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psnet.ahrq.gov/node/42439/psn-pdf
November 23, 2016 - Guide to Patient and Family Engagement in Hospital
Quality and Safety.
November 23, 2016
Rockville, MD: Agency for Healthcare Research and Quality; June 2013.
https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
Studies have shown that a surprisingly large proportion of hosp…
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psnet.ahrq.gov/node/865872/psn-pdf
May 15, 2024 - Speaking up and taking action: psychological safety and
joint problem-solving orientation in safety improvement.
May 15, 2024
Bahadurzada H, Kerrissey M, Edmondson AC. Speaking up and taking action: psychological safety and
joint problem-solving orientation in safety improvement. Healthcare (Basel). 2024;12(8):812.…
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psnet.ahrq.gov/node/45861/psn-pdf
April 05, 2017 - Assessing content validity and user perspectives on the
Team Check-up Tool: expert survey and user focus
groups.
April 5, 2017
Marsteller JA, Hsu Y-J, Chan KS, et al. Assessing content validity and user perspectives on the Team
Check-up Tool: expert survey and user focus groups. BMJ Qual Saf. 2017;26(4):288-295.
…
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psnet.ahrq.gov/node/74757/psn-pdf
February 09, 2022 - Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study.
February 9, 2022
Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531.
doi:10.1001/jamanetworkopen.2021.44531.
…
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psnet.ahrq.gov/node/45967/psn-pdf
July 05, 2017 - Root-cause analysis: swatting at mosquitoes versus
draining the swamp.
July 5, 2017
Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ
Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229.
https://psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-…
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psnet.ahrq.gov/node/41141/psn-pdf
February 15, 2013 - An examination of opportunities for the active patient in
improving patient safety.
February 15, 2013
Davis R, Sevdalis N, Jacklin R, et al. An examination of opportunities for the active patient in improving
patient safety. J Patient Saf. 2012;8(1):36-43. doi:10.1097/PTS.0b013e31823cba94.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/47629/psn-pdf
July 11, 2019 - How not to waste a crisis: a qualitative study of problem
definition and its consequences in three hospitals.
July 11, 2019
Martin G, Ozieranski P, Leslie M, et al. How not to waste a crisis: a qualitative study of problem definition
and its consequences in three hospitals. J Health Serv Res Policy. 2019;24(3):145-…
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psnet.ahrq.gov/node/39512/psn-pdf
June 11, 2010 - An intervention to decrease patient identification band
errors in a children's hospital.
June 11, 2010
Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a
children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qshc.2008.030288.
https://psnet.ahrq.g…
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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - includes clinician and facility checklists to assess baseline policies and procedures and identify where improvements
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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - includes clinician and facility checklists to assess baseline policies and procedures and identify where improvements
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - consequences of delayed or incorrect communication of abnormal test results, and suggested system improvements
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - when you were talking about what was different in 1999 than 1980, most of your answer emphasized the improvements
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - of large, integrated health care networks offer major opportunities to improve patient safety, such improvements
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - of large, integrated health care networks offer major opportunities to improve patient safety, such improvements
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psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - As we make improvements in the process, we make sure we design it to prevent error, make risk apparent
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psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
June 01, 2010 - performance and well-designed specific disease performance measures into account will bring about the needed improvements
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psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
September 01, 2008 - upfront and maintenance costs, the net impact over time may be reduced overall institutional costs and improvements
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psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - upfront and maintenance costs, the net impact over time may be reduced overall institutional costs and improvements
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - Then we work
together to create safety and other healthcare improvements.
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - when you were talking about what was different in 1999 than 1980, most of your answer emphasized the improvements