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psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
April 20, 2022 - Commentary
Rooting an error review process in just culture: lessons learned.
Citation Text:
Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5.
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psnet.ahrq.gov/issue/comprehensive-patient-safety-program-can-significantly-reduce-preventable-harm-associated
October 27, 2010 - Study
A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality.
Citation Text:
Brilli RJ, McClead RE, Crandall W, et al. A comprehensive patient safety program can significantly reduce preventable harm, associated costs,…
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psnet.ahrq.gov/issue/physicians-attitudes-towards-copy-and-pasting-electronic-note-writing
March 04, 2015 - Study
Physicians' attitudes towards copy and pasting in electronic note writing.
Citation Text:
O'Donnell HC, Kaushal R, Barrón Y, et al. Physicians' attitudes towards copy and pasting in electronic note writing. J Gen Intern Med. 2009;24(1):63-8. doi:10.1007/s11606-008-0843-2.
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-opportunities-enhancing-patient-safety
March 17, 2021 - Commentary
The morbidity and mortality conference: opportunities for enhancing patient safety.
Citation Text:
Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pt…
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psnet.ahrq.gov/issue/meta-analysis-effect-interactive-communication-between-collaborating-primary-care-physicians
September 20, 2011 - Review
Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists.
Citation Text:
Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists…
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psnet.ahrq.gov/issue/identifying-errors-and-safety-considerations-patients-undergoing-thrombolysis-acute-ischemic
February 09, 2022 - Study
Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke.
Citation Text:
Dancsecs KA, Nestor M, Bailey A, et al. Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke. Am J Emerg …
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psnet.ahrq.gov/issue/false-dawns-and-new-horizons-patient-safety-research-and-practice
July 24, 2024 - Commentary
False dawns and new horizons in patient safety research and practice.
Citation Text:
Mannion R, Braithwaite J. False Dawns and New Horizons in Patient Safety Research and Practice. Int J Health Policy Manag. 2017;6(12). doi:10.15171/ijhpm.2017.115.
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psnet.ahrq.gov/issue/toward-improving-patient-safety-through-voluntary-peer-peer-assessment
August 25, 2015 - Commentary
Toward improving patient safety through voluntary peer-to-peer assessment.
Citation Text:
Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. …
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psnet.ahrq.gov/issue/safety-criterion-quality-critical-nursing-situation-index-paediatric-critical-care
March 01, 2011 - Study
Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study.
Citation Text:
de Neef M, Bos AP, Tol D. Safety as a criterion for quality: the critical nursing situation index in paediatric critical care, an observatio…
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psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day
April 14, 2021 - Study
Real time patient safety audits: improving safety every day.
Citation Text:
Ursprung R. Real time patient safety audits: improving safety every day. Qual Saf Health Care. 2005;14(4):284-289. doi:10.1136/qshc.2004.012542.
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psnet.ahrq.gov/issue/how-useful-are-medication-patient-information-leaflets-older-adults-content-readability-and
November 11, 2020 - Study
How useful are medication patient information leaflets to older adults? A content, readability and layout analysis.
Citation Text:
Liu F, Abdul-Hussain S, Mahboob S, et al. How useful are medication patient information leaflets to older adults? A content, readability and layout ana…
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psnet.ahrq.gov/issue/focus-patient-safety
January 23, 2008 - Book/Report
Focus on Patient Safety.
Citation Text:
Focus on Patient Safety. Annu Rev Nurs Res. 2006;24:1-331.
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - Working on culture without focusing on burnout and joy and meaning will not give us the results we need … Just focusing on joy and meaning without really looking at culture and leadership is also going to be
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - The second skill is team leadership, focusing on maximizing every team member's potential, which is particularly … TeamSTEPPS provides a helpful framework for creating effective teams focusing on communication, leadership
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - RW: So, if you were trying to accelerate this pace, would you be focusing on creating a business case … RW: When David Brailer became the IT czar, I think he surprised some outsiders by focusing so strongly
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psnet.ahrq.gov/node/33696/psn-pdf
June 01, 2010 - RW: You ended up focusing on cognitive errors and diagnostic errors. … So we turned our M&M rounds
around, focusing on cognitive errors, affective errors, biases, distortions
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - She has directed projects with multiple stakeholders focusing on Medicare Part D Medication Therapy Management … the Director of Medical Education Research and Innovation in the Medical Education Outcomes Center, focusing
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - Although caregiver collaboration is improving and organizations are focusing less on individual blame
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psnet.ahrq.gov/node/33647/psn-pdf
March 01, 2007 - For example, the physician-patient mentioned above tried to engage senior
leadership in focusing the
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - working on accelerating patient safety improvement in nursing homes and in ambulatory care—particularly focusing … Our research is focusing on how health IT can be designed and used to improve care, particularly looking … We are constantly focusing on how to make sure that what we do changes policy and practice.