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psnet.ahrq.gov/node/73965/psn-pdf
October 13, 2021 - Association of simulation training with rates of medical
malpractice claims among obstetrician-gynecologists.
October 13, 2021
Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical
malpractice claims among obstetrician-gynecologists. Obstet Gynecol. 2021;138(2):246-25…
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psnet.ahrq.gov/node/44259/psn-pdf
April 01, 2024 - Training Program for Nurses on Shift Work and Long
Work Hours.
April 1, 2024
Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health
and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute
for Occupational Safety and He…
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psnet.ahrq.gov/node/44424/psn-pdf
August 19, 2015 - Taking patients' narratives about clinicians from anecdote
to science.
August 19, 2015
Schlesinger M, Grob R, Shaller D, et al. Taking Patients' Narratives about Clinicians from Anecdote to
Science. New Engl J Med. 2015;373(7):675-679. doi:10.1056/NEJMsb1502361.
https://psnet.ahrq.gov/issue/taking-patients-narrati…
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psnet.ahrq.gov/node/45908/psn-pdf
April 05, 2017 - Towards a framework for managing risk associated with
technology-induced error.
April 5, 2017
Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced
Error. Stud Health Technol Inform. 2017;234:42-48.
https://psnet.ahrq.gov/issue/towards-framework-managing-risk-associated…
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psnet.ahrq.gov/node/46964/psn-pdf
April 11, 2018 - The gaps in specialists' diagnoses.
April 11, 2018
Scott IA, Campbell DA. The gaps in specialists' diagnoses. Med J Aust. 2018;208(5):196-197.
https://psnet.ahrq.gov/issue/gaps-specialists-diagnoses
Leaders in the effort to improve diagnosis have heralded diagnosis as a team activity. This commentary
suggests that…
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psnet.ahrq.gov/node/866199/psn-pdf
June 26, 2024 - The role of pediatric nurses during preventable adverse
event disclosure: a scoping review.
June 26, 2024
Sexton JR, Kelly-Weeder S. The role of pediatric nurses during preventable adverse event disclosure: a
scoping review. J Patient Saf. 2024;20(6):381-387. doi:10.1097/pts.0000000000001239.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/35312/psn-pdf
January 02, 2017 - Medication errors involving wrong administration
technique.
January 2, 2017
Santell JP, Cousins DD. Medication Errors Involving Wrong Administration Technique. The Joint
Commission Journal on Quality and Patient Safety. 2016;31(9). doi:10.1016/s1553-7250(05)31068-3.
https://psnet.ahrq.gov/issue/medication-errors-i…
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psnet.ahrq.gov/node/851052/psn-pdf
June 28, 2023 - Opportunities for diagnostic improvement among
pediatric hospital readmissions.
June 28, 2023
Congdon M, Rauch B, Carroll B, et al. Opportunities for diagnostic improvement among pediatric hospital
readmissions. Hosp Pediatr. 2023;13(7):563-571. doi:10.1542/hpeds.2023-007157.
https://psnet.ahrq.gov/issue/opportuni…
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psnet.ahrq.gov/node/60628/psn-pdf
July 14, 2020 - The Power to Predict: Leveraging Medical Malpractice
Data to Reduce Patient Harm and Financial Loss.
June 24, 2020
Cambridge, MA; CRICO Strategies: July 14, 2020.
https://psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and-
financial-loss
Malpractice claims can generate …
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psnet.ahrq.gov/node/865810/psn-pdf
May 08, 2024 - Reframing the morbidity and mortality conference: the
impact of a just culture.
May 8, 2024
Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just
culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224.
https://psnet.ahrq.gov/issue/reframing-mo…
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psnet.ahrq.gov/node/50659/psn-pdf
November 13, 2019 - Barriers and facilitators to incident reporting in mental
healthcare settings: a qualitative study.
November 13, 2019
Archer S, Thibaut BI, Dewa LH, et al. Barriers and facilitators to incident reporting in mental healthcare
settings: a qualitative study. J Psychiatr Ment Health Nurs. 2019;27(3):211-223. doi:10.111…
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psnet.ahrq.gov/node/46402/psn-pdf
March 20, 2018 - Safety events in pediatric out-of-hospital cardiac arrest.
March 20, 2018
Hansen M, Eriksson C, Skarica B, et al. Safety events in pediatric out-of-hospital cardiac arrest. Am J
Emerg Med. 2018;36(3):380-383. doi:10.1016/j.ajem.2017.08.028.
https://psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-a…
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www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilapd.html
April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council
Appendix D. Vision and Mission Statements
Sample vision and mission statements and objectives for patient advisory councils follow.
Vision
A safe, compassionate, innovative health care community that listens, learns, and responds colla…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-6.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.6. Organizational Goals of Lean
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 H…
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psnet.ahrq.gov/node/47753/psn-pdf
April 24, 2019 - Teams of psychologists helping teams: the evolution of
the science of team training.
April 24, 2019
Bisbey TM, Reyes DL, Traylor AM, et al. Teams of psychologists helping teams: The evolution of the
science of team training. Am Psychol. 2019;74(3):278-289. doi:10.1037/amp0000419.
https://psnet.ahrq.gov/issue/teams…
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psnet.ahrq.gov/node/44842/psn-pdf
March 02, 2016 - Organizational ambidexterity and the hybrid middle
manager: the case of patient safety in UK hospitals.
March 2, 2016
Burgess N, Strauss K, Currie G, et al. Organizational Ambidexterity and the Hybrid Middle Manager: The
Case of Patient Safety in UK Hospitals. Hum Resour Manage. 2015;54(S1). doi:10.1002/hrm.21725.
…
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psnet.ahrq.gov/node/50558/psn-pdf
October 16, 2019 - Multidisciplinary simulation activity effectively prepares
residents for participation in patient safety activities.
October 16, 2019
Weis JJ, Croft CL, Bhoja R, et al. Multidisciplinary simulation activity effectively prepares residents for
participation in patient safety activities. J Surg Educ. 2019;76(6):e232-e…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/checklist-creating.html
May 01, 2017 - Checklist for Creating an Observation Tool - Coaching Clinical Teams Module
This checklist can help you in each step of creating your observation tool.
Development
(Before Drafting Your Tool)
→
Drafting
(Before Testing Your Tool)
→
Testing
(Before Using Your Tool)
…
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psnet.ahrq.gov/node/60237/psn-pdf
April 15, 2020 - Coronavirus strains hospitals, cancer patients face
treatment delays, uncertainty.
April 15, 2020
Stone W. Health Shots. National Public Radio. April 2, 2020.
https://psnet.ahrq.gov/issue/coronavirus-strains-hospitals-cancer-patients-face-treatment-delays-
uncertainty
Lack of access to services is emerging as a p…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/tips.html
March 01, 2017 - Tips for Implementing Interventions
These tips are to help educators prepare for a live training session and facilitate an interactive experience.
Reinforce that the session focuses on ways the team can work together to improve resident safety and reduce catheter-associated urinary tract infections (CAUTIs)…