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www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
January 01, 2024 - less “negative” – concern patients may see this as an ask to complain
Concern that WWTK is “another thing … to do”, “another thing to document” – not enough time, not clear value to providers
Areas Where Mixed
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 - Note
that situation awareness is not a static "thing" or concept. … The purpose of this exercise is to showcase how each of us can look at the same thing and
sometimes
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psnet.ahrq.gov/node/74078/psn-pdf
November 17, 2021 - Safety learning among young newly employed workers in
three sectors: a challenge to the assumed order of things.
November 17, 2021
Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three
sectors: a challenge to the assumed order of things. Safety Sci. 2021;143:105417.
…
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psnet.ahrq.gov/node/838222/psn-pdf
September 28, 2022 - For example, I have ordered the wrong test because I typed in the wrong thing.
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psnet.ahrq.gov/issue/some-health-workers-suffering-addiction-steal-drugs-meant-patients
October 28, 2020 - Audiovisual
Some health workers suffering from addiction steal drugs meant for patients.
Citation Text:
Some health workers suffering from addiction steal drugs meant for patients. Mann B. All Things Considered. National Public Radio. October 5, 2020.
Copy Citation
…
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psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
October 21, 2020 - Audiovisual
Doctors' unconscious bias affects quality of health care services, research shows.
Citation Text:
Doctors' unconscious bias affects quality of health care services, research shows. Dembosky A. All Things Considered. National Public Radio. October 15, 2020.
Copy Cita…
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psnet.ahrq.gov/sites/default/files/2021-09/Battle%20buddies%20tip%20sheet%20(1).pdf
January 01, 2021 - I have a Battle Buddy – Now What?
Battle Buddies are not just for battle.
It’s critical to start connecting with your Battle Buddy now - before
things get really stressful.
It’s like training prior to a marathon.
Brief conversations now will strengthen your individual and team
resilience and ensure o…
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integrationacademy.ahrq.gov/sites/default/files/2020-07/neil_korsen.docx
January 01, 2020 - Translating Research Evidence to Daily Practice for Behavioral Health and Primary Care
Neil Korsen Transcript AHRQ Academy Video
My work for Maine health involves translating research evidence into daily practice. And one of the key things in doing that work is that you have to pay attention to the details and help pe…
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psnet.ahrq.gov/node/45525/psn-pdf
November 18, 2016 - In support of the medical apology: the nonlegal
arguments.
November 18, 2016
Heaton HA, Campbell RL, Thompson KM, et al. In Support of the Medical Apology: The Nonlegal
Arguments. J Emerg Med. 2016;51(5):605-609. doi:10.1016/j.jemermed.2016.06.048.
https://psnet.ahrq.gov/issue/support-medical-apology-nonlegal-argu…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/4-approach-qi-process/cahps-section-4-ways-to-approach-qi-process.pdf
May 17, 2017 - approach and methods, a basic underlying principle is that
QI is a continuous activity, not a one-time thing
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021290-agha-final-report-2017.pdf
January 01, 2017 - assumed to be a shared
awareness of the patient’s situation. “ I try not to because that's one more thing … Because I have GUI mail we have view alerts, we have secure messaging and the Lync is another thing. … You know, it could be a
call center, it could be anybody and that's another thing to my stuff. … “ Because I have GUI mail we have view alerts, we have secure messaging and the Lync is another
thing
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - That was one thing that contributed to the calls in the mid to late 1990s for more study of patient safety
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integrationacademy.ahrq.gov/sites/default/files/2020-07/GAD-7.pdf
January 01, 2020 - Generalized Anxiety Disorder scale, GAD-7; 7 items
Generalized Anxiety Disorder 7-item (GAD-7) scale
Over the last 2 weeks, how often have you been Not at Several Over half Nearly
bothered by the following problems? all sure days the days every day
1. Feeling nervous, anxious, or on edge 0 1 2 3
2…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018811-krist-final-report-2012.pdf
January 01, 2012 - “I have some patients who I see every 3-6 months for chronic stuff and you never
thing about it [prevention … Hurray,
hurray this is an awesome thing and then it fails. So the trust isn’t there.” … [Office Manager]
“The main thing that, even myself, I’m cautious about is the workflow itself.” … So it’s an educational thing and it’s a training thing.”
[Nurse]
Table 15c.
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psnet.ahrq.gov/node/33622/psn-pdf
November 01, 2005 - perfect evidence vs. a more commonsensical approach that promotes practices that
seem like the right thing
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psnet.ahrq.gov/node/44483/psn-pdf
September 09, 2015 - Learning Not Blaming.
September 9, 2015
Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN:
9781474123716.
https://psnet.ahrq.gov/issue/learning-not-blaming
The National Health Service (NHS) has a history of sharing analyses of problems in its system. This
publication contain…
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psnet.ahrq.gov/node/37903/psn-pdf
May 09, 2013 - Safe Surgery.
May 9, 2013
World Health Organization.
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
This initiative provides a surgical safety checklist and related educational and training materials building on
the Second Global Patient Safety Challenge vision to enco…
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - That was one thing that contributed to the calls in the mid to late 1990s for more study of patient safety
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psnet.ahrq.gov/node/33740/psn-pdf
November 01, 2012 - It just is a pro forma
thing.
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psnet.ahrq.gov/node/37292/psn-pdf
May 24, 2015 - Guilty, afraid, and alone — struggling with medical error.
May 24, 2015
Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med.
2007;357(17):1682-3.
https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
Disclosure of medical errors remains an important a…