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psnet.ahrq.gov/issue/influence-systems-based-approach-prescribing-errors-pediatric-resident-clinic
November 16, 2022 - Study
Influence of a systems-based approach to prescribing errors in a pediatric resident clinic.
Citation Text:
Condren M, Honey BL, Carter SM, et al. Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Acad Pediatr. 2014;14(5):485-90. doi:10.1016…
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psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services
December 21, 2014 - Review
ASHP guidelines on perioperative pharmacy services.
Citation Text:
Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073.
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psnet.ahrq.gov/issue/key-potentially-inappropriate-drugs-pediatrics-kids-list
September 23, 2020 - Study
Emerging Classic
Key potentially inappropriate drugs in pediatrics: the KIDs list.
Citation Text:
Meyers RS, Thackray J, Matson KL, et al. Key potentially inappropriate drugs in pediatrics: the KIDs list. J Pediatr Pharmacol Ther. 2020;25(3). doi:10.5863/1…
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psnet.ahrq.gov/issue/taking-patients-narratives-about-clinicians-anecdote-science
March 20, 2019 - Commentary
Taking patients' narratives about clinicians from anecdote to science.
Citation Text:
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.
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psnet.ahrq.gov/issue/every-patient-should-be-enabled-stop-line
September 30, 2020 - Commentary
Every patient should be enabled to stop the line.
Citation Text:
Bell SK, Martinez W. Every patient should be enabled to stop the line. BMJ Qual Saf. 2019;28(3):172-176. doi:10.1136/bmjqs-2018-008714.
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psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives-campaign-nhs-wales
August 04, 2021 - Study
Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales.
Citation Text:
Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J…
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psnet.ahrq.gov/issue/defining-and-measuring-patient-safety
June 16, 2011 - Review
Classic
Defining and measuring patient safety.
Citation Text:
Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin. 2005;21(1):1-19, vii.
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psnet.ahrq.gov/issue/exaggerated-benefits-failure
November 09, 2022 - Study
The exaggerated benefits of failure.
Citation Text:
Eskreis-Winkler L, Woolley K, Erensoy E, et al. The exaggerated benefits of failure. J Exp Psychol Gen. 2024;153(7):1920-1937. doi:10.1037/xge0001610.
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psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
May 26, 2011 - Study
Current approaches to punitive action for medication errors by boards of pharmacy.
Citation Text:
Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …
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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