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psnet.ahrq.gov/node/60324/psn-pdf
May 13, 2020 - A systematic review of factors that enable psychological
safety in healthcare teams.
May 13, 2020
O’Donovan R, McAuliffe E. A systematic review of factors that enable psychological safety in healthcare
teams. Int J Qual Health Care. 2020;32(4):240-250. doi:10.1093/intqhc/mzaa025.
https://psnet.ahrq.gov/issue/syste…
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psnet.ahrq.gov/node/74109/psn-pdf
November 24, 2021 - Patient and caregiver factors in ambulatory incident
reports: a mixed-methods analysis.
November 24, 2021
Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a
mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/bmjoq-2021-001421.
https://psne…
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psnet.ahrq.gov/node/48024/psn-pdf
January 01, 2021 - The mental health trigger tool: development and testing of
a specialized trigger tool for mental health settings.
July 10, 2019
Sajith SG, Fung D, Chua HC. The Mental Health Trigger Tool: Development and Testing of a Specialized
Trigger Tool for Mental Health Settings. J Patient Saf. 2021;17(4):e306-e312.
doi:10.1…
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psnet.ahrq.gov/node/74751/psn-pdf
February 09, 2022 - A quality improvement initiative to improve patient safety
event reporting by residents.
February 9, 2022
Herchline D, Rojas C, Shah AA, et al. A quality improvement initiative to improve patient safety event
reporting by residents. Pediatr Qual Saf. 2022;7(1):e519. doi:10.1097/pq9.0000000000000519.
https://psnet.…
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psnet.ahrq.gov/node/40816/psn-pdf
March 21, 2017 - Professionalism: a necessary ingredient in a culture of
safety.
March 21, 2017
Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt
Comm J Qual Patient Saf. 2011;37(10):447-55.
https://psnet.ahrq.gov/issue/professionalism-necessary-ingredient-culture-safety
Di…
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psnet.ahrq.gov/node/46505/psn-pdf
August 20, 2018 - Americans' Experiences With Medical Errors and Views
on Patient Safety.
August 20, 2018
Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute; 2017.
https://psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety
Patient perspectives have been shown to identi…
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psnet.ahrq.gov/node/841485/psn-pdf
December 14, 2022 - Factors causing variation in World Health Organization
surgical safety checklist effectiveness-a rapid scoping
review.
December 14, 2022
Wani MM, Gilbert JHV, Mohammed CA, et al. Factors causing variation in World Health Organization
surgical safety checklist effectiveness-a rapid scoping review. J Patient Saf. 20…
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psnet.ahrq.gov/node/838181/psn-pdf
September 28, 2022 - Factors associated with potentially harmful medication
prescribing in nursing homes: a scoping review.
September 28, 2022
Lipori JP, Tu E, Shireman TI, et al. Factors associated with potentially harmful medication prescribing in
nursing homes: a scoping review. J Am Med Dir Assoc. 2022;23(9):1589.e1-1589.e10.
doi:…
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psnet.ahrq.gov/node/39913/psn-pdf
October 13, 2010 - The frequency of diagnostic errors in radiologic reports
depends on the patient's age.
October 13, 2010
Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age.
Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192.
https://psnet.ahrq.gov/issue/frequency-di…
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psnet.ahrq.gov/node/35476/psn-pdf
February 22, 2010 - Taking the pulse of health care systems: experiences of
patients with health problems in six countries.
February 22, 2010
Schoen C, Osborn R, Huynh PT, et al. Taking The Pulse Of Health Care Systems: Experiences Of Patients
With Health Problems In Six Countries. doi:10.1377/hlthaff.w5.509.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/45256/psn-pdf
July 01, 2017 - Applied use of safety event occurrence control charts of
harm and non-harm events: a case study.
July 1, 2017
Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and
Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291. doi:10.1177/1062860616646197.
https://p…
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psnet.ahrq.gov/node/41465/psn-pdf
January 31, 2013 - Emergency department discharge prescription
interventions by emergency medicine pharmacists.
January 31, 2013
Cesarz JL, Steffenhagen AL, Svenson J, et al. Emergency department discharge prescription interventions
by emergency medicine pharmacists. Ann Emerg Med. 2013;61(2):209-214.e1.
doi:10.1016/j.annemergmed.20…
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psnet.ahrq.gov/node/838023/psn-pdf
September 07, 2022 - Postdischarge adverse events among neonates admitted
to the neonatal intensive care unit.
September 7, 2022
Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the
neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.1097/pts.0000000000000960.
htt…
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psnet.ahrq.gov/node/47919/psn-pdf
April 03, 2019 - How to Talk About Patient Safety.
April 3, 2019
Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019.
https://psnet.ahrq.gov/issue/how-talk-about-patient-safety
This report suggests that the field of patient safety needs to be reframed for the public. The report
recommen…
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psnet.ahrq.gov/node/35139/psn-pdf
February 24, 2011 - Sins of omission. Getting too little medical care may be
the greatest threat to patient safety.
February 24, 2011
Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the
greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91.
https://psnet.ahrq.gov/issue/s…
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psnet.ahrq.gov/node/73183/psn-pdf
April 28, 2021 - Hearing impairment and the amelioration of avoidable
medical error: a cross-sectional survey.
April 28, 2021
Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical
error: a cross-sectional survey. J Patient Saf. 2021;17(3):e155-e160. doi:10.1097/pts.0000000000000298.
h…
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psnet.ahrq.gov/node/73218/psn-pdf
January 01, 2022 - Work-related factors, cognitive skills, unsafe behavior
and safety incident involvement among emergency
medical services crew members: relationships and
indirect effects.
May 5, 2021
Sedlár M. Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among
emergency medical services …
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psnet.ahrq.gov/node/43944/psn-pdf
December 04, 2015 - Improving clinical handover between intensive care unit
and general ward professionals at intensive care unit
discharge.
December 4, 2015
van Sluisveld N, Hesselink G, van der Hoeven JG, et al. Improving clinical handover between intensive
care unit and general ward professionals at intensive care unit discharge. …
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psnet.ahrq.gov/node/45725/psn-pdf
December 21, 2016 - The patient reporting and action for a safe environment
(PRASE) intervention: a feasibility study.
December 21, 2016
O'Hara JK, Lawton R, Armitage G, et al. The patient reporting and action for a safe environment (PRASE)
intervention: a feasibility study. BMC Health Serv Res. 2016;16(1):676.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/46878/psn-pdf
June 25, 2018 - Patient perceptions of deterioration and patient and
family activated escalation systems—a qualitative study.
June 25, 2018
Guinane J, Hutchinson AM, Bucknall T. Patient perceptions of deterioration and patient and family
activated escalation systems-A qualitative study. J Clin Nurs. 2018;27(7-8):1621-1631.
doi:10…