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psnet.ahrq.gov/node/857459/psn-pdf
December 06, 2023 - Five strategies for a safer EHR modernization journey.
December 6, 2023
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.
https://psnet.ahrq.gov/issue/five-strategies-safer-ehr-modernization-journey
Large-sca…
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psnet.ahrq.gov/node/36511/psn-pdf
January 07, 2011 - Facing ambiguous threats.
January 7, 2011
Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13,
157.
https://psnet.ahrq.gov/issue/facing-ambiguous-threats
This study describes how organizations respond to signs that may or may not portend future
catastrophes. The authors…
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psnet.ahrq.gov/node/42783/psn-pdf
January 15, 2014 - Sign-out snapshot: cross-sectional evaluation of written
sign-outs among specialties.
January 15, 2014
Schoenfeld AR, Al-Damluji MS, Horwitz LI. Sign-out snapshot: cross-sectional evaluation of written sign-
outs among specialties. BMJ Qual Saf. 2014;23(1):66-72. doi:10.1136/bmjqs-2013-002164.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/35374/psn-pdf
January 02, 2017 - Intimidation: practitioners speak up about this unresolved
problem.
January 2, 2017
Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J
Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4.
https://psnet.ahrq.gov/issue/intimidation-practitioners-s…
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psnet.ahrq.gov/node/837516/psn-pdf
June 22, 2022 - Fostering ethical conduct through psychological safety.
June 22, 2022
Ferrere A, Rider C, Renerte B et al. Sloan Manag Rev. Summer 2022;39-43.
https://psnet.ahrq.gov/issue/fostering-ethical-conduct-through-psychological-safety
A baseline expectation in a safe organization is that employees feel comfortable and supp…
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psnet.ahrq.gov/node/43410/psn-pdf
August 20, 2014 - Antibiotic prescribing practice in residential aged care
facilities—health care providers' perspectives.
August 20, 2014
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;201(2):98-102.
https://psnet.ahr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.pdf
January 01, 2012 - Case study: achieving a culture of patient-
and family-centered care at Bronson Methodist
Hospital.
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psnet.ahrq.gov/node/864868/psn-pdf
March 27, 2024 - in care, including transitions in care, and offers communication tips regarding health
literacy and culture
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psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - the second victim phenomenon at MUHC, in
2007 we added two questions to an internal patient safety culture … clinical events or medical errors.(22) When a serious event occurs, the health
care system with a strong culture … Surveys on Patient Safety Culture.
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psnet.ahrq.gov/node/33886/psn-pdf
August 01, 2019 - the largest
medical scribe staffing agency in the US, has stated that using scribes can support a culture … to the competencies listed by The Joint Commission, new
scribes may need to be oriented to medical culture … Murphy M. 3 ways scribes support a culture of safety. Medical Scribe America. April 12, 2016.
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psnet.ahrq.gov/web-mm/raise-bar
May 29, 2024 - knowledge and competency, clarity of role and responsibilities, handoff communication, and patient safety culture … structured, focused events would likely improve process reliability and information exchange.( 13 ) Culture … Increasing safety stewardship requires a culture that discourages behaviors based on hierarchy and consistently
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - organizations can use to prevent these errors include teamwork training and efforts to
improve the culture … An organizational culture of
safety promotes teamwork and standard practice using the Glucommander and … glycemic control and monitor the processes that
support good outcomes, including those related to culture
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - stay in),
missing ad hoc cognitive tools (the missing daily goal sheet or discharge checklist), or a culture … Developing policies, training, and a safety culture that reduce the risk of injury by making it easier … Executive/Senior Leader Checklist to improve
culture and reduce central line–associated bloodstream
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psnet.ahrq.gov/web-mm/do-me-favor
September 12, 2016 - Since no apparent difficulties usually arise, the provider culture has come to "normalize" these informal … Systems approaches to prevent this type of error in the future center on the "safety culture. … Promoting a culture of safety. In: Shojania KG, Duncan BW, McDonald KM, Wachter RM, eds.
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - Furthermore, promoting a culture of safety—including the ability of staff to speak up about safety—is … Perspective: a culture of respect, part 2: creating a culture of respect.
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psnet.ahrq.gov/issue/effects-interdisciplinary-team-care-interventions-general-medical-wards-systematic-review
April 24, 2018 - Interdisciplinary team care interventions are increasingly common on medical wards, based partly on a widespread belief
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/obtain-training-and-support-providers-and-staff/clinicwide-orientation-oud-treatment
January 01, 2019 - As previously discussed in the section on Culture Change, negative interactions with providers and staff … Started
Understanding the Components of MAT
Addressing Organizational Readiness and Culture
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psnet.ahrq.gov/periodic-issue/weekly-resource
March 25, 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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digital.ahrq.gov/sites/default/files/docs/page/Workshop%20Introduction.pdf
June 16, 2021 - • LEEP-
Environmentally responsible
• Globalization –
• Economics –
• Biotech –
• Culture –
• Patient
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www.ahrq.gov/hai/cusp/modules/nursing/alt-text.html
April 01, 2013 -
Slide 26
CUSP Tools
Background Quality Improvement Team Information Form
Culture