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psnet.ahrq.gov/node/839317/psn-pdf
November 02, 2022 - Implementation and facilitation of post-resuscitation
debriefing: a comparative crossover study of two post-
resuscitation debriefing frameworks.
November 2, 2022
Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing:
a comparative crossover study of two post-re…
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psnet.ahrq.gov/node/73583/psn-pdf
August 11, 2021 - Developing tools to enhance the adaptive capacity (Safety
II) of health care providers at a children's hospital.
August 11, 2021
Bartman T, Merandi J, Maa T, et al. Developing tools to enhance the adaptive capacity (Safety II) of health
care providers at a children's hospital. Jt Comm J Qual Patient Saf. 2021;47(8)…
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psnet.ahrq.gov/node/45696/psn-pdf
January 23, 2017 - Understanding patient safety performance and
educational needs using the 'Safety-II' approach for
complex systems.
January 23, 2017
McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs
using the 'Safety-II' approach for complex systems. Educ Prim Care. 2016;27(6):443-…
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psnet.ahrq.gov/node/61091/psn-pdf
November 04, 2020 - Prioritising recommendations following analyses of
adverse events in healthcare: a systematic review.
November 4, 2020
Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse
events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4):e000843. doi:10.1136/bmjoq-2019…
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psnet.ahrq.gov/node/47184/psn-pdf
August 08, 2018 - Delivering on the promise of CLER: a patient safety
rotation that aligns resident education with hospital
processes.
August 8, 2018
Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That
Aligns Resident Education With Hospital Processes. Acad Med. 2018;93(6):898-903.
doi…
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psnet.ahrq.gov/node/866527/psn-pdf
August 14, 2024 - Developing, implementing, evaluating electronic apparent
cause analysis across a health care system.
August 14, 2024
Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause
analysis across a health care system. Jt Comm J Qual Patient Saf. 2024;50(10):724-736.
doi:10.1016/j…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/04-pt-narratives-support-px-strategy-lee.pdf
June 02, 2025 - How Patient Narratives Can Support Your Patient Experience Strategy (Webcast) - Lee
Patient Narrative Research Insights
Leveraging Patients’ Creative Ideas
For Learning and Innovation
Yuna Lee, MPH, PhD
16
Elicitation of Patients’ Creative Ideas
Draw on past exemplars of excellent experiences
“Now think back …
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www.ahrq.gov/sops/events/webinars/unc-improvement-stories/index.html
February 01, 2024 - Event Reporting and Learning System Leads to Improvements in Patient Safety Culture (Webcast)
December 18, 2019
Summary
Speakers and Presentation Slides
Recording
Transcript
Summary
On Wednesday, December 18, 2019, AHRQ hosted a webcast that highlighted an event reporting initiative from the Uni…
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www.ahrq.gov/diagnostic-safety/tools/measure-dx.html
March 01, 2024 - Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events
Diagnostic errors are major contributors to patient harm. Strategies to identify and analyze these events are still emerging, but several show promise for use in operational settings. The Agency for Healthcare Resea…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/science-of-safety.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
The Science of Safety: Principles in Practice
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of MRSA and SSI Prevention …
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psnet.ahrq.gov/issue/physician-well-being
November 18, 2020 - Multi-use Website
Improving Physician Well-Being, Restoring Meaning in Medicine.
Citation Text:
Improving Physician Well-Being, Restoring Meaning in Medicine. Accreditation Council for Graduate Medical Education.
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psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management-learning-tool
June 30, 2013 - Special or Theme Issue
Safety in Numbers: Evidence-based Development of a Medicine Management Learning Tool.
Citation Text:
Safety in Numbers: Evidence-based Development of a Medicine Management Learning Tool. Holland K, ed. Nurse Educ Pract. 2013;13(2):e1-e87.
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www.ahrq.gov/diagnostic-safety/tools/index.html
June 01, 2025 - Tools To Improve Diagnostic Safety
AHRQ tools to reduce diagnostic errors include: Calibrate Dx is a self-evaluation tool for clinicians to improve their diagnostic decision making. This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical practice. Anyone who…
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psnet.ahrq.gov/issue/diagnostic-error-pediatrics-narrative-review
June 08, 2022 - Review
Diagnostic error in pediatrics: a narrative review.
Citation Text:
Marshall TL, Rinke ML, Olson APJ, et al. Diagnostic error in pediatrics: a narrative review. Pediatrics. 2022;149(Suppl 3):e2020045948D. doi:10.1542/peds.2020-045948d.
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psnet.ahrq.gov/issue/evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-improvement
February 07, 2024 - Study
Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement.
Citation Text:
Bradford A, Tran A, Ali KJ, et al. Evaluation of Measure Dx, a resource to accelerate diagnostic safety learning and improvement. J Gen Intern Med. . 2024;Epub Oct 22. doi:…
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psnet.ahrq.gov/issue/assessing-patient-safety-culture-hospital-settings
August 18, 2021 - Review
Assessing patient safety culture in hospital settings.
Citation Text:
Azyabi A. Assessing patient safety culture in hospital settings. Int J Environ Res Public Health. 2021;18(5):2466. doi:10.3390/ijerph18052466.
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psnet.ahrq.gov/issue/resilience-and-regulation-odd-couple-consequences-safety-ii-governmental-regulation
October 06, 2021 - Commentary
Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality.
Citation Text:
Leistikow I, Bal RA. Resilience and regulation, an odd couple? Consequences of Safety-II on governmental regulation of healthcare quality. BMJ Q…
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psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting
August 31, 2022 - Commentary
Learning from excellence in healthcare: a new approach to incident reporting.
Citation Text:
Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting. Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021.
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psnet.ahrq.gov/issue/learning-health-system-agenda-organizational-approaches-enhancing-occupational-well-being
October 28, 2020 - Commentary
A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians.
Citation Text:
Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches to enhancing occupational well-being among cl…
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psnet.ahrq.gov/issue/what-do-nursing-students-learn-about-patient-safety-integrative-literature-review
October 15, 2016 - Review
What do nursing students learn about patient safety? An integrative literature review.
Citation Text:
Tella S, Liukka M, Jamookeeah D, et al. What do nursing students learn about patient safety? an integrative literature review. J Nurs Educ. 2014;53(1):7-13. doi:10.3928/01484834-…