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psnet.ahrq.gov/node/845636/psn-pdf
March 08, 2023 - The effects of leadership for self-worth, inclusion, trust,
and psychological safety on medical error reporting.
March 8, 2023
Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and
psychological safety on medical error reporting. Health Care Manage Rev. 2023;48(2):…
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psnet.ahrq.gov/issue/sorry-works
November 15, 2024 - Multi-use Website
Sorry Works!
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March 17, 2011
Sorry Works! supports a full-disclosure approach to medical errors. They encourage…
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psnet.ahrq.gov/node/46739/psn-pdf
January 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error
(SPADE): a conceptual framework and methodological
approach for unearthing misdiagnosis-related harms
using big data.
January 24, 2019
Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a
conceptual framework and methodologica…
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psnet.ahrq.gov/node/44038/psn-pdf
May 06, 2015 - Engineering Patient Safety in Radiation Oncology:
University of North Carolina's Pursuit for High Reliability
and Value Creation.
May 6, 2015
Marks L, Mazur L, Chera B, Adams R. Boca Raton, FL: Productivity Press; 2015. ISBN: 9781482233643.
https://psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology…
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psnet.ahrq.gov/issue/patient-stories
March 27, 2024 - Multi-use Website
Patient Stories.
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March 6, 2013
This Web site hosts documentary accounts of medical errors to encourage clinici…
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psnet.ahrq.gov/node/862130/psn-pdf
February 07, 2024 - Interventions to support nurses as second victims of
patient safety incidents: a qualitative study of nurse
managers' perceptions.
February 7, 2024
Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of
patient safety incidents: a qualitative study of nurse managers'…
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psnet.ahrq.gov/node/72661/psn-pdf
January 20, 2021 - An intervention to increase situational awareness and the
Culture of Mutual Care (Foco) and its effects during
COVID-19 pandemic: a randomized controlled trial and
qualitative analysis.
January 20, 2021
Kozasa EH, Lacerda SS, Polissici MA, et al. An Intervention to Increase Situational Awareness and the
Culture o…
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psnet.ahrq.gov/node/844543/psn-pdf
February 15, 2023 - The evolving curriculum in quality improvement and
patient safety in undergraduate and graduate medical
education: a scoping review.
February 15, 2023
Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and
graduate medical education: a scoping review. Am J Med Qual. …
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psnet.ahrq.gov/node/854385/psn-pdf
October 11, 2023 - Perioperative team-based morbidity and mortality
conferences: a systematic review of the literature.
October 11, 2023
Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality
conferences: a systematic review of the literature. Ann Surg Open. 2023;4(3):e321.
doi:10.1097/as9.…
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psnet.ahrq.gov/node/838313/psn-pdf
October 12, 2022 - Investigation of interventions to reduce nurses'
medication errors in adult intensive care units: a
systematic review.
October 12, 2022
Mohanna Z, Kusljic S, Jarden R. Investigation of interventions to reduce nurses’ medication errors in adult
intensive care units: a systematic review. Aust Crit Care. 2022;35(4):4…
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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/74264/psn-pdf
January 19, 2022 - Characteristics of critical incident reporting systems in
primary care: an international survey.
January 19, 2022
Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care:
an international survey. J Patient Saf. 2022;18(1):e85-e91. doi:10.1097/pts.000000000000070…
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psnet.ahrq.gov/node/865665/psn-pdf
April 24, 2024 - Unveiling the hidden struggle of healthcare students as
second victims through a systematic review.
April 24, 2024
Mira JJ, Matarredona V, Tella S, et al. Unveiling the hidden struggle of healthcare students as second
victims through a systematic review. BMC Med Educ. 2024;24(1):378. doi:10.1186/s12909-024-05336-y.…
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psnet.ahrq.gov/node/866119/psn-pdf
June 12, 2024 - Artificial intelligence in the provision of health care: an
American College of Physicians policy position paper.
June 12, 2024
Daneshvar N, Pandita D, Erickson S, et al. Artificial Intelligence in the Provision of Health Care: An
American College of Physicians Policy Position Paper. Ann Intern Med. 2024;177(7):964…
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psnet.ahrq.gov/node/853067/psn-pdf
August 30, 2023 - The Pursuing Excellence Collaborative: engaging first-
year residents and fellows in patient safety event
investigations.
August 30, 2023
Paull DE, Newton RC, Tess AV, et al. The Pursuing Excellence Collaborative: engaging first-year residents
and fellows in patient safety event investigations. J Patient Saf. 2023…
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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/842766/psn-pdf
January 18, 2023 - Effect of prescriber notifications of patient’s fatal
overdose on opioid prescribing at 4 to 12 months: a
randomized clinical trial.
January 18, 2023
Doctor JN, Stewart E, Lev R, et al. Effect of prescriber notifications of patient’s fatal overdose on opioid
prescribing at 4 to 12 months: a randomized clinical tri…
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psnet.ahrq.gov/node/46446/psn-pdf
September 27, 2017 - Journey toward high reliability: a comprehensive safety
program to improve quality of care and safety culture in a
large, multisite radiation oncology department.
September 27, 2017
Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program
to Improve Quality of Care and …
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psnet.ahrq.gov/node/74727/psn-pdf
February 02, 2022 - Using participatory design to engage physicians in the
development of a provider-level performance dashboard
and feedback system.
February 2, 2022
Patel S, Pierce L, Jones M, et al. Using participatory design to engage physicians in the development of a
provider-level performance dashboard and feedback system. Jt …
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psnet.ahrq.gov/node/853622/psn-pdf
January 01, 2024 - Enhancing patient safety: a national standard for cyber
resiliency in healthcare.
September 20, 2023
Samuelson-Kiraly C, Mitchell JI, Kingston D, et al. Enhancing patient safety: A national standard for cyber
resiliency in healthcare. Healthc Manage Forum. 2024;37(1):9-12. doi:10.1177/08404704231196138.
https://ps…