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141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867097/psn-pdf
     November 06, 2024 - Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. November 6, 2024 Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024. h…

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863760/psn-pdf
     March 06, 2024 - Imagining improved interactions: patients' designs to address implicit bias. March 6, 2024 Yang C, Coney L, Mohanraj D, et al. AMIA Annu Symp Proc. 2023;2023:774-783. https://psnet.ahrq.gov/issue/imagining-improved-interactions-patients-designs-address-implicit-bias Implicit biases can compromise decision making a…

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34748/psn-pdf
     March 07, 2005 - Reducing Adverse Drug Events. March 7, 2005 Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998. https://psnet.ahrq.gov/issue/reducing-adverse-drug-events This application-oriented book provides the results of the Institute for Healthcare Improvement (IHI) Breakthrough S…

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45477/psn-pdf
     October 05, 2016 - Promoting safety through well-being: an experience in healthcare. October 5, 2016 Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol. 2016;7:1208. doi:10.3389/fpsyg.2016.01208. https://psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare Th…

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35861/psn-pdf
     March 28, 2011 - How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? March 28, 2011 Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? Qual Saf H…

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34747/psn-pdf
     August 04, 2009 - The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. August 4, 2009 Langley GJ, Moen R, Nolan KM, et al. Hoboken, NJ: Jossey-Bass; 2009. ISBN: 9780470430880. https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance- 2nd-ed Effec…

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40342/psn-pdf
     April 21, 2015 - Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. April 21, 2015 Lewis GH, Vaithianathan R, Hockey PM, et al. Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. Milbank Q. 2011;89(1):4-38. doi:10.1111/…

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34770/psn-pdf
     April 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd ed. April 17, 2017 Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed Vincent has updated his text on risk management, infusing it with concepts directly rela…

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73622/psn-pdf
     August 25, 2021 - The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. August 25, 2021 Grailey KE, Murray E, Reader T, et al. The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. BMC Health Serv Res. 2021;21(1):773. doi:10.1…

150. In Conversation With… Mark Graban, MS, MBA | PSNet
     psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
     January 01, 2015 - Toyota talks about one of their core pillars being the idea of "respect for people" and realizing that … The idea was that at some periodicity the leader would come out of the office and wander around the floor … The infrastructure of VMPS again helped turned this idea from a provocative question in daily work into

151. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet
     psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
     January 01, 2015 - The infrastructure of VMPS again helped turned this idea from a provocative question in daily work into … Toyota talks about one of their core pillars being the idea of "respect for people" and realizing that … The idea was that at some periodicity the leader would come out of the office and wander around the floor

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33643/psn-pdf
     December 01, 2006 - BS: I think flat hierarchies are generally a bad idea. … I think executive walkrounds are a fantastic idea. … So how do you overlay a widely used intervention like walkrounds on top of this idea of culture?

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46498/psn-pdf
     April 04, 2018 - Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? April 4, 2018 Romijn A, Teunissen PW, de Bruijne M, et al. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? BMJ Qual Saf. 2018;27(4):279-286. doi:10.1136/bmjqs…

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44853/psn-pdf
     February 03, 2016 - Aviation and healthcare: a comparative review with implications for patient safety. February 3, 2016 Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/2054270415616548. https://psnet.ahrq.gov/is…

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34774/psn-pdf
     June 02, 2010 - Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. June 2, 2010 Sharpe VA, Faden AI. Cambridge NY; Cambridge University Press; 1998. ISBN: 9780521634908 https://psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness An academic exploration…

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47429/psn-pdf
     December 05, 2018 - The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. December 5, 2018 Edmondson AC. Hoboken, NJ: John Wiley & Sons, Inc.; 2019. ISBN: 9781119477266. https://psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning- innova…

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44455/psn-pdf
     September 02, 2015 - Finding antecedents of psychological safety: a step toward quality improvement. September 2, 2015 Aranzamendez G, James D, Toms R. Finding Antecedents of Psychological Safety: A Step Toward Quality Improvement. Nurs Forum. 2015;50(3):171-178. doi:10.1111/nuf.12084. https://psnet.ahrq.gov/issue/finding-antecedents-…

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47161/psn-pdf
     July 25, 2018 - Quality and the health system: becoming a high reliability organization. July 25, 2018 Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010. https://psnet.ahrq.gov/issue/quality-and-health-system-…

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33758/psn-pdf
     December 01, 2013 - your own and work on topics that are important to improve patient care, it's generally not a good idea

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46072/psn-pdf
     November 08, 2017 - Repeat prescribing of medications: a system-centred risk management model for primary care organisations. November 8, 2017 Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract. 2017;23(4):779-796. doi:10.1111/…