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5981. An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. | PSNet
      psnet.ahrq.gov/issue/evidence-and-consensus-based-definition-second-victim-strategic-topic-healthcare-quality
      September 13, 2023 - Commentary An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. Citation Text: Vanhaecht K, Seys D, Russotto S, et al. An evidence and consensus-based definition of second …

5982. The new recommendations on duty hours from the ACGME Task Force. | PSNet
      psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
      July 14, 2021 - Commentary Classic The new recommendations on duty hours from the ACGME Task Force. Citation Text: Nasca TJ, Day SH, Amis S, et al. The new recommendations on duty hours from the ACGME Task Force. N Engl J Med. 2010;363(2):e3. doi:10.1056/NEJMsb1005800. Copy…

5983. Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19. | PSNet
      psnet.ahrq.gov/issue/patient-and-public-co-creation-healthcare-safety-and-healthcare-system-resilience-case-covid
      February 16, 2022 - Study Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19. Citation Text: Albutt AK, Ramsey L, Fylan B, et al. Patient and public co‐creation of healthcare safety and healthcare system resilience: the case of COVID‐19. Health Expect.…

5984. Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. | PSNet
      psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record
      April 13, 2022 - Study Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. Citation Text: Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. J Gen Intern Med. 2025;…

5985. Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. | PSNet
      psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison
      May 24, 2012 - Study Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. Citation Text: Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…

5986. Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. | PSNet
      psnet.ahrq.gov/issue/informatics-tools-deprescribing-and-medication-optimization-older-adults-development-and
      February 05, 2020 - Study Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. Citation Text: Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication opt…

5987. Developing and Evaluating Online Education to Improve Older Adults Health Information - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/developing-and-evaluating-online-education-improve-older-adults-health/annual-summary/2011
      January 01, 2011 - Developing and Evaluating Online Education to Improve Older Adults Health Information - 2011 Project Name Developing and Evaluating Online Education to Improve Older Adults Health Information Principal Investigator Fink, Arlene Organization Langley Research Institute …

5988. Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study. | PSNet
      psnet.ahrq.gov/issue/assessing-quality-older-persons-emergency-transitions-between-long-term-and-acute-care
      March 17, 2021 - Study Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study. Citation Text: Tate K, McLane P, Reid C, et al. Assessing quality of older persons’ emergency transitions between long-term and acute care settings: a proo…

5989. The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. | PSNet
      psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
      May 20, 2020 - Study The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. Citation Text: Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patie…

5990. Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-among-vulnerable-populations-presenting-emergency-department-cardiovascular
      March 16, 2022 - Review Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review. Citation Text: Herasevich S, Soleimani J, Huang C, et al. Diagnostic error among vulnerable populations prese…

5991. Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency. | PSNet
      psnet.ahrq.gov/issue/development-and-testing-objective-structured-clinical-exam-osce-assess-socio-cultural
      January 15, 2014 - Study Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency. Citation Text: Ginsburg LR, Tregunno D, Norton PG, et al. Development and testing of an objective structured clinical exam (OSCE) to assess soci…

5992. Health professionals' perspectives of safety issues in mental health services: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/health-professionals-perspectives-safety-issues-mental-health-services-qualitative-study
      August 05, 2020 - Study Health professionals' perspectives of safety issues in mental health services: a qualitative study. Citation Text: Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health services: A qualitative study. nt J Ment Health Nurs. 2021;3…

5993. Hard Truths: the Journey to Putting Patients First. | PSNet
      psnet.ahrq.gov/issue/hard-truths-journey-putting-patients-first
      December 04, 2015 - March 28, 2018 A Promise to Learn—a Commitment to Act: Improving the Safety of Patients … May 22, 2023 A Promise to Learn—a Commitment to Act: Improving the Safety of Patients

5994. Second Victim: Error, Guilt, Trauma, and Resilience. | PSNet
      psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
      April 13, 2018 - January 22, 2014 Informal learning from error in hospitals: what do we learn, how do … we learn and how can informal learning be enhanced?

5995. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33640/psn-pdf
      September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? … What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? … https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety- transformation … through each of these in greater https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation … https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

5996. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
      August 01, 2006 - Use your five senses….Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice

5997. Partnering with Patients to Disseminate Research Products (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/sadwin.pdf
      January 01, 2011 - § Push Hard and Fast in the Center Slide 15 Photograph: Photo of various chests with the words "Learn … Healthcare/Researchers Photograph: Image of 5 health care professionals, with the words 'Focus on Quality, Learn

5998. Research Summary | Digital Healthcare Research
      digital.ahrq.gov/2019-year-review/research-summary
      January 01, 2019 - Learn More   Key Research Findings The Digital Healthcare Research Program funds research to … Learn more about the impact and key findings here.

5999. Compensation of chief executive officers at nonprofit US hospitals. | PSNet
      psnet.ahrq.gov/issue/compensation-chief-executive-officers-nonprofit-us-hospitals
      December 18, 2018 - January 22, 2014 Informal learning from error in hospitals: what do we learn, how do … we learn and how can informal learning be enhanced?

6000. Employee / Staff Pre-Go-Live Expectations / Perceptions Clinical Information Systems Survey (pdf file)
      digital.ahrq.gov/sites/default/files/docs/survey/cis-survey-pre-go-live-physician.pdf
      December 27, 2004 - My ability to learn about and improve our patient care processes. [ ] [ ] [ ] [ ] [ ] [ ] … Sufficient resources have been provided for me to learn to use the new systems [ ] [ ] [ ] [ … My ability to learn about and improve our patient care processes. [ ] [ ] [ ] [ ] [ ] [ ] … Sufficient resources were provided for me to learn to use the new systems. [ ] [ ] [ ] [