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psnet.ahrq.gov/issue/towards-model-surgeons-leadership-operating-room
July 01, 2020 - Review
Towards a model of surgeons' leadership in the operating room.
Citation Text:
Parker SH, Yule S, Flin R, et al. Towards a model of surgeons' leadership in the operating room. BMJ Qual Saf. 2011;20(7):570-9. doi:10.1136/bmjqs.2010.040295.
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psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety
January 15, 2020 - Commentary
Nursing peer review: developing a framework for patient safety.
Citation Text:
Diaz L. Nursing peer review: developing a framework for patient safety. J Nurs Adm. 2008;38(11):475-9. doi:10.1097/01.NNA.0000339473.27349.28.
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DOI Google Schola…
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psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-safety-violations
June 28, 2023 - Newspaper/Magazine Article
The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations.
Citation Text:
The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. Blau M. STAT. April 20, 2018…
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psnet.ahrq.gov/issue/hospital-safety-climate-surveys-measurement-issues
December 16, 2009 - Review
Hospital safety climate surveys: measurement issues.
Citation Text:
Jackson J, Sarac C, Flin R. Hospital safety climate surveys: measurement issues. Curr Opin Crit Care. 2010;16(6):632-8. doi:10.1097/MCC.0b013e32833f0ee6.
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psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts
November 18, 2020 - Newspaper/Magazine Article
Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts?
Citation Text:
Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? ISMP Medication Safety Alert! Acute Care Edition. …
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psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
August 07, 2019 - Commentary
Learning and sharing safety lessons to improve patient care.
Citation Text:
Woodward S. Learning and sharing safety lessons to improve patient care. Nursing Standard. 2016;20(18). doi:10.7748/ns.20.18.49.s52.
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psnet.ahrq.gov/issue/path-safe-and-reliable-healthcare
August 20, 2018 - Commentary
The path to safe and reliable healthcare.
Citation Text:
Leonard MW, Frankel A. The path to safe and reliable healthcare. Patient Educ Couns. 2010;80(3). doi:10.1016/j.pec.2010.07.001.
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psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
March 03, 2021 - Newspaper/Magazine Article
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges.
Citation Text:
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…
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psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug-reports
October 19, 2022 - Commentary
Nurses improve medication safety with medication allergy and adverse drug reports.
Citation Text:
Valente S, Murray L, Fisher D. Nurses improve medication safety with medication allergy and adverse drug reports. J Nurs Care Qual. 2007;22(4):322-7.
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psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
May 01, 2014 - I recognize that in some situations, it may be tempting to suggest that behavioral change be pushed by
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www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
January 01, 2024 - ST-PRA) can create statewide risk models to
identify combinations of medication delivery system and behavioral … ST-PRA) can create statewide risk models that identify
combinations of medication delivery system and behavioral … assessment (ST-PRA) methodology18
might help them identify the combinations of operational systems and behavioral … The survey collected data to evaluate whether process, behavioral, and
3
structural elements found … process that allows gathering sometimes highly charged information about
policy, procedure, and/or behavioral
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psnet.ahrq.gov/node/36357/psn-pdf
December 19, 2009 - Error reporting in organizations.
December 19, 2009
Zhao B; Olivera F. Acad Manag Rev. 2006;31(4):1012-1030.
https://psnet.ahrq.gov/issue/error-reporting-organizations
The authors provide a framework for individual error reporting behavior that follows three phases: error
detection, situation assessment, and choic…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-slides.pptx
January 01, 2018 - Education
Poor health literacy
Failure to believe they can do it
Don’t identify with brochure pictures
Behavioral … graduates can be a low-cost solution and provide valuable peer-to-peer support.
30
Addressing Barriers: Behavioral … Health Issues
Screen for anxiety, depression, and social isolation
Enlist the assistance of hospital behavioral
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/intimate-partner-violence-and-elderly-abuse-screening-2004
March 08, 2004 - case-finding tools; however, all clinicians examining children and adults should be alert to physical and behavioral … Co-victimization of African-American children who witness violence: effects on cognitive, emotional and behavioral … year prospective study of the long-term effects of early child physical maltreatment on psychological, behavioral
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digital.ahrq.gov/sites/default/files/docs/digital-healthcare-innovations-engage-empower-slides-10112023.pdf
October 11, 2023 - • Systems can promote shared decision making around behavioral
targets and reward systems within … Transportation
Community Opportunities
Transportation
Clinicians Think:
Falls, dementia/confusion, behavioral … Clinical Eval
Project Managers
Statistician
Epidemiologist
Content Developers
Physicians
Behavioral
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.pdf
January 01, 2004 - research is
applied and mitigate potential barriers, such as those categorized by TRIP
grantees (behavioral … Integrating behavioral and systems
strategies to change clinical practice.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Carpenter.doc
January 01, 2004 - the research is applied and mitigate potential barriers, such as those categorized by TRIP grantees (behavioral … Integrating behavioral and systems strategies to change clinical practice.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-062723.pdf
July 25, 2023 - introduction to WPV and met the learning objectives
95% felt they could identify WPV risk factors, recognize behavioral … Behavioral Emergency Response Team (BERT)
program
Pre-post intervention measures
RNs/Assistant nurses … In 2022 the Worldviews on Evidence-Based Nursing published a pre-post evaluation of a behavioral emergency … Commission accreditation standards
Additional areas of focus and action items
©2019 Trinity Health 38
Behavioral
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - Changing behavioral risk for pregnancy among high school students in the United States, 1991-2007.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-chat-062723.pdf
June 27, 2023 - :) My #1 takaway was the creation of the Behavioral Health Team that they created
for f/u with staff