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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72475/psn-pdfNovember 18, 2020 - Omissions of care in nursing homes: a uniform definition for research and quality improvement. November 18, 2020 Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11):1587-1591.e2. doi:10.1016/j.jamda… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/856588/psn-pdfNovember 29, 2023 - It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. November 29, 2023 Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. J Contingencies Cr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60232/psn-pdfApril 15, 2020 - Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. April 15, 2020 Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853964/psn-pdfSeptember 27, 2023 - Surgeon's narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis. September 27, 2023 El Boghdady M, Ewalds-Kvist BM. Surgeon’s narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis. Langenbecks Arch Surg. 2023;408(1):34… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47187/psn-pdfSeptember 05, 2018 - Supporting clinicians after adverse events: development of a clinician peer support program. September 5, 2018 Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a Clinician Peer Support Program. J Patient Saf. 2018;14(3):e56-e60. doi:10.1097/PTS.0000000000000508. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50651/psn-pdfNovember 13, 2019 - How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. November 13, 2019 Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic rev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837034/psn-pdfMay 04, 2022 - Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? May 4, 2022 Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? Front Psychiatry. 2022… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836760/psn-pdfMarch 16, 2022 - Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. March 16, 2022 Washington, DC: VA Office of the Inspector General; February 17, 2022. Report No. 21-01506-76. https://psnet.ahrq.gov/issue/comprehensive-healthcare-i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42964/psn-pdfMay 10, 2014 - What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. May 10, 2014 Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencies Crisis Manage. 2014;22(2):81-96. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40355/psn-pdfJuly 09, 2012 - The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. July 9, 2012 Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalSmarts; 2011. https://psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives Silence Kills was a 2005 report that highligh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44616/psn-pdfNovember 04, 2015 - Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. November 4, 2015 Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861765/psn-pdfJanuary 31, 2024 - Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation. January 31, 2024 Beran T, Altabbaa G, Oddone Paolucci E. Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidel… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46346/psn-pdfOctober 29, 2017 - Root cause analysis of ICU adverse events in the Veterans Health Administration. October 29, 2017 Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.jcjq.2017.04.009. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61095/psn-pdfNovember 04, 2020 - Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. November 4, 2020 Pohlman KA, Funabashi M, Ndetan H, et al. Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. J Manipulative P… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837147/psn-pdfMay 18, 2022 - Patient safety in home care: a multicenter cross-sectional study about medication errors and medication management of nurses. May 18, 2022 Strube?Lahmann S, Müller?Werdan U, Klingelhöfer?Noe J, et al. Patient safety in home care: A multicenter cross?sectional study about medication errors and medication management… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60254/psn-pdfJanuary 01, 2022 - Do patients and relatives have different dispositions when challenging healthcare professionals about patient safety? Results before and after an educational program. April 22, 2020 Rodrigo-Rincon I, Irigoyen-Aristorena I, Tirapu-Leon B, et al. Do patients and relatives have different dispositions when challenging… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866563/psn-pdfAugust 21, 2024 - Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. August 21, 2024 Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2024;44(1):17-23. doi:10.1002/jhrm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42400/psn-pdfJuly 10, 2013 - Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare. July 10, 2013 Kemper PF, van Noord I, de Bruijne M, et al. Development and reliability of the explicit professional oral communication observation tool to quantify… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853619/psn-pdfSeptember 20, 2023 - Defining speaking up in the healthcare system: a systematic review. September 20, 2023 Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0. https://psnet.ahrq.gov/issue/defining-speaking-healthca… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44477/psn-pdfOctober 14, 2015 - Field test of the World Health Organization Multi- professional Patient Safety Curriculum Guide. October 14, 2015 Farley DO, Zheng H, Rousi E, et al. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015;10(9):e0138510. doi:10.1371/journal.pone.0138510. http…
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