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psnet.ahrq.gov/node/837892/psn-pdf
January 01, 2023 - Teamwork before and during COVID-19: the good, the
same, and the ugly….
August 24, 2022
Rehder KJ, Adair KC, Eckert E, et al. Teamwork before and during COVID-19: the good, the same, and the
ugly…. J Patient Saf. 2023;19(1):36-41. doi:10.1097/pts.0000000000001070.
https://psnet.ahrq.gov/issue/teamwork-and-during-c…
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psnet.ahrq.gov/node/34727/psn-pdf
July 13, 2016 - Human Error in Medicine.
July 13, 2016
Bogner MSE, ed. Hillsdale, NJ: L. Erlbaum Associates; 1994. ISBN 9780805813852.
https://psnet.ahrq.gov/issue/human-error-medicine
This book, published well in advance of the Institute of Medicine report To Err is Human, includes chapters
by a number of leaders in their fields…
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psnet.ahrq.gov/node/856587/psn-pdf
January 01, 2024 - Surgical leadership in a culture of safety: an inter-
professional study of metrics and tools for improving
clinical practice.
November 29, 2023
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-
professional study of metrics and tools for improving clinical practice…
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psnet.ahrq.gov/node/860723/psn-pdf
January 17, 2024 - Are the new safety paradigms (only) about safety and
sufficient to ensure it? An overview and critical
commentary.
January 17, 2024
Karanikas N, Zerguine H. Are the new safety paradigms (only) about safety and sufficient to ensure it? An
overview and critical commentary. Safety Sci. 2023;170:106367. doi:10.1016/j.…
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psnet.ahrq.gov/node/47737/psn-pdf
March 06, 2019 - Quality improvement and safety in pediatric emergency
medicine.
March 6, 2019
Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine.
Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010.
https://psnet.ahrq.gov/issue/quality-improvement-and-safety-pedia…
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psnet.ahrq.gov/node/44892/psn-pdf
June 08, 2016 - Patient complaints about hospital services: applying a
complaint taxonomy to analyse and respond to
complaints.
June 8, 2016
Harrison R, Walton M, Healy J, et al. Patient complaints about hospital services: applying a complaint
taxonomy to analyse and respond to complaints. Int J Qual Health Care. 2016;28(2):240-5…
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psnet.ahrq.gov/issue/understanding-medication-safety-involving-patient-transfer-intensive-care-hospital-ward
November 14, 2018 - Medication safety gaps in English pediatric inpatient units: an exploration using work domain
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psnet.ahrq.gov/issue/multi-stakeholder-consensus-driven-research-agenda-better-understanding-and-supporting
September 01, 2018 - November 22, 2017
Error disclosure: a new domain for safety culture assessment.
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psnet.ahrq.gov/node/867007/psn-pdf
October 23, 2024 - Development and psychometric analysis of a patient-
reported measure of diagnostic excellence for emergency
and urgent care settings.
October 23, 2024
Gleason KT, Dukhanin V, Peterson SK, et al. Development and psychometric analysis of a patient-reported
measure of diagnostic excellence for emergency and urgent ca…
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psnet.ahrq.gov/node/841476/psn-pdf
December 14, 2022 - Barriers and facilitators to reporting medical device-
related pressure ulcers: a qualitative exploration of
international practice.
December 14, 2022
Crunden EA, Worsley PR, Coleman SB, et al. Barriers and facilitators to reporting medical device-related
pressure ulcers: a qualitative exploration of international…
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psnet.ahrq.gov/node/837416/psn-pdf
June 15, 2022 - From principles to practice: embedding clinical reasoning
as a longitudinal curriculum theme in a medical school
programme.
June 15, 2022
Singh M, Collins L, Farrington R, et al. From principles to practice: embedding clinical reasoning as a
longitudinal curriculum theme in a medical school programme. Diagnosis (B…
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psnet.ahrq.gov/node/73854/psn-pdf
September 22, 2021 - Differences between professionals' views on patient
safety culture in long-term and acute care? A cross-
sectional study.
September 22, 2021
Liukka M, Hupli M, Turunen H. Differences between professionals’ views on patient safety culture in long-
term and acute care? A cross-sectional study. Leadersh Health Serv (…
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psnet.ahrq.gov/node/73682/psn-pdf
September 08, 2021 - Massive open online course (MOOC) learning builds
capacity and improves competence for patient safety
among global learners: a prospective cohort study.
September 8, 2021
Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds
capacity and improves competence for patient saf…
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psnet.ahrq.gov/node/46525/psn-pdf
October 25, 2017 - Progress in interoperability: measuring US hospitals'
engagement in sharing patient data.
October 25, 2017
Holmgren J, Patel V, Adler-Milstein J. Progress in interoperability: measuring US hospitals' engagement in
sharing patient data. Health Aff (Millwood). 2017;36(10):1820-1827. doi:10.1377/hlthaff.2017.0546.
ht…
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psnet.ahrq.gov/node/42513/psn-pdf
January 15, 2014 - A comprehensive patient safety program can significantly
reduce preventable harm, associated costs, and hospital
mortality.
January 15, 2014
Brilli RJ, McClead RE, Crandall W, et al. A comprehensive patient safety program can significantly reduce
preventable harm, associated costs, and hospital mortality. J Pediat…
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - cognitive, technical, and behavioral skills that are required to successfully care for patients in that domain
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psnet.ahrq.gov/print/pdf/node/838351
July 01, 2024 - Forum identified recommendations for
the practical application of the Diagnostic Process and Outcomes domain … Forum identified recommendations for
the practical application of the Diagnostic Process and Outcomes domain
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psnet.ahrq.gov/node/45459/psn-pdf
January 03, 2017 - Applying the high reliability health care maturity model to
assess hospital performance: a VA case study.
January 3, 2017
Sullivan JL, Rivard PE, Shin MH, et al. Applying the High Reliability Health Care Maturity Model to Assess
Hospital Performance: A VA Case Study. Jt Comm J Qual Patient Saf. 2016;42(9):389-411.
…
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psnet.ahrq.gov/node/47302/psn-pdf
January 01, 2019 - Characteristics of healthcare organisations struggling to
improve quality: results from a systematic review of
qualitative studies.
December 31, 2018
Vaughn VM, Saint S, Krein SL, et al. Characteristics of healthcare organisations struggling to improve
quality: results from a systematic review of qualitative studi…
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psnet.ahrq.gov/node/34736/psn-pdf
October 24, 2017 - Medical Problem Solving: An Analysis of Clinical
Reasoning.
October 24, 2017
Elstein AS, ed. Cambridge, MA: Harvard University Press; 1978. ISBN: 9780674561250.
https://psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
Clinical reasoning lies at the heart of formulating diagnoses and selecti…