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psnet.ahrq.gov/node/73859/psn-pdf
September 22, 2021 - Exploring the factors that promote or diminish a
psychologically safe environment: a qualitative interview
study with critical care staff.
September 22, 2021
Grailey K, Leon-Villapalos C, Murray E, et al. Exploring the factors that promote or diminish a
psychologically safe environment: a qualitative interview stu…
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psnet.ahrq.gov/node/46897/psn-pdf
October 13, 2018 - An assessment of the impact of just culture on quality
and safety in US hospitals.
October 13, 2018
Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J
Med Qual. 2018;33(5):502-508. doi:10.1177/1062860618768057.
https://psnet.ahrq.gov/issue/assessment-impact-just-cul…
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psnet.ahrq.gov/node/837795/psn-pdf
August 10, 2022 - Role of the regulator in enabling a just culture: a
qualitative study in mental health and hospital care.
August 10, 2022
Weenink J-W, Wallenburg I, Hartman L, et al. Role of the regulator in enabling a just culture: a qualitative
study in mental health and hospital care. BMJ Open. 2022;12(7):e061321. doi:10.1136/b…
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psnet.ahrq.gov/node/862604/psn-pdf
February 14, 2024 - A text mining approach to categorize patient safety event
reports by medication error type.
February 14, 2024
Boxley C, Fujimoto M, Ratwani RM, et al. A text mining approach to categorize patient safety event reports
by medication error type. Sci Rep. 2023;13(1):18354. doi:10.1038/s41598-023-45152-w.
https://psnet…
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psnet.ahrq.gov/node/837302/psn-pdf
June 01, 2022 - An objective framework for evaluating unrecognized bias
in medical AI models predicting COVID-19 outcomes.
June 1, 2022
Estiri H, Strasser ZH, Rashidian S, et al. An objective framework for evaluating unrecognized bias in
medical AI models predicting COVID-19 outcomes. J Am Med Inform Assoc. 2022;29(8):1334–1341.
…
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psnet.ahrq.gov/node/45644/psn-pdf
March 15, 2017 - Gender-based differences in surgical residents'
perceptions of patient safety, continuity of care, and well-
being: an analysis from the Flexibility in Duty Hour
Requirements for Surgical Trainees (FIRST) trial.
March 15, 2017
Ban KA, Chung JW, Matulewicz RS, et al. Gender-Based Differences in Surgical Residents' …
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psnet.ahrq.gov/node/46598/psn-pdf
March 20, 2018 - Fatigue risk management: the impact of anesthesiology
residents' work schedules on job performance and a
review of potential countermeasures.
March 20, 2018
Wong LR, Flynn-Evans E, Ruskin KJ. Fatigue Risk Management: The Impact of Anesthesiology Residents'
Work Schedules on Job Performance and a Review of Potentia…
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psnet.ahrq.gov/node/46569/psn-pdf
November 15, 2017 - Identifying patient-centred recommendations for
improving patient safety in General Practices in England:
a qualitative content analysis of free-text responses using
the Patient Reported Experiences and Outcomes of Safety
in Primary Care (PREOS-PC) questionnaire.
November 15, 2017
Ricci-Cabello I, Saletti-Cuesta …
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psnet.ahrq.gov/node/45665/psn-pdf
February 22, 2017 - Comparative effectiveness of a serious game and an e-
module to support patient safety knowledge and
awareness.
February 22, 2017
Dankbaar MEW, Richters O, Kalkman CJ, et al. Comparative effectiveness of a serious game and an e-
module to support patient safety knowledge and awareness. BMC Med Educ. 2017;17(1):30.…
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psnet.ahrq.gov/node/45914/psn-pdf
March 20, 2018 - Understanding the multidimensional effects of resident
duty hours restrictions: a thematic analysis of published
viewpoints in surgery.
March 20, 2018
Devitt KS, Kim MJ, Conn LG, et al. Understanding the Multidimensional Effects of Resident Duty Hours
Restrictions: A Thematic Analysis of Published Viewpoints in Su…
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psnet.ahrq.gov/node/856587/psn-pdf
January 01, 2024 - Surgical leadership in a culture of safety: an inter-
professional study of metrics and tools for improving
clinical practice.
November 29, 2023
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-
professional study of metrics and tools for improving clinical practice…
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psnet.ahrq.gov/issue/youre-boss-hospital
February 28, 2024 - Newspaper/Magazine Article
You're the boss at the hospital.
Save
Save to your library
Print
Download PDF
Share
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Copy URL
November 28, 2016
This article shares guidelines for accompanying a fa…
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psnet.ahrq.gov/node/866078/psn-pdf
June 05, 2024 - Second victim experiences of health care learners and the
influence of the training environment on postevent
adaptation.
June 5, 2024
Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the
influence of the training environment on postevent adaptation. Mayo Clin Proc Inno…
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psnet.ahrq.gov/node/854985/psn-pdf
November 01, 2023 - A systematic narrative review of coroners’ Prevention of
Future Deaths reports (PFDs): a tool for patient safety in
hospitals.
November 1, 2023
Bremner BT, Heneghan CJ, Aronson JK, et al. A systematic narrative review of coroners’ Prevention of
Future Deaths reports (PFDs): a tool for patient safety in hospitals. …
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psnet.ahrq.gov/node/48014/psn-pdf
July 10, 2019 - Patient safety morning report: innovation in teaching core
patient safety principles to third-year medical students.
July 10, 2019
Beekman M, Emani VK, Wolford R, et al. Patient Safety Morning Report: Innovation in Teaching Core
Patient Safety Principles to Third-Year Medical Students. J Med Educ Curric Dev.
2019;…
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psnet.ahrq.gov/node/39197/psn-pdf
January 06, 2010 - Resident fatigue: is there a patient safety issue?
January 6, 2010
Mitchell CD, Mooty CR, Dunn EL, et al. Resident fatigue: is there a patient safety issue? Am J Surg.
2009;198(6):811-6. doi:10.1016/j.amjsurg.2009.04.028.
https://psnet.ahrq.gov/issue/resident-fatigue-there-patient-safety-issue
Regulations limiting…
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psnet.ahrq.gov/node/73106/psn-pdf
April 01, 2021 - Strategies and Approaches for Tracking Improvements in
Patient Safety
April 1, 2021
Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
Background
An essential aspect …
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psnet.ahrq.gov/node/867804/psn-pdf
February 26, 2025 - Are We Safer Today?
February 26, 2025
Bates DW, Lee M, Mossburg SE. Are We Safer Today? PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/are-we-safer-today
In the 1999 report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (now the
National Academy of Medicine) drew on two lar…
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - MG : We didn't know either, but after a few calls to the Institute of Medicine we learned. … What I've learned is that IOM reports tend to stay at a very high level, and it's up to the stakeholders
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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
November 10, 2025 - Learning Network, diagnostic error case studies were reviewed to identify common pitfalls and lessons learned