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psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events
February 11, 2015 - Study
Is physician mentorship associated with the occurrence of adverse patient safety events?
Citation Text:
Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097…
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psnet.ahrq.gov/issue/do-you-have-re-examine-reconsider-your-diagnosis-checklists-and-cardiac-exam
February 06, 2014 - Study
Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam.
Citation Text:
Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/031-hand-hygiene-monitoring.docx
October 01, 2024 - Direct Observation: Covert1-4
Incorporates unknown or undercover (“secret shopper”) observers to facilitate accurate data collection
Advantages
Disadvantages
· Minimizes the Hawthorne effect—the observer’s effect on the behavior being observed
· Identifies trends and barriers to adherence
· Includes possibility t…
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psnet.ahrq.gov/issue/wellbeing-burnout-and-safe-practice-among-healthcare-professionals-predictive-influences
December 01, 2011 - Study
Wellbeing, burnout, and safe practice among healthcare professionals: predictive influences of mindfulness, values, and self-compassion.
Citation Text:
Prudenzi A, D. Graham C, Flaxman PE, et al. Wellbeing, burnout, and safe practice among healthcare professionals: predictive influ…
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psnet.ahrq.gov/issue/impact-performance-and-information-feedback-medical-interns-confidence-accuracy-calibration
September 14, 2022 - Study
Impact of performance and information feedback on medical interns' confidence-accuracy calibration.
Citation Text:
Staal J, Katarya K, Speelman M, et al. Impact of performance and information feedback on medical interns' confidence–accuracy calibration. Adv Health Sci Educ Theory P…
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psnet.ahrq.gov/issue/value-adding-verbal-report-written-handoffs-early-readmission-following-prolonged-respiratory
July 19, 2023 - Study
The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure.
Citation Text:
Hess DR, Tokarczyk A, O'Malley M, et al. The value of adding a verbal report to written handoffs on early readmission following prolonged respira…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide.html
May 01, 2017 - Implementation Guide
The Implementation Guide discusses the importance of using the safe surgery checklist as a teamwork and communication tool to improve patient safety.
Implementation Guide ( PDF , 441 KB; Text Version )
Appendixes
Appendix A. Facility Spreadsheet for One-on-One Conversations ( Word …
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psnet.ahrq.gov/issue/about-politeness-face-and-feedback-exploring-resident-and-faculty-perceptions-how
June 03, 2020 - Study
Emerging Classic
About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices.
Citation Text:
Ramani S, Könings KD, Mann K, et al. About Politeness, Face, and Feedback:…
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear
October 26, 2010 - Study
Classic
Disclosing medical errors to patients: it's not what you say, it's what they hear.
Citation Text:
Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med. 2009;24(9):1…
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psnet.ahrq.gov/issue/contemporary-medicolegal-analysis-outpatient-medication-management-chronic-pain
September 28, 2017 - Study
A contemporary medicolegal analysis of outpatient medication management in chronic pain.
Citation Text:
Abrecht CR, Brovman EY, Greenberg P, et al. A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain. Anesth Analg. 2017;125(5):1761-1768. doi:10.1…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/twomorees-slides/Two-More-Es-and-How-to-Spread-Dec-13-2011-508.ppt
January 01, 2011 - Project Report - Lean Sigma
Two More E’s and How to Spread
Learning Objectives
To think ahead about ways to make your investment of time and improvements in BSI rates last forever
To make sure all patients in your institution have access to the same level of safety in their care
Implementation Framework
Al…
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psnet.ahrq.gov/issue/residents-perspectives-acgme-regulation-supervision-and-duty-hours-national-survey
December 02, 2014 - Study
Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey.
Citation Text:
Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. N Engl J Med. 2010;363(23):e34. doi:10.105…
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psnet.ahrq.gov/issue/promising-practices-improving-hospital-patient-safety-culture
December 09, 2020 - Study
Classic
Promising practices for improving hospital patient safety culture.
Citation Text:
Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.00…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb2txt.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B2: Tracking Record for Improving Patient Safety TRIPS (Text Description)
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
C…
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psnet.ahrq.gov/issue/what-do-healthcare-staff-think-about-quality-and-safety-care-provided-children-and-young
February 07, 2024 - Study
What do healthcare staff think about the quality and safety of care provided to children and young people with an intellectual disability? A qualitative study using the framework method of analysis.
Citation Text:
Ong N, Lucien A, Long JC, et al. What do healthcare staff think abou…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb8txt.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B27: Living Space Inspection
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh8-10.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 8 to 10
Previous Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter 2. Determ…
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psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient
January 17, 2019 - Study
Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy.
Citation Text:
Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):…
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psnet.ahrq.gov/issue/interventions-promoting-employee-speaking-within-healthcare-workplaces-systematic-narrative
May 19, 2021 - Review
Classic
Interventions promoting employee "speaking-up" within healthcare workplaces: a systematic narrative review of the international literature.
Citation Text:
Jones A, Blake J, Adams M, et al. Interventions promoting employee “speaking-up” within heal…
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psnet.ahrq.gov/issue/doing-detective-work-find-cancer-how-are-non-specific-symptom-pathways-cancer-investigation
April 05, 2023 - Commentary
Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach.
Citation Text:
Black GB, Nicholson BD, Moreland J-A, et al. Doing …