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www.ahrq.gov/nursing-home/resources/occupational-health-safety.html
June 01, 2022 - Occupational Health and Safety for Health Workers in the Context of COVID-19
Resource: Occupational Health and Safety for Health Workers in the Context of COVID-19
This course consists of five sections that teach health workers how they can protect themselves and others from the occupational risks they enco…
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psnet.ahrq.gov/node/47280/psn-pdf
October 15, 2018 - Master of Healthcare Quality and Safety.
October 15, 2018
Harvard Medical School.
https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety
This one-year degree program will train clinicians and health care executives to lead safety and quality
improvement initiatives. Participants will learn how to develo…
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psnet.ahrq.gov/node/39891/psn-pdf
October 06, 2010 - Organisational safety indicators: some conceptual
considerations and a supplementary qualitative approach.
October 6, 2010
Kongsvik T, Almklov P, Fenstad J. Organisational safety indicators: Some conceptual considerations and a
supplementary qualitative approach. Saf Sci. 2010;48(10). doi:10.1016/j.ssci.2010.05.016…
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psnet.ahrq.gov/node/37844/psn-pdf
June 18, 2008 - Effect of ACGME duty hours on attending physician
teaching and satisfaction.
June 18, 2008
Arora V, Meltzer DO. Effect of ACGME duty hours on attending physician teaching and satisfaction. Arch
Intern Med. 2008;168(11):1226-8. doi:10.1001/archinte.168.11.1226.
https://psnet.ahrq.gov/issue/effect-acgme-duty-hours-a…
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psnet.ahrq.gov/node/46406/psn-pdf
October 18, 2017 - Mistakes were made (by me).
October 18, 2017
Manesh R. Mistakes Were Made (by Me). JAMA Intern Med. 2017;177(10).
doi:10.1001/jamainternmed.2017.3781.
https://psnet.ahrq.gov/issue/mistakes-were-made-me
This commentary reviews three mistakes the author made while caring for patients and the different
responses reg…
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psnet.ahrq.gov/node/46708/psn-pdf
February 08, 2023 - FDA/ISMP Safe Medication Management Fellowship
Program.
February 8, 2023
Food and Drug Administration, Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program
This fellowship program provides clinicians with learning opportunities at the Institute…
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psnet.ahrq.gov/node/47406/psn-pdf
October 31, 2018 - Systems Approach in Healthcare.
October 31, 2018
Dean J, Clarkson J, eds. Future Hosp J. 2018;5:145-187.
https://psnet.ahrq.gov/issue/systems-approach-healthcare
The systems approach has long been heralded as a key element to safe patient care. Articles in this
special issue explore techniques to engage clinicians…
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psnet.ahrq.gov/node/44613/psn-pdf
October 28, 2015 - Getting rid of "never events" in hospitals.
October 28, 2015
Morgenthaler T; Harper CM.
https://psnet.ahrq.gov/issue/getting-rid-never-events-hospitals
Never events are devastating and preventable, and health care organizations are under increasing
pressure to eliminate them. This commentary discusses how the Mayo…
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psnet.ahrq.gov/node/849337/psn-pdf
May 24, 2023 - Actions to renew focus on safety culture.
May 24, 2023
Salvon-Harman J. Healthcare Executive. 2023;39(3):48-49.
https://psnet.ahrq.gov/issue/actions-renew-focus-safety-culture
A strong safety work environment is core to reliable care delivery and staff wellbeing. This article discusses
how leadership should listen…
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psnet.ahrq.gov/node/866322/psn-pdf
July 17, 2024 - UCSF Coordinating Center for Diagnostic Excellence
(CoDEx).
July 17, 2024
University of California, San Francisco.
https://psnet.ahrq.gov/issue/ucsf-coordinating-center-diagnostic-excellence-codex
Diagnostic excellence is an emergent field of study that aligns with diagnostic error reduction efforts. This
center …
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psnet.ahrq.gov/node/41992/psn-pdf
May 23, 2013 - Errors as allies: error management training in health
professions education.
May 23, 2013
King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions
education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945.
https://psnet.ahrq.gov/issue/errors-allies-error-managem…
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psnet.ahrq.gov/node/50719/psn-pdf
December 04, 2019 - A lot happens when you report a hazard or error to
ISMP—there’s no “black hole” here!
December 4, 2019
ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019
https://psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here
The reporting and analysis of incidents i…
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psnet.ahrq.gov/node/50667/psn-pdf
November 13, 2019 - Proactive prevention of maternal death from maternal
hemorrhage.
November 13, 2019
Quick Safety. October 29, 2019;(51):1-3.
https://psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
The reduction of postpartum hemorrhage and the overall improvement of maternal safety is a patient safety
…
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psnet.ahrq.gov/node/40499/psn-pdf
June 01, 2011 - Patient-assisted incident reporting: including the patient
in patient safety.
June 1, 2011
Millman A, Pronovost P, Makary MA, et al. Patient-assisted incident reporting: including the patient in
patient safety. J Patient Saf. 2011;7(2):106-8. doi:10.1097/PTS.0b013e31821b3c5f.
https://psnet.ahrq.gov/issue/patient-a…
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psnet.ahrq.gov/node/41231/psn-pdf
March 21, 2012 - Junior doctors' reflections on patient safety.
March 21, 2012
Ahmed M, Arora S, Carley S, et al. Junior doctors' reflections on patient safety. Postgrad Med J.
2012;88(1037):125-9. doi:10.1136/postgradmedj-2011-130301.
https://psnet.ahrq.gov/issue/junior-doctors-reflections-patient-safety
This study used written p…
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psnet.ahrq.gov/node/35358/psn-pdf
March 02, 2011 - Systematic review: effects of resident work hours on
patient safety.
March 2, 2011
Fletcher KE, Davis SQ, Underwood W, et al. Systematic review: effects of resident work hours on patient
safety. Ann Intern Med. 2004;141(11):851-857.
https://psnet.ahrq.gov/issue/systematic-review-effects-resident-work-hours-patient…
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digital.ahrq.gov/ahrq-funded-projects/improving-missing-data-analysis-distributed-research-networks/citation/imputing
January 01, 2023 - Imputing missing covariates in time-to-event analysis within distributed research networks: A simulation study.
Citation
Li D, Wong J, Li X, Toh S, Wang R. Imputing missing covariates in time-to-event analysis within distributed research networks: A simulation study. Pharmacoepidemiol Drug Saf. 2023 …
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digital.ahrq.gov/funding-mechanism/accelerating-change-and-transformation-organizations-and-networks-action-iv
January 01, 2023 - Accelerating Change and Transformation in Organizations and Networks (ACTION) IV
Clinical Decision Support Innovation Collaborative (CDSiC)
Description
The Clinical Decision Support Innovation Collaborative (CDSiC) created a learning community of patients, providers, policymak…
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digital.ahrq.gov/ahrq-funded-projects/anesthesiology-control-tower-feedback-alerts-supplement-treatment-actfast/citation/factored
January 01, 2023 - A factored generalized additive model for clinical decision support in the operating room.
Citation
Cui Z, Fritz BA, King CR, Avidan MS, Chen Y. A factored generalized additive model for clinical decision support in the operating room. AMIA Annu Symp Proc. 2020 Mar 4;2019:343-52. PMID 32308827.
…
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digital.ahrq.gov/ahrq-funded-projects/developing-evidence-based-user-centered-design-and-implementation-guidelines/citation/identifying
January 01, 2023 - Identifying health information technology related safety event reports from patient safety event report databases.
Citation
Fong A, Adams KT, Gaunt MJ, et al. Identifying health information technology related safety event reports from patient safety event report databases. J Biomed Inform 2018 Oct;86:…