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psnet.ahrq.gov/node/38302/psn-pdf
September 27, 2016 - Safe practice environment chapter proposed by USP.
September 27, 2016
ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.
https://psnet.ahrq.gov/issue/safe-practice-environment-chapter-proposed-usp
This article discusses work space factors that can affect safe medication delivery, including l…
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psnet.ahrq.gov/node/35600/psn-pdf
June 21, 2010 - Improving nursing unit teamwork.
June 21, 2010
Kalisch BJ, Begeny SM. Improving nursing unit teamwork. J Nurs Adm. 2005;35(12):550-556.
doi:10.1097/00005110-200512000-00009.
https://psnet.ahrq.gov/issue/improving-nursing-unit-teamwork
The authors share several strategies for improving teamwork among nurses, includ…
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psnet.ahrq.gov/issue/alarm-burden-and-nursing-care-environment-213-hospital-cross-sectional-study
October 25, 2023 - Study
Alarm burden and the nursing care environment: a 213-hospital cross-sectional study.
Citation Text:
Ruppel H, Dougherty M, Bonafide CP, et al. Alarm burden and the nursing care environment: a 213-hospital cross-sectional study. BMJ Open Qual. 2023;12(4):e002342. doi:10.1136/bmjoq-2…
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psnet.ahrq.gov/issue/piloting-patient-safety-and-quality-improvement-co-curriculum
March 22, 2023 - Commentary
Piloting a patient safety and quality improvement co-curriculum.
Citation Text:
Kroker-Bode C, Whicker SA, Pline ER, et al. Piloting a patient safety and quality improvement co-curriculum. J Community Hosp Intern Med Perspect. 2017;7(6):351-357. doi:10.1080/20009666.2017.14038…
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psnet.ahrq.gov/issue/use-strategies-high-reliability-organisations-patient-hand-resident-physicians-practical
July 02, 2014 - Study
Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications.
Citation Text:
Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qu…
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psnet.ahrq.gov/issue/honesty-and-transparency-indispensable-clinical-mission-parts-i-iii
November 11, 2020 - Commentary
Honesty and transparency, indispensable to the clinical mission--Parts I-III.
Citation Text:
Brenner MJ, Boothman RC, Rushton CH, et al. Honesty and Transparency, Indispensable to the Clinical Mission—Parts I - III. Otolaryngol Clin North Am. 2021;55(1):43-103. doi:10.1016/j.o…
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psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture-2015-user-comparative-database-report
November 30, 2016 - Book/Report
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report.
Citation Text:
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Resea…
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psnet.ahrq.gov/issue/time-essence-relationship-between-hospital-staff-perceptions-time-safety-attitudes-and-staff
September 01, 2021 - Study
"Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing.
Citation Text:
Ellis LA, Tran Y, Pomare C, et al. “Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff …
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psnet.ahrq.gov/issue/comparison-accuracy-human-readers-versus-machine-learning-algorithms-pigmented-skin-lesion
July 22, 2020 - Study
Classic
Comparison of the accuracy of human readers versus machine-learning algorithms for pigmented skin lesion classification: an open, web-based, international, diagnostic study.
Citation Text:
Tschandl P, Codella N, Akay BN, et al. Comparison of the ac…
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psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
September 25, 2024 - Study
Classic
Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error.
Citation Text:
Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…
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psnet.ahrq.gov/issue/cognitive-task-analysis-information-management-strategies-computerized-provider-order-entry
May 27, 2011 - Study
A cognitive task analysis of information management strategies in a computerized provider order entry environment.
Citation Text:
Weir C, Nebeker JJR, Hicken BL, et al. A cognitive task analysis of information management strategies in a computerized provider order entry environme…
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psnet.ahrq.gov/issue/organizational-conditions-engagement-quality-and-safety-improvement-longitudinal-qualitative
November 25, 2020 - Study
Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies.
Citation Text:
Phipps D, Jones CEL, Parker D, et al. Organizational conditions for engagement in quality and safety improvement: a longitudinal qual…
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psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review
April 27, 2022 - Review
The value of learning from near misses to improve patient safety: a scoping review.
Citation Text:
Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078…
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psnet.ahrq.gov/issue/error-stress-and-teamwork-medicine-and-aviation-cross-sectional-surveys
June 16, 2011 - Study
Classic
Error, stress, and teamwork in medicine and aviation: cross sectional surveys.
Citation Text:
Sexton JB. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2002;320(7237):745-749. doi:10.1136/bmj.320.7237.745.
C…
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psnet.ahrq.gov/issue/exploring-care-left-undone-pediatric-nursing
October 25, 2017 - Study
Exploring care left undone in pediatric nursing.
Citation Text:
Bagnasco A, Rossi S, Dasso N, et al. Exploring care left undone in pediatric nursing. J Patient Saf. 2022;18(6):e903-e911. doi:10.1097/pts.0000000000001044.
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psnet.ahrq.gov/issue/effect-multispecialty-faculty-handoff-initiative-safety-culture-and-handoff-quality
March 10, 2019 - Study
Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality.
Citation Text:
Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. …
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psnet.ahrq.gov/issue/shared-understanding-resilient-practices-context-inpatient-suicide-prevention-narrative
December 23, 2020 - Study
Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis.
Citation Text:
Berg SH, Rørtveit K, Walby FA, et al. Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis.…
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psnet.ahrq.gov/issue/e-prescribing-and-medication-safety-community-settings-rapid-scoping-review
January 22, 2025 - Review
E-prescribing and medication safety in community settings: a rapid scoping review.
Citation Text:
Cassidy CE, Boulos L, McConnell E, et al. E-prescribing and medication safety in community settings: a rapid scoping review. Explor Res Clin Soc Pharm. 2023;12:100365. doi:10.1016/j.r…
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psnet.ahrq.gov/issue/liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program
April 24, 2018 - Study
Classic
Liability claims and costs before and after implementation of a medical error disclosure program.
Citation Text:
Kachalia A, Kaufman SR, Boothman RC, et al. Liability claims and costs before and after implementation of a medical error disclosure …
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psnet.ahrq.gov/issue/controlled-interventions-reduce-burnout-physicians-systematic-review-and-meta-analysis
September 28, 2022 - Review
Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis.
Citation Text:
Panagioti M, Panagopoulou E, Bower P, et al. Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA Intern Med. 2017;177(2…