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  1. psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
    February 23, 2019 - Study Classic The business case for quality: case studies and an analysis. Citation Text: Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis. Health Aff (Millwood). 2003;22(2):17-30. Copy Citation Format: …
  2. psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
    November 16, 2022 - Review Disparities in patient safety voluntary event reporting: a scoping review. Citation Text: Hoops K, Pittman E, Stockwell DC. Disparities in patient safety voluntary event reporting: a scoping review. Jt Comm J Qual Patient Saf. 2024;50(1):41-48. doi:10.1016/j.jcjq.2023.10.009. Co…
  3. psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-intensive-care-units-prospective
    March 29, 2012 - Study Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter study. Citation Text: Benkirane RR, Abouqal R, R-Abouqal R, et al. Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter s…
  4. psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine
    June 05, 2019 - Study Medical error: using storytelling and reflection to impact error response factors in family medicine residents. Citation Text: Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. J Med …
  5. psnet.ahrq.gov/issue/cpoe-iran-viable-prospect-physicians-opinions-using-cpoe-iranian-teaching-hospital
    June 30, 2011 - Study CPOE in Iran—a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital. Citation Text: Kazemi A, Ellenius J, Tofighi S, et al. CPOE in Iran--a viable prospect? Physicians' opinions on using CPOE in an Iranian teaching hospital. Int J Med Inform. 2009;7…
  6. psnet.ahrq.gov/issue/medical-error-reporting-patient-safety-and-physician
    February 04, 2009 - Study Medical error reporting, patient safety, and the physician. Citation Text: Anderson B, Stumpf PG, Schulkin J. Medical Error Reporting, Patient Safety, and the Physician. J Patient Saf. 2009;5(3):176-179. doi:10.1097/pts.0b013e3181b320b0. Copy Citation Format: DOI Go…
  7. psnet.ahrq.gov/issue/predictors-and-triggers-incivility-within-healthcare-teams-systematic-review-literature
    July 21, 2011 - Review Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. Citation Text: Keller S, Yule S, Zagarese V, et al. Predictors and triggers of incivility within healthcare teams: a systematic review of the literature. BMJ Open. 2020;10(6):e035…
  8. psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use-health-care
    November 16, 2022 - Study Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. Citation Text: Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. JAMA H…
  9. psnet.ahrq.gov/issue/drivers-unprofessional-behaviour-between-staff-acute-care-hospitals-realist-review
    July 24, 2024 - Review Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. Citation Text: 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:1…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867497/psn-pdf
    February 26, 2025 - in http://www.fda.gov/Safety/MedWatch/ processes of care requires attention to inter-professional culture … determine whether the devices under consideration are likely to be helpful at that site, given that site’s culture
  11. psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
    March 30, 2020 - The new cross-cutting topics, such as Safety Culture, Teamwork and Communication, etc. also help to highlight … The included cross-cutting topics/practices are: improving safety culture; teamwork and team training
  12. psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - The first, called quality by inspection, is a system based on the belief that quality is best achieved … Safety (PIPS) project report presents an implementation structure for medication safety and safety culture … Safety (PIPS) project report presents an implementation structure for medication safety and safety culture … The first, called quality by inspection, is a system based on the belief that quality is best achieved
  13. psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
    March 27, 2024 - The last part and perhaps the most important is to have a basic foundation, a culture, of teamwork and … A healthcare organization will definitely find out exactly what kind of culture exists when a cyberattack … A good, strong culture of partnership and working together during stressful times will be important. … If something doesn't look right and a patient may be harmed, creating that culture of raising your hand
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49579/psn-pdf
    March 21, 2009 - All in the History March 21, 2009 Fee C. All in the History. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/all-history Case Objectives Describe the Emergency Medical Treatment and Active Labor Act (EMTALA) and understand that it does not apply to transfers to emergency departments from non-acute care faci…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49807/psn-pdf
    October 01, 2017 - Translating From Normal to Abnormal October 1, 2017 Turner AM. Translating From Normal to Abnormal. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/translating-normal-abnormal Case Objectives Define limited English proficiency. Understand the principal approaches to machine translation. Review the way mach…
  16. Spotlight (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
    November 01, 2018 - Spotlight Spotlight Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees * Source and Credits This presentation is based on the November 2018 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Olle ten C…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841566/psn-pdf
    December 14, 2022 - not only understand what has to be done for patient safety, but are given the time to do it within a culture … There are many lessons here, including communication strategies, culture, leadership, teamwork training … I have a personal belief that if we unleash the voice of the patient in quality reporting, we are going
  18. psnet.ahrq.gov/webmm-case-studies
    March 25, 2025 - Health Literacy Improvement (11) Informed Consent (15) Culture … of Safety (39) Just Culture (1) Learning Organization (2) Red … commentary discusses appropriate management of ongoing intraoperative and postoperative bleeding and how a culture
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33717/psn-pdf
    September 01, 2011 - electronic reporting interfaces, excluding reported information from performance reviews, improving safety culture … The senior leadership defines what the safety culture should look like, seeks out new safety technologies
  20. psnet.ahrq.gov/clinical-areas
    March 24, 2025 - Nursing leadership plays an important role in establishing a culture of safety. … importance of formal support programs, including peer support, education, error analysis, and just culture

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