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integrationacademy.ahrq.gov/sites/default/files/2020-12/Grantee%20Profile%20Virginia.pdf
January 01, 2020 - EvidenceNOW Managing Unhealthy Alcohol Use: Practice Facilitation to Promote Evidence-based Screening and Management of Unhealthy Alcohol Use in Primary Care
Virginia
Program Name:
Practice Facilitation to Promote
Evidence-based Screening and
Management of Unhealthy Alcohol
Use in Primary Care
Lead Organization:…
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datatools.ahrq.gov/hcupnet/glossary/
October 01, 2015 - member of the Council of Teaching Hospitals (COTH), or has a ratio of full-time equivalent interns and residents
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psnet.ahrq.gov/node/848823/psn-pdf
May 10, 2023 - Individual characteristics that promote or prevent
psychological safety and error reporting in healthcare: a
systematic review.
May 10, 2023
Wawersik DM, Boutin ER, Gore T, et al. Individual characteristics that promote or prevent psychological
safety and error reporting in healthcare: a systematic review. J Healt…
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psnet.ahrq.gov/node/46541/psn-pdf
January 31, 2018 - The 2017 ACGME common work hour standards:
promoting physician learning and professional
development in a safe, humane environment.
January 31, 2018
Burchiel KJ, Zetterman RK, Ludmerer KM, et al. The 2017 ACGME Common Work Hour Standards:
Promoting Physician Learning and Professional Development in a Safe, Humane …
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psnet.ahrq.gov/node/40254/psn-pdf
September 19, 2016 - Medical error: the second victim.
September 19, 2016
Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ.
2000;320(7237):726-727.
https://psnet.ahrq.gov/issue/medical-error-second-victim
This editorial coined the term "second victim" to describe clinicians who commit error…
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psnet.ahrq.gov/node/45244/psn-pdf
August 01, 2016 - Sleep science, schedules, and safety in hospitals:
challenges and solutions for pediatric providers.
August 1, 2016
Rosenbluth G, Landrigan CP. Sleep science, schedules, and safety in hospitals: challenges and solutions
for pediatric providers. Pediatr Clin North Am. 2012;59(6):1317-28. doi:10.1016/j.pcl.2012.09.00…
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psnet.ahrq.gov/node/73059/psn-pdf
March 25, 2021 - Relationships between comprehensive characteristics of
nurse work schedules and adverse patient outcomes: a
systematic literature review.
March 25, 2021
Bae S?H. Relationships between comprehensive characteristics of nurse work schedules and adverse
patient outcomes: a systematic literature review. J Clin Nurs. 20…
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psnet.ahrq.gov/node/865870/psn-pdf
May 15, 2024 - Leading quality and safety on the frontline - a case study
of department leaders in nursing homes.
May 15, 2024
Magerøy M, Braut GS, Macrae C, et al. Leading quality and safety on the frontline - a case study of
department leaders in nursing homes. J Healthc Leadersh. 2024;16:193-208. doi:10.2147/jhl.s454109.
http…
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psnet.ahrq.gov/node/39709/psn-pdf
September 20, 2011 - A systems approach to morbidity and mortality
conference.
September 20, 2011
Szostek JH, Wieland ML, Loertscher LL, et al. A systems approach to morbidity and mortality conference.
Am J Med. 2010;123(7):663-668. doi:10.1016/j.amjmed.2010.03.010.
https://psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality…
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psnet.ahrq.gov/node/43764/psn-pdf
July 03, 2016 - Redesigning rounds: towards a more purposeful
approach to inpatient teaching and learning.
July 3, 2016
Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to
inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097/ACM.0000000000000579.
https://psnet.ahr…
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psnet.ahrq.gov/node/47448/psn-pdf
October 10, 2018 - Ten principles for more conservative, care-full diagnosis.
October 10, 2018
Schiff G, Martin SA, Eidelman DH, et al. Ten Principles for More Conservative, Care-Full Diagnosis. Ann
Intern Med. 2018;169(9):643-645. doi:10.7326/M18-1468.
https://psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis…
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psnet.ahrq.gov/node/841141/psn-pdf
December 07, 2022 - Urgent referrals from primary care to dermatology for
lesions suspicious for skin cancer: patterns, outcomes,
and need for systems improvement.
December 7, 2022
Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions
suspicious for skin cancer: patterns, outcomes, and n…
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psnet.ahrq.gov/node/35872/psn-pdf
September 07, 2011 - Improving ambulatory prescribing safety with a handheld
decision support system: a randomized controlled trial.
September 7, 2011
Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision
support system: a randomized controlled trial. J Am Med Inform Assoc. 2006;13(2):17…
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psnet.ahrq.gov/node/37871/psn-pdf
January 06, 2017 - A controlled trial of a rapid response system in an
academic medical center.
January 6, 2017
Rothschild JM, Woolf S, Finn KM, et al. A controlled trial of a rapid response system in an academic
medical center. Jt Comm J Qual Patient Saf. 2008;34(7):417-25, 365.
https://psnet.ahrq.gov/issue/controlled-trial-rapid-r…
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psnet.ahrq.gov/node/45415/psn-pdf
June 25, 2018 - Association of overlapping surgery with patient outcomes
in a large series of neurosurgical cases.
June 25, 2018
Howard BM, Holland CM, Mehta C, et al. Association of Overlapping Surgery With Patient Outcomes in a
Large Series of Neurosurgical Cases. JAMA Surg. 2018;153(4):313-321. doi:10.1001/jamasurg.2017.4502.
…
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psnet.ahrq.gov/node/850346/psn-pdf
June 14, 2023 - The good, the bad, and the ugly: operative staff
perspectives of surgeon coping with intraoperative
errors.
June 14, 2023
D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of
surgeon coping with intraoperative errors. Surgery. 2023;174(2):222-228. doi:10.1016/j…
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psnet.ahrq.gov/node/46848/psn-pdf
October 13, 2018 - Identifying what is known about improving operating
room to intensive care handovers: a scoping review.
October 13, 2018
Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room
to Intensive Care Handovers: A Scoping Review. Am J Med Qual. 2018;33(5):540-548.
doi:10.1177…
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psnet.ahrq.gov/node/47587/psn-pdf
February 13, 2019 - Comfort with uncertainty: reframing our conceptions of
how clinicians navigate complex clinical situations.
February 13, 2019
Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians
navigate complex clinical situations. Adv Health Sci Edu: Theory Pract. 2019;24(4):…
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psnet.ahrq.gov/node/46256/psn-pdf
August 09, 2017 - What stage are low-income and middle-income countries
(LMICs) at with patient safety curriculum implementation
and what are the barriers to implementation? A two-stage
cross-sectional study.
August 9, 2017
Ginsburg LR, Dhingra-Kumar N, Donaldson LJ. What stage are low-income and middle-income countries
(LMICs) at…
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psnet.ahrq.gov/node/73676/psn-pdf
September 08, 2021 - Organizational readiness to change as a leverage point
for improving safety: a national nursing home survey.
September 8, 2021
Quach ED, Kazis LE, Zhao S, et al. Organizational readiness to change as a leverage point for improving
safety: a national nursing home survey. BMC Health Serv Res. 2021;21(1):842. doi:10.1…