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21. Interventions promoting employee "speaking-up" within healthcare workplaces: a systematic narrative review of the international literature. | PSNet
    psnet.ahrq.gov/issue/interventions-promoting-employee-speaking-within-healthcare-workplaces-systematic-narrative
    May 19, 2021 - Although interventions varied, there were international similarities in workplace norms and culture.

22. Fatigue among clinicians and the safety of patients. | PSNet
    psnet.ahrq.gov/issue/fatigue-among-clinicians-and-safety-patients
    November 15, 2018 - At the time of publication, regulations varied by specialty and, despite policies limiting work hours

23. Identifying missed care in pediatric nursing: a scoping review. | PSNet
    psnet.ahrq.gov/issue/identifying-missed-care-pediatric-nursing-scoping-review
    August 15, 2012 - Specific reasons for missed nursing care varied across studies but were generally associated with poor

24. A usability and safety analysis of electronic health records: a multi-center study. | PSNet
    psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study
    October 13, 2018 - Epic and two used Cerner EHRs, the number of clicks per task, time to task completion, and error rates varied

25. Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. | PSNet
    psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient
    June 15, 2016 - the 2-year project period, overall hand hygiene rates improved, but rates among individual units varied

26. Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. | PSNet
    psnet.ahrq.gov/issue/adverse-events-operating-room-definitions-prevalence-and-characteristics-systematic-review
    July 25, 2018 - evidence regarding the measurement and reporting of these events and found that the frequency of events varied

27. Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. | PSNet
    psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
    March 13, 2013 - Incidence estimates for retained surgical items and wrong-site surgery varied across studies, with

28. Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. | PSNet
    psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2016-user-comparative-database-report
    November 30, 2016 - As expected, responses varied for different aspects of patient safety.

29. Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards. | PSNet
    psnet.ahrq.gov/issue/incorporation-quality-and-safety-principles-maintenance-certification-qualitative-analysis
    July 18, 2018 - However, the specific content and assessment methods varied widely between fields.

30. The effectiveness of electronic differential diagnoses (DDX) generators: a systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/effectiveness-electronic-differential-diagnoses-ddx-generators-systematic-review-and-meta
    October 14, 2015 - The degree of improvement varied between studies.

31. Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit. | PSNet
    psnet.ahrq.gov/issue/association-between-mobile-telephone-interruptions-and-medication-administration-errors
    June 29, 2009 - by incoming telephone calls (3.7%) compared to when they were uninterrupted (3.1%), and error risk varied

32. Disclosure of medical errors: what factors influence how patients respond? | PSNet
    psnet.ahrq.gov/issue/disclosure-medical-errors-what-factors-influence-how-patients-respond
    December 23, 2008 - Participants also described their emotions and satisfaction levels, which varied depending on the clinical

33. Association of note quality and quality of care: a cross-sectional study. | PSNet
    psnet.ahrq.gov/issue/association-note-quality-and-quality-care-cross-sectional-study
    June 05, 2018 - Although length varied widely, on average, notes were between 536 and 659 words each.

34. Misleading Complaint | PSNet
    psnet.ahrq.gov/web-mm/misleading-complaint
    December 01, 2009 - The triage nurse reported that the patient used a number of vague and varied complaints about his knees … Here, the triage nurse's summary of "bilateral knee pain" was not synonymous with the varied issues heard

35. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33585/psn-pdf
    March 15, 2025 - One study showed that even for the same type of CT examination, the radiation doses varied as much as

36. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. | PSNet
    psnet.ahrq.gov/issue/resilience-vs-vulnerability-psychological-safety-and-reporting-near-misses-varying-proximity
    December 16, 2020 - Study Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. Citation Text: Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying p…

37. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
    psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
    July 23, 2024 - workgroup review were (1) intraorganizational guidelines were not rooted in evidence and (2) policies varied … Additionally, policies varied around surgical count processes and whether to initiate a surgical stop

38. Radiation Safety | PSNet
    psnet.ahrq.gov/primer/radiation-safety
    September 15, 2024 - One study showed that even for the same type of CT examination, the radiation doses varied as much

39. Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. | PSNet
    psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative
    December 16, 2015 - Study Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. Citation Text: Mossburg SE, Weaver SJ, Pillari MS, et al. Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitativ…

40. Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency care. | PSNet
    psnet.ahrq.gov/issue/emergency-medical-services-provider-pediatric-adverse-event-rate-varies-call-origin-pediatric
    November 23, 2016 - Study Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency care. Citation Text: Jones D, Hansen M, Van Otterloo J, et al. Emergency Medical Services Provider Pediatric Adverse Event Rate Varies by Call Origin. Pediatr Emerg Care. 2018…