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psnet.ahrq.gov/node/46163/psn-pdf
December 06, 2017 - Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action.
December 6, 2017
Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error
prevention: a conceptual framework and a call to action. Diagnosis (Berl). 2017;4(4):…
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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/854825/psn-pdf
October 25, 2023 - Exploring the "Black Box" of recommendation generation
in local health care incident investigations: a scoping
review.
October 25, 2023
Lea W, Lawton R, Vincent CA, et al. Exploring the "Black Box" of recommendation generation in local
health care incident investigations: a scoping review. J Patient Saf. 2023;19(8…
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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/43329/psn-pdf
July 09, 2014 - Facilitating a safe transition from the pediatric emergency
department to home with a post-discharge phone call: a
quality-improvement initiative to improve patient safety.
July 9, 2014
Bucaro PJ, Black E. Facilitating a safe transition from the pediatric emergency department to home with a
post-discharge phone ca…
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psnet.ahrq.gov/node/41626/psn-pdf
August 29, 2012 - Impact of resident participation in surgical operations on
postoperative outcomes: National Surgical Quality
Improvement Program.
August 29, 2012
Kiran RP, Ahmed Ali U, Coffey JC, et al. Impact of Resident Participation in Surgical Operations on
Postoperative Outcomes. Ann Surg. 2012;256(3):469-475. doi:10.1097/sl…
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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/issue/measuring-psychological-safety-and-local-learning-enable-high-reliability-organisational
May 05, 2021 - Study
Measuring psychological safety and local learning to enable high reliability organisational change.
Citation Text:
Cartland J, Green M, Kamm D, et al. Measuring psychological safety and local learning to enable high reliability organisational change. BMJ Open Qual. 2022;11(4):e0017…
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psnet.ahrq.gov/issue/early-experience-peer-advocate-program-using-quality-improvement-optimize-behavioral-and
September 23, 2020 - Study
Early experience of peer advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating room.
Citation Text:
Eckhouse SR, Huston M, Smith ER, et al. Early experience of peer advocate program: using quality improvement to optimize be…
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psnet.ahrq.gov/issue/effects-interdisciplinary-team-care-interventions-general-medical-wards-systematic-review
April 24, 2018 - Review
Classic
Effects of interdisciplinary team care interventions on general medical wards: a systematic review.
Citation Text:
Pannick S, Davis R, Ashrafian H, et al. Effects of Interdisciplinary Team Care Interventions on General Medical Wards: A Systematic …
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psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic
November 07, 2012 - Review
Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review.
Citation Text:
Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf.…
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psnet.ahrq.gov/issue/patient-safety-after-implementation-coproduced-family-centered-communication-programme
April 24, 2018 - Study
Emerging Classic
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.
Citation Text:
Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a copr…
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psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
August 15, 2012 - Book/Report
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis.
Citation Text:
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Add…
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psnet.ahrq.gov/issue/diagnostic-accuracy-gps-when-using-early-intervention-decision-support-system-high-fidelity
April 03, 2018 - Study
Diagnostic accuracy of GPs when using an early-intervention decision support system: a high-fidelity simulation.
Citation Text:
Kostopoulou O, Porat T, Corrigan D, et al. Diagnostic accuracy of GPs when using an early-intervention decision support system: a high-fidelity simulation…
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psnet.ahrq.gov/issue/board-bedside-how-application-financial-structures-safety-and-quality-can-drive
January 29, 2015 - Study
From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system.
Citation Text:
Austin M, Demski R, Callender T, et al. From Board to Bedside: How the Application of Financial Structures to Safety and Q…
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psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team
February 12, 2020 - Study
Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards.
Citation Text:
Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …
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psnet.ahrq.gov/issue/cross-sectional-observational-study-high-override-rates-drug-allergy-alerts-inpatient-and
July 02, 2019 - Study
A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement.
Citation Text:
Slight SP, Beeler PE, Seger DL, et al. A cross-sectional observational study of high override rates of drug al…