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psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
September 19, 2013 - Commentary
Resilience and resilience engineering in health care.
Citation Text:
Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J Qual Patient Saf. 2014;40(8):376-383.
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psnet.ahrq.gov/issue/hospital-responses-leapfrog-group-local-markets
March 04, 2011 - Study
Hospital responses to the Leapfrog Group in local markets.
Citation Text:
Scanlon D, Christianson JB, Ford E. Hospital responses to the leapfrog group in local markets. Med Care Res Rev. 2008;65(2):207-31. doi:10.1177/1077558707312499.
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psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-communication
April 22, 2011 - Commentary
Promoting patient safety with perioperative hand-off communication.
Citation Text:
Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs. 2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144.
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psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
November 04, 2020 - Commentary
Patient safety and leadership: do you walk the walk?
Citation Text:
Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005.
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psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
August 14, 2014 - Commentary
Disruptive behaviors among physicians.
Citation Text:
Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-flyer-va.pdf
June 02, 2025 - RecruitmentFlyer_FAQs_VA
Frequently Asked Questions
1. Why should my practice participate in the Heart of Virginia Healthcare (HVH) initiative?
Your practice will receive personalized coaching on optimizing your practice model and culture; helping you
improve cardiovascular care for your patients. Improving func…
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psnet.ahrq.gov/issue/creating-safer-operating-room-groups-team-dynamics-and-crew-resource-management-principles
June 11, 2008 - Review
Emerging Classic
Creating a safer operating room: groups, team dynamics and crew resource management principles.
Citation Text:
Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…
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psnet.ahrq.gov/issue/culture-safety-ems-systems-0
February 18, 2011 - Organizational Policy/Guidelines
A culture of safety in EMS systems.
Citation Text:
A culture of safety in EMS systems. American College of Emergency Physicians, National Association of Emergency Medical Services. Ann Emerg Med. 2021;78(3):e37-e57.
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psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
August 31, 2022 - Study
System weaknesses as contributing causes of accidents in health care.
Citation Text:
Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-starting-practice.pdf
June 02, 2025 - Job Aid: Starting with a Practice
Primary Care Practice Facilitator
Training Series
1
Job Aid: Starting with a Practice
Overview
How you start with a practice can set the tone for your work with the practice. Do your
homework and be well prepared for all of your meetings. Spend time getting to know…
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www.ahrq.gov/news/newsroom/case-studies/cquips0609.html
October 01, 2014 - AHRQ's Patient Safety Culture Survey Used to Set Baselines for Improvements at Chicago Hospital
Search All Impact Case Studies
May 2006
In December 2004, Northwestern Memorial Hospital in Chicago administered AHRQ's Hospital Survey on Patient Safety Culture to establish a baseline for assessment of cultur…
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www.ahrq.gov/news/newsroom/case-studies/201525.html
September 01, 2015 - AHRQ’s Medical Office Survey Helps Colorado Hospital Provide Better Care
Search All Impact Case Studies
September 2015
Yuma District Hospital and Clinics, a 15-bed hospital with two rural health clinics in northeast Colorado, has used results from an AHRQ-developed patient safety survey, the Medical Office…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-1.html
June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action
Diagnostic Safety as a Challenge for Healthcare Leadership
Previous Page Next Page
Table of Contents
Leadership To Improve Diagnosis: A Call to Action
Diagnostic Safety as a Challenge for Healthcare Leadership
Why Are Leaders Essential to Diagnos…
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
May 01, 2023 - Tool: Two-Challenge Rule
The Two-Challenge Rule is another tool used to facilitate team members' speaking up. It was developed to manage conflict when team members’ perception of a situation differs. Human factor experts developed the rule to help airline captains prevent disasters when otherwise excellent deci…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-prepare.pdf
February 18, 2021 - Six Building Blocks How-To-Implement Toolkit: Prepare and Launch Guide
Table of Contents
Introduction ......................................................................................................................................1
What Is the Prepare and Launch Guide? .....................................…
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www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
January 01, 2025 - Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL)
Title of Project: Failure to Rescue-Patient Safety Learning Lab (FTR-PSLL)
Principal Investigator and Team Members:
Dartmouth-Hitchcock: George Blike, MD, MHCDS, PI; Susan McGrath, PhD, CoI; Todd McKenzie, PhD;
Irina Pearrard, PhD…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021322-sarkar-final-report-2015.pdf
January 01, 2015 - While we did not utilize all fields for this study period during which we were establishing
a baseline
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psnet.ahrq.gov/node/60329/psn-pdf
May 14, 2020 - So it’s important to find ways to train providers to be thinking about that and to
be establishing a
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015182-bentley-final-report-2008.pdf
January 01, 2008 - allowed
ARH to take a major step toward advancing its electronic information exchange platform and
establishing
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-reimagining-healthcare-teams.pdf
July 07, 2023 - These principles include establishing shared
goals, clear roles, mutual trust, effective communication … Shared Goals
In PCA teams, the process of establishing diagnostic goals moves from a bidirectional exchange