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psnet.ahrq.gov/issue/factors-predictive-intravenous-fluid-administration-errors-australian-surgical-care-wards
September 23, 2020 - Study
Factors predictive of intravenous fluid administration errors in Australian surgical care wards.
Citation Text:
Han PY, Coombes ID, Green B. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Qual Saf Health Care. 2005;14(3):179-84.
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-pain-management-children-fractures
September 15, 2015 - Study
Racial and ethnic differences in emergency department pain management of children with fractures.
Citation Text:
Goyal MK, Johnson TJ, Chamberlain JM, et al. Racial and ethnic differences in emergency department pain management of children with fractures. Pediatrics. 2020;145(5):e2…
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psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
April 03, 2005 - Commentary
A failure in the medication delivery system-how disclosure and systems investigation improve patient safety.
Citation Text:
Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Ri…
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psnet.ahrq.gov/issue/when-safety-climate-not-enough-examining-moderating-effects-psychosocial-hazards-nurse-safety
July 20, 2016 - Study
When safety climate is not enough: examining the moderating effects of psychosocial hazards on nurse safety performance.
Citation Text:
Manapragada A, Bruk-Lee V, Thompson AH, et al. When safety climate is not enough: Examining the moderating effects of psychosocial hazards on nurs…
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psnet.ahrq.gov/issue/doctors-experiences-adverse-events-secondary-care-professional-and-personal-impact
April 10, 2019 - Study
Doctors' experiences of adverse events in secondary care: the professional and personal impact.
Citation Text:
Harrison R, Lawton R, Stewart K. Doctors' experiences of adverse events in secondary care: the professional and personal impact. Clin Med (Lond). 2014;14(6):585-90. doi:10…
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psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital
September 23, 2020 - Study
Understanding complaints made about surgical departments in a UK district general hospital.
Citation Text:
Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…
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psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-prescription-errors
October 26, 2022 - Study
Reducing pediatric emergency department prescription errors.
Citation Text:
Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors. Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696.
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psnet.ahrq.gov/issue/using-evidence-rigorous-measurement-and-collaboration-eliminate-central-catheter-associated
January 15, 2014 - Study
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.
Citation Text:
Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstr…
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psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems
January 12, 2011 - Study
Integrating the intensive care unit safety reporting system with existing incident reporting systems.
Citation Text:
Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…
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psnet.ahrq.gov/issue/observational-study-associations-between-nurse-reported-hospital-characteristics-and
January 22, 2014 - November 9, 2022
Managing patient safety and staff safety in nursing homes: exploring how leaders … February 28, 2024
Leading quality and safety on the frontline - a case study of department leaders … April 14, 2021
Healthcare leaders' and elected politicians' approach to support-systems
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psnet.ahrq.gov/issue/how-can-specialist-investigation-agencies-inform-system-wide-learning-patient-safety
January 29, 2014 - December 9, 2020
Managing patient safety and staff safety in nursing homes: exploring how leaders … February 28, 2024
Leading quality and safety on the frontline - a case study of department leaders … April 14, 2021
Healthcare leaders' and elected politicians' approach to support-systems
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psnet.ahrq.gov/node/40735/psn-pdf
August 31, 2011 - for a
program introducing patient safety, teamwork, safety
leadership, and simulation to healthcare leaders … for a program
introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders
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psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - Her latest research focuses on cross-boundary teaming in and between organizations and on the ways
leaders … Today's leaders need to stop and challenge themselves when things go wrong. … RW: Stick with leaders for a second. … Or do
you need a whole new cadre of leaders? … Leaders need to do as much listening as talking. They need to listen for new ideas.
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psnet.ahrq.gov/node/44750/psn-pdf
January 06, 2016 - Executive leaders in health care organizations were given the
simulated task of addressing patient safety … A PSNet perspective explored how leaders can promote cultural changes to improve patient
safety.
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/ca9.jsp
July 01, 2014 - Hospital leaders need to be willing to discuss the possibility of disparities. … "Physicians and hospital leaders are committed to doing the right thing by their patients, but there … is a troubling reluctance among some leaders to consider gaps in the quality of care by patient demographics … Journal of Health Care Quality (2007)
Hospital and Health Care Leaders---"NIMBY"
N. … Staff - 23.3%
Yes, Hospital Collects Patients' Primary language
85%
CEOs - 15%
Senior Leaders
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psnet.ahrq.gov/node/46902/psn-pdf
August 20, 2018 - Researchers conducted interviews with 165 frontline staff and senior leaders working at three
academic … They found that leaders viewed formal systems for raising concerns
favorably, but other respondents
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psnet.ahrq.gov/node/40166/psn-pdf
April 03, 2017 - This set of articles offers a strategic framework for
leaders to address conflict as a key component … 2, the authors focus on designing a process for managing conflict and developing competencies for
leaders
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015096-davison-final-report-2008.pdf
January 01, 2008 - Hospital leaders
reported that this module had few problems. … TDH leaders thought that staff accepted the new systems
fairly well. … The gradual implementation process was perceived as useful by
most leaders. … All hospital leaders expressed frustration with this system. … TDH leaders should be proud of their accomplishments during this grant.
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psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - The survey results were a wake-up call for the organization's leaders. … First, a small group of 10 key clinical and operational leaders attended a day-long session with David … The leaders who attended enthusiastically embraced the just culture concept, finding that it provides … Leaders must ask hard questions like, "How prevalent is this behavior? Why are people doing this? … Leaders must establish processes to know when someone is engaging in reckless behavior and be willing
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - Developing these hospital staffing plans requires a complex dance involving nurse leaders, staff nurses … Accordingly, nurse leaders and their designees must develop strategies to deal with these absences to … It is the responsibility of the board of trustees and senior leaders to empower the Chief Nurse to design … Nurse unit leaders must anticipate changing staffing needs and assess at least 4-8 hours prior to the … As budgets tighten, it is vital that nurse leaders maintain RN ratios when census is high and decrease