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psnet.ahrq.gov/issue/leadership-and-high-reliability-transformation-qualitative-study-truman-va-medical-center
May 31, 2023 - July 19, 2023
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Related Resources
Leader safety storytelling
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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…
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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…
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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
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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…
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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
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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…
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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
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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…
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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…
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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 …
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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-…
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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…
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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.
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psnet.ahrq.gov/issue/checking-checklist
July 11, 2023 - July 15, 2020
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
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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…
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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…
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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. …
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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
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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