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psnet.ahrq.gov/issue/associations-between-attending-physician-workload-teaching-effectiveness-and-patient-safety
July 02, 2014 - Study
Associations between attending physician workload, teaching effectiveness, and patient safety.
Citation Text:
Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:…
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psnet.ahrq.gov/issue/e-delphi-study-obtain-expert-consensus-level-risk-associated-preventable-e-prescribing-events
January 19, 2022 - Study
An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing events.
Citation Text:
Heed J, Klein S, Slee A, et al. An e‐Delphi study to obtain expert consensus on the level of risk associated with preventable e‐prescribing events. Br…
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psnet.ahrq.gov/issue/examination-impact-after-hours-admissions-hospital-resource-use-patient-outcomes-and-costs
November 30, 2022 - Study
Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs.
Citation Text:
Skead C, Thompson LH, Kuk H, et al. Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. Crit Care Res Pract. 2022…
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psnet.ahrq.gov/issue/resident-duty-hours-surgery-ensuring-patient-safety-providing-optimum-resident-education-and
August 26, 2011 - Commentary
Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision…
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psnet.ahrq.gov/issue/association-residency-work-hour-reform-long-term-quality-and-costs-care-us-physicians
June 21, 2016 - Study
Association of residency work hour reform with long term quality and costs of care of US physicians: observational study.
Citation Text:
Jena AB, Farid M, Blumenthal D, et al. Association of residency work hour reform with long term quality and costs of care of US physicians: obser…
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psnet.ahrq.gov/issue/identifying-and-prioritizing-educational-content-malpractice-claims-database-clinical
September 20, 2023 - Study
Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners.
Citation Text:
van Sassen CGM, van den Berg PJ, Mamede S, et al. Identifying and prioritizing educational conten…
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psnet.ahrq.gov/issue/home-health-agency-patient-experience-measures-and-their-relationship-joint-commission
July 10, 2024 - Study
Home health agency patient experience measures and their relationship to Joint Commission accreditation.
Citation Text:
Longo BA, Schmaltz SP, Barrett SC, et al. Home health agency patient experience measures and their relationship to Joint Commission accreditation. Jt Comm J Qual …
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psnet.ahrq.gov/issue/pediatric-musculoskeletal-radiographs-anatomy-and-fractures-prone-diagnostic-error-among
March 24, 2021 - Study
Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.
Citation Text:
Li W, Stimec J, Camp M, et al. Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians. J Emer…
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psnet.ahrq.gov/issue/clinical-predictors-unsafe-direct-discharge-home-patients-intensive-care-units
January 12, 2011 - Study
Clinical predictors for unsafe direct discharge home patients from intensive care units.
Citation Text:
Lau VI, Priestap FA, Lam JNH, et al. Clinical predictors for unsafe direct discharge home patients from intensive care units. J Intensive Care Med. 2020;35(10):1067-1073. doi:10.…
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psnet.ahrq.gov/issue/continuing-education-patient-safety-massive-open-online-courses-new-training-tool
September 01, 2021 - Study
Continuing education in patient safety: massive open online courses as a new training tool.
Citation Text:
Sarabia-Cobo CM, Torres-Manrique B, Ortego-Mate MC, et al. Continuing Education in Patient Safety: Massive Open Online Courses as a New Training Tool. J Contin Educ Nurs. 2015…
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psnet.ahrq.gov/issue/mhealth-design-promote-medication-safety-children-medical-complexity
July 14, 2010 - Study
An mHealth design to promote medication safety in children with medical complexity.
Citation Text:
Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000…
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psnet.ahrq.gov/issue/providing-good-and-comfortable-care-building-bond-trust-nurses-views-regarding-their-role
February 14, 2024 - Study
'Providing good and comfortable care by building a bond of trust': nurses views regarding their role in patients' perception of safety in the intensive care unit.
Citation Text:
Wassenaar A, van den Boogaard M, van der Hooft T, et al. 'Providing good and comfortable care by buildin…
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psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery
August 02, 2015 - Study
Safety culture and complications after bariatric surgery.
Citation Text:
Birkmeyer NJO, Finks JF, Greenberg CK, et al. Safety culture and complications after bariatric surgery. Ann Surg. 2013;257(2):260-5. doi:10.1097/SLA.0b013e31826c0085.
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psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
January 29, 2018 - Study
Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy.
Citation Text:
Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report analysis using a newly…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-topic-refinement.pdf
November 01, 2022 - Perceived need to add “resources
and skills,” as both will contribute
to success. … The study is sponsored by
investigators with the resources
and skills to complete it
successfully. … The study is conducted by
investigators with the resources
and skills to complete it
successfully. … The study is sponsored by investigators with the
resources and skills to complete it successfully. … The study is conducted by investigators with the resources and
skills to complete it successfully.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
November 01, 2014 - This change enabled the frontline manager to more fully use his skills to manage walk-in patients. … Culture change, employee satisfaction, and increased Lean knowledge and skills were solely reported by … Lean Knowledge and Skills
Although a number of tools, concepts, and techniques were introduced to the … staff during Lean training, only the BDO and one manager mentioned increased knowledge or skills as … One executive stated, "Employee morale and leadership skills develop every time we do one of these rapid
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ced-topic-refinement.pdf
November 01, 2022 - Perceived need to add “resources
and skills,” as both will contribute
to success. … The study is sponsored by
investigators with the resources
and skills to complete it
successfully. … The study is conducted by
investigators with the resources
and skills to complete it
successfully. … The study is sponsored by investigators with the
resources and skills to complete it successfully.
1.9 … The study is conducted by investigators with the
resources and skills to complete it successfully.
9
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/guide-staffing-during-COVID19.pdf
June 02, 2025 - Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders
Staffing During the COVID-19 Pandemic:
A Guide for Nursing Home Leaders
Introduction
This resource guide was written by and for directors of nursing, administrators, and other nursing home
leaders. It outlines steps to reduce or elimi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects Tool
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is a Defect?
A defect is any clinical or operational event or situation that you would not want to happen again. This could include incidents…
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www.ahrq.gov/talkingquality/resources/cognitive/index.html
September 01, 2019 - Conducting Cognitive Testing for Health Care Quality Reports
One of the most useful techniques available to report sponsors who want to test materials with their audience is cognitive testing. Cognitive testing is an interview method for investigating the thought processes and reactions that people have as they…