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psnet.ahrq.gov/issue/system-factors-affecting-intraoperative-risk-and-resilience-applying-novel-integrated
August 25, 2021 - Study
Emerging Classic
System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety.
Citation Text:
Kolodzey L, Trbovich PL, Kashfi A, et al. System Factors Affecting Intraope…
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psnet.ahrq.gov/issue/reasons-drug-administration-problems-and-perceived-needs-assistance-patients-family
November 02, 2010 - Study
Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study.
Citation Text:
Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for assistance of patients, f…
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psnet.ahrq.gov/issue/h-pepss-instrument-measure-health-professionals-perceptions-patient-safety-competence-entry
February 14, 2015 - Study
The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competence at entry into practice.
Citation Text:
Ginsburg LR, Castel E, Tregunno D, et al. The H-PEPSS: an instrument to measure health professionals' perceptions of patient safety competen…
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psnet.ahrq.gov/issue/adverse-events-associated-patient-isolation-systematic-literature-review-and-meta-analysis
May 19, 2021 - Review
Adverse events associated with patient isolation: a systematic literature review and meta-analysis.
Citation Text:
Saliba R, Karam-Sarkis D, Zahar J-R, et al. Adverse events associated with patient isolation: a systematic literature review and meta-analysis. J Hosp Infect. 2022;11…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix B
Gap Analysis Structured Interview Questions
The Gap Analysis Structured Interview Questions allow the facilitator to lead participants through a set of questions designed to elicit participant views on a variety of key policies and practices.
Leadership and Cul…
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psnet.ahrq.gov/issue/measuring-variation-use-who-surgical-safety-checklist-operating-room-multicenter-prospective
January 19, 2016 - Study
Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study.
Citation Text:
Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicente…
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psnet.ahrq.gov/issue/junior-doctors-views-reporting-concerns-about-patient-safety-qualitative-study
June 16, 2021 - Study
Junior doctors' views on reporting concerns about patient safety: a qualitative study.
Citation Text:
Hooper P, Kocman D, Carr S, et al. Junior doctors' views on reporting concerns about patient safety: a qualitative study. Postgrad Med J. 2015;91(1075):251-6. doi:10.1136/postgradm…
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psnet.ahrq.gov/issue/psychological-safety-during-test-new-work-processes-emergency-department
September 08, 2021 - Study
Psychological safety during the test of new work processes in an emergency department.
Citation Text:
Dieckmann P, Tulloch S, Dalgaard AE, et al. Psychological safety during the test of new work processes in an emergency department. BMC Health Serv Res. 2022;22(1):307. doi:10.1186/…
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psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
January 12, 2022 - Review
Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults.
Citation Text:
Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention int…
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psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient
October 29, 2017 - Review
Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care.
Citation Text:
Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…
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psnet.ahrq.gov/issue/interventions-engage-patients-and-families-patient-safety-systematic-review
March 04, 2020 - Review
Interventions to engage patients and families in patient safety: a systematic review.
Citation Text:
Lee M, Lee N-J, Seo H-J, et al. Interventions to Engage Patients and Families in Patient Safety: A Systematic Review. West J Nurs Res. 2021;43(10):972-983. doi:10.1177/01939459209…
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psnet.ahrq.gov/issue/nurse-burnout-syndrome-and-work-environment-impact-patient-safety-grade
August 04, 2021 - Study
Nurse burnout syndrome and work environment impact patient safety grade.
Citation Text:
Montgomery AP, Patrician PA, Azuero A. Nurse burnout syndrome and work environment impact patient safety grade. J Nurs Care Qual. 2022;37(1):87-93. doi:10.1097/ncq.0000000000000574.
Copy Citat…
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psnet.ahrq.gov/issue/systems-analysis-work-related-violence-hospitals-stakeholders-contributory-factors-and
February 01, 2023 - Study
A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points.
Citation Text:
Salmon PM, Coventon L, Read GJM. A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. Safe…
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psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions
December 16, 2020 - Study
Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions.
Citation Text:
Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):62…
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psnet.ahrq.gov/issue/looking-back-history-patient-safety-opportunity-reflect-and-ponder-future-challenges
July 10, 2019 - Commentary
Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges.
Citation Text:
Schiff G, Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2022;31(2):148-152.…
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psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital
March 24, 2021 - Commentary
Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities.
Citation Text:
Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high relia…
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psnet.ahrq.gov/issue/does-incorporating-medications-surveyors-interpretive-guidelines-reduce-use-potentially
December 15, 2011 - Study
Does incorporating medications in the surveyors' interpretive guidelines reduce the use of potentially inappropriate medications in nursing homes?
Citation Text:
Lapane KL, Hughes CM, Quilliam BJ. Does Incorporating Medications in the Surveyors' Interpretive Guidelines Reduce the…
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psnet.ahrq.gov/node/850167/psn-pdf
June 07, 2023 - Perception of feeling safe perioperatively: a concept
analysis.
June 7, 2023
Larsson F, Strömbäck U, Rysst Gustafsson S, et al. Perception of feeling safe perioperatively: a concept
analysis. Int J Qual Stud Health Well-being. 2023;18(1):2216018. doi:10.1080/17482631.2023.2216018.
https://psnet.ahrq.gov/issue/perc…
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2022/TechSpecs/PSI_19_Obstetric_Trauma_Rate-Vaginal_Delivery_Without_Instrument.pdf
July 01, 2022 - AHRQ Quality Indicators™ (AHRQ QI™) ICD-10-CM/PCS Specification v2022
Prepared by:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
qualityindicators.ahrq.gov
NUMERATOR
DENOMINATOR
*See below for code list
DENOMINATOR EXCLUSIONS
Exclude discharges:
• with any listed …
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psnet.ahrq.gov/node/42798/psn-pdf
June 17, 2014 - The concept of shared mental models in healthcare
collaboration.
June 17, 2014
McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs.
2014;70(7):1479-88. doi:10.1111/jan.12307.
https://psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration
This conce…