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psnet.ahrq.gov/node/46823/psn-pdf
August 20, 2018 - Systems thinking and incivility in nursing practice: an
integrative review.
August 20, 2018
Phillips JM, Stalter AM, Winegardner S, et al. Systems thinking and incivility in nursing practice: An
integrative review. Nurs Forum. 2018;2018(3):286-298. doi:10.1111/nuf.12250.
https://psnet.ahrq.gov/issue/systems-thinki…
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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/73117/psn-pdf
April 07, 2021 - Cybersecurity in health is an urgent patient safety
concern: we can learn from existing patient safety
improvement strategies to address it.
April 7, 2021
O’Brien N, Ghafur S, Durkin M. Cybersecurity in health is an urgent patient safety concern: we can learn
from existing patient safety improvement strategies to …
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psnet.ahrq.gov/node/73854/psn-pdf
September 22, 2021 - Differences between professionals' views on patient
safety culture in long-term and acute care? A cross-
sectional study.
September 22, 2021
Liukka M, Hupli M, Turunen H. Differences between professionals’ views on patient safety culture in long-
term and acute care? A cross-sectional study. Leadersh Health Serv (…
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psnet.ahrq.gov/node/46310/psn-pdf
October 29, 2017 - Do safety culture scores in nursing homes depend on job
role and ownership? Results from a national survey.
October 29, 2017
Banaszak-Holl J, Reichert H, Greene T, et al. Do Safety Culture Scores in Nursing Homes Depend on Job
Role and Ownership? Results from a National Survey. J Am Geriatr Soc. 2017;65(10):2244-22…
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psnet.ahrq.gov/node/74000/psn-pdf
January 01, 2022 - Systematic review: nurses' safety attitudes and their
impact on patient outcomes in acute-care hospitals.
October 27, 2021
Alanazi FK, Sim J, Lapkin S. Systematic review: nurses' safety attitudes and their impact on patient
outcomes in acute-care hospitals. Nurs Open. 2022;9(1):30-43. doi:10.1002/nop2.1063.
https:…
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psnet.ahrq.gov/node/853620/psn-pdf
September 20, 2023 - Impact of pharmacist-led admission medication
reconciliation on patient outcomes in a large health
system.
September 20, 2023
Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication
reconciliation on patient outcomes in a large health system. J Patient Saf Risk Manag. 2023;28(6)…
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psnet.ahrq.gov/node/60906/psn-pdf
August 18, 2021 - Global Patient Safety Action Plan 2021-2030: Towards
Eliminating Avoidable Harm in Health Care.
August 18, 2021
Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240032705.
https://psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-
harm-health-care
The Wo…
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psnet.ahrq.gov/node/35856/psn-pdf
June 16, 2011 - The Safety Attitudes Questionnaire: psychometric
properties, benchmarking data, and emerging research.
June 16, 2011
Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties,
benchmarking data, and emerging research. BMC Health Serv Res. 2006;6(1):44. doi:10.1186/1472…
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psnet.ahrq.gov/node/36487/psn-pdf
June 16, 2011 - Perceptions of safety culture vary across the intensive
care units of a single institution.
June 16, 2011
Huang DT, Clermont G, Sexton B, et al. Perceptions of safety culture vary across the intensive care units of
a single institution. Crit Care Med. 2007;35(1):165-76.
https://psnet.ahrq.gov/issue/perceptions-saf…
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - Managing clinical alarms: using data to drive change. Nurs Manage. 2013;44:8-12.
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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - Hall, MD, MS
Managing Director, IMPAQ Health
IMPAQ International
Columbia, MD
Bryan Gale, MA
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psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - SPOTLIGHT CASE
Intubation Mishap
Citation Text:
Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/issue/association-simulation-training-rates-medical-malpractice-claims-among-obstetrician
December 02, 2020 - Study
Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists.
Citation Text:
Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Ob…
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psnet.ahrq.gov/issue/quality-and-safety-learning-past-and-reimagining-future
June 15, 2022 - Commentary
Quality and safety: learning from the past and (re)imagining the future.
Citation Text:
Bates DW, Williams EA. Quality and safety: learning from the past and (re)imagining the future. J Allergy Clin Immunol Pract. 2022;10(12):3141-3144. doi:10.1016/j.jaip.2022.10.008.
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psnet.ahrq.gov/issue/resilience-and-regulation-odd-couple-consequences-safety-ii-governmental-regulation
October 06, 2021 - Commentary
Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality.
Citation Text:
Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. BMJ Q…
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psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
December 04, 2016 - Commentary
Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence.
Citation Text:
Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…
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psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system
April 24, 2018 - Commentary
IDEA4PS: the development of a research-oriented learning healthcare system.
Citation Text:
Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.…
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psnet.ahrq.gov/issue/medication-errors-school-nurse-second-victim
October 19, 2022 - Commentary
Medication errors: the school nurse as second victim.
Citation Text:
Stillwater AR. Medication Errors: The School Nurse as Second Victim. NASN School Nurse. 2018;33(3):163-166. doi:10.1177/1942602x17747294.
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psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19
March 31, 2021 - Commentary
Leadership: an effective human factor during COVID-19.
Citation Text:
Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203-205. doi:10.1136/leader-2020-000384.
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