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  1. Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. | PSNet

    psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication-resiliency
    July 12, 2023 - Commentary Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. Citation Text: Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resilien…

  2. Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. | PSNet

    psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance
    July 05, 2013 - Commentary Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. Citation Text: Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…

  3. Towards a framework for managing risk associated with technology-induced error. | PSNet

    psnet.ahrq.gov/issue/towards-framework-managing-risk-associated-technology-induced-error
    May 10, 2013 - Commentary Towards a framework for managing risk associated with technology-induced error. Citation Text: Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. Copy Citation Format: …

  4. Negative behaviours in health care: prevalence and strategies. | PSNet

    psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies
    May 01, 2024 - Study Negative behaviours in health care: prevalence and strategies. Citation Text: Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660. Copy Citation Format: DOI Goog…

  5. Are personal health records (PHRs) facilitating patient safety? A scoping review. | PSNet

    psnet.ahrq.gov/issue/are-personal-health-records-phrs-facilitating-patient-safety-scoping-review
    February 09, 2022 - Review Are personal health records (PHRs) facilitating patient safety? A scoping review. Citation Text: Joseph AL, Monkman H, Kushniruk AW, et al. Are personal health records (PHRs) facilitating patient safety? A scoping review. Stud Health Technol Inform. 2022;2022:535-539. doi:10.3233/…

  6. High performance teamwork training and systems redesign in outpatient oncology. | PSNet

    psnet.ahrq.gov/issue/high-performance-teamwork-training-and-systems-redesign-outpatient-oncology
    November 16, 2022 - Study High performance teamwork training and systems redesign in outpatient oncology. Citation Text: Bunnell CA, Gross AH, Weingart SN, et al. High performance teamwork training and systems redesign in outpatient oncology. BMJ Qual Saf. 2013;22(5):405-13. doi:10.1136/bmjqs-2012-000948.…

  7. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. | PSNet

    psnet.ahrq.gov/issue/association-face-face-handoffs-and-outcomes-hospitalized-internal-medicine-patients
    March 12, 2025 - Study Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. Citation Text: Schouten WM, Burton C, Jones LKD, et al. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. J Hosp Med. 2015;10(3):137-41. doi:10.…

  8. Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. | PSNet

    psnet.ahrq.gov/issue/evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults
    March 09, 2022 - Review Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. Citation Text: Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, et al. Evaluation of clinical practice guidelines on fall prevention and management for older adults:…

  9. Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. | PSNet

    psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety
    October 21, 2020 - Study Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. Citation Text: Bahadurzada H, Kerrissey M, Edmondson AC. Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement.…

  10. All CLEAR? Preparing for IT downtime. | PSNet

    psnet.ahrq.gov/issue/all-clear-preparing-it-downtime
    November 16, 2022 - Commentary All CLEAR? Preparing for IT downtime. Citation Text: Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  11. Mind the sentinel - applying patient-safety paradigms to clinician well-being. | PSNet

    psnet.ahrq.gov/issue/mind-sentinel-applying-patient-safety-paradigms-clinician-well-being
    October 19, 2022 - Commentary Mind the sentinel - applying patient-safety paradigms to clinician well-being. Citation Text: Humikowski CA. Mind the sentinel - applying patient-safety paradigms to clinician well-being. N Engl J Med. 2024;391(20):1870-1872. doi:10.1056/nejmp2406074. Copy Citation Forma…

  12. Ensuring primary care diagnostic quality in the era of telemedicine. | PSNet

    psnet.ahrq.gov/issue/ensuring-primary-care-diagnostic-quality-era-telemedicine
    May 25, 2022 - Commentary Ensuring primary care diagnostic quality in the era of telemedicine. Citation Text: Willis JS, Tyler C, Schiff GD, et al. Ensuring primary care diagnostic quality in the era of telemedicine. Am J Med. 2021;134(9):1101-1103. doi:10.1016/j.amjmed.2021.04.027. Copy Citation …

  13. Structural racism in behavioral health presentation and management. | PSNet

    psnet.ahrq.gov/issue/structural-racism-behavioral-health-presentation-and-management
    September 23, 2020 - Commentary Structural racism in behavioral health presentation and management. Citation Text: Rainer T, Lim JK, He Y, et al. Structural racism in behavioral health presentation and management. Hosp Pediatr. 2023;13(5):461-470. doi:10.1542/hpeds.2023-007133. Copy Citation Format: …

  14. Readiness for organisational change among general practice staff. | PSNet

    psnet.ahrq.gov/issue/readiness-organisational-change-among-general-practice-staff
    April 24, 2018 - Study Readiness for organisational change among general practice staff. Citation Text: Christl B, Harris MF, Jayasinghe UW, et al. Readiness for organisational change among general practice staff. Qual Saf Health Care. 2010;19(5):e12. doi:10.1136/qshc.2009.033373. Copy Citation F…

  15. Medical students' experiences, perceptions, and management of second victim: an interview study. | PSNet

    psnet.ahrq.gov/issue/medical-students-experiences-perceptions-and-management-second-victim-interview-study
    March 05, 2014 - Study Medical students' experiences, perceptions, and management of second victim: an interview study. Citation Text: Krogh TB, Mielke-Christensen A, Madsen MD, et al. Medical students’ experiences, perceptions, and management of second victim: an interview study. BMC Med Educ. 2023;23(1…

  16. Research to improve diagnosis: time to study the real world. | PSNet

    psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world
    February 12, 2020 - Commentary Research to improve diagnosis: time to study the real world. Citation Text: Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071. Copy Citation Format: DOI Google Scholar…

  17. Assessing and supporting late career practitioners: four key questions. | PSNet

    psnet.ahrq.gov/issue/assessing-and-supporting-late-career-practitioners-four-key-questions
    May 18, 2022 - Commentary Assessing and supporting late career practitioners: four key questions. Citation Text: White AA, Sage WM, Mazor KM, et al. Assessing and supporting late career practitioners: four key questions. Jt Comm J Qual Patient Saf. 2020;46(10):591-595. doi:10.1016/j.jcjq.2020.07.001. …

  18. Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives. | PSNet

    psnet.ahrq.gov/issue/approaches-reducing-most-important-patient-errors-primary-health-care-patient-and
    April 12, 2011 - Study Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives. Citation Text: Buetow S, Kiata L, Liew T, et al. Approaches to reducing the most important patient errors in primary health-care: patient and professional persp…

  19. Identification and interference of intraoperative distractions and interruptions in operating rooms. | PSNet

    psnet.ahrq.gov/issue/identification-and-interference-intraoperative-distractions-and-interruptions-operating-rooms
    June 26, 2024 - Study Identification and interference of intraoperative distractions and interruptions in operating rooms. Citation Text: Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res…

  20. Selecting indicators for patient safety at the health system level in OECD countries. | PSNet

    psnet.ahrq.gov/issue/selecting-indicators-patient-safety-health-system-level-oecd-countries
    June 28, 2011 - Study Selecting indicators for patient safety at the health system level in OECD countries. Citation Text: McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20. Cop…
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