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psnet.ahrq.gov/node/43217/psn-pdf
May 28, 2014 - Bullying: a hidden threat to patient safety.
May 28, 2014
Longo J, Hain D. Bullying: a hidden threat to patient safety. Nephrol Nurs J. 2014;41(2):193-99; quiz 200.
https://psnet.ahrq.gov/issue/bullying-hidden-threat-patient-safety
This commentary relates how bullying and other disruptive behaviors remain a pervasi…
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psnet.ahrq.gov/node/73653/psn-pdf
September 01, 2021 - Improving diagnostic performance through feedback: the
Diagnosis Learning Cycle.
September 1, 2021
Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback:
the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bmjqs-2020-012456.
https://psnet.ahrq…
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psnet.ahrq.gov/node/860388/psn-pdf
January 10, 2024 - Patient reasoning: patients' and care partners'
perceptions of diagnostic accuracy in emergency care.
January 10, 2024
Dukhanin V, McDonald KM, Gonzalez N, et al. Patient reasoning: patients' and care partners' perceptions
of diagnostic accuracy in emergency care. Med Decis Making. 2024;44(1):102-111.
doi:10.1177/…
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psnet.ahrq.gov/node/43304/psn-pdf
July 02, 2014 - Finding and Preventing Patient Safety Incidents.
July 2, 2014
Golden, CO: HealthGrades, Inc.; June 9, 2014.
https://psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
Analyzing Medicare data from 2010 through 2012, this report discusses hospital efforts to prevent patient
harm and estimates that …
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psnet.ahrq.gov/node/37326/psn-pdf
January 05, 2012 - Healthy work environments, nurse-physician
communication, and patients' outcomes.
January 5, 2012
Manojlovich M, DeCicco B. Healthy work environments, nurse-physician communication, and patients'
outcomes. Am J Crit Care. 2007;16(6):536-43.
https://psnet.ahrq.gov/issue/healthy-work-environments-nurse-physician-com…
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psnet.ahrq.gov/node/33745/psn-pdf
February 01, 2013 - role that consumers might play in preventing medical errors and advancing patient
safety.(5) There is excellent
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psnet.ahrq.gov/node/837910/psn-pdf
August 24, 2022 - How Safe is Your Care? Measurement and Monitoring of
Safety Through the Eyes of Patients and Their Care
Partners.
August 24, 2022
Jefs L, Kuluski K, MacLaurin A, et al. Ottawa, Ontario, Canada: Healthcare Excellence Canada; 2022.
https://psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-thr…
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psnet.ahrq.gov/node/48018/psn-pdf
July 31, 2019 - PEARLS for systems integration: a modified PEARLS
framework for debriefing systems-focused simulations.
July 31, 2019
Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for
Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342.
doi:10.1097/SIH.0000000000…
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psnet.ahrq.gov/node/40503/psn-pdf
June 08, 2011 - The science of safety improvement: learning while doing.
June 8, 2011
Clancy CM, Berwick DM. The science of safety improvement: learning while doing. Ann Intern Med.
2011;154(10):699-701. doi:10.7326/0003-4819-154-10-201105170-00013.
https://psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
Acco…
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psnet.ahrq.gov/node/60225/psn-pdf
April 15, 2020 - Beyond 'find and fix': improving quality and safety
through resilient healthcare systems.
April 15, 2020
Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient
healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10.1093/intqhc/mzaa007.
https://psn…
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psnet.ahrq.gov/node/866745/psn-pdf
September 18, 2024 - Logo
State of the Science and Future Directions to Improve
Diagnostic Safety in Older Adults.
September 18, 2024
Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic
Safety In Older Adults. Rockville, MD: Agency for Healthcare Research and Quality; September 2024.
A…
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psnet.ahrq.gov/node/866159/psn-pdf
June 19, 2024 - Stakeholder perspectives on contributors to delayed and
inaccurate diagnosis of cardiovascular disease and their
implications for digital health technologies: a UK-based
qualitative study.
June 19, 2024
Abdullayev K, Gorvett O, Sochiera A, et al. Stakeholder perspectives on contributors to delayed and
inaccurate …
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psnet.ahrq.gov/node/867041/psn-pdf
October 30, 2024 - "What else could it be?" A scoping review of questions
for patients to ask throughout the diagnostic process.
October 30, 2024
Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to
ask throughout the diagnostic process. J Patient Saf. 2024;20(8):529-534.
doi:1…
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psnet.ahrq.gov/node/857454/psn-pdf
January 01, 2024 - Identifying and mapping measures of medication safety
during transfer of care in a digital era: a scoping literature
review.
December 6, 2023
Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care
in a digital era: a scoping literature review. BMJ Qual Saf. 2024;33(…
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psnet.ahrq.gov/node/865488/psn-pdf
April 03, 2024 - Impact of performance and information feedback on
medical interns' confidence-accuracy calibration.
April 3, 2024
Staal J, Katarya K, Speelman M, et al. Impact of performance and information feedback on medical interns'
confidence–accuracy calibration. Adv Health Sci Educ Theory Pract. 2024;29(1):129-145.
doi:10.1…
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psnet.ahrq.gov/node/866900/psn-pdf
October 09, 2024 - Defects in value associated with hospital-acquired
conditions: how improving quality could save U.S.
healthcare $50 billion.
October 9, 2024
Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving
quality could save U.S. healthcare $50 billion. J Patient Saf. 2024;20(7…
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psnet.ahrq.gov/issue/next-patient-safety
September 11, 2019 - Audiovisual Presentation
Up Next for Patient Safety.
Citation Text:
National Patient Safety Board. 2021-2023.
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June 9, 2023
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psnet.ahrq.gov/node/39072/psn-pdf
November 04, 2009 - Variations in nursing care quality across hospitals.
November 4, 2009
Lucero RJ, Lake ET, Aiken LH. Variations in nursing care quality across hospitals. J Adv Nurs.
2009;65(11):2299-310. doi:10.1111/j.1365-2648.2009.05090.x.
https://psnet.ahrq.gov/issue/variations-nursing-care-quality-across-hospitals
This seconda…
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psnet.ahrq.gov/node/44660/psn-pdf
December 02, 2015 - The SQUIRE Guidelines: an evaluation from the field, 5
years post release.
December 2, 2015
Davies L, Batalden P, Davidoff F, et al. The SQUIRE Guidelines: an evaluation from the field, 5 years post
release. BMJ Qual Saf. 2015;24(12):769-75. doi:10.1136/bmjqs-2015-004116.
https://psnet.ahrq.gov/issue/squire-guidel…
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - became CNO and
had a broader view of care across an entire institution—even in a place with as many excellent … depended on having strong collaboration with physician leaders
and so I was most fortunate to have an excellent