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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - The fact that the latter report was written by the Department of Health is quite important because I … In fact, the economic incentives in hospitals still work against risk management to some extent
because … The fact that reporting systems per se are not going to sort all our safety problems
should not be blamed
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psnet.ahrq.gov/node/49416/psn-pdf
September 01, 2003 - The fact that the patient-to-nurse ratio in the ICU is usually less than or
equal to 2:1, while a single … Critical Care Nursing Fact Sheet.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
September 01, 2003 - Jones had an MI” when it was in fact Mr.
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psnet.ahrq.gov/node/49511/psn-pdf
May 01, 2006 - Polycitra) caused the pharmacist to interpret these
agents as generic equivalents of one another, when in fact … In fact, Micromedex identifies at least
five citric acid/citrate products in various combinations and
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psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and
Umpires Have in Common?
February 1, 2007
Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? PSNet
[internet]. 2007.
https://psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
Perspectiv…
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-maternal-transport-briefing-form-and
September 08, 2021 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist.
Citation Text:
Gibson KS, McLean D. Society for Maternal-Fetal Medicine Special Statement: A maternal transport briefing form and checklist. Am J Obst…
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psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review
February 29, 2012 - Review
Doctors' handovers in hospitals: a literature review.
Citation Text:
Raduma-Tomàs MA, Flin R, Yule S, et al. Doctors' handovers in hospitals: a literature review. BMJ Qual Saf. 2011;20(2):128-33. doi:10.1136/bmjqs.2009.034389.
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DOI Google Schol…
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psnet.ahrq.gov/issue/review-article-influence-psychology-and-human-factors-education-anesthesiology
January 13, 2010 - Review
Review article: the influence of psychology and human factors on education in anesthesiology.
Citation Text:
Glavin R, Flin R. Review article: the influence of psychology and human factors on education in anesthesiology. Can J Anaesth. 2012;59(2):151-8. doi:10.1007/s12630-011-96…
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psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety
June 27, 2018 - Book/Report
Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety.
Citation Text:
Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017.
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psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
February 09, 2011 - Commentary
The vanishing nonforensic autopsy.
Citation Text:
Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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psnet.ahrq.gov/issue/hospital-safety-climate-surveys-measurement-issues
December 16, 2009 - Review
Hospital safety climate surveys: measurement issues.
Citation Text:
Jackson J, Sarac C, Flin R. Hospital safety climate surveys: measurement issues. Curr Opin Crit Care. 2010;16(6):632-8. doi:10.1097/MCC.0b013e32833f0ee6.
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DOI Google Scholar Pu…
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psnet.ahrq.gov/issue/surgeons-non-technical-skills-operating-room-reliability-testing-notss-behavior-rating-system
December 22, 2010 - Study
Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system.
Citation Text:
Yule S, Flin R, Maran N, et al. Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behavior rating system. World J Sur…
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psnet.ahrq.gov/issue/patient-safety-surgery-non-technical-aspects-safe-surgical-performance
June 12, 2008 - Review
Patient safety in surgery: non-technical aspects of safe surgical performance.
Citation Text:
Youngson GG, Flin R. Patient safety in surgery: non-technical aspects of safe surgical performance. Patient Saf Surg. 2010;4(1):4. doi:10.1186/1754-9493-4-4.
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Format: …
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psnet.ahrq.gov/issue/measuring-safety-culture-healthcare-case-accurate-diagnosis
May 29, 2014 - Commentary
Measuring safety culture in healthcare: a case for accurate diagnosis.
Citation Text:
Flin R. Measuring safety culture in healthcare: A case for accurate diagnosis. Saf Sci. 2007;45(6). doi:10.1016/j.ssci.2007.04.003.
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety-practice
March 25, 2015 - July 16, 2014
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/issue/prescribers-interactions-medication-alerts-point-prescribing-multi-method-situ-investigation
January 07, 2015 - September 18, 2019
The science of human factors: separating fact from fiction.
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psnet.ahrq.gov/node/33848/psn-pdf
December 01, 2017 - psnet.ahrq.gov//#ref1
https://psnet.ahrq.gov//#ref2
https://psnet.ahrq.gov/primer/root-cause-analysis
In fact … Just the fact that leaders like Bilimoria are looking at surgical safety and quality with
rigor, blending
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psnet.ahrq.gov/issue/attitudes-clinicians-and-patient-safety-culture-and-after-arrive-trial
November 20, 2024 - Study
Attitudes of clinicians and patient safety culture before and after the ARRIVE trial.
Citation Text:
White VanGompel E, Carlock F, Singh L, et al. Attitudes of clinicians and patient safety culture before and after the ARRIVE trial. J Obstet Gynecol Neonatal Nurs. 2023;52(3):211-22…
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
December 23, 2020 - The margin of cure and of harm is often razor thin; this is a fact of life for patients and clinicians … "( 2 ) In fact, we reported to the Globe 8 years of data from our confidential incident reporting system
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - questions, but finally we have to be switched on, thorough, and conscientious and take a good historythe fact … JB: That is an incredible question and in fact it's around the corner.