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psnet.ahrq.gov/issue/el-camino-hospital-using-health-information-technology-promote-patient-safety
March 06, 2013 - Award Recipient
El Camino Hospital: using health information technology to promote patient safety.
Citation Text:
Bukunt S, Hunter C, Perkins S, et al. El Camino Hospital: Using Health Information Technology to Promote Patient Safety. Jt Comm J Qual Patient Saf. 2016;31(10):561-565. doi:…
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psnet.ahrq.gov/issue/optimal-preoperative-assessment-geriatric-surgical-patient-best-practices-guideline-american
July 13, 2010 - Commentary
Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society.
Citation Text:
Chow WB, Rosenthal RA, Merkow RP, et al. Optim…
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psnet.ahrq.gov/issue/overview-use-and-implementation-checklists-surgical-specialities-systematic-review
July 31, 2013 - Review
An overview of the use and implementation of checklists in surgical specialities - a systematic review.
Citation Text:
Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):…
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psnet.ahrq.gov/issue/implementing-human-factors-anaesthesia-guidance-clinicians-departments-and-hospitals
February 15, 2023 - Organizational Policy/Guidelines
Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists.
Citation Text:
Kelly FE, Frerk C, Bailey CR, et al. Implementing human factor…
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psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns
June 30, 2011 - Study
Medication safety in older adults: home-based practice patterns.
Citation Text:
Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc. 2005;53(6):976-982.
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psnet.ahrq.gov/issue/examination-medical-malpractice-claims-involving-physician-trainees
July 15, 2020 - Study
An examination of medical malpractice claims involving physician trainees.
Citation Text:
Myers LC, Gartland RM, Skillings J, et al. An examination of medical malpractice claims involving physician trainees. Acad Med. 2020;95(8):1215-1222. doi:10.1097/acm.0000000000003117.
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psnet.ahrq.gov/issue/trends-and-patterns-reporting-patient-safety-situations-transplantation
October 19, 2022 - Study
Trends and patterns in reporting of patient safety situations in transplantation.
Citation Text:
Stewart DE, Tlusty SM, Taylor KH, et al. Trends and Patterns in Reporting of Patient Safety Situations in Transplantation. Am J Transplant. 2015;15(12):3123-33. doi:10.1111/ajt.13528.
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psnet.ahrq.gov/issue/understanding-cognitive-work-nursing-acute-care-environment
July 20, 2022 - Study
Understanding the cognitive work of nursing in the acute care environment.
Citation Text:
Potter P, Wolf L, Boxerman S, et al. Understanding the cognitive work of nursing in the acute care environment. J Nurs Adm. 2005;35(7-8):327-335. https://journals.lww.com/jonajournal/Abstract/…
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psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
February 01, 2014 - Often people who study organizations talk about tacit knowledge, which is the knowledge on how to get … impact, but a lot of the work you do has to be mediated through or certainly influenced by other federal organizations … that has its own politics, you always need to consider the obstacles to accomplishing the goals of the organization … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - The wisdom of teams: creating the high performance organization. … Orientation and training of nurses on high-risk unit and for
high-risk procedures may be inadequate
B
Organization … Common goal
Every team member shares and understands the short- and long-term goals of the team
and the organization
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psnet.ahrq.gov/node/33760/psn-pdf
February 01, 2014 - Often people who study
organizations talk about tacit knowledge, which is the knowledge on how to get
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psnet.ahrq.gov/issue/origin-and-uses-primum-non-nocere-above-all-do-no-harm
January 09, 2019 - November 14, 2007
Towards an organization with a memory: exploring the organizational … August 28, 2019
An organization-specific and modifiable inpatient safety composite measure
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - My doctorate is in higher education policy and organization from the University of Maryland at College … partners could engage academics and incorporate students into proactive approaches to safety in their organizations … Nursing Curricula
Several organizations have published educational standards related to undergraduate … nursing, including the World Health Organization in 2000, 2 the Quality and Safety Education for Nurses
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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - Nursing Curricula
Several organizations have published educational standards related to undergraduate … nursing, including the World Health Organization in 2000, 2 the Quality and Safety Education for Nurses … My doctorate is in higher education policy and organization from the University of Maryland at College … partners could engage academics and incorporate students into proactive approaches to safety in their organizations
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psnet.ahrq.gov/issue/playing-it-safe-simulated-team-training-or
July 22, 2020 - November 10, 2021
Implementing high-reliability organization principles into practice … November 11, 2020
A high-reliability organization framework for health care: a multiyear
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psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
April 24, 2018 - The use of structured handoff frameworks, such as I-PASS, provide organization and consistency in both … Take-Home Points Structured handoff frameworks, like the I-PASS Handoff Bundle, provide organization
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psnet.ahrq.gov/periodic-issue/periodic-issue-308
September 29, 2021 - This article examines weaknesses in error reporting behaviors, characteristics of organizations and technologies
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psnet.ahrq.gov/periodic-issue/periodic-issue-314
October 27, 2021 - This survey of 25 pediatric organizations participating in a patient safety collaborative identified
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psnet.ahrq.gov/periodic-issue/periodic-issue-315
October 27, 2021 - This toolkit examines 10 areas of focus for organizations to assess the safety of mental health services
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psnet.ahrq.gov/periodic-issue/periodic-issue-414
October 31, 2023 - As such, safety culture is increasingly being measured by healthcare organizations.