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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - they would believe to be incorrect written guidance on the bottle (since it conflicts with their prior beliefs … The whole culture of aviation encourages admitting your mistakes, so everybody benefits from it. … One, it goes against the culture, but second, there are very strong legal issues. … of the problem is not only is it a complex social, equipment, and personnel issue, but the standard belief
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - September 29, 2017
Development of a high-value care culture survey: a modified Delphi … WebM&M Cases
Delayed Recognition of a Positive Blood Culture
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - RW: In terms of culture, what did you expect to see when you began meeting doctors, nurses, and hospital … Because you're talking about
wholesale culture change.
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psnet.ahrq.gov/node/33820/psn-pdf
December 01, 2016 - RW: My own bias is I think the culture is pretty good in terms of the blame and nonblame in the system … Really, part of this is culture.
RW: Yeah, and leadership.
JB: And leadership.
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psnet.ahrq.gov/node/49593/psn-pdf
October 01, 2009 - standardized tools or checklists to facilitate handoffs may help remind practitioners and
reinforce a culture … Structured handoffs should be considered to
minimize forgotten items and to reinforce a culture of consistency
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psnet.ahrq.gov/web-mm/suicide-risk-hospital
November 01, 2011 - Inpatient suicide prevention: promoting a culture and system of safety over 30 years of practice.
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psnet.ahrq.gov/node/866848/psn-pdf
September 25, 2024 - I would focus on things
like teamwork and communication, safety culture, and better engagement with … Sarah Mossburg: Some proponents for zero harm state that the organizational setting and leadership
culture
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psnet.ahrq.gov/sites/default/files/2021-09/Battle%20Buddy%20Pocket%20Card%20-%20final%20(1).pdf
January 01, 2021 - A cognitively and emotionally resilient team culture.
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psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united
December 05, 2012 - Commentary
Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States.
Citation Text:
Njoku A, Evans M, Nimo-Sefah L, et al. Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality…
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psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias
July 13, 2009 - Review
The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature.
Citation Text:
Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and im…
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psnet.ahrq.gov/issue/advancing-science-patient-safety
March 13, 2013 - Commentary
Classic
Advancing the science of patient safety.
Citation Text:
Shekelle PG, Pronovost P, Wachter R, et al. Advancing the science of patient safety. Ann Intern Med. 2011;154(10):693-6. doi:10.7326/0003-4819-154-10-201105170-00011.
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psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses
March 24, 2021 - Study
Use of an audit with feedback implementation strategy to promote medication error reporting by nurses.
Citation Text:
Hutchinson A, Brotto V, Chapman A, et al. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. J Clin Nurs. 2020;2…
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psnet.ahrq.gov/issue/influence-race-and-gender-pain-management-systematic-literature-review
December 02, 2020 - Review
The influence of race and gender on pain management: a systematic literature review.
Citation Text:
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.…
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psnet.ahrq.gov/issue/health-care-providers-negative-implicit-attitudes-and-stereotypes-american-indians
January 18, 2023 - Study
Health care providers’ negative implicit attitudes and stereotypes of American Indians.
Citation Text:
Zestcott CA, Spece L, McDermott D, et al. Health care providers’ negative implicit attitudes and stereotypes of American Indians. J Racial Ethn Health Disparities. 2021;8(1):230-2…
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psnet.ahrq.gov/issue/hospital-and-system-wide-interventions-health-care-associated-infections-systematic-review
January 12, 2022 - Review
Hospital- and system-wide interventions for health care-associated infections: a systematic review.
Citation Text:
Maurer NR, Hogan TH, Walker DM. Hospital- and system-wide interventions for health care-associated infections: a systematic review. Med Care Res Rev. 2021;78(6):643-6…
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psnet.ahrq.gov/issue/antibiotic-prescribing-practice-residential-aged-care-facilities-health-care-providers
November 12, 2014 - Study
Antibiotic prescribing practice in residential aged care facilities—health care providers' perspectives.
Citation Text:
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;2…
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psnet.ahrq.gov/issue/validating-domains-patient-contextual-factors-essential-preventing-contextual-errors
September 20, 2011 - Study
Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites.
Citation Text:
Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual F…
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psnet.ahrq.gov/issue/evolving-role-medical-scribe-variation-and-implications-organizational-effectiveness-and
October 24, 2018 - Study
The evolving role of medical scribe: variation and implications for organizational effectiveness and safety.
Citation Text:
Woodcock D, Pranaat R, McGrath K, et al. The Evolving Role of Medical Scribe: Variation and Implications for Organizational Effectiveness and Safety. Stud Hea…
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psnet.ahrq.gov/issue/polypharmacy-hospitalized-older-adult-cancer-patients-experience-prospective-observational
July 19, 2023 - Study
Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.
Citation Text:
Flood KL, Carroll MB, Le C, et al. Polypharmacy in hospitalized older adult cancer patients: experience from a …
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psnet.ahrq.gov/issue/safety-climate-survey-reliability-results-multicenter-icu-survey
June 13, 2012 - Study
Safety Climate Survey: reliability of results from a multicenter ICU survey.
Citation Text:
Kho ME. Safety Climate Survey: reliability of results from a multicenter ICU survey. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2005.014316.
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