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psnet.ahrq.gov/node/849130/psn-pdf
May 17, 2023 - Comparing perspectives on organisational silence: an
analysis of the Gosport inquiry.
May 17, 2023
Powell M. J Health Org Manag. 2023;37(1):67-83.
https://psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry
Individual, team, and organizational willingness to identify and add…
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psnet.ahrq.gov/node/37097/psn-pdf
October 04, 2011 - The relationship of organizational culture, stress,
satisfaction, and burnout with physician-reported error
and suboptimal patient care: results from the MEMO
study.
October 4, 2011
Williams E, Manwell LB, Konrad TR, et al. The relationship of organizational culture, stress, satisfaction,
and burnout with physici…
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psnet.ahrq.gov/node/39933/psn-pdf
December 31, 2014 - Assessing the accuracy of drug profiles in an electronic
medical record system of a Washington State hospital.
December 31, 2014
Platte B, Akinci F, Güç Y. Assessing the accuracy of drug profiles in an electronic medical record system of
a Washington state hospital. Am J Manag Care. 2010;16(10):e245-50.
https://ps…
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psnet.ahrq.gov/node/34922/psn-pdf
February 25, 2009 - Potential errors and their prevention in operating room
teamwork as experienced by Finnish, British and
American nurses.
February 25, 2009
Silén-Lipponen M, Tossavainen K, Turunen H, et al. Potential errors and their prevention in operating room
teamwork as experienced by Finnish, British and American nurses. Int …
-
psnet.ahrq.gov/node/40050/psn-pdf
September 24, 2016 - Going blank: factors contributing to interruptions to
nurses' work and related outcomes.
September 24, 2016
Hall LMG, Ferguson-Paré M, Peter E, et al. Going blank: factors contributing to interruptions to nurses'
work and related outcomes. J Nurs Manag. 2010;18(8):1040-7. doi:10.1111/j.1365-2834.2010.01166.x.
http…
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psnet.ahrq.gov/node/73884/psn-pdf
September 29, 2021 - Dual surgeon operating to improve patient safety.
September 29, 2021
Ellis R, Hardie JA, Summerton DJ, et al. Dual surgeon operating to improve patient safety. Surg.
2021;59(7):752-756. doi:10.1016/j.bjoms.2021.02.014.
https://psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety
Many non-urgent, non-…
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psnet.ahrq.gov/node/47925/psn-pdf
August 21, 2019 - Second victims and mindfulness: a systematic review.
August 21, 2019
S Miller C, Scott SD, Beck M. Second victims and mindfulness: a systematic review. J Patient Saf Risk
Manag. 2019;24(3):108-117. doi:10.1177/2516043519838176.
https://psnet.ahrq.gov/issue/second-victims-and-mindfulness-systematic-review
The secon…
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psnet.ahrq.gov/node/47268/psn-pdf
May 11, 2019 - Measuring shared mental models in healthcare.
May 11, 2019
Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219.
https://psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare
Shared mental models are an important element of team collaboration. This review explores the current…
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psnet.ahrq.gov/node/46414/psn-pdf
January 10, 2018 - Leveraging the electronic health record to improve quality
and safety in rheumatology.
January 10, 2018
Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in
rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4.
https://psnet.ahrq.gov/issue/lev…
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psnet.ahrq.gov/node/50679/psn-pdf
November 20, 2019 - Respectful, trusting relationships are essential for patient
safety, especially the surgeon-anesthesiologist dyad.
November 20, 2019
Cooper J. Anesthesiology 2019. October 19th, 2019; Orlando, FL.
https://psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
This re…
-
psnet.ahrq.gov/node/43211/psn-pdf
July 16, 2015 - Seeking high reliability in primary care: leadership, tools,
and organization.
July 16, 2015
Weaver RR. Seeking high reliability in primary care: Leadership, tools, and organization. Health Care
Manage Rev. 2015;40(3):183-92. doi:10.1097/HMR.0000000000000022.
https://psnet.ahrq.gov/issue/seeking-high-reliability-p…
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psnet.ahrq.gov/node/45930/psn-pdf
April 26, 2017 - A boy's life is lost to sepsis. Thousands are saved in his
wake.
April 26, 2017
Dwyer J. New York Times. April 13, 2017.
https://psnet.ahrq.gov/issue/boys-life-lost-sepsis-thousands-are-saved-his-wake
Stories of patient harm due to medical mistakes can serve as catalysts for organizational improvement.
This newsp…
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psnet.ahrq.gov/node/43018/psn-pdf
March 19, 2014 - Improved obstetric safety through programmatic
collaboration.
March 19, 2014
Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration.
J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131.
https://psnet.ahrq.gov/issue/improved-obstetric-safety-through-program…
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psnet.ahrq.gov/node/48146/psn-pdf
July 17, 2019 - Quality and Safety in Anesthesia and Perioperative Care.
July 17, 2019
Ruskin KJ, Stiegler MP, Rosenbaum SH, eds. New York, NY: Oxford University Press; 2016. ISBN:
9780199366149.
https://psnet.ahrq.gov/issue/quality-and-safety-anesthesia-and-perioperative-care
The perioperative setting is a high-risk environment.…
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psnet.ahrq.gov/node/43106/psn-pdf
September 27, 2016 - The sterile cockpit: an effective approach to reducing
medication errors?
September 27, 2016
Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication
errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c.
https://psnet.ahrq.gov/issue/sterile-cockpi…
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psnet.ahrq.gov/node/45927/psn-pdf
April 12, 2017 - How redesigning the abrasive alarms of hospital
soundscapes can save lives.
April 12, 2017
Couch C. Fast Company. April 3, 2017.
https://psnet.ahrq.gov/issue/how-redesigning-abrasive-alarms-hospital-soundscapes-can-save-lives
Alarm frequency can contribute to distractions and stress in the hospital environment. Re…
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psnet.ahrq.gov/node/50374/psn-pdf
September 25, 2019 - Explainable artificial intelligence for safe intraoperative
decision support.
September 25, 2019
Gordon L, Grantcharov T, Rudzicz F. Explainable Artificial Intelligence for Safe Intraoperative Decision
Support. JAMA Surg. 2019. doi:10.1001/jamasurg.2019.2821.
https://psnet.ahrq.gov/issue/explainable-artificial-int…
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psnet.ahrq.gov/node/46698/psn-pdf
February 07, 2018 - Enhancing the quality and safety of the perioperative
patient.
February 7, 2018
Staender S, Smith A. Enhancing the quality and safety of the perioperative patient. Curr Opin Anaesthesiol.
2017;30(6):730-735. doi:10.1097/ACO.0000000000000517.
https://psnet.ahrq.gov/issue/enhancing-quality-and-safety-perioperative-p…
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psnet.ahrq.gov/node/50838/psn-pdf
January 29, 2020 - Start the new year off right by preventing these top 10
medication errors and hazards.
January 29, 2020
ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2):1-6.
https://psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards
Medication errors routinely c…
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psnet.ahrq.gov/node/36087/psn-pdf
September 28, 2010 - Improving patient safety in hospitals: contributions of
high-reliability theory and normal accident theory.
September 28, 2010
Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and
normal accident theory. Health Serv Res. 2006;41(4 Pt 2):1654-76.
https://psnet.ah…