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psnet.ahrq.gov/issue/do-my-feelings-fit-diagnosis-avoiding-misdiagnoses-psychosomatic-consultation-services
March 18, 2020 - Study
Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services.
Citation Text:
Seidl E, Seidl O. Do my feelings fit the diagnosis? Avoiding misdiagnoses in psychosomatic consultation services. J Healthc Risk Manag. 2021;41(2):9-17. doi:10.1002/jhrm.2…
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psnet.ahrq.gov/issue/organizational-culture-important-context-addressing-and-improving-hospital-community-patient
December 30, 2014 - Study
Organizational culture: an important context for addressing and improving hospital to community patient discharge.
Citation Text:
Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for addressing and improving hospital to community pa…
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psnet.ahrq.gov/issue/perioperative-handoff-enhancement-opportunities-through-technology-and-artificial
March 20, 2019 - Review
Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review.
Citation Text:
Sparling J, Hong Mershon B, Abraham J. Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative rev…
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psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes
October 14, 2020 - Commentary
Influence of perioperative handoffs on complications and outcomes.
Citation Text:
Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008.
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psnet.ahrq.gov/issue/maximizing-ability-health-it-and-ai-improve-patient-safety
May 22, 2015 - Commentary
Maximizing the ability of health IT and AI to improve patient safety.
Citation Text:
Singh H, Sittig DF, Classen DC. Maximizing the ability of health IT and AI to improve patient safety. JAMA Intern Med. 2025;185(1):10-12. doi:10.1001/jamainternmed.2024.4343.
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psnet.ahrq.gov/issue/inappropriate-hospital-admission-risk-factor-subsequent-development-adverse-events-cross
March 09, 2022 - Study
Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study.
Citation Text:
San José-Saras D, Vicente-Guijarro J, Sousa P, et al. Inappropriate hospital admission as a risk factor for the subsequent development of adve…
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psnet.ahrq.gov/issue/impact-leadership-walkarounds-operational-cultural-and-clinical-outcomes-systematic-review
October 12, 2022 - Review
Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review.
Citation Text:
Foster M, MHA BS, Mazur L. Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. BMJ Open Qual. 2023;12(4):e002284. …
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psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
July 07, 2021 - Study
Examining the meaning of the language used to communicate the nursing hand-off.
Citation Text:
Galatzan BJ, Carrington JM. Examining the meaning of the language used to communicate the nursing hand‐off. Res Nurs Health. 2021;44(5):833-843. doi:10.1002/nur.22175.
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psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety
October 21, 2020 - Study
Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement.
Citation Text:
Bahadurzada H, Kerrissey M, Edmondson AC. Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement.…
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psnet.ahrq.gov/issue/tiered-daily-huddles-power-teamwork-managing-large-healthcare-organisations
December 09, 2020 - Commentary
Tiered daily huddles: the power of teamwork in managing large healthcare organisations.
Citation Text:
Mihaljevic T. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. BMJ Qual Saf. 2020;29(12):1050-1052. doi:10.1136/bmjqs-2019-010575.
Co…
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psnet.ahrq.gov/issue/cancelrx-health-it-tool-reduce-medication-discrepancies-outpatient-setting
March 23, 2022 - Study
CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting.
Citation Text:
Watterson TL, Stone JA, Brown RL, et al. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. J Am Med Inform Assoc. 2021;28(7):1526-1533. doi…
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psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpatient-oncology
January 23, 2012 - Study
Patient-reported safety and quality of care in outpatient oncology.
Citation Text:
Weingart SN, Price J, Duncombe D, et al. Patient-reported safety and quality of care in outpatient oncology. Jt Comm J Qual Patient Saf. 2007;33(2):83-94.
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psnet.ahrq.gov/issue/academic-year-end-transfers-outpatients-outgoing-incoming-residents-unaddressed-patient
January 27, 2016 - Commentary
Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue.
Citation Text:
Young JQ, Wachter R. Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. JAMA.…
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www.ahrq.gov/sops/about/index.html
July 01, 2024 - About the SOPS Program
Since 2001, the AHRQ Surveys on Patient Safety Culture® (SOPS®) Program has supported AHRQ's mission by advancing the scientific understanding of patient safety culture in healthcare settings. What Is Patient Safety Culture? Patient safety culture is an aspect of an organization's cultu…
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psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
November 15, 2023 - Study
Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems.
Citation Text:
Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses - a thick description on the a…
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psnet.ahrq.gov/issue/addressing-opioid-epidemic-united-states-lessons-department-veterans-affairs
September 07, 2022 - Commentary
Classic
Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs.
Citation Text:
Gellad WF, Good CB, Shulkin DJ. Addressing the Opioid Epidemic in the United States: Lessons From the Department of Veterans A…
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psnet.ahrq.gov/issue/survey-impact-disruptive-behaviors-and-communication-defects-patient-safety
February 03, 2010 - Study
Classic
A survey of the impact of disruptive behaviors and communication defects on patient safety.
Citation Text:
Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patie…
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psnet.ahrq.gov/issue/integrating-safety-i-and-safety-ii-conceptual-frameworks-enhance-safety-measurement-and
September 27, 2023 - Commentary
Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management.
Citation Text:
Lounsbury O, Brant K, Stockwell DC. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. J Patient Saf Risk M…
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psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
April 08, 2011 - Commentary
Classic
Anesthetic mishaps: breaking the chain of accident evolution.
Citation Text:
Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6.
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psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals
June 25, 2010 - Study
Classic
Nurse-staffing levels and the quality of care in hospitals.
Citation Text:
Needleman J, Buerhaus P, Mattke S, et al. Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. 2002;346(22):1715-22.
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