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psnet.ahrq.gov/node/863766/psn-pdf
March 06, 2024 - Legacy: a Black Physician Reckons with Racism in
Medicine.
March 6, 2024
Blackstock U. New York, NY: Viking; 2024. ISBN: 9780593491287.
https://psnet.ahrq.gov/issue/legacy-black-physician-reckons-racism-medicine
The history of systemic racism is emerging to motivate health care equity and safety efforts. This memo…
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psnet.ahrq.gov/node/38627/psn-pdf
May 13, 2009 - Evaluation of contextual influences on the medication
administration practice of paediatric nurses.
May 13, 2009
Davis L, Ware R, McCann D, et al. Evaluation of contextual influences on the medication administration
practice of paediatric nurses. J Adv Nurs. 2009;65(6):1293-9. doi:10.1111/j.1365-2648.2009.04990.x.
…
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psnet.ahrq.gov/node/38460/psn-pdf
February 16, 2011 - Intern to attending: assessing stress among physicians.
February 16, 2011
Stucky E, Dresselhaus TR, Dollarhide A, et al. Intern to attending: assessing stress among physicians.
Acad Med. 2009;84(2):251-7. doi:10.1097/ACM.0b013e3181938aad.
https://psnet.ahrq.gov/issue/intern-attending-assessing-stress-among-physicia…
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psnet.ahrq.gov/node/37121/psn-pdf
March 09, 2009 - An innovative mobile approach for patient safety
services: the case of a Taiwan health care provider.
March 9, 2009
Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of
a Taiwan health care provider. Technovation. 2007;27(6-7). doi:10.1016/j.technovation.2006.12.00…
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psnet.ahrq.gov/node/39712/psn-pdf
July 02, 2014 - Swapping horses midstream: factors related to
physicians' changing their minds about a diagnosis.
July 2, 2014
Eva KW, Link CL, Lutfey KE, et al. Swapping horses midstream: factors related to physicians' changing
their minds about a diagnosis. Acad Med. 2010;85(7):1112-7. doi:10.1097/ACM.0b013e3181e16103.
https://…
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www.ahrq.gov/nursing-home/resources/post-traumatic-stress-symptoms.html
September 01, 2021 - Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review
Resource: Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review
Prevention of post-traumatic stress symptoms (PTSS) in healthcare workers (HCWs)…
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psnet.ahrq.gov/node/863220/psn-pdf
February 28, 2024 - Second-victim phenomenon.
February 28, 2024
New L, Lambeth T. Second-victim phenomenon. Nurs Clin North Am. 2024;59(1):141-152.
doi:10.1016/j.cnur.2023.11.011.
https://psnet.ahrq.gov/issue/second-victim-phenomenon
The second victim phenomenon (SVP) refers to clinicians who experience continued psychological harm
…
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psnet.ahrq.gov/node/37652/psn-pdf
September 24, 2010 - Case study: getting boards on board at Allen Memorial
Hospital, Iowa Health System.
September 24, 2010
Slessor SR, Crandall JB, Nielsen GA. Case study: getting boards on board at Allen Memorial Hospital,
Iowa Health System. Jt Comm J Qual Patient Saf. 2008;34(4):221-227.
https://psnet.ahrq.gov/issue/case-study-get…
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psnet.ahrq.gov/node/36547/psn-pdf
January 10, 2011 - The power of collaboration with patient safety programs:
building safe passage for patients, nurses, and clinical
staff.
January 10, 2011
Kerfoot KM, Rapala K, Ebright PR, et al. The power of collaboration with patient safety programs: building
safe passage for patients, nurses, and clinical staff. J Nurs Adm. 200…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-7.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.7. Lean Project Team Training
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hos…
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psnet.ahrq.gov/node/35317/psn-pdf
July 14, 2009 - Accreditation Council on Graduate Medical Education
technical skills competency compliance: urologic surgical
skills.
July 14, 2009
Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical
Skills Competency Compliance: Urologic Surgical Skills. J Am Coll Surg. 2005;201(3).
…
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psnet.ahrq.gov/node/42018/psn-pdf
February 27, 2013 - Scale, nature, preventability and causes of adverse
events in hospitalised older patients.
February 27, 2013
Merten H, Zegers M, de Bruijne M, et al. Scale, nature, preventability and causes of adverse events in
hospitalised older patients. Age Ageing. 2013;42(1):87-93. doi:10.1093/ageing/afs153.
https://psnet.ahr…
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psnet.ahrq.gov/node/47164/psn-pdf
January 01, 2022 - Quality Improvement Series.
February 25, 2019
British Medical Journal. 2022.
https://psnet.ahrq.gov/issue/quality-improvement-series
Efforts to enhance safety and quality are integrated into daily work in health care, but improvements are not
being realized as quickly as desired. This compiled series of articles h…
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psnet.ahrq.gov/node/45835/psn-pdf
February 01, 2017 - Deploying and measuring a risk and patient safety
program.
February 1, 2017
Orel H, McGroarty M, Marchegiani H. Deploying and measuring a risk and patient safety program. J
Healthc Risk Manag. 2017;36(3):26-33. doi:10.1002/jhrm.21266.
https://psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-pro…
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psnet.ahrq.gov/node/35410/psn-pdf
September 11, 2009 - Intravenous medication safety and smart infusion
systems: lessons learned and future opportunities.
September 11, 2009
Keohane C, Hayes J, Saniuk C, et al. Intravenous medication safety and smart infusion systems: lessons
learned and future opportunities. J Infus Nurs. 2005;28(5):321-328.
https://psnet.ahrq.gov/is…
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digital.ahrq.gov/ahrq-funded-projects/developing-design-principles-integrate-patient-reported-outcomes-pros-clinical/citation/capturing
January 01, 2023 - Capturing the patient voice: implementing patient-reported outcomes across the health system.
Citation
Austin E, LeRouge C, Hartzler AL, Segal C, Lavallee DC. Capturing the patient voice: implementing patient-reported outcomes across the health system. Qual Life Res. 2019 Oct 12. doi: 10.1007/s11136-…
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psnet.ahrq.gov/node/42732/psn-pdf
May 05, 2014 - Reducing falls and fall-related injuries in mental health: a
1-year multihospital falls collaborative.
May 5, 2014
Quigley PA, Barnett SD, Bulat T, et al. Reducing falls and fall-related injuries in mental health: a 1-year
multihospital falls collaborative. J Nurs Care Qual. 2014;29(1):51-9.
doi:10.1097/01.NCQ.000…
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psnet.ahrq.gov/node/44567/psn-pdf
October 14, 2015 - The misery of a doctor's first days.
October 14, 2015
Hester JL. The Atlantic. October 1, 2015.
https://psnet.ahrq.gov/issue/misery-doctors-first-days
Although there is no consensus regarding whether the "July effect" actually exists, it is not hard to imagine
the difficulties associated with the first days of pra…
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psnet.ahrq.gov/node/38219/psn-pdf
May 24, 2015 - The emotional impact of medical error involvement on
physicians: a call for leadership and organisational
accountability.
May 24, 2015
Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for
leadership and organisational accountability. Swiss Med Wkly. 2009;139(1-2):…
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psnet.ahrq.gov/node/38487/psn-pdf
March 18, 2009 - Competence and certification of registered nurses and
safety of patients in intensive care units.
March 18, 2009
Kendall-Gallagher D, Blegen MA. Competence and certification of registered nurses and safety of patients
in intensive care units. Am J Crit Care. 2009;18(2):106-113; quiz 114. doi:10.4037/ajcc2009487.
h…