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psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking
May 19, 2021 - Study
Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals.
Citation Text:
Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a…
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psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation
September 23, 2020 - Study
A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system.
Citation Text:
Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconcili…
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psnet.ahrq.gov/issue/advance-care-planning-documentation-practices-and-accessibility-electronic-health-record
December 05, 2012 - Study
Emerging Classic
Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety.
Citation Text:
Walker E, McMahan R, Barnes D, et al. Advance Care Planning Documentation Practices and Access…
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psnet.ahrq.gov/issue/interventions-improve-employee-health-and-well-being-within-health-care-organizations
April 11, 2009 - Review
Interventions to improve employee health and well-being within health care organizations: a systematic review.
Citation Text:
Williams SP, Malik HT, Nicolay CR, et al. Interventions to improve employee health and well-being within health care organizations: A systematic review. J …
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psnet.ahrq.gov/issue/qualitative-study-senior-hospital-managers-views-current-and-innovative-strategies-improve
March 08, 2023 - Study
A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene.
Citation Text:
McInnes E, Phillips R, Middleton S, et al. A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand…
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psnet.ahrq.gov/issue/beyond-team-understanding-interprofessional-work-two-north-american-icus
January 14, 2014 - Study
Beyond the team: understanding interprofessional work in two North American ICUs.
Citation Text:
Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.000000000000113…
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psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety
November 20, 2015 - Study
Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections.
Citation Text:
Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program…
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psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
December 31, 2018 - Study
Emerging Classic
The influence of organizational culture, climate and commitment on speaking up about medical errors.
Citation Text:
Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical…
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psnet.ahrq.gov/issue/factors-impacting-patient-setup-analysis-and-error-management-during-breast-cancer
September 15, 2021 - Review
Factors impacting on patient setup analysis and error management during breast cancer radiotherapy.
Citation Text:
Costin I-C, Marcu LG. Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. Crit Rev Oncol Hematol. 2022;178:103798. doi…
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psnet.ahrq.gov/issue/evaluation-electronic-health-record-implementation-pharmacist-interventions-related-oral
January 25, 2023 - Study
Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management.
Citation Text:
Finn A, Bondarenka C, Edwards K, et al. Evaluation of electronic health record implementation on pharmacist interventions related to oral chemot…
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psnet.ahrq.gov/node/867447/psn-pdf
January 08, 2025 - The influence of hospital physician integration on culture
of patient safety.
January 8, 2025
Upadhyay S, Chien L-C. The influence of hospital physician integration on culture of patient safety. J
Patient Saf. 2024;20(8):542-548. doi:10.1097/pts.0000000000001280.
https://psnet.ahrq.gov/issue/influence-hospital-phy…
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psnet.ahrq.gov/node/46215/psn-pdf
June 14, 2017 - The role of informal dimensions of safety in high-volume
organisational routines: an ethnographic study of test
results handling in UK general practice.
June 14, 2017
Grant S, Checkland K, Bowie P, et al. The role of informal dimensions of safety in high-volume
organisational routines: an ethnographic study of tes…
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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - Sepsis Resulting from Delays in Treatment and
Miscommunication among Specialists
March 15, 2023
Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-
spec…
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - A Room Without Orders
January 1, 2016
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/room-without-orders
Case Objectives
Review a common process for planned direct hospital admissions.
Describe challenges of prioritizing day-to-day patient care activities wi…
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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/862986/psn-pdf
February 21, 2024 - Essential elements nurses have to address to promote a
safe discharge in paediatrics: a systematic review and
narrative synthesis.
February 21, 2024
Rossi S, Hayter M, Zuco A, et al. Essential elements nurses have to address to promote a safe discharge
in paediatrics: a systematic review and narrative synthesis. N…
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psnet.ahrq.gov/node/36348/psn-pdf
March 09, 2009 - Reducing medical error in the Military Health System: how
can team training help?
March 9, 2009
Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can
team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/36675/psn-pdf
January 18, 2011 - Target-focused medical emergency team training using a
human patient simulator: effects on behaviour and
attitude.
January 18, 2011
Wallin C-J, Meurling L, Hedman L, et al. Target-focused medical emergency team training using a human
patient simulator: effects on behaviour and attitude. Med Educ. 2007;41(2):173-80…
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psnet.ahrq.gov/node/60244/psn-pdf
April 22, 2020 - Perioperative COVID-19 defense: an evidence-based
approach for optimization of infection control and
operating room management.
April 22, 2020
Dexter F, Parra MC, Brown JR, et al. Perioperative COVID-19 defense: an evidence-based approach for
optimization of infection control and operating room management. Anesth …
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psnet.ahrq.gov/node/47042/psn-pdf
June 13, 2018 - Addressing dual patient and staff safety through a team-
based standardized patient simulation for agitation
management in the emergency department.
June 13, 2018
Wong AH, Auerbach MA, Ruppel H, et al. Addressing Dual Patient and Staff Safety Through A Team-
Based Standardized Patient Simulation for Agitation Mana…