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psnet.ahrq.gov/issue/organizational-learning-hospitals-realist-review
June 19, 2019 - This review synthesizes the research on organizational learning in hospitals, including contextual … February 16, 2011
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Related Resources
Systematic review: nurses' safety attitudes and their impact on patient … December 18, 2017
Hospital nurses' work environment characteristics and patient safety … October 4, 2017
Patient safety and workplace bullying: an integrative review.
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psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-improvement-healthcare-systematic-review
September 23, 2020 - but less research has focused on accreditation as a quality improvement tool or on contextual factors … March 12, 2025
Patient safety: listen to whistleblowers. … September 27, 2023
Global Knowledge Sharing Platform for Patient Safety. … January 21, 2021
Failure to rescue deteriorating patients: a systematic review of root … July 15, 2020
Center for Patient Safety.
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psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation
October 27, 2021 - This commentary discusses systems-focused innovations in surgery that have improved patient safety. … October 27, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … March 15, 2023
Profiles in patient safety: medication errors in the emergency department … February 18, 2017
Relationship between operating room teamwork, contextual factors, and
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psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors
July 10, 2017 - Improving patient safety in radiotherapy by learning from near misses, incidents and errors. … October 19, 2012
Hospitalized patients' understanding of their plan of care. … Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients … November 15, 2023
Contextual factors influencing the implementation of a multifaceted … intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative
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psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives
July 24, 2013 - Patient Safety And The "Just Culture": A Primer For Health Care Executives. … Accountability is a concept that many wrestle with as they steer their organizations and patients toward … Patient Safety And The "Just Culture": A Primer For Health Care Executives. … December 18, 2019
Listening for What Matters: Avoiding Contextual Errors in Health Care … Prevention
March 24, 2025
Bad behavior in healthcare: an insidious threat to patients
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psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - The authors provide a background and contextual basis for definitions such as professional competence … February 1, 2003
Patient safety in the era of healthcare reform. … May 3, 2016
Doing right by our patients when things go wrong in the ambulatory setting … January 5, 2017
Preventable adverse drug events in hospitalized patients: a comparative … June 13, 2011
Ethical issues in patient safety.
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psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine
October 27, 2021 - Misdiagnosis of heart failure can lead to serious patient harm. … February 23, 2022
Effect of contextual factors on the prevalence of diagnostic errors … among patients managed by physicians of the same specialty: a single-centre retrospective observational … Impact of unacceptable behaviour between healthcare workers on clinical performance and patient … February 16, 2022
Medication-related interventions to improve medication safety and patient
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psnet.ahrq.gov/issue/employee-silence-health-care-charting-new-avenues-leadership-and-management
May 04, 2022 - When faced with a patient safety concern, staff need to decide whether to speak up or remain silent. … Leaders play a crucial role in addressing contextual factors behind employees’ decisions to remain … August 10, 2022
Association of patient and family reports of hospital safety climate … March 16, 2022
Psychological impact and recovery after involvement in a patient safety … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.
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psnet.ahrq.gov/issue/how-does-work-environment-relate-diagnostic-quality-prospective-mixed-methods-study-primary
September 07, 2022 - Improving diagnostic quality is a patient safety priority . … e.g., follow-up contingencies, red flags) but other elements were often missing (e.g., psychosocial/contextual … March 3, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 30, 2024
Patient safety in actioning and communicating blood test results in … January 31, 2024
Do patients who read visit notes on the patient portal have a higher
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psnet.ahrq.gov/issue/special-issue-simulation
May 01, 2013 - Eisenberg Patient Safety and Quality Awards. … Eisenberg Patient Safety and Quality Awards. … June 18, 2013
Patient safety for global health - developing safe, effective and accessible … May 21, 2014
Contextual information influences diagnosis accuracy and decision making … June 12, 2013
Correlates of diagnostic accuracy in patients with nonspecific complaints
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psnet.ahrq.gov/issue/making-safety-training-stickier-richer-model-safety-training-engagement-and-transfer
October 06, 2021 - Many factors influence the success of implementation and sustainment of patient safety interventions … They discuss individual, organizational , and contextual factors that influence safety training engagement … the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient … 25, 2020
Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient … October 5, 2022
Role of artificial intelligence in patient safety outcomes: systematic
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psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england
August 18, 2021 - Study
Understanding the factors influencing implementation of a new national patient … Understanding the factors influencing implementation of a new national patient safety policy in England … managers, and senior clinicians responsible for implementing the policy, this study reports on how contextual … August 12, 2020
Learning from patient safety incidents involving acutely sick adults … June 30, 2021
A roadmap to advance patient safety in ambulatory care.
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psnet.ahrq.gov/issue/leadership-safety-climate-and-continuous-quality-improvement-impact-process-quality-and
May 24, 2006 - Leadership, safety climate, and continuous quality improvement: impact on process quality and patient … Leadership, safety climate, and continuous quality improvement: impact on process quality and patient … October 30, 2024
Contextual factors influencing the implementation of a multifaceted … intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative … Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients
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psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection
May 08, 2017 - Study
The influence of organizational context on quality improvement and patient … This qualitative study examines organizational and contextual factors that influenced the success of … July 15, 2020
Why do systems for responding to concerns and complaints so often fail patients … July 11, 2017
COVID-19 has united patients and providers against institutional betrayal … August 19, 2020
Physicians' experiences with mistreatment and discrimination by patients
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psnet.ahrq.gov/issue/enhancing-safety-high-risk-operations-multilevel-analysis-role-mindful-organising-translating
January 26, 2022 - This article explores the contextual, team level variables important for fostering mindful organizing … 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient … September 30, 2020
Learning from diagnostic errors to improve patient safety when GPs … April 6, 2022
Outcomes and patient safety in overlapping vs. nonoverlapping total joint … January 19, 2022
Differences between professionals' views on patient safety culture in
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psnet.ahrq.gov/issue/nurses-experience-decision-making-processes-missed-nursing-care-qualitative-study
May 11, 2022 - working in different hospital settings to explore perspectives regarding decision-making and personal or contextual … situations, and situational factors triggering fluctuations in their awareness (such as "difficult" patients … safety in the patient care environment. … , 2022
Barriers and enablers to nurses' use of harm prevention strategies for older patients … November 10, 2021
Clinical deterioration and hospital‐acquired complications in adult patients
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psnet.ahrq.gov/issue/safe-patients-smart-hospitals-how-one-doctors-checklist-can-help-us-change-health-care-inside
January 27, 2021 - Book/Report
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Safe Patients, Smart Hospitals: How … Citation Text:
Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health … Peter Pronovost has emerged as the world's most influential patient safety researcher . … Linkedin
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Safe Patients … December 18, 2019
Listening for What Matters: Avoiding Contextual Errors in Health Care
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psnet.ahrq.gov/issue/secondary-care-nursing-perspective-medication-administration-safety
July 23, 2010 - December 2, 2020
Teaching patient safety in global health: lessons from the Duke Global … Health Patient Safety Fellowship. … February 15, 2011
Patient self-medication--a change in hospital practice. … September 30, 2010
Professional commitment, patient safety, and patient-perceived care … September 23, 2009
Evaluation of contextual influences on the medication administration
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psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
December 18, 2019 - Copy Citation
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psnet.ahrq.gov/issue/putting-action-rca2-analysis-intervention-strength-after-adverse-events
April 17, 2024 - Resources From the Same Author(s)
Associations between organizational communication and patients … October 27, 2021
Interhospital transfer patients discharged by academic hospitalists … June 21, 2016
Talking with patients about other clinicians' errors. … June 19, 2024
Contextual factors influencing the implementation of a multifaceted intervention … to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative case