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4781. Chasing the 6-sigma: drawing lessons from the cockpit culture. | PSNet
      psnet.ahrq.gov/issue/chasing-6-sigma-drawing-lessons-cockpit-culture
      April 22, 2015 - Commentary Chasing the 6-sigma: drawing lessons from the cockpit culture. Citation Text: Hickey EJ, Halvorsen F, Laussen PC, et al. Chasing the 6-sigma: Drawing lessons from the cockpit culture. J Thorac Cardiovasc Surg. 2017;155(2). doi:10.1016/j.jtcvs.2017.09.097. Copy Citation F…

4782. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. | PSNet
      psnet.ahrq.gov/issue/review-bringing-patient-safety-forefront-through-structured-computerisation-during-clinical
      January 13, 2021 - Review Review: bringing patient safety to the forefront through structured computerisation during clinical handover. Citation Text: Matic J, Davidson PM, Salamonson Y. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. J Clin N…

4783. Health information exchange and patient safety. | PSNet
      psnet.ahrq.gov/issue/health-information-exchange-and-patient-safety
      February 03, 2011 - Review Health information exchange and patient safety. Citation Text: Kaelber DC, Bates DW. Health information exchange and patient safety. J Biomed Inform. 2007;40(6 Suppl):S40-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

4784. My brother's keeper: must a physician disclose another's medical error and potential negligence? | PSNet
      psnet.ahrq.gov/issue/my-brothers-keeper-must-physician-disclose-anothers-medical-error-and-potential-negligence
      February 01, 2023 - Commentary My brother's keeper: must a physician disclose another's medical error and potential negligence? Citation Text: Liang BA, Smith C by DS. My brother's keeper: must a physician disclose another's medical error and potential negligence? J Clin Anesth. 2007;19(7):558-562. doi:10…

4785. High-fidelity simulation and safety: an integrative review. | PSNet
      psnet.ahrq.gov/issue/high-fidelity-simulation-and-safety-integrative-review
      September 09, 2015 - Review High-fidelity simulation and safety: an integrative review. Citation Text: Shearer JE. High-fidelity simulation and safety: an integrative review. J Nurs Edu. 2013;52(1):39-45. doi:10.3928/01484834-20121121-01. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

4786. Using simulation to prepare nursing staff for the move to a new building. | PSNet
      psnet.ahrq.gov/issue/using-simulation-prepare-nursing-staff-move-new-building
      January 15, 2014 - Commentary Using simulation to prepare nursing staff for the move to a new building. Citation Text: Knippa S, Senecal P-A. Using Simulation to Prepare Nursing Staff for the Move to a New Building. J Nurses Prof Dev. 2017;33(2):E1-E5. doi:10.1097/NND.0000000000000329. Copy Citation …

4787. The OR and a "just culture." | PSNet
      psnet.ahrq.gov/issue/or-and-just-culture
      February 01, 2017 - Commentary The OR and a "just culture." Citation Text: Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

4788. The risks to patient safety from health system expansions. | PSNet
      psnet.ahrq.gov/issue/risks-patient-safety-health-system-expansions
      May 13, 2020 - Commentary Emerging Classic The risks to patient safety from health system expansions. Citation Text: Haas S, Gawande AA, Reynolds ME. The Risks to Patient Safety From Health System Expansions. JAMA. 2018;319(17):1765-1766. doi:10.1001/jama.2018.2074. Copy Cit…

4789. Patient involvement in patient safety: what factors influence patient participation and engagement? | PSNet
      psnet.ahrq.gov/issue/patient-involvement-patient-safety-what-factors-influence-patient-participation-and
      February 15, 2013 - Review Patient involvement in patient safety: what factors influence patient participation and engagement? Citation Text: Davis R, Jacklin R, Sevdalis N, et al. Patient involvement in patient safety: what factors influence patient participation and engagement? Health Expect. 2007;10(3)…

4790. Advocate Health Care: a systemwide approach to quality and safety. | PSNet
      psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
      July 19, 2023 - Commentary Advocate Health Care: a systemwide approach to quality and safety. Citation Text: Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566. Copy Citation Format: Google Scholar PubMed BibTeX …

4791. Bullying of junior doctors prevails in Irish health system: a bitter reality.   | PSNet
      psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-system-bitter-reality
      July 15, 2020 - Study Bullying of junior doctors prevails in Irish health system: a bitter reality.   Citation Text: Cheema S, Ahmad K, Giri SK, et al. Bullying of junior doctors prevails in Irish health system: a bitter reality. Ir Med J. 2005;98(9):274-275. Copy Citation Format: Google…

4792. The impact of checklists on inpatient safety outcomes: a systematic review of randomized controlled trials. | PSNet
      psnet.ahrq.gov/issue/impact-checklists-inpatient-safety-outcomes-systematic-review-randomized-controlled-trials
      September 29, 2021 - Review The impact of checklists on inpatient safety outcomes: a systematic review of randomized controlled trials. Citation Text: Boyd J, Wu G, Stelfox HT. The Impact of Checklists on Inpatient Safety Outcomes: A Systematic Review of Randomized Controlled Trials. J Hosp Med. 2017;12(8):6…

4793. Interventions to reduce the consequences of stress in physicians: a review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/interventions-reduce-consequences-stress-physicians-review-and-meta-analysis
      May 26, 2010 - Review Interventions to reduce the consequences of stress in physicians: a review and meta-analysis. Citation Text: Regehr C, Glancy D, Pitts A, et al. Interventions to reduce the consequences of stress in physicians: a review and meta-analysis. J Nerv Ment Dis. 2014;202(5):353-9. doi:10…

4794. Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review. | PSNet
      psnet.ahrq.gov/issue/outcomes-classroom-based-team-training-interventions-multiprofessional-hospital-staff
      April 24, 2018 - Review Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review. Citation Text: Rabol LI, Ostergaard D, Mogensen T. Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review…

4795. New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
      January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi) Optimizing the Use of HIT to Improve Safety Tejal Gandhi Handwriting 16 Ways IT Can Improve Safety • Prevent errors and adverse events • Facilitating a more rapid response after an …

4796. Using the AHRQ Pharmacy Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
      June 02, 2025 - Using the AHRQ Pharmacy Survey on Patient Safety Culture © Aurora Health Care, Inc. © Aurora Health Care, Inc. Pharmacy Survey on Patient Safety Culture Jim Motz, R.Ph. Specialty Pharmacy Program Manager Aurora Pharmacy, Inc. © Aurora Health Care, Inc. Aurora Pharmacies Overview • Integrated health sys…

4797. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
      January 01, 2015 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D. 5 AHRQ’s Surveys on Patient Safety Culture™ (SOPS®) Program Caren Ginsberg, Ph.D. Center for Quality Improvement and Patient Safety, AHRQ 6 Agency for Healthcare Research and Quality • AHRQ is: ► A research and sci…

4798. 131-What-Are-The-4-Es-One-Pager (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/131-what-are-the-4-es-one-pager.docx
      May 24, 2024 - The aim is to Engage hearts and minds and thus, change attitudes and behaviors.1-6 Raise awareness of the problem, communicate benefits of the solution, and lay out the goals for the intervention. · Use unit data, published literature, and national benchmarks. Storytelling is an underrated tool. Engagement is not a on…

4799. Patient safety: helping medical students understand error in healthcare. | PSNet
      psnet.ahrq.gov/issue/patient-safety-helping-medical-students-understand-error-healthcare
      December 16, 2009 - Study Patient safety: helping medical students understand error in healthcare. Citation Text: Patey R, Flin R, Cuthbertson BH, et al. Patient safety: helping medical students understand error in healthcare. Qual Saf Health Care. 2007;16(4):256-9. Copy Citation Format: Goo…

4800. Adverse Events | Digital Healthcare Research
      digital.ahrq.gov/health-care-theme/adverse-events
      January 01, 2023 - Adverse Events Implementation of DDInteract: A Shared Decision Making Tool for Anticoagulant Drug-Drug Interactions Description This research will implement, evaluate, and disseminate DDInteract, a shared decision making clinical decision support tool that aims to reduce harm …