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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47614/psn-pdf
    October 19, 2020 - Patient. October 19, 2020 Canadian Patient Safety Institute; https://psnet.ahrq.gov/issue/patient Patient stories and insights related to medical mishaps can inspire and motivate work to enhance health care safety. This annual podcast series uses patient accounts of medical errors to collaboratively explore solut…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41387/psn-pdf
    May 18, 2012 - Surfing the Healthcare Tsunami: Bring Your Best Board. May 18, 2012 Austin, TX: Texas Medical Institute for Technology; 2012. https://psnet.ahrq.gov/issue/surfing-healthcare-tsunami-bring-your-best-board The second in a series, this documentary focuses on learning from other high-risk industries and engaging hospi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42331/psn-pdf
    June 05, 2013 - Using the ABCs of situational awareness for patient safety. June 5, 2013 Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82. https://psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety This commentary exa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40794/psn-pdf
    June 10, 2018 - Telling true stories is an ISMP hallmark: here's why you should tell stories, too. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. September 8, 2011;16:1-3. https://psnet.ahrq.gov/issue/telling-true-stories-ismp-hallmark-heres-why-you-should-tell-stories-too This piece describes storytelling as a s…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41524/psn-pdf
    November 05, 2013 - Creating a culture of safety by coaching clinicians to competence. November 5, 2013 Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Educ Today. 2013;33(10):1108-11. doi:10.1016/j.nedt.2012.05.025. https://psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36911/psn-pdf
    September 01, 2011 - Managing clinical failure: a complex adaptive system perspective. September 1, 2011 Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336. https://psnet.ahrq.gov/issue/managing-clinical-failure-compl…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36196/psn-pdf
    November 01, 2012 - Myths and realities of the 80-hour work week. November 1, 2012 Schenarts PJ, Schenarts KDA, Rotondo MF. Myths and realities of the 80-hour work week. Curr Surg. 2006;63(4):269-274. https://psnet.ahrq.gov/issue/myths-and-realities-80-hour-work-week The authors reviewed the literature on the impact of resident work-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35025/psn-pdf
    September 21, 2005 - A mediation skills model to manage disclosure of errors and adverse events to patients. September 21, 2005 Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.23.4.22. https://psnet.ahrq.gov/issue…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36988/psn-pdf
    February 17, 2011 - An elusive balance — residents' work hours and the continuity of care. February 17, 2011 Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med. 2007;356(26):2665-2667. https://psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care The author discusses wo…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36571/psn-pdf
    January 05, 2017 - The Objective Structured Clinical Examination as an educational tool in patient safety. January 5, 2017 Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt Comm J Qual Patient Saf. 2007;33(1):48-53. https://psnet.ahrq.gov/issue/objective-structured-clinical-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36359/psn-pdf
    October 26, 2010 - How might acknowledging a medical error promote patient safety? October 26, 2010 Malaty W, Crane S. How might acknowledging a medical error promote patient safety? J Fam Pract. 2006;55(9):775-80. https://psnet.ahrq.gov/issue/how-might-acknowledging-medical-error-promote-patient-safety The authors present a case o…
  12. digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/citati-0
    January 01, 2023 - Job satisfaction ratings: measurement equivalence across nurses and physicians. Citation Etchegaray JM, Sexton JB, Helmreich RL, et al. Job satisfaction ratings: measurement equivalence across nurses and physicians. West J Nurs Res 2010 Jun;32(4):530-9. Link Etchegaray JM, Sexton JB, Helmreich…
  13. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/usability
    January 01, 2023 - Usability Usability Evaluation Description A usability evaluation is conducted to determine the extent to which a system is easy to use or "user friendly." Simulation Description Simulation is a form of (usability) evaluation in which realist…
  14. www.ahrq.gov/research/publications/search.html?page=4
    November 01, 2020 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 41 - 50 of 191 Publications displayed Find Publications by Keyword or Topi…
  15. www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
    June 02, 2025 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount) Introducing the AHRQ SOPS Health IT Patient Safety Supplemental Items Naomi Yount, PhD Westat Health IT Patient Safety Supplemental Items • Supplemental item set that can be added to the end of the Hospit…
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-english.pdf
    January 01, 2015 - Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items In this document, the items in the Ambulatory Surgery Center Survey on Patient Safety Culture are grouped according to the safety culture composites the…
  17. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-hospital-survey-workplace-item-set-webcast-bakdash.pdf
    December 01, 2024 - SOPS State Hospital Association Webcast - Bakdash Presentation AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Program Jonathan Bakdash, Ph.D. Center for Quality Improvement and Patient Safety, AHRQ Agency for Healthcare Research and Quality • AHRQ is: ► A research and science-based agency of the US Depart…
  18. www.ahrq.gov/funding/grantee-profiles/grtprofile-kho.html
    April 01, 2023 - Grantee Profile Disseminating Evidence-based Strategies to Improve Primary Care Delivery Abel Kho, M.D., M.S. Professor, Feinberg School of Medicine Northwestern University Abel Kho, M.D., M.S. “With AHRQ funding, I have built infrastructure to provide primary care practices with effective …
  19. www.ahrq.gov/funding/grantee-profiles/grtprofile-huang.html
    December 01, 2023 - Grantee Profile Advancing Academic and Practical Knowledge To Prevent Infections From Hospital to Home Susan Huang, M.D., M.P.H. Medical Director of Epidemiology and Infection Prevention Professor, Infectious Diseases, School of Medicine University of California, Irvine Medical Center "Understan…
  20. www.ahrq.gov/talkingquality/measures/measure-questions.html
    November 01, 2018 - Key Questions When Choosing Health Care Quality Measures When selecting measures to include in your report, you need to consider two issues: Whether the measures are "good". Whether the measures are appropriate for your audience. Are the Measures Good? The easiest way to determine whether a measure …