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  1. psnet.ahrq.gov/issue/leadership-and-high-reliability-transformation-qualitative-study-truman-va-medical-center
    May 31, 2023 - July 19, 2023 View More Related Resources Leader safety storytelling
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855001/psn-pdf
    November 01, 2023 - Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. November 1, 2023 Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023. https://psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and- leaders Patient saf…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866254/psn-pdf
    July 10, 2024 - Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. July 10, 2024 Massey W, Keith C. Spotlight PA: June 20, 2024. https://psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems- months-shutdown-then Whistleblowers…
  4. psnet.ahrq.gov/issue/longitudinal-evaluation-programme-safety-culture-change-mental-health-service
    January 24, 2018 - need to improve service culture in an inpatient mental health service, this study found that a nurse leader
  5. psnet.ahrq.gov/issue/leaders-va-eastern-colorado-health-care-system-aurora-created-environment-undermined-culture
    May 28, 2024 - Book/Report Leaders at the VA Eastern Colorado Health Care System in Aurora Created an Environment That Undermined the Culture of Safety. Citation Text: Leaders At The Va Eastern Colorado Health Care System In Aurora Created An Environment That Undermined The Culture Of Safety. Washingto…
  6. psnet.ahrq.gov/issue/addressing-healthcare-associated-infections-and-antimicrobial-resistance-organizational
    January 31, 2024 - June 24, 2020 Executive/senior leader checklist to improve culture and reduce central
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861778/psn-pdf
    January 31, 2024 - Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. January 31, 2024 Washington, DC: The Veterans Affairs Inspector General; January 10, 2024. Report No. 23-00777-52. https://psnet.ahrq.gov/issue/care-deficiencies-and-l…
  8. psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
    March 01, 2017 - Aspiring leaders need to abandon the image of the self-reliant, heroic leader in favor of a shared leadership … Humility means a leader does not presume to have the answer, but rather strives to ask questions that
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38131/psn-pdf
    January 02, 2017 - The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders. January 2, 2017 Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;34(10):619-23, 561. https://psnet.ahrq…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34866/psn-pdf
    February 03, 2011 - Error reporting and disclosure systems: views from hospital leaders. February 3, 2011 Weissman JS, Annas CL, Epstein AM, et al. Error reporting and disclosure systems: views from hospital leaders. JAMA. 2005;293(11):1359-66. https://psnet.ahrq.gov/issue/error-reporting-and-disclosure-systems-views-hospital-leaders…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43043/psn-pdf
    September 19, 2016 - "Second victim" casualties and how physician leaders can help. September 19, 2016 MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8- 12. https://psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help Second victims are clinicians who …
  12. psnet.ahrq.gov/issue/medical-surgical-nurse-leaders-experiences-safety-culture-inductive-qualitative-descriptive
    August 05, 2020 - Study Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study. Citation Text: Harton L, Skemp L. Medical–surgical nurse leaders' experiences with safety culture: An inductive qualitative descriptive study. J Nurs Manag. 2022;30(7):2781-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42530/psn-pdf
    December 30, 2014 - What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. December 30, 2014 Buetow S, Davis R, Callaghan K, et al. What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. BMJ Open. 2013;3(8):e003104. doi:10.1136/bmjopen-2013-00310…
  14. psnet.ahrq.gov/issue/health-care-opinion-leaders-views-quality-and-safety-health-care-united-states
    April 12, 2006 - April 12, 2006 Health Care Leader Action Guide to Reduce Avoidable Readmissions.
  15. psnet.ahrq.gov/issue/checking-checklist
    July 11, 2023 - July 15, 2020 Health Care Leader Action Guide to Reduce Avoidable Readmissions.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47944/psn-pdf
    April 17, 2019 - How to deliver safer and effective patient care: tips for team leaders and educators. April 17, 2019 Shah BJ. How to Deliver Safer and Effective Patient Care: Tips for Team Leaders and Educators. Gastroenterology. 2019;156(4):852-855. doi:10.1053/j.gastro.2019.02.017. https://psnet.ahrq.gov/issue/how-deliver-safer…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35216/psn-pdf
    December 22, 2009 - An educational intervention to enhance nurse leaders' perceptions of patient safety culture. December 22, 2009 Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders' perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020. https://psnet.ahrq.gov/issue/e…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42286/psn-pdf
    May 22, 2013 - Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial. May 22, 2013 Huis A, Schoonhoven L, Grol R, et al. Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial. …
  19. psnet.ahrq.gov/issue/viewing-health-care-delivery-science-challenges-benefits-and-policy-implications
    May 24, 2012 - May 11, 2011 Executive/senior leader checklist to improve culture and reduce central
  20. psnet.ahrq.gov/issue/organising-manuscript-reporting-quality-improvement-or-patient-safety-research
    May 11, 2011 - January 2, 2017 Executive/senior leader checklist to improve culture and reduce central

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