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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…
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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
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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…
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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…
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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.
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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…
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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 …
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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…
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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…
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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…
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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…
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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'…
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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…
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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…
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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…
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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…
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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…
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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.
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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.
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Format:
…
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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…