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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Researchers, managers, and policy makers have grown enamored with the abstract
idea of the safety culture
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - In Conversation with Timothy Vogus about High
Reliability Organization (HRO) Principles and Patient
Safety
February 26, 2025
Vogus T, Lee M, Mossburg SE. In Conversation with Timothy Vogus about High Reliability Organization
(HRO) Principles and Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/persp…
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psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
May 20, 2019 - Book/Report
Classic
Clinical Risk Management. Enhancing Patient Safety. 2nd ed.
Citation Text:
Clinical Risk Management. Enhancing Patient Safety. 2nd ed. Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920.
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psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
April 28, 2021 - Special or Theme Issue
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations
Citation Text:
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations …
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psnet.ahrq.gov/issue/simulation-health-care-setting-realistic-expectations
September 24, 2017 - Commentary
Simulation in health care: setting realistic expectations.
Citation Text:
Simulation in health care: setting realistic expectations. Henriksen K; Patterson MD.
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psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles
September 21, 2005 - Newspaper/Magazine Article
Gap assessment of hospitals' adoption of the just culture principles.
Citation Text:
Gap assessment of hospitals' adoption of the just culture principles. Barger DM; Marella W; Charney FJ.
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psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
February 01, 2014 - EC : That's a good idea, but it's too late if you begin to actively engage with the interruption task … They are very focused around the idea that the clinical record is primary and therefore all work needs … But that's a broken idea—technology demanding that work fits around its limitations. … The idea that I can put on a set of spectacles that display task-specific information as I walk through
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - As a result, no one ever really focused on this issue until it was forced upon us, because the idea that … issues where you have little common ground, the new admission, for example, who the receiver has no idea … RW: So we've moved away from the idea that there's one way to do handoffs. … VA: Yes, that's very consistent with this idea, and as you allude to, the ACGME 2011 Common Program
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psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
February 26, 2025 - This happened in aviation in the 1970s and 1980s, when pilots resisted the idea of the importance of … That's a bit hyperbolic, but essentially the idea that it's okay for me to choose not to follow a safety
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation
January 02, 2011 - Multi-use Website
Anesthesia Patient Safety Foundation.
Citation Text:
Anesthesia Patient Safety Foundation. P.O. Box 6668, Rochester, MN 55903.
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
November 01, 2006 - So one idea is to try to introduce naturalistic sounds and peripheral displays into electronic devices … basis.( 10 ) The business literature on using surprise as a catalyst for creativity is in line with the idea … Lau, a human factors engineer at VA National Center for Patient Safety, provided the author with the idea
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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - ET : I don't think it's necessarily a bad idea. … RW : Checklists are a very hot issue in health care, the idea that things that we've relied on human … ET : I like the idea of checklists up to a point.
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psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare
November 11, 2020 - Commentary
Promoting safety through well-being: an experience in healthcare.
Citation Text:
Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol. 2016;7:1208. doi:10.3389/fpsyg.2016.01208.
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psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care-complex-pediatric
October 19, 2022 - Commentary
How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients?
Citation Text:
Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care fo…
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psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
May 13, 2020 - Book/Report
Classic
Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness.
Citation Text:
Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Sharpe VA, Faden AI. Cambridge NY; Cambridge University…
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psnet.ahrq.gov/node/840256/psn-pdf
November 16, 2022 - A key part of our patient safety learning lab is based on the SEIPS 3.0
idea of the patient journey. … Our patient safety learning lab started off with this idea of understanding the system, doing a work
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psnet.ahrq.gov/node/33878/psn-pdf
April 01, 2019 - This all taps into this idea of trying to address the needs of the injured or harmed
person. … The patients and families were not
sympathetic to that idea at all.
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psnet.ahrq.gov/node/72613/psn-pdf
December 22, 2020 - That’s where we got this whole idea of looking at dentistry harm from a
system’s level and starting … everyday/dental/
“BigMouth,” that was a big challenge because we had all this procedure data but had no idea
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psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - The idea was to aggregate the existing reporting systems and learn lessons nationally. … One is the idea that you can manage things entirely by top-down control.
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psnet.ahrq.gov/node/49864/psn-pdf
June 01, 2019 - Speaking Up for Patient Safety: What They Don't Tell You
in Training About Feedback and Burnout
June 1, 2019
Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About
Feedback and Burnout. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/speaking-patient-safety-…