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psnet.ahrq.gov/issue/applying-high-reliability-health-care-maturity-model-assess-hospital-performance-va-case
December 19, 2014 - December 19, 2014
Partnering with VA stakeholders to develop a comprehensive patient
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psnet.ahrq.gov/issue/potential-harms-resulting-patient-clinician-real-time-clinical-encounters-using-video-based
February 14, 2017 - for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders
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psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-and-unprofessional-behaviour-among-residents
December 21, 2017 - workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders
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psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately
January 18, 2013 - December 15, 2014
Partnering with VA stakeholders to develop a comprehensive patient
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psnet.ahrq.gov/issue/interprofessional-model-speaking-behaviour-healthcare-professionals-qualitative-study
December 21, 2017 - Related Resources
A systems analysis of work-related violence in hospitals: stakeholders
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psnet.ahrq.gov/issue/health-professionals-experiences-whistleblowing-maternal-and-newborn-healthcare-settings
November 02, 2010 - Patient and family involvement in serious incident investigations from the perspectives of key stakeholders
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psnet.ahrq.gov/issue/benefactor-or-burden-exploring-professional-identity-safety-professionals
October 11, 2017 - April 26, 2023
A systems analysis of work-related violence in hospitals: stakeholders
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psnet.ahrq.gov/issue/junior-doctors-views-reporting-concerns-about-patient-safety-qualitative-study
June 16, 2021 - Study
Junior doctors' views on reporting concerns about patient safety: a qualitative study.
Citation Text:
Hooper P, Kocman D, Carr S, et al. Junior doctors' views on reporting concerns about patient safety: a qualitative study. Postgrad Med J. 2015;91(1075):251-6. doi:10.1136/postgradm…
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psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
January 21, 2019 - Study
Learning from lawsuits: using malpractice claims data to develop care transitions planning tools.
Citation Text:
Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57.…
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psnet.ahrq.gov/issue/whats-going-well-qualitative-analysis-positive-patient-and-family-feedback-context-diagnostic
October 27, 2021 - Study
What's going well: a qualitative analysis of positive patient and family feedback in the context of the diagnostic process.
Citation Text:
Liu SK, Bourgeois FC, Dong J, et al. What’s going well: a qualitative analysis of positive patient and family feedback in the context of the d…
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psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating-voice-about
June 16, 2021 - Study
Emerging Classic
Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns.
Citation Text:
Martin G, Aveling E-L, Campbell A, et al. Making soft intelligence hard: a multi-site qualitative study of …
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psnet.ahrq.gov/issue/aviation-and-healthcare-comparative-review-implications-patient-safety
February 14, 2018 - Review
Aviation and healthcare: a comparative review with implications for patient safety.
Citation Text:
Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/20542704156…
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psnet.ahrq.gov/node/72788/psn-pdf
February 24, 2021 - Harmed Patient Alliance.
February 24, 2021
United Kingdom.
https://psnet.ahrq.gov/issue/harmed-patient-alliance
Patients and families that experience medical harm have unique support needs. This organization works to
improve health system and clinician response to harmed patients. Their efforts aim to create a dee…
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psnet.ahrq.gov/node/866445/psn-pdf
August 07, 2024 - Diagnosis in the Era of Digital Health and Artificial
Intelligence: A Workshop.
August 7, 2024
Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop.
https://psnet.ahrq.gov/issue/diagnosis-era-digital-health-and-artificial-intelligence-workshop
Digital health is emerging as a primary techn…
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psnet.ahrq.gov/issue/determining-current-insulin-pen-use-practices-and-errors-inpatient-setting
June 29, 2016 - Study
Determining current insulin pen use practices and errors in the inpatient setting.
Citation Text:
Brown KE, Hertig JB. Determining Current Insulin Pen Use Practices and Errors in the Inpatient Setting. Jt Comm J Qual Patient Saf. 2016;42(12):568-AP7. doi:10.1016/S1553-7250(16)30109…
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psnet.ahrq.gov/node/50864/psn-pdf
February 05, 2020 - I'm sorry: laws that support apologies in health care.
February 5, 2020
Atkinson Smith M. I?m Sorry. Prof Case Manag. 2019;25(1):40-45. doi:10.1097/ncm.0000000000000410.
https://psnet.ahrq.gov/issue/im-sorry-laws-support-apologies-health-care
Apology laws have been passed by numerous states and the District of Colu…
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psnet.ahrq.gov/node/60685/psn-pdf
July 15, 2020 - Latent bias and the implementation of artificial
intelligence in medicine.
July 15, 2020
Decamp M, Lindvall C. Latent bias and the implementation of artificial intelligence in medicine. J Am Med
Inform Assoc. 2020;27(12):2020-2023. doi:10.1093/jamia/ocaa094.
https://psnet.ahrq.gov/issue/latent-bias-and-implementat…
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psnet.ahrq.gov/node/838925/psn-pdf
March 03, 2025 - Improving Quality and Safety in Healthcare.
March 3, 2025
Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025.
https://psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
Improvement activities are complex initiatives that require synergistic actions by organizations to be
s…
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psnet.ahrq.gov/issue/safe-practice-recommendations-use-copy-forward-nursing-flow-sheets-hospital-settings
May 18, 2022 - Study
Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings.
Citation Text:
Patterson ES, Sillars DM, Staggers N, et al. Safe Practice Recommendations for the Use of Copy-Forward with Nursing Flow Sheets in Hospital Settings. Jt Comm J Qu…
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psnet.ahrq.gov/node/47743/psn-pdf
February 22, 2019 - Assessing the performance of aging surgeons.
February 22, 2019
Katlic MR, Coleman JA, Russell MM. Assessing the Performance of Aging Surgeons. JAMA.
2019;321(5):449-450. doi:10.1001/jama.2018.22216.
https://psnet.ahrq.gov/issue/assessing-performance-aging-surgeons
High-risk industries like aviation employ policies…