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www.ahrq.gov/action-alliance/webinars/addressing-workforce-burnout.html
December 01, 2024 - National Action Alliance Webinar: Addressing Healthcare Workforce Burnout
Summary Burnout among healthcare staff is at a critical level, making the need for effective solutions more urgent than ever. This webinar held on November 12, part of a series on workforce safety and well-being, examined strategies for r…
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www.ahrq.gov/action-alliance/webinars/measuring-safety-culture.html
May 01, 2025 - Measuring and Responding to Safety Culture Across Healthcare
This webinar was the third of a three-part series on Safety Culture in Healthcare. On April 15, 2025, presenters discussed how to measure and improve safety culture using tools like AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Program, the Safety…
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www.ahrq.gov/patient-safety/resources/discharge/index.html
December 01, 2017 - Improving Hospital Discharge Through Medication Reconciliation and Education
Project focused on improving the hospital discharge process.
Mark Williams, M.D., Emory University, Atlanta, GA
AHRQ Grant No. HS015882-01
Overview
This project implements a "discharge bundle" consisting of medication reconcilia…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_bpd.pdf
June 02, 2025 - NICU Toolkit, Appendix A, Bronchopulmonary Dysplasia (BPD)
Bronchopulmonary Dysplasia (BPD)
What is
Bronchopulmonary
Dysplasia (BPD)?
■ Type of chronic lung disease.
■ Common in babies born early.
■ Damaged lung tissue causes
breathing and health problems.
■ Lungs trap air, fill with fluid, and
produce e…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apb.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
Appendix B. External Experts for Qualitative Interviews
Previous Page Next Page
Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3…
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www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdhs14004.html
June 01, 2018 - Researcher Training and Workforce Development in Methods and Standards for Conducting Patient-Centered Health Outcomes Research Studies
AHRQ Training Projects Funded by PCOR Trust Fund
RFA-HS-14-004
This project provides basic, advanced, and experiential training on the methods to conduct PCOR, particularly…
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psnet.ahrq.gov/node/47970/psn-pdf
May 01, 2019 - Can we import improvements from industry to
healthcare?
May 1, 2019
Macrae C, Stewart K. Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039.
doi:10.1136/bmj.l1039.
https://psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
Principles from high-risk industries can be appli…
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psnet.ahrq.gov/node/837075/psn-pdf
May 11, 2022 - Lessons Learned from the COVID-19 Pandemic to
Improve Diagnosis. Proceedings of a Workshop–in Brief.
May 11, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2022.
https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedin…
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psnet.ahrq.gov/node/43640/psn-pdf
November 12, 2014 - Infection prevention in the emergency department.
November 12, 2014
Liang SY, Theodoro DL, Schuur JD, et al. Infection prevention in the emergency department. Ann Emerg
Med. 2014;64(3):299-313. doi:10.1016/j.annemergmed.2014.02.024.
https://psnet.ahrq.gov/issue/infection-prevention-emergency-department
Emergency c…
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psnet.ahrq.gov/node/44825/psn-pdf
January 01, 2019 - Does physician's training induce overconfidence that
hampers disclosing errors?
February 10, 2016
Brezis M, Orkin-Bedolach Y, Fink D, et al. Does Physician's Training Induce Overconfidence That Hampers
Disclosing Errors? J Patient Saf. 2019;15(4):296-298. doi:10.1097/PTS.0000000000000255.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/38143/psn-pdf
February 18, 2011 - A multidisciplinary teamwork training program: The Triad
for Optimal Patient Safety (TOPS) experience.
February 18, 2011
Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal
Patient Safety (TOPS) experience. J Gen Intern Med. 2008;23(12):2053-7. doi:10.1007/s116…
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psnet.ahrq.gov/node/42164/psn-pdf
July 03, 2014 - Change in intern calls at night after a work hour
restriction process change.
July 3, 2014
Spellberg B, Sue D, Chang D, et al. Change in intern calls at night after a work hour restriction process
change. JAMA Intern Med. 2013;173(8):707-9; discussion 663. doi:10.1001/jamainternmed.2013.2968.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/60949/psn-pdf
September 23, 2020 - Why accountability sharing in health care organizational
cultures means patients are probably safer.
September 23, 2020
Eng DM, Schweikart SJ. AMA J Ethics. 2020;22(9):e779-e783.
https://psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-
patients-are-probably
The recognitio…
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psnet.ahrq.gov/node/72852/psn-pdf
March 17, 2021 - Declaring uncertainty: using quality improvement
methods to change the conversation of diagnosis.
March 17, 2021
Ipsaro AJ, Patel SJ, Warner DC, et al. Declaring Uncertainty: Using Quality Improvement Methods to
Change the Conversation of Diagnosis. Hosp Pediatr. 2021;11(4):334-341. doi:10.1542/hpeds.2020-
000174.…
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psnet.ahrq.gov/node/41533/psn-pdf
July 18, 2012 - "Out of sight, out of mind": housestaff perceptions of
quality-limiting factors in discharge care at teaching
hospitals.
July 18, 2012
Greysen R, Schiliro D, Horwitz LI, et al. "Out of sight, out of mind": housestaff perceptions of quality-limiting
factors in discharge care at teaching hospitals. J Hosp Med. 2012;…
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psnet.ahrq.gov/node/45312/psn-pdf
July 27, 2016 - Perioperative safety: learning, not taking, from aviation.
July 27, 2016
Neuhaus C, Hofer S, Hofmann G, et al. Perioperative Safety: Learning, Not Taking, from Aviation. Anesth
Analg. 2016;122(6):2059-63. doi:10.1213/ANE.0000000000001315.
https://psnet.ahrq.gov/issue/perioperative-safety-learning-not-taking-aviatio…
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psnet.ahrq.gov/node/853058/psn-pdf
August 30, 2023 - Diagnostic reliability in teledermatology: a systematic
review and a meta-analysis.
August 30, 2023
Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review
and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-068207.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/46611/psn-pdf
January 01, 2021 - Sustaining teamwork behaviors through reinforcement of
TeamSTEPPS principles.
November 15, 2017
Lee S-H, Khanuja HS, Blanding RJ, et al. Sustaining Teamwork Behaviors Through Reinforcement of
TeamSTEPPS Principles. J Patient Saf. 2021;17(7):e582-e586. doi:10.1097/pts.0000000000000414.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/43579/psn-pdf
October 08, 2014 - Implications of Health Literacy for Public Health:
Workshop Summary.
October 8, 2014
Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health
Practice, Institute of Medicine. Washington, DC: National Academies Press; 2014. ISBN: 9780309303651.
https://psnet.ahrq.gov/issue…