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7941. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
      August 01, 2022 - Event Investigation and Analysis Guide: Appendix D CANDOR Tool PROCESS QUESTIONS TO REVIEW Y/N CONTRIBUTING OR CAUSAL FACTOR Y/N FINDINGS / COMMENTS COMMUNICATION Did all caregivers have access to all pertinent information needed to make the best decisions for the patient? (e.g.,…

7942. Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. | PSNet
      psnet.ahrq.gov/issue/quality-indicators-implementation-safety-promotion-towards-valid-and-reliable-global
      February 03, 2010 - Study Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. Citation Text: Timpka T, Nordqvist C, Festin K, et al. Quality indicators for implementation of safety promotion: towards valid and reliable global cert…

7943. Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. | PSNet
      psnet.ahrq.gov/issue/simulator-based-crew-resource-management-training-interhospital-transfer-critically-ill
      February 14, 2024 - Study Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. Citation Text: Droogh JM, Kruger HL, Ligtenberg JJM, et al. Simulator-Based Crew Resource Management Training for Interhospital Transfer of Critically Ill Pati…

7944. Measuring and managing quality of surgery. Statistical vs incidental approaches. | PSNet
      psnet.ahrq.gov/issue/measuring-and-managing-quality-surgery-statistical-vs-incidental-approaches
      August 04, 2021 - Commentary Classic Measuring and managing quality of surgery. Statistical vs incidental approaches. Citation Text: McGuire HH, Horsley JS, Salter DR, et al. Measuring and managing quality of surgery. Statistical vs incidental approaches. Arch Surg. 1992;127(6):7…

7945. Hand Hygiene in the Perioperative Setting | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/surgery/perioperative-hand-hygiene.html
      April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI Hand Hygiene in the Perioperative Setting 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 The Evidence for MRSA Decolonization Nas…

7946. Perceptions of safety culture vary across the intensive care units of a single institution. | PSNet
      psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
      June 27, 2011 - Study Classic Perceptions of safety culture vary across the intensive care units of a single institution. Citation Text: Huang DT, Clermont G, Sexton B, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Car…

7947. Disciplinary action by medical boards and prior behavior in medical schools. | PSNet
      psnet.ahrq.gov/issue/disciplinary-action-medical-boards-and-prior-behavior-medical-schools
      October 19, 2022 - Study Classic Disciplinary action by medical boards and prior behavior in medical schools. Citation Text: Papadakis MA, Teherani A, Banach MA, et al. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med. 2005;353(25):2673-82…

7948. Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. | PSNet
      psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative
      December 16, 2015 - Study Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. Citation Text: Mossburg SE, Weaver SJ, Pillari MS, et al. Manifestations of High-Reliability Principles on Hospital Units With Varying Safety Profiles: A Qualitativ…

7949. The role of theory in research to develop and evaluate the implementation of patient safety practices. | PSNet
      psnet.ahrq.gov/issue/role-theory-research-develop-and-evaluate-implementation-patient-safety-practices
      September 20, 2011 - Commentary The role of theory in research to develop and evaluate the implementation of patient safety practices. Citation Text: Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …

7950. Safety of surgical telehealth in the outpatient and inpatient setting. | PSNet
      psnet.ahrq.gov/issue/safety-surgical-telehealth-outpatient-and-inpatient-setting
      September 13, 2023 - Review Safety of surgical telehealth in the outpatient and inpatient setting. Citation Text: Purnell S, Zheng F. Safety of Surgical Telehealth in the Outpatient and Inpatient Setting. Surg Clin North Am. 2020;101(1):109-119. doi:10.1016/j.suc.2020.09.003. Copy Citation Format: …

7951. Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. | PSNet
      psnet.ahrq.gov/issue/measuring-team-hierarchy-during-high-stakes-clinical-decision-making-development-and
      April 05, 2023 - Study Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. Citation Text: Johansson AC, Manago B, Sell J, et al. Measuring team hierarchy during high-stakes clinical decision making: development and valid…

7952. The impact of independent chemotherapy prescribing by advanced practice providers on patient safety and clinician satisfaction. | PSNet
      psnet.ahrq.gov/issue/impact-independent-chemotherapy-prescribing-advanced-practice-providers-patient-safety-and
      November 16, 2022 - Study The impact of independent chemotherapy prescribing by advanced practice providers on patient safety and clinician satisfaction. Citation Text: LeStrange N, Walton AM, Watson JL, et al. The impact of independent chemotherapy prescribing by advanced practice providers on patient safe…

7953. Sources of nurse-sensitive inpatient safety improvement. | PSNet
      psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
      July 07, 2021 - Study Sources of nurse-sensitive inpatient safety improvement. Citation Text: Dynan L, Smith RB. Sources of nurse‐sensitive inpatient safety improvement. Health Serv Res. 2022;57(6):1235-1246. doi:10.1111/1475-6773.13979. Copy Citation Format: DOI Google Scholar BibTeX EndN…

7954. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/interprofessional-model-speaking-behaviour-healthcare-professionals-qualitative-study
      December 21, 2017 - Study Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. Citation Text: Umoren R, Kim S, Gray MM, et al. Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. BMJ Lead. 2022;6(1):15-19. doi:10.11…

7955. Utah | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/utah
      January 01, 2023 - Utah Project Overview | Data and Functionality | Technical Design and Architecture   Project Overview The Utah Health Information Network (UHIN) is a broad-based coalition of health care insurers, providers, and other interested parties, including State government. UHIN participant…

7956. Location-Release (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/location-release.docx
      July 01, 2024 - AHRQ Publishing and Communications Guidelines Location Release Form for Video Shoots Instructions This Location Release Form must be completed by the location’s administrative authority (herein called “Administrator”) to verify permission to conduct video recording at a particular location. It does not apply to recordi…

7957. The problem with root cause analysis. | PSNet
      psnet.ahrq.gov/issue/problem-root-cause-analysis
      August 28, 2024 - Commentary The problem with root cause analysis. Citation Text: Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-422. doi:10.1136/bmjqs-2016-005511. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

7958. Hospital safety climate and safety outcomes: is there a relationship in the VA? | PSNet
      psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
      October 14, 2009 - Study Hospital safety climate and safety outcomes: is there a relationship in the VA? Citation Text: Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703. …

7959. Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up. | PSNet
      psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-influence-safety-management-approaches-and-climate
      August 12, 2020 - Study Classic Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up. Citation Text: Alingh CW, van Wijngaarden JDH, van de Voorde K, et al. Speaking up about patient safety concern…

7960. Ps-Privacy-Factsheet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-privacy-factSheet.pdf
      October 01, 2021 - Privacy, Security, Confidentiality, and Privilege Considerations for Patient Safety and Quality Improvement Activities Before you begin, check with the appropriate point of contact in your organization to: Confirm that all participants in the improvement activity are authorized to access and use patient informa…