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9761. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847546/psn-pdf
      March 25, 2021 - Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. March 25, 2021 Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional interventi…

9762. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844758/psn-pdf
      September 18, 2019 - The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. September 18, 2019 Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. https://psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours Early recognition of clinica…

9763. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61108/psn-pdf
      November 11, 2020 - Association of clinical nursing work environment with quality and safety in maternity care in the United States. November 11, 2020 Clark RRS, Lake ET. Association of clinical nursing work environment with quality and safety in maternity care in the United States. MCN: Am J Maternal Child Nurs. 2020;45(5):265-270. …

9764. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34949/psn-pdf
      June 23, 2009 - A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. June 23, 2009 Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continui…

9765. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38377/psn-pdf
      March 21, 2017 - The You CAN campaign: teamwork training for patients and families in ambulatory oncology. March 21, 2017 Weingart SN, Simchowitz B, Eng TK, et al. The You CAN campaign: teamwork training for patients and families in ambulatory oncology. Jt Comm J Qual Patient Saf. 2009;35(2):63-71. https://psnet.ahrq.gov/issue/you…

9766. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73603/psn-pdf
      August 18, 2021 - The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. August 18, 2021 Bryant J, Carey M, Sanson-Fisher R, et al. The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. J Patient Saf. 2021;17(5):e387-e392. doi:10.10…

9767. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74035/psn-pdf
      January 01, 2022 - Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. November 3, 2021 O’Dowd E, Lydon S, Lambe KA, et al. Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. Fam Pract. 2022;39(4):57…

9768. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48101/psn-pdf
      August 14, 2019 - Partnering with families and patient advocates: another line of defense in adverse event surveillance. August 14, 2019 ISMP Medication Safety Alert! Acute Care Edition. August 1, 2019;24. https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event- surveillance Having…

9769. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46627/psn-pdf
      January 30, 2018 - The lost art of doctoring: reflections of a pediatric resident. January 30, 2018 Mitchell SM. The Lost Art of Doctoring: Reflections of a Pediatric Resident. JAMA Pediatr. 2018;172(1):10. doi:10.1001/jamapediatrics.2017.3247. https://psnet.ahrq.gov/issue/lost-art-doctoring-reflections-pediatric-resident There are…

9770. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848318/psn-pdf
      May 03, 2023 - Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards. May 3, 2023 Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental factors that influence missed nursing care – a qualitative st…

9771. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860424/psn-pdf
      January 10, 2024 - National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. January 10, 2024 Carter D, Rosen A, Applebaum JR, et al. National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2024;50(4):260-268. doi:10.1016/j.jc…

9772. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38470/psn-pdf
      March 11, 2009 - Quality and strength of patient safety climate on medical–surgical units. March 11, 2009 Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a. https://psnet.ahrq.gov/issue/quality-and-…

9773. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39510/psn-pdf
      September 24, 2016 - Interruptions and distractions in healthcare: review and reappraisal. September 24, 2016 Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2009.033282. https://psnet.ahrq.gov/issue/interruptions-and-distr…

9774. Understanding SOPS Surveys: A Primer for New Users - Brady (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-2-brady-2018.pdf
      January 01, 2018 - Understanding SOPS Surveys: A Primer for New Users - Brady 6 Overview of AHRQ’s Patient Safety Priorities and Programs Jeff Brady, MD, MPH Director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ) Rear Admiral, Assistant Surgeon General, U.S. Public Health Ser…

9775. 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/amermanslides.pdf
      June 02, 2025 - Using the AHRQ Pharmacy Survey on Patient Safety Culture Safety Survey Dawn Amerman Manager Dexter Pharmacy and Village Pharmacy II Reasons for Taking the Survey • Provided staff with an opportunity to give uncensored feedback • Offered staff a sense of being part of the solutions • Let staff know t…

9776. Action Planning for the SOPS Surveys-Overview (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-brady-sops-action-planning-tool.pdf
      June 02, 2025 - Action Planning for the SOPS Surveys-Overview 6 Overview of AHRQ’s Patient Safety Priorities Jeff Brady, MD, MPH Director, Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality (AHRQ) Rear Admiral, Assistant Surgeon General, U.S. Public Health Service AHRQ’s Core Compet…

9777. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853432/psn-pdf
      September 13, 2023 - Healthcare leaders' and elected politicians' approach to support-systems and requirements for complying with quality and safety regulation in nursing homes - a case study. September 13, 2023 Magerøy MR, Braut GS, Macrae C, et al. Healthcare leaders’ and elected politicians’ approach to support- systems and requir…

9778. Organizing Quality Measures by Type | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/translate/organize/type.html
      February 01, 2016 - Organizing Quality Measures by Type The oldest categorization of health care quality measures was created by Avedis Donabedian when he distinguished between measures of structure, process, and outcome. [1] More recently, patient experience and cost measures have been added to those being considered. Many peopl…

9779. The Rationale for Case Mix and Mode Adjustments - Bakdash (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2-case-mix-mode-adjustments-webcast-bakdash.pdf
      June 02, 2025 - The Rationale for Case Mix and Mode Adjustments - Bakdash AHRQ’S CAHPS PROGRAM Consumer Assessment of Healthcare Providers and Systems Jonathan Bakdash, Ph.D. Social Science Analyst, Center for Quality Improvement & Patient Safety, AHRQ Agency for Healthcare Research and Quality (AHRQ) AHRQ is: ► A researc…

9780. Defects (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.docx
      March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules Learn From Defects Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety Who should use this too…