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psnet.ahrq.gov/node/46225/psn-pdf
June 25, 2018 - Do trainees feel that they belong to a team?
June 25, 2018
Price S, Lusznat R. Do trainees feel that they belong to a team? The Clin Teach. 2018;15(3):240-244.
doi:10.1111/tct.12664.
https://psnet.ahrq.gov/issue/do-trainees-feel-they-belong-team
Teamwork is an important component of safety culture. This qualitativ…
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psnet.ahrq.gov/node/38790/psn-pdf
July 15, 2009 - The SBAR communication technique: teaching nursing
students professional communication skills.
July 15, 2009
Thomas CM, Bertram E, Johnson D. The SBAR communication technique: teaching nursing students
professional communication skills. Nurse Educ. 2009;34(4):176-80. doi:10.1097/NNE.0b013e3181aaba54.
https://psnet…
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psnet.ahrq.gov/node/34965/psn-pdf
August 02, 2016 - Safety Ethics: Cases from Aviation, Healthcare and
Occupational and Environmental Health.
August 2, 2016
Patankar MS, Brown JP, Treadwell MD. Burlington VT: Ashgate; 2005. ISBN: 9780754642473.
https://psnet.ahrq.gov/issue/safety-ethics-cases-aviation-healthcare-and-occupational-and-environmental-
health
The autho…
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psnet.ahrq.gov/node/865819/psn-pdf
May 08, 2024 - Focus on HARM (Harmonizing Accountability in
Reporting and Monitoring).
May 8, 2024
National Quality Forum.
https://psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring
Strong incident reporting systems are a foundational component for understanding preventable health care
error. Th…
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psnet.ahrq.gov/node/42293/psn-pdf
January 01, 2015 - Leadership and patient safety: a review of the literature.
May 29, 2013
Ring L, Fairchild RM. Leadership and Patient Safety: A Review of the Literature. J Nurs Reg. 2015;4(1):52-
56. doi:10.1016/s2155-8256(15)30164-2.
https://psnet.ahrq.gov/issue/leadership-and-patient-safety-review-literature
This narrative revie…
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psnet.ahrq.gov/node/44109/psn-pdf
November 06, 2015 - Safer Clinical Systems.
November 6, 2015
London, UK: Health Foundation.
https://psnet.ahrq.gov/issue/safer-clinical-systems
This Web site highlights the work of a United Kingdom initiative launched in 2008 to apply safety
improvement tactics from high-risk industries to care services. The program engages teams to …
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psnet.ahrq.gov/node/48154/psn-pdf
July 31, 2019 - Learn Not Blame.
July 31, 2019
Doctors' Association UK.
https://psnet.ahrq.gov/issue/learn-not-blame
This website provides information about a National Health Service (NHS) campaign to shift response to
errors from blame to an approach that embraces fairness, openness, learning, and patient and health care
profes…
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psnet.ahrq.gov/node/36636/psn-pdf
January 14, 2011 - Nursing home administrators' opinions of the resident
safety culture in nursing homes.
January 14, 2011
Castle NG, Handler S, Engberg J, et al. Nursing home administrators' opinions of the resident safety
culture in nursing homes. Health Care Manage Rev. 2007;32(1):66-76.
https://psnet.ahrq.gov/issue/nursing-home-…
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psnet.ahrq.gov/node/37161/psn-pdf
January 20, 2010 - Attitudes of health sciences faculty members towards
interprofessional teamwork and education.
January 20, 2010
Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional
teamwork and education. Med Educ. 2007;41(9):892-896.
https://psnet.ahrq.gov/issue/attitudes-heal…
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psnet.ahrq.gov/node/34898/psn-pdf
April 21, 2011 - Crossing to safety: transforming healthcare organizations
for patient safety.
April 21, 2011
Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J
Postgrad Med. 2005;51(1):61-67.
https://psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-pati…
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psnet.ahrq.gov/node/38184/psn-pdf
February 16, 2011 - Interprofessional communication and medical error: a
reframing of research questions and approaches.
February 16, 2011
Varpio L, Hall P, Lingard LA, et al. Interprofessional communication and medical error: a reframing of
research questions and approaches. Acad Med. 2008;83(10 Suppl):S76-81.
doi:10.1097/ACM.0b013e…
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psnet.ahrq.gov/node/35072/psn-pdf
June 22, 2009 - Introducing new technology into the operating room:
measuring the impact on job performance and
satisfaction.
June 22, 2009
Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the
impact on job performance and satisfaction. Surgery. 2005;137(5):518-26.
https://psnet…
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psnet.ahrq.gov/node/849337/psn-pdf
May 24, 2023 - Actions to renew focus on safety culture.
May 24, 2023
Salvon-Harman J. Healthcare Executive. 2023;39(3):48-49.
https://psnet.ahrq.gov/issue/actions-renew-focus-safety-culture
A strong safety work environment is core to reliable care delivery and staff wellbeing. This article discusses
how leadership should listen…
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psnet.ahrq.gov/node/33621/psn-pdf
November 01, 2005 - Rapid Response Teams: Lessons from the Early
Experience
November 1, 2005
Krimsky WS. Rapid Response Teams: Lessons from the Early Experience. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
Perspective
Health care organizations throughout the world have ide…
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psnet.ahrq.gov/node/49487/psn-pdf
August 21, 2005 - Surprise Wire
August 21, 2005
Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/surprise-wire
The Case
A 39-year-old man with a history of liver disease presented to the emergency department (ED) with
gastrointestinal bleeding and altered mental status. Due to his clinic…
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psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - Errors and Near Misses: What Health Care Could Learn
From Aviation
December 1, 2016
Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
Perspective
Some of the most urg…
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psnet.ahrq.gov/node/33800/psn-pdf
January 01, 2015 - Computerized Provider Order Entry and Patient Safety
January 1, 2015
Sarkar U, Shojania KG. Computerized Provider Order Entry and Patient Safety. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
Annual Perspective 2015
Computerized provider order entry…
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-systems-medical-imaging-services-systematic-review
June 14, 2017 - Study
The impact of computerized provider order entry systems on medical-imaging services: a systematic review.
Citation Text:
Georgiou A, Prgomet M, Markewycz A, et al. The impact of computerized provider order entry systems on medical-imaging services: a systematic review. J Am Med I…
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psnet.ahrq.gov/issue/impact-rudeness-medical-team-performance-randomized-trial
April 24, 2018 - Study
Classic
The impact of rudeness on medical team performance: a randomized trial.
Citation Text:
Riskin A, Erez A, Foulk T, et al. The impact of rudeness on medical team performance: a randomized trial. Pediatrics. 2015;136(3):487-495. doi:10.1542/peds.2015-…
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psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings-randomized
April 29, 2018 - Study
Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study.
Citation Text:
Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform…