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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - In fact, professional interpreters report better understanding of patients' social and cultural backgrounds
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psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - Factors
Most ICUs emphasize high quality and safe care; increasingly, ICUs are committed to creating a culture … There are no
greater barriers to changing safety culture than those created by silly, time-consuming … ICU
Unclear: Incorrect doses ordered in ER may
persist after transfer to ICU: NC
Low
ICU safety culture
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - Factors Most ICUs emphasize high quality and safe care; increasingly, ICUs are committed to creating a culture … There are no greater barriers to changing safety culture than those created by silly, time-consuming, … Incorrect doses ordered in ER may persist after transfer to ICU: NC Low ICU safety culture
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psnet.ahrq.gov/node/838222/psn-pdf
September 28, 2022 - The community culture around medical care matters, and if people don’t understand the complexities of … that could happen at the dinner table, at the bowling alley, or at the livestock sale barn, and
the culture … I think there’s been a broad culture
change over the last 20 years related to this, but I think there
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psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
August 01, 2016 - diagnostic terms.( 19 )
Clearly, though, the greatest hurdle is to establish a robust patient safety culture … in the dental ecosystem.( 20 ) As challenging as it has been to establish a safety culture in medicine … Open wide: looking into the safety culture of dental school clinics. J Dent Educ. 2014;78:745-756.
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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - reducing harm.5,6
Violence in healthcare settings impacts patient safety, and guidance is emerging that a culture … designed to increase the effectiveness of communication to improve
patient safety, especially the culture
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psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
July 21, 2025 - Library Organization
Custom - This library is organized by custom section header names. … quality improvement activities to engage patients, educate clinicians, leverage technology, and support a culture … The authors suggest improvements in health care culture is required to implement the recommended changes
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psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
July 10, 2024 - Commentary
The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.
Citation Text:
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(…
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psnet.ahrq.gov/issue/carers-medication-administration-errors-domiciliary-setting-systematic-review
December 18, 2017 - Review
Carers' medication administration errors in the domiciliary setting: a systematic review.
Citation Text:
Parand A, Garfield S, Vincent CA, et al. Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review. PLoS One. 2016;11(12):e0167204. doi:10.1371/j…
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psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
October 03, 2017 - Study
Preventing wrong site, procedure, and patient events using a common cause analysis.
Citation Text:
Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/10628606114120…
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psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric
November 02, 2022 - Commentary
Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units.
Citation Text:
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 Gyna…
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psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
September 16, 2020 - Commentary
Patient safety and ethical implications of healthcare sick leave policies in the pandemic era.
Citation Text:
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. 202…
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psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pain-management
September 23, 2020 - Review
Addressing bias in acute postoperative pain management.
Citation Text:
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.
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Format:
…
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psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-patient-focused-care-time-has-come
April 05, 2023 - Commentary
Changing the work environment in ICUs to achieve patient-focused care: the time has come.
Citation Text:
McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest. 2006;130(5):1571-8.
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Format:
…
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psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
July 29, 2020 - Study
Adverse event rates as measures of hospital performance.
Citation Text:
Hauck K, Zhao X, Jackson T. Adverse event rates as measures of hospital performance. Health Policy (New York). 2012;104(2):146-154. doi:10.1016/j.healthpol.2011.06.010.
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Format:
DOI…
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psnet.ahrq.gov/issue/progress-interoperability-measuring-us-hospitals-engagement-sharing-patient-data
March 27, 2024 - Study
Progress in interoperability: measuring US hospitals' engagement in sharing patient data.
Citation Text:
Holmgren J, Patel V, Adler-Milstein J. Progress in interoperability: measuring US hospitals' engagement in sharing patient data. Health Aff (Millwood). 2017;36(10):1820-1827. do…
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psnet.ahrq.gov/issue/inpatient-suicide-mental-health-units-veterans-affairs-va-hospitals-avoiding-environmental
September 05, 2018 - Study
Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards.
Citation Text:
Mills PD, King LA, Watts B, et al. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Gen Hosp Psych…
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psnet.ahrq.gov/issue/human-factors-analysis-technical-and-team-skills-among-surgical-trainees-during-procedural
March 03, 2011 - Study
A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre.
Citation Text:
Moorthy K, Munz Y, Adams S, et al. A human factors analysis of technical and team skills among surgical trainees during pro…
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psnet.ahrq.gov/issue/silent-witnesses-faculty-reluctance-report-medical-students-professionalism-lapses
March 10, 2021 - Study
Silent witnesses: faculty reluctance to report medical students' professionalism lapses.
Citation Text:
Ziring D, Frankel RM, Danoff D, et al. Silent Witnesses: Faculty Reluctance to Report Medical Students' Professionalism Lapses. Acad Med. 2018;93(11):1700-1706. doi:10.1097/ACM.0…
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psnet.ahrq.gov/issue/girl-who-cried-pain-bias-against-women-treatment-pain
February 08, 2023 - Review
Classic
The girl who cried pain: a bias against women in the treatment of pain.
Citation Text:
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.200…