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psnet.ahrq.gov/node/837192/psn-pdf
May 25, 2022 - issue/national-action-plan-advance-patient-safety
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture
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psnet.ahrq.gov/node/836790/psn-pdf
March 23, 2022 - explores themes that
underscore successful application of human factors practices into healthcare: culture
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psnet.ahrq.gov/node/44656/psn-pdf
November 11, 2015 - discusses behavior change, error disclosure, team communication, decision making, and
organizational culture
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psnet.ahrq.gov/node/842779/psn-pdf
January 12, 2011 - textbook
discussed concepts foundational to instilling resilience engineering concepts into workplace culture
-
psnet.ahrq.gov/node/60040/psn-pdf
March 11, 2020 - psnet.ahrq.gov/issue/phso-review-quality-nhs-complaints-investigations
https://psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among
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psnet.ahrq.gov/node/836833/psn-pdf
March 30, 2022 - psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture
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psnet.ahrq.gov/node/44221/psn-pdf
September 27, 2016 - human-error-not-communication-and-systems-underlies-surgical-complications
https://psnet.ahrq.gov/issue/ambulatory-surgery-center-survey-patient-safety-culture
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case.html
November 01, 2014 - Culture change.
Department leaders
Reduce waste and increase efficiency.
-
psnet.ahrq.gov/node/849606/psn-pdf
May 31, 2023 - five domains supporting the adoption and implementation of patient safety initiatives (leadership,
culture
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psnet.ahrq.gov/node/837667/psn-pdf
July 13, 2022 - Limitations-of-Event-Reporting
https://psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
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psnet.ahrq.gov/node/73691/psn-pdf
September 08, 2021 - reporting-patient-safety-events
https://psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
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psnet.ahrq.gov/node/41502/psn-pdf
October 03, 2012 - implementation-surgical-comprehensive-unit-based-safety-program-reduce-surgical-site
https://psnet.ahrq.gov/issue/impact-comprehensive-unit-based-safety-program-cusp-safety-culture-surgical-inpatient-unit
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psnet.ahrq.gov/node/39603/psn-pdf
February 16, 2011 - psnet.ahrq.gov/issue/using-patient-safety-morbidity-and-mortality-conferences-promote-transparency-and-culture
-
digital.ahrq.gov/sites/default/files/docs/page/2006McColm_051111comp.pdf
June 16, 2021 - crosses continuum
• 100% use of CPOE
• No paper charts
HIT/Patient Safety Challenges
• Organization culture
-
psnet.ahrq.gov/node/74064/psn-pdf
May 27, 2021 - advocates using the same strategies to reduce inequities that were used to improve patient
safety: 1) culture
-
psnet.ahrq.gov/node/37116/psn-pdf
October 04, 2011 - successfully adopted seven of nine medication-
related safe practices and further characterized hospital culture
-
psnet.ahrq.gov/node/46243/psn-pdf
June 05, 2019 - Targeted areas of improvement include safety culture, teamwork skills, and partnering with
patients.
-
psnet.ahrq.gov/node/44782/psn-pdf
January 13, 2016 - research has improved understanding about
medical error and the role of teamwork training and safety culture
-
psnet.ahrq.gov/node/46540/psn-pdf
August 08, 2018 - preventing-adverse-events-cataract-surgery-recommendations-massachusetts-expert-panel
https://psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
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psnet.ahrq.gov/node/44889/psn-pdf
April 13, 2017 - learn from system
failures through focusing on improvements that align collaboration, accountability, culture