  1. psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care
    August 09, 2017 - Book/Report Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. Citation Text: Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2…
  2. psnet.ahrq.gov/issue/unintended-exposure-patient-lisa-norris-during-radiotherapy-treatment-beatson-oncology-centre
    March 06, 2005 - Book/Report Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006. Citation Text: Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006.…
  3. psnet.ahrq.gov/issue/patient-safety-improvement-corps-ahrqva-partnership
    December 24, 2008 - Government Resource Patient Safety Improvement Corps: An AHRQ/VA partnership. Citation Text: Patient Safety Improvement Corps: An AHRQ/VA partnership. AHRQ; Agency for Healthcare Research and Quality. Copy Citation Save Save to your library Print Downloa…
  4. psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare
    June 30, 2019 - Commentary Measuring shared mental models in healthcare. Citation Text: Measuring shared mental models in healthcare. Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219. Copy Citation Save Save to your library Print Downl…
  5. psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop
    September 12, 2018 - Meeting/Conference Proceedings Communicating Clearly About Medicines: Proceedings of a Workshop. Citation Text: Communicating Clearly About Medicines: Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press: 2017.…
  6. psnet.ahrq.gov/issue/core-entrustable-professional-activities-entering-residency
    June 01, 2022 - Book/Report Core Entrustable Professional Activities for Entering Residency. Citation Text: Core Entrustable Professional Activities for Entering Residency. Washington, DC: Association of American Medical Colleges; 2014. Copy Citation Save Save to your library …
  7. psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines
    January 20, 2021 - Commentary Kaiser Permanente's innovation on the front lines. Citation Text: McCreary L. Kaiser Permanente's innovation on the front lines. Harv Bus Rev. 2010;88(9):92, 94-7, 126. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
  8. psnet.ahrq.gov/issue/does-malpractice-liability-make-healthcare-safer-aligning-law-and-policy-evidence
    August 26, 2020 - Commentary Does malpractice liability make healthcare safer? Aligning law and policy with evidence. Citation Text: Does malpractice liability make healthcare safer? Aligning law and policy with evidence. Saks MJ, Landsman S. Wake Forest J Law Policy. 2022;12:205-257.   Copy C…
  9. psnet.ahrq.gov/issue/sociology-healthcare-safety-and-quality
    March 02, 2016 - Special or Theme Issue The Sociology of Healthcare Safety and Quality. Citation Text: The Sociology of Healthcare Safety and Quality. Allen D, Braithwaite J, Sandall J, Waring J, eds. Sociol Health Illn. 2016;38(2):179-339. Copy Citation Save Save to your librar…
  10. psnet.ahrq.gov/issue/surgeons-opioid-prescribing-habits-are-hard-kick
    August 28, 2019 - Newspaper/Magazine Article Surgeons' opioid-prescribing habits are hard to kick. Citation Text: Surgeons' opioid-prescribing habits are hard to kick. Appleby J; Lucas E. Copy Citation Save Save to your library Print Download PDF Share Faceboo…
  11. psnet.ahrq.gov/issue/doctors-can-change-opioid-prescribing-habits-progress-comes-small-doses
    July 10, 2019 - Newspaper/Magazine Article Doctors can change opioid prescribing habits, but progress comes in small doses. Citation Text: Doctors can change opioid prescribing habits, but progress comes in small doses. Appleby J; Lucas E. Copy Citation Save Save to your library …
  12. psnet.ahrq.gov/issue/patient-engagement-patient-safety-barriers-and-facilitators
    May 09, 2015 - Newspaper/Magazine Article Patient engagement in patient safety: barriers and facilitators. Citation Text: Patient engagement in patient safety: barriers and facilitators. Scobie AC, Persaud DD. Patient Saf Qual Healthc. March/April 2010;7:42-47. Copy Citation Save …
  13. psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
    December 22, 2018 - November 23, 2016 The relationship between organizational culture and family satisfaction … November 21, 2016 Organizational and safety culture in Canadian intensive care units:
  14. psnet.ahrq.gov/web-mm/empty-bag
    June 01, 2018 - multiple groups and professions to collaborate, facilitated by a transparent, proactive, and nonpunitive culture … August 5, 2020 Perspectives on Safety Safety Culture in … December 14, 2022 Smart pump custom concentrations without hard "low concentration
  15. psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
    December 23, 2020 - The custom intravenous fluid was verified and administered by the baby’s PICU nurse. … Second, clinical decision support was not built-in for the ordering of custom intravenous fluids. … Best practice dictates that, when a new order for custom intravenous fluid is received, the pharmacy … Such measures are critical to promoting a culture of safety, both within the care team and at the organizational … patient safety, including daily huddles and leadership walk rounds, are critical for establishing a culture
  16. psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
    August 21, 2024 - learning actions, including huddles, debriefs, and monitoring outcomes, are the glue that creates the culture … They also serve as a valuable rallying point to create a culture of safety on maternity units by implementing … significant hemorrhages Reporting and Systems Learning (Every Unit) Establish a culture
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33718/psn-pdf
    October 01, 2011 - important domain of context would be this collection of teamwork and leadership and patient safety culture … article that it's much more than that: leadership had to be involved; there were efforts to influence culture
  18. psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
    October 02, 2024 - and on Normal Accidents and HROs 1990s and on Swiss Cheese and Safety Management 2000s and on Safety Culture … viewed, as well as the utility of the concept of human error. 1 , 13-15 This questioning of long held beliefs … Hollnagel terms this the causality credo , which he defines as “the belief that adverse outcomes happen … Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72613/psn-pdf
    December 22, 2020 - MW: I'm sure that's part of it, I think one of the main drivers is culture awareness. … KH: In dental schools, are you doing patient safety education in terms of like talking about culture … One of the things we learned from a culture survey we did was that the two areas that we were particularly
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33716/psn-pdf
    September 01, 2011 - KS: Well, the received view is that they're getting safer, or the culture is improving. … incident reporting rate is probably a good thing, at least as a surrogate marker for engagement and culture … The problem with that is that then it really does depend on the institutional culture, because then

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