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psnet.ahrq.gov/issue/changes-intern-attitudes-toward-medical-error-and-disclosure
November 10, 2021 - Study
Changes in intern attitudes toward medical error and disclosure.
Citation Text:
Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Appendix 3-A. Suggested Slides for Module 3
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Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in …
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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
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YUMA DISTRICT HOSPITAL AND
CLINICS
Bev Funaro, RN
Director of Quality and Regulatory Affairs
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Yuma Clinic Background
• Participate in the Hospital and Medical Office
surveys
• Administered survey in 2011 and 2…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/evidencenow-baseline.pdf
February 01, 2017 - AHRQ’s EvidenceNOW: Setting the Target for Improving Heart Health in America
AHRQ’s EvidenceNOW: Setting the Target
for Improving Heart Health in America
AHRQ’s EvidenceNOW, a Federal grant initiative, funds seven regional
cooperatives to help more than 1,500 smaller primary care practices
and 5,000 clinicians bui…
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www.ahrq.gov/news/newsroom/case-studies/201901.html
March 01, 2019 - Georgetown University Family Nurse Practitioner Program Trains Hundreds of Students Using AHRQ App to Improve Primary Care
Search All Impact Case Studies
March 2019
Approximately 600 students who have completed a Georgetown University masters’ level course for family nurse practitioners use an electronic ap…
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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
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Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/128-what-are-4es-one-pager.docx
April 01, 2025 - The 4 Es framework identifies four important elements when implementing patient safety interventions: Engage, Educate, Execute, and Evaluate. This framework integrates well with the Comprehensive Unit-based Safety Program (CUSP) and addresses both the technical objectives of improving practices and the adaptive objecti…
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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. …
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psnet.ahrq.gov/issue/lack-standardisation-between-specialties-human-factors-content-postgraduate-training-analysis
July 19, 2019 - Study
Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK.
Citation Text:
Greig PR, Higham H, Vaux E. Lack of standardisation between specialties for human factors content in postgraduate training: a…
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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…
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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.
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-safe-administration-chemotherapy-hospitalized
August 08, 2018 - Study
Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer.
Citation Text:
Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer…
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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…
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psnet.ahrq.gov/issue/developing-action-plan-patient-radiation-safety-adult-cardiovascular-medicine
August 04, 2021 - Commentary
Developing an action plan for patient radiation safety in adult cardiovascular medicine.
Citation Text:
Douglas PS, Carr J, Cerqueira MD, et al. Developing an action plan for patient radiation safety in adult cardiovascular medicine: proceedings from the Duke University Clin…
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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…
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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…
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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. …
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psnet.ahrq.gov/issue/see-one-sim-one-do-one-national-pre-internship-boot-camp-ensure-safer-student-doctor
February 16, 2011 - Study
"See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition.
Citation Text:
Minha S'ar, Shefet D, Sagi D, et al. "See One, Sim One, Do One"- A National Pre-Internship Boot-Camp to Ensure a Safer "Student to Doctor" Transition. PLo…
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psnet.ahrq.gov/issue/perceived-adverse-patient-outcomes-correlated-nurses-workload-medical-and-surgical-wards
February 01, 2013 - Study
Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait.
Citation Text:
Al-Kandari F, Thomas D. Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected ho…
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psnet.ahrq.gov/issue/resident-physicians-advice-seeking-and-error-making-social-networks-approach
July 13, 2010 - Study
Resident physicians' advice seeking and error making: a social networks approach.
Citation Text:
Katz-Navon T, Naveh E. Resident physicians' advice seeking and error making: a social networks approach. Health Care Manage Rev. 2022;47(3):e41-e49. doi:10.1097/hmr.0000000000000333.
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