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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/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/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/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/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
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psnet.ahrq.gov/node/47062/psn-pdf
October 13, 2018 - Latent risk assessment tool for health care leaders.
October 13, 2018
Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc
Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316.
https://psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders
Health …
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psnet.ahrq.gov/issue/identifying-risks-and-monitoring-safety-role-patients-and-citizens
May 08, 2013 - March 23, 2011
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
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psnet.ahrq.gov/issue/developing-medication-patient-safety-program-part-2-process-and-implementation
May 11, 2014 - January 26, 2022
ASHP statement on the role of the medication safety leader.
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psnet.ahrq.gov/issue/patient-safety-and-adverse-maternal-health-outcomes-missing-social-inequalities-lens
August 01, 2018 - November 10, 2021
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
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psnet.ahrq.gov/issue/hand-hygiene-project-best-practices-hospitals-participating-joint-commission-center
May 06, 2015 - May 1, 2017
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
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psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
March 16, 2016 - August 9, 2023
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
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psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost
June 11, 2013 - April 3, 2012
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
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psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-proficiency-guide-hospitals
August 01, 2012 - September 15, 2010
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
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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/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/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/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-…