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psnet.ahrq.gov/node/838238/psn-pdf
October 05, 2022 - Spreading a strategy to prevent suicide after psychiatric
hospitalization: results of a quality improvement spread
initiative.
October 5, 2022
Riblet NB, Varela M, Ashby W, et al. Spreading a strategy to prevent suicide after psychiatric
hospitalization: results of a quality improvement spread initiative. Jt Comm …
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psnet.ahrq.gov/issue/when-doctor-too-old-job
March 04, 2020 - Newspaper/Magazine Article
When is a doctor too old for the job?
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September 18, 2019
Potential deterioration of an aging surgeon's…
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psnet.ahrq.gov/node/838176/psn-pdf
September 28, 2022 - Challenges and strategies for patient safety in primary
care: a qualitative study.
September 28, 2022
Yuan CT, Dy SM, Yuanhong Lai A, et al. Challenges and strategies for patient safety in primary care: a
qualitative study. Am J Med Qual. 2022;37(5):379-387. doi:10.1097/jmq.0000000000000054.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/60837/psn-pdf
August 26, 2020 - Attending to the emotional well-being of the health care
workforce in a New York City health system during the
COVID-19 pandemic.
August 26, 2020
Ripp JA, Peccoralo L, Charney D. Attending to the emotional well-being of the health care workforce in a
New York City health system during the COVID-19 pandemic. Acad M…
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psnet.ahrq.gov/node/40231/psn-pdf
February 23, 2011 - Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase.
February 23, 2011
Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase. BMJ. 2011;342:d199. doi:10.1136/bmj.d199…
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psnet.ahrq.gov/node/39283/psn-pdf
December 21, 2014 - Parents' medication administration errors: role of dosing
instruments and health literacy.
December 21, 2014
Yin S, Mendelsohn A, Wolf MS, et al. Parents' medication administration errors: role of dosing instruments
and health literacy. Arch Pediatr Adolesc Med. 2010;164(2):181-6. doi:10.1001/archpediatrics.2009.26…
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psnet.ahrq.gov/node/36255/psn-pdf
February 02, 2011 - Interns' compliance with Accreditation Council for
Graduate Medical Education work-hour limits.
February 2, 2011
Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with accreditation council for graduate
medical education work-hour limits. JAMA. 2006;296(9):1063-70.
https://psnet.ahrq.gov/issue/interns-c…
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psnet.ahrq.gov/node/45345/psn-pdf
July 27, 2016 - An official Critical Care Societies Collaborative statement:
burnout syndrome in critical care healthcare
professionals: a call for action.
July 27, 2016
Moss M, Good VS, Gozal D, et al. An Official Critical Care Societies Collaborative Statement: Burnout
Syndrome in Critical Care Healthcare Professionals: A Call …
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psnet.ahrq.gov/node/36986/psn-pdf
June 18, 2013 - Changes in hospital mortality associated with residency
work-hour regulations.
June 18, 2013
Shetty KD, Bhattacharya J. Changes in hospital mortality associated with residency work-hour regulations.
Ann Intern Med. 2007;147(2):73-80.
https://psnet.ahrq.gov/issue/changes-hospital-mortality-associated-residency-work…
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psnet.ahrq.gov/node/34685/psn-pdf
September 29, 2017 - The urgent need to improve health care quality. Institute
of Medicine National Roundtable on Health Care Quality.
September 29, 2017
Chassin MR, Galvin RW. The urgent need to improve health care quality. Institute of Medicine National
Roundtable on Health Care Quality. JAMA. 1998;280(11):1000-1005.
https://psnet.a…
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psnet.ahrq.gov/node/36975/psn-pdf
March 24, 2011 - Safety of telephone triage in general practitioner
cooperatives: do triage nurses correctly estimate
urgency?
March 24, 2011
Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do
triage nurses correctly estimate urgency? Qual Saf Health Care. 2007;16(3):181-4.
…
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www.ahrq.gov/hai/cusp/toolkit/board-checklist.html
December 01, 2012 - Board Checklist
CUSP Toolkit
Who should use this tool? Senior leaders.
Checklist items
Leader Responsible
Date Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safety and teamwork climate using valid measures.
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/boardchecklist.doc
June 02, 2025 - Checklist Items
Leader Responsible
Date
Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safety and teamwork climate using valid measures.
3. Set expectation for unit-level culture assessment.
4. Require at least a 60 percent participation…
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psnet.ahrq.gov/node/43694/psn-pdf
November 17, 2015 - Relationships within inpatient physician housestaff teams
and their association with hospitalized patient outcomes.
November 17, 2015
McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and
their association with hospitalized patient outcomes. J Hosp Med. 2014;9(12):7…
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psnet.ahrq.gov/node/850342/psn-pdf
June 14, 2023 - Eliminating central line associated bloodstream infections
in pediatric oncology patients: a quality improvement
effort.
June 14, 2023
Willis DN, Looper K, Malone RA, et al. Eliminating central line associated bloodstream infections in
pediatric oncology patients: a quality improvement effort. Pediatr Qual Saf. 20…
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psnet.ahrq.gov/node/850344/psn-pdf
June 14, 2023 - Green Cross method in a postanaesthesia care unit: a
qualitative study of the healthcare professionals'
experiences after 3 years, including the COVID-19
pandemic period.
June 14, 2023
Birkeli GH, Ballangrud R, Jacobsen HK, et al. Green Cross method in a postanaesthesia care unit: a
qualitative study of the healt…
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psnet.ahrq.gov/node/33667/psn-pdf
April 01, 2008 - Connie's Story: A Nurse's Personal Experience with
MRSA
April 1, 2008
Lehfeldt C. Connie's Story: A Nurse's Personal Experience with MRSA. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/connies-story-nurses-personal-experience-mrsa
Perspective
The voices of patients are often missing from discussions …
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psnet.ahrq.gov/node/38217/psn-pdf
April 26, 2017 - Patient safety climate in US hospitals: variation by
management level.
April 26, 2017
Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management
level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e31817925c1.
https://psnet.ahrq.gov/issue/patient-safety-climate-us-…
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psnet.ahrq.gov/node/39444/psn-pdf
June 28, 2010 - The relationship between organizational leadership for
safety and learning from patient safety events.
June 28, 2010
Ginsburg LR, Chuang Y-T, Berta WB, et al. The relationship between organizational leadership for safety
and learning from patient safety events. Health Serv Res. 2010;45(3):607-632. doi:10.1111/j.147…
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psnet.ahrq.gov/node/43965/psn-pdf
July 16, 2015 - Decision making in trauma settings: simulation to
improve diagnostic skills.
July 16, 2015
Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve
diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073.
https://psnet.ahrq.gov/issue/decision…