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psnet.ahrq.gov/issue/systematic-review-exploring-content-and-outcomes-interventions-improve-psychological-safety
October 28, 2020 - Review
Classic
A systematic review exploring the content and outcomes of interventions to improve psychological safety, speaking up and voice behaviour.
Citation Text:
O’Donovan R, McAuliffe E. A systematic review exploring the content and outcomes of interventi…
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psnet.ahrq.gov/issue/intensive-care-unit-critical-incident-analysis-objective-tool-select-content-simulation
June 28, 2023 - Study
Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum.
Citation Text:
Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 202…
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psnet.ahrq.gov/issue/diagnostic-errors-medical-students-results-prospective-qualitative-study
May 18, 2022 - Study
Diagnostic errors by medical students: results of a prospective qualitative study.
Citation Text:
Braun LT, Zwaan L, Kiesewetter J, et al. Diagnostic errors by medical students: results of a prospective qualitative study. BMC Med Educ. 2017;17(1):191. doi:10.1186/s12909-017-1044-7.…
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psnet.ahrq.gov/issue/exploring-theory-barriers-and-enablers-patient-and-public-involvement-across-health-social
February 17, 2021 - Review
Classic
Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews.
Citation Text:
Ocloo J, Garfield S, Franklin BD, et al. Exploring the theory, barriers an…
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psnet.ahrq.gov/issue/assessing-patients-2019-experiences-medical-injury-reconciliation-processes-item-generation
June 16, 2021 - Study
Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire.
Citation Text:
Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item …
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psnet.ahrq.gov/issue/covid-19-patient-safety-and-quality-improvement-skills-deploy-during-surge
March 23, 2022 - Commentary
COVID-19: patient safety and quality improvement skills to deploy during the surge.
Citation Text:
Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.…
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psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
November 02, 2022 - Study
Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective.
Citation Text:
Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort stu…
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psnet.ahrq.gov/issue/exploring-patient-safety-outcomes-people-learning-disabilities-acute-hospital-settings
March 02, 2022 - Review
Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review.
Citation Text:
Louch G, Albutt AK, Harlow-Trigg J, et al. Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a sco…
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - from studying adverse events to examining the factors that contribute to favorable outcomes, thereby promoting … challenges associated with traditional RCA processes, emphasizing systemic issues over individual blame and promoting
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - from studying adverse events to examining the factors that contribute to favorable outcomes, thereby promoting … challenges associated with traditional RCA processes, emphasizing systemic issues over individual blame and promoting
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psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - RW: How will the Agency focus its energy in terms of promoting transparency?
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psnet.ahrq.gov/perspective/update-safety-culture
January 22, 2020 - Update on Safety Culture
Allan Frankel, MD, and Michael Leonard, MD | August 22, 2013
View more articles from the same authors.
Citation Text:
Frankel A, Leonard M. Update on Safety Culture. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…
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psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
June 01, 2014 - Mixup Beyond the Medication Label
Citation Text:
Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.338_slideshow.ppt
January 01, 2015 - PowerPoint Presentation
Spotlight
Monitoring Fetal Health
1
This presentation is based on the January 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Mark W. Scerbo, PhD, Department of Psychology, Old Dominion University, and Alfred Z. Abuham…
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psnet.ahrq.gov/node/49599/psn-pdf
February 23, 2010 - Defensive Medicine: "Glowing" with Pain
February 1, 2010
Sethi MK. Defensive Medicine: "Glowing" with Pain. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
The Case
A 31-year-old man presented to the emergency department (ED) complaining of abdominal pain and
vomiting. The…
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - contained more expertise than that of the physician.( 28 ) Health 2.0 expanded upon this concept by promoting
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psnet.ahrq.gov/node/73455/psn-pdf
June 30, 2021 - physiologic states (such as paroxysmal tachycardia) can go in both directions and do a better
job of promoting
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psnet.ahrq.gov/node/33583/psn-pdf
March 01, 2023 - In fact, medicine has had a history of
promoting “see one, do one, teach one” that has persisted for
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - Promoting health care safety through training high reliability
teams.
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psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - This, coupled with the
incentives spurring adoption of EMRs and CPOE systems and promoting their interoperability