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integrationacademy.ahrq.gov/sites/default/files/2020-06/Journey%20Toward%20a%20Lexicon.pdf
January 01, 2020 - contributors—with more
views from more stakeholders—patients and policymakers as well as clinician leaders
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www.ahrq.gov/ncepcr/reports/2024-annual-report/profile-p8-reed.html
May 01, 2024 - patients (700 pre-pandemic and 1,000 post pandemic) and interviews with clinicians and organizational leaders
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www.ahrq.gov/patient-safety/resources/learning-lab/connected-emergency-care-long-desc.html
January 01, 2025 - estimated short-term risk of clinical deterioration: CEC PSLL researchers collaborated with their leaders
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effectivehealthcare.ahrq.gov/sites/default/files/technical-brief-34-health-worker-certification-summary.pdf
March 01, 2020 - including CHWs, CHW trainers, CHW
employers, patient advocates, researchers, policymakers, national thought leaders
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/improving-cg-cahps-scores-webcast-transcript.pdf
March 01, 2016 - We also find that often in picking an improvement target means work for leaders at the practice level … Most practice leaders, any
kind of clinical leader, they didn't go to service school. … In fact, I was just on the phone today with one of
our nurse leaders about getting her staff together
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/EvidenceNOW-Webinar-Practical-Solutions.pdf
May 01, 2018 - literature
• Technical expert panel discussions
• In-depth interviews with clinicians and other
QI leaders
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - Unit team leaders can take steps to encourage use of a nurse-driven protocol for catheter removal through … Consider hosting a pizza party or other event that includes the hospital leaders thanking the staff for … toward goals, and then reach their CAUTI prevention goals should be appreciated by managers, physician leaders
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2020-07-nac/nacminutes-071420.pdf
January 01, 2020 - (4) Hospital executives and clinical leaders at times do not have the data needed to make life … community-based organizations, engaging
National Advisory Council, July 14, 2020 Page 9
community leaders … We should get health system leaders invested in the research review process.
Ms.
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - Same Author(s)
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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
January 01, 1995 - for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders
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psnet.ahrq.gov/issue/potentially-preventable-30-day-hospital-readmissions-childrens-hospital
July 11, 2017 - Study
Potentially preventable 30-day hospital readmissions at a children's hospital.
Citation Text:
Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182.
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…
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psnet.ahrq.gov/issue/preventing-potentially-inappropriate-medication-use-hospitalized-older-patients-computerized
November 16, 2022 - Study
Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.
Citation Text:
Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in hospitalized older patients wi…
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psnet.ahrq.gov/issue/second-victim-experiences-health-care-learners-and-influence-training-environment-postevent
January 31, 2024 - Study
Second victim experiences of health care learners and the influence of the training environment on postevent adaptation.
Citation Text:
Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the influence of the training environment on postev…
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psnet.ahrq.gov/issue/effect-transformation-veterans-affairs-health-care-system-quality-care
July 28, 2014 - Study
Classic
Effect of the transformation of the Veterans Affairs Health Care System on the quality of care.
Citation Text:
Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. N E…
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psnet.ahrq.gov/issue/psychological-safety-intensive-care-unit-rounding-teams
May 05, 2021 - Study
Psychological safety in intensive care unit rounding teams.
Citation Text:
Diabes MA, Ervin JN, Davis BS, et al. Psychological safety in intensive care unit rounding teams. Ann Am Thorac Soc. 2021;18(6):1027-1033. doi:10.1513/annalsats.202006-753oc.
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Format:
…
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psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
July 03, 2016 - Study
Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent.
Citation Text:
Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…
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psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures
February 02, 2011 - Study
Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.
Citation Text:
Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487.
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psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer-assessment-hazard
May 24, 2012 - Study
Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.
Citation Text:
Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Survei…
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psnet.ahrq.gov/issue/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia
September 26, 2012 - Study
Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.
Citation Text:
Merry A, Webster CS, Hannam J, et al. Multimodal system designed to reduce errors in recording and administration of drugs…
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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