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9721. Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. | PSNet
      psnet.ahrq.gov/issue/shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure
      August 21, 2019 - Study Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. Citation Text: LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. d…

9722. Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time. | PSNet
      psnet.ahrq.gov/issue/working-fixed-operating-room-team-consecutive-similar-cases-and-effect-case-duration-and
      January 07, 2015 - Study Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time. Citation Text: Stepaniak PS, Vrijland WW, de Quelerij M, et al. Working with a fixed operating room team on consecutive similar cases and the effect on case dura…

9723. Implicit bias in healthcare professionals: a systematic review. | PSNet
      psnet.ahrq.gov/issue/implicit-bias-healthcare-professionals-systematic-review
      September 28, 2022 - Review Implicit bias in healthcare professionals: a systematic review. Citation Text: FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18(1):19. doi:10.1186/s12910-017-0179-8. Copy Citation Format: DOI Google Schola…

9724. Five strategies for a safer EHR modernization journey. | PSNet
      psnet.ahrq.gov/issue/five-strategies-safer-ehr-modernization-journey
      November 11, 2020 - Commentary Five strategies for a safer EHR modernization journey. Citation Text: 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. Copy Citation Format: DOI Google Sch…

9725. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. | PSNet
      psnet.ahrq.gov/issue/using-computerized-prescriber-order-entry-limit-overrides-automated-dispensing-cabinets
      May 18, 2022 - Commentary Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Citation Text: Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14)…

9726. Misreading injectable medications—causes and solutions: an integrative literature review. | PSNet
      psnet.ahrq.gov/issue/misreading-injectable-medications-causes-and-solutions-integrative-literature-review
      May 04, 2010 - Review Misreading injectable medications—causes and solutions: an integrative literature review. Citation Text: Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020…

9727. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
      psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
      August 20, 2018 - presence of deficiencies in a health care organization’s current staffing, equipment and facilities, culture … TeamSTEPPS program experienced improvement in non-technical skills like teamwork, communication and safety culture … Avoidance of serious medical errors in refractive surgery using a custom preoperative checklist.

9728. Medication Reconciliation Victory After an Avoidable Error | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
      April 01, 2015 - November 1, 2003 Perspective Establishing a Safety Culture … August 14, 2024 Exploring the impact of safety culture on incident reporting: lessons

9729. A Mid-Summer Fog | PSNet
      psnet.ahrq.gov/web-mm/mid-summer-fog
      September 29, 2017 - Related Resources From the Same Author(s) Development of a high-value care culture … April 24, 2014 A leadership framework for culture change in health care.

9730. Reconciling Records | PSNet
      psnet.ahrq.gov/web-mm/reconciling-records
      September 01, 2017 - Defense 4: A New Attitude and Culture With EHRs, we can finally find the information that we are looking … tools such as online e-prescribing clearinghouses.( 13 ) A greater challenge is to inculcate a culture

9731. Approach to Improving Patient Safety: Communication | PSNet
      psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
      August 31, 2020 - Communication across Providers Communication, and teamwork in particular, are pillars of patient safety culture … communication contact between leaders and members of their team is associated with better patient safety culture

9732. Technology as a Tool for Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
      April 26, 2023 - This suggests that contextual factors at each site, such as culture and organizational processes, may … Annual Perspective Ensuring Patient and Workforce Safety Culture

9733. Transition to Nowhere | PSNet
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      March 21, 2009 - November 1, 2003 Perspective Establishing a Safety Culture

9734. Patient Safety in Primary Care | PSNet
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      January 31, 2020 - November 26, 2019 Perspectives on Safety Safety Culture

9735. Beyond the Hospital: the New Frontier of Patient Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
      August 01, 2014 - Culture of safety, communication, and teamwork. … robust local error reporting and unit-based improvement team could go a long way toward creating a culture … We talked about safety culture. Then we interviewed him again about a year ago. … And he said he wasn't focusing much on safety culture anymore because people were so burned out that

9736. In Conversation With… Urmimala Sarkar, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
      August 22, 2014 - We talked about safety culture. Then we interviewed him again about a year ago. … And he said he wasn't focusing much on safety culture anymore because people were so burned out that … Culture of safety, communication, and teamwork. … robust local error reporting and unit-based improvement team could go a long way toward creating a culture

9737. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
      February 26, 2025 - Cross-cutting these are culture, values, and equity, which we believe need to be embedded in everything … recommendations centered on four priority areas to build the foundation needed to advance patient safety: culture … learning and improvements in patient safety happen when learning health systems with a strong safety culture … components for creating and sustaining a successful learning health system include a strong safety culture

9738. Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
      February 26, 2025 - recommendations centered on four priority areas to build the foundation needed to advance patient safety: culture … learning and improvements in patient safety happen when learning health systems with a strong safety culture … components for creating and sustaining a successful learning health system include a strong safety culture … Cross-cutting these are culture, values, and equity, which we believe need to be embedded in everything

9739. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
      psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
      September 25, 2019 - July 19, 2023 Rooting an error review process in just culture: lessons learned. … WebM&M Cases Delayed Recognition of a Positive Blood Culture

9740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33770/psn-pdf
      August 01, 2014 - We talked about safety culture. Then we interviewed him again about a year ago. … And he said he wasn't focusing much on safety culture https://psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma