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  1. Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/funaro-0914slides.pdf
    January 01, 2014 - Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture 45 45 YUMA DISTRICT HOSPITAL AND CLINICS Bev Funaro, RN Director of Quality and Regulatory Affairs 46 46 Yuma Clinic Background • Participate in the Hospital and Medical Office surveys • Administered survey in 2011 and 2…

  2. Table 2. Key features of ideal consumer reporting systems from stakeholder interviews | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table2.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Table 2. Key features of ideal consumer reporting systems from stakeholder interviews Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background …

  3. The effect of bedrails on falls and injury: a systematic review of clinical studies. | PSNet

    psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies
    March 15, 2016 - Review The effect of bedrails on falls and injury: a systematic review of clinical studies. Citation Text: Healey F, Oliver D, Milne A, et al. The effect of bedrails on falls and injury: a systematic review of clinical studies. Age Ageing. 2008;37(4):368-78. doi:10.1093/ageing/afn112. …

  4. Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. | PSNet

    psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-ems-formulating-research-questions-and
    March 14, 2018 - Study Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. Citation Text: Patterson D, Higgins S, Lang ES, et al. Evidence-Based Guidelines for Fatigue Risk Management in EMS: Formulating Research Questions and Selecting Out…

  5. Considering human factors and developing systems-thinking behaviours to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
    March 01, 2023 - Newspaper/Magazine Article Considering human factors and developing systems-thinking behaviours to ensure patient safety. Citation Text: Considering human factors and developing systems-thinking behaviours to ensure patient safety. Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical H…

  6. Validating patient safety in the endoscopy unit using The Joint Commission standards. | PSNet

    psnet.ahrq.gov/issue/validating-patient-safety-endoscopy-unit-using-joint-commission-standards
    March 02, 2011 - Commentary Validating patient safety in the endoscopy unit using The Joint Commission standards. Citation Text: Ragsdale JA. Validating patient safety in the endoscopy unit using the joint commission standards. Gastroenterol Nurs. 2011;34(3):218-23. doi:10.1097/SGA.0b013e3181d6e4b1. …

  7. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. | PSNet

    psnet.ahrq.gov/issue/authentic-leadership-cleveland-clinic-psychological-safety-midst-crisis
    October 19, 2022 - Study Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. Citation Text: Porter TH, Peck JA, Bolwell B, et al. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader…

  8. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. | PSNet

    psnet.ahrq.gov/issue/hospital-commitments-address-diagnostic-errors-assessment-95-us-hospitals
    September 18, 2024 - Study Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. Citation Text: Campione Russo A, Tilly J‐L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13…

  9. Briefing and debriefing in the operating room using fighter pilot crew resource management. | PSNet

    psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management
    May 29, 2024 - Study Briefing and debriefing in the operating room using fighter pilot crew resource management. Citation Text: McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76. Copy Citation Fo…

  10. Automatic detection of omissions in medication lists. | PSNet

    psnet.ahrq.gov/issue/automatic-detection-omissions-medication-lists
    December 31, 2014 - Study Automatic detection of omissions in medication lists. Citation Text: Hasan S, Duncan GT, Neill DB, et al. Automatic detection of omissions in medication lists. J Am Med Inform Assoc. 2011;18(4):449-58. doi:10.1136/amiajnl-2011-000106. Copy Citation Format: DOI Googl…

  11. The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. | PSNet

    psnet.ahrq.gov/issue/armstrong-institute-residentfellow-scholars-multispecialty-curriculum-train-future-leaders
    October 19, 2022 - Commentary The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. Citation Text: Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum t…

  12. Costs and benefits of an early-alert surveillance system for hospital inpatients. | PSNet

    psnet.ahrq.gov/issue/costs-and-benefits-early-alert-surveillance-system-hospital-inpatients
    January 24, 2024 - Study Costs and benefits of an early-alert surveillance system for hospital inpatients. Citation Text: Marchetti A, Jacobs J, Young M, et al. Costs and benefits of an early-alert surveillance system for hospital inpatients. Curr Med Res Opin. 2007;23(1):9-16. Copy Citation Format…

  13. A system safety approach to assessing risks in the sepsis treatment process. | PSNet

    psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
    February 03, 2021 - Study A system safety approach to assessing risks in the sepsis treatment process. Citation Text: Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. Copy Citation Format: DOI Go…

  14. Hospital costs associated with adverse events in gynecological oncology. | PSNet

    psnet.ahrq.gov/issue/hospital-costs-associated-adverse-events-gynecological-oncology
    March 09, 2022 - Study Hospital costs associated with adverse events in gynecological oncology. Citation Text: Kondalsamy-Chennakesavan S, Gordon LG, Sanday K, et al. Hospital costs associated with adverse events in gynecological oncology. Gynecol Oncol. 2011;121(1):70-5. doi:10.1016/j.ygyno.2010.11.03…

  15. Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. | PSNet

    psnet.ahrq.gov/issue/ventilator-related-adverse-events-taxonomy-and-findings-3-incident-reporting-systems
    March 01, 2017 - Study Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. Citation Text: Pham JC, Williams TL, Sparnon EM, et al. Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems. Respir Care. 2016;61(5):621-31. doi:10…

  16. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. | PSNet

    psnet.ahrq.gov/issue/work-arounds-and-artifacts-during-transition-computer-physician-order-entry-what-they-are-and
    January 12, 2022 - Study Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. Citation Text: Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. J Nurs Care Qual. 2…

  17. Resident duty-hour reform associated with increased morbidity following hip fracture. | PSNet

    psnet.ahrq.gov/issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip-fracture
    October 19, 2022 - Study Resident duty-hour reform associated with increased morbidity following hip fracture. Citation Text: Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJ…

  18. Leveraging trainees to improve quality and safety at the point of care: three models for engagement. | PSNet

    psnet.ahrq.gov/issue/leveraging-trainees-improve-quality-and-safety-point-care-three-models-engagement
    September 20, 2017 - Commentary Leveraging trainees to improve quality and safety at the point of care: three models for engagement. Citation Text: Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. d…

  19. The future of graduate medical education: a systems-based approach to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/future-graduate-medical-education-systems-based-approach-ensure-patient-safety
    October 18, 2017 - Commentary The future of graduate medical education: a systems-based approach to ensure patient safety. Citation Text: Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824. …

  20. Cognitive testing of older clinicians prior to recredentialing. | PSNet

    psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
    January 08, 2020 - Commentary Cognitive testing of older clinicians prior to recredentialing. Citation Text: Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. Copy Citation Format: DOI Google Scholar B…
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