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psnet.ahrq.gov/node/851069/psn-pdf
June 28, 2023 - Measurement and Monitoring of Safety Framework
(MMSF): learning from its implementation in Canada.
June 28, 2023
Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in
Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2022-015680.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/44090/psn-pdf
November 21, 2016 - Insensible losses: when the medical community forgets
the family.
November 21, 2016
Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood).
2015;34(4):707-710. doi:10.1377/hlthaff.2014.0536.
https://psnet.ahrq.gov/issue/insensible-losses-when-medical-community-forgets-fami…
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psnet.ahrq.gov/node/73223/psn-pdf
May 05, 2021 - Pandemic imperiled non-English speakers more than
others.
May 5, 2021
Bebinger M. WBUR and Kaiser Health News. April 27, 2021.
https://psnet.ahrq.gov/issue/pandemic-imperiled-non-english-speakers-more-others
Non-English-speaking patients experience barriers to safely navigating the American healthcare system.…
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psnet.ahrq.gov/node/47925/psn-pdf
August 21, 2019 - Second victims and mindfulness: a systematic review.
August 21, 2019
S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk
Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176.
https://psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review
The secon…
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psnet.ahrq.gov/node/41498/psn-pdf
December 31, 2014 - Standard practices for computerized clinical decision
support in community hospitals: a national survey.
December 31, 2014
Ash JS, McCormack JL, Sittig DF, et al. Standard practices for computerized clinical decision support in
community hospitals: a national survey. J Am Med Inform Assoc. 2012;19(6):980-7. doi:10.…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/safety-assessment.html
March 01, 2017 - Staff Safety Assessment
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Purpose: To tap into your experience to determine risks that could harm residents.
Who should use this tool? Anyone who works in or provides services to this nursing home.
How should you use this tool? Provide as muc…
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psnet.ahrq.gov/node/47342/psn-pdf
August 22, 2018 - The doctor doesn't listen to her. But the media is starting
to.
August 22, 2018
Fetters A. The Atlantic. August 10, 2018.
https://psnet.ahrq.gov/issue/doctor-doesnt-listen-her-media-starting
Women face implicit bias that can affect the safety and effectiveness of their care. Reviewing several high-
profile accoun…
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psnet.ahrq.gov/node/50758/psn-pdf
December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of
American Medicine.
December 18, 2019
Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268.
https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine
The modern patient safety movement …
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psnet.ahrq.gov/node/43106/psn-pdf
September 27, 2016 - The sterile cockpit: an effective approach to reducing
medication errors?
September 27, 2016
Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication
errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c.
https://psnet.ahrq.gov/issue/sterile-cockpi…
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psnet.ahrq.gov/node/35704/psn-pdf
March 28, 2011 - Relationship between patient complaints and surgical
complications.
March 28, 2011
Murff HJ, France DJ, Blackford J, et al. Relationship between patient complaints and surgical
complications. Qual Saf Health Care. 2006;15(1):13-6.
https://psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-co…
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psnet.ahrq.gov/node/46731/psn-pdf
July 25, 2018 - When bullying affects patient safety.
July 25, 2018
When Bullying Affects Patient Safety. AORN J. 2018;108(1):78-80. doi:10.1002/aorn.12294.
https://psnet.ahrq.gov/issue/when-bullying-affects-patient-safety
Bullying has been recognized as an important factor to consider in health care work environments.
Describing…
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psnet.ahrq.gov/node/47513/psn-pdf
October 24, 2021 - Measurement and Monitoring of Safety Framework
October 24, 2021
Healthcare Excellence Canada.
https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-canada-cpsi-safety-improvement-project
Collaboratives are a recognized strategy to support large-scale improvement. This program works to apply
a framework fo…
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psnet.ahrq.gov/node/858324/psn-pdf
December 13, 2023 - Many people of color worry good health care is tied to
their appearance.
December 13, 2023
DeGuzman C. KFF Health News. December 5, 2023
https://psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
Racial and ethnic bias permeates medical interactions to detract from safe and effecti…
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psnet.ahrq.gov/node/43826/psn-pdf
June 01, 2015 - Radiation Oncology Incident Learning System.
June 1, 2015
American Society for Radiation Oncology and American Association of Physicists in Medicine.
https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system
Reporting of near misses and adverse events can provide a foundation for learning from error.…
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psnet.ahrq.gov/node/42446/psn-pdf
May 19, 2014 - The Human Factors Analysis Classification System
(HFACS) applied to health care.
May 19, 2014
Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied
to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623.
https://psnet.ahrq.gov/issue/human-…
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psnet.ahrq.gov/node/44816/psn-pdf
June 29, 2016 - Paralyzed by errors, this Xbox designer is taking on
hospital safety.
June 29, 2016
Aleccia J.
https://psnet.ahrq.gov/issue/paralyzed-errors-xbox-designer-taking-hospital-safety
Patients who experience harm while receiving medical care can serve as powerful advocates for patient
safety. This news article reports …
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psnet.ahrq.gov/node/37052/psn-pdf
April 06, 2011 - Impact of feeling responsible for adverse events on
doctors' personal and professional lives: the importance
of being open to criticism from colleagues.
April 6, 2011
Aasland OG, Førde R. Impact of feeling responsible for adverse events on doctors' personal and
professional lives: the importance of being open to c…
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digital.ahrq.gov/ahrq-funded-projects/developing-design-principles-integrate-patient-reported-outcomes-pros-clinical/citation/learning
January 01, 2023 - A learning health system approach to integrating electronic patient-reported outcomes across the health care organization.
Citation
Austin EJ, LeRouge C, Lee J, et al. A learning health system approach to integrating electronic patient-reported outcomes across the health care organization. Learning H…
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psnet.ahrq.gov/node/46193/psn-pdf
May 31, 2017 - Communicating Clearly About Medicines: Proceedings of
a Workshop—in Brief.
May 31, 2017
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press;
2017.
https://psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop-brief
Medication safety is a gl…
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psnet.ahrq.gov/node/48194/psn-pdf
August 28, 2019 - Framing of clinical information affects physicians'
diagnostic accuracy.
August 28, 2019
Popovich I, Szecket N, Nahill A. Framing of clinical information affects physicians' diagnostic accuracy.
Emerg Med J. 2019;36(10):589-594. doi:10.1136/emermed-2019-208409.
https://psnet.ahrq.gov/issue/framing-clinical-informa…