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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34961/psn-pdf
    June 22, 2009 - Improving hospital performance: culture change is not the answer. June 22, 2009 Leggat SG, Dwyer J. Improving hospital performance: culture change is not the answer. Healthc Q. 2005;8(2):60-6. https://psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer The authors suggest that people man…
  2. cds.ahrq.gov/sites/default/files/cds/artifact/476/CDS%20Connect%20Pilot%20Site%20Training%20Plan_Final_0.docx
    July 23, 2024 - . · Clinical Champions will be identified in advance of the training but trained with the rest of the
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
    January 29, 2008 - Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety Thomas R. Cunningham, MS, and E. Scott Geller, PhD Abstract Medical errors continue t…
  4. psnet.ahrq.gov/issue/quality-care-and-quality-life-balancing-patient-safety-and-physician-burnout
    September 27, 2023 - Commentary Quality of care and quality of life: balancing patient safety and physician burnout. Citation Text: Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000…
  5. psnet.ahrq.gov/issue/how-prevalent-are-hazardous-attitudes-among-orthopaedic-surgeons
    March 14, 2018 - Study How prevalent are hazardous attitudes among orthopaedic surgeons? Citation Text: Bruinsma WE, Becker SJE, Guitton TG, et al. How prevalent are hazardous attitudes among orthopaedic surgeons? Clin Orthop Relat Res. 2015;473(5):1582-9. doi:10.1007/s11999-014-3966-2. Copy Citation …
  6. psnet.ahrq.gov/issue/perspective-malpractice-academic-medical-center-frequently-overlooked-aspect-professionalism
    April 03, 2024 - Commentary Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Citation Text: Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionali…
  7. www.ahrq.gov/es/tools/index.html?page=2
    January 01, 2018 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More The SHARE Approach Five-step process for clinicians and their patients More EvidenceNOW Tools for Change Helping practices implement evidence More Tools The …
  8. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
    June 01, 2017 - Management Practices for Sustainability Module 5: Visual Management Slide 1: Management Practices for Sustainability Module 5: Visual Management Management Practices for Sustainability Module 5: Visual Management Slide 2: A Frontline Management System To Promote Safety Standard Work Image: This imag…
  9. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
    August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix B Gap Analysis Structured Interview Questions The Gap Analysis Structured Interview Questions allow the facilitator to lead participants through a set of questions designed to elicit participant views on a variety of key policies and practices. Leadership and Cul…
  10. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix I Glossary Adverse safety event: a deviation from generally accepted performance standards that reaches the patient and results in moderate to severe harm or death. Anchoring bias:   the tendency to make all information fit into a preconceived story, causing…
  11. www.ahrq.gov/es/patient-safety/settings/hospital/match/intro.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Building the Project Founda…
  12. www.ahrq.gov/news/blog/ahrqviews/voice-of-women.html
    May 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders Working Together to Tackle Inequities—Centering the Voices of Women MAY 13 2024 By Kamila B. Mistry, Ph.D., M.P.H., Emily M. Chew, M.P.H., and Kisha I. Coa, Ph.D., M.P.H. Kamila B. Mistry, Ph.D., M.P.H. The theme for this year'…
  13. www.ahrq.gov/funding/grantee-profiles/grtprofile-grigoryan.html
    November 01, 2024 - Grantee Profile Investigating Interventions to Reduce Unsafe Use of Antibiotics Larissa Grigoryan, M.D., Ph.D. Associate Professor of Family and Community Medicine Baylor College of Medicine Larissa Grigoryan, M.D., Ph.D. “It is wonderful that the Agency for Healthcare Research and Quality offers funding fo…
  14. www.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
    March 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List MAR 12 2024 By Robert Otto Valdez, Ph.D., M.H.S.A., and Stephen Raab, M.D. As we celebrate Patient Safety Awareness Week 2024 , AHRQ again places particular em…
  15. www.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
    October 01, 2018 - Research Centers for Excellence in Clinical Preventive Services AHRQ has funded three Research Centers for Excellence in Clinical Preventive Services focusing on the delivery of preventive services in the clinical setting. Each center is conducting three research projects seeking solutions to the problems of un…
  16. www.ahrq.gov/patient-safety/settings/hospital/match/intro.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Introduction Chapter 1. Building the Project Founda…
  17. www.ahrq.gov/sdm/research/index.html
    May 01, 2023 - Research in Shared Decision Making Frameworks and Models in Shared Decision Making Several frameworks and models of shared decision making (SDM) have been developed to describe the essential elements and core processes of SDM and how they can be achieved in clinical practice. Below we cite three commonly used…
  18. psnet.ahrq.gov/issue/getting-board-board-engaging-hospital-boards-quality-and-patient-safety
    November 23, 2016 - Study Getting the board on board: engaging hospital boards in quality and patient safety. Citation Text: Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/misleading-one-detail-preventable-mode-diagnostic-error
    February 10, 2016 - Study Misleading one detail: a preventable mode of diagnostic error? Citation Text: Arzy S, Brezis M, Khoury S, et al. Misleading one detail: a preventable mode of diagnostic error? J Eval Clin Pract. 2009;15(5):804-6. doi:10.1111/j.1365-2753.2008.01098.x. Copy Citation Format: …
  20. psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication-ambulatory-oncology
    August 25, 2021 - Study Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. Citation Text: Fauer AJ. Influences of physical layout and space on patient safety and communication in ambulatory oncology practic…