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  1. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/emery-j-et-al-2007
    January 01, 2007 - Emery J et al. 2007 "The GRAIDS trial: a cluster randomised controlled trial of computer decision support for the management of familial cancer risk in primary care." Reference Emery J, Morris H, Goodchild R, et al. The GRAIDS trial: a cluster randomised controlled trial of computer decision support f…
  2. psnet.ahrq.gov/issue/high-reliability-organization-framework-health-care-multiyear-implementation-strategy-and
    November 17, 2021 - Study A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. Citation Text: Sculli GL, Pendley-Louis R, Neily J, et al. A high-reliability organization framework for health care: a multiyear implementation strategy and asso…
  3. psnet.ahrq.gov/issue/inpatient-telemedicine-and-new-models-care-during-covid-19-hospital-design-strategies-enhance
    August 18, 2021 - Study Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety. Citation Text: Pilosof NP, Barrett M, Oborn E, et al. Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance …
  4. www.ahrq.gov/ncepcr/reports/grants-impact/model-summary.html
    February 01, 2017 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Table 1. Summary of Model State Initiatives Previous Page   Table of Contents AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report Introduction Metho…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
    March 23, 2008 - Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine …
  6. digital.ahrq.gov/sites/default/files/docs/publication/PreventiveCareHandbook_062912comp.pdf
    June 01, 2012 - An Interactive Preventive Care Record c An Interactive Preventive Care Record Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov A Handbook for Using Patient-Centered Personal Health Records To Promote Prevention HEALTH IT An Interactive Preventive Care Record …
  7. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
    January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I SURVEYS ON PATIENT SAFETY CULTURE Nursing Home Survey: 2023 User Database Report Surveys on Patient Safety Culture™ PATIENT SAFETY [This page intentionally left blank] Surveys on Patient Safety CultureTM (SOPS®)…
  8. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
    January 01, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report Part II Appendix A—Overall Results by Community Pharmacy Characteristics Appendix B—Overall Results by Respondent Characteristics Prepared for: Agency fo…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35327/psn-pdf
    March 15, 2017 - Common Program Requirements. The Learning and Working Environment (Duty Hours). March 15, 2017 Accreditation Council for Graduate Medical Education. https://psnet.ahrq.gov/issue/common-program-requirements-learning-and-working-environment-duty-hours This website provides information about efforts to study and set …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48106/psn-pdf
    July 24, 2019 - Teamwork Toolkit. July 24, 2019 Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019. https://psnet.ahrq.gov/issue/teamwork-toolkit Improving teamwork and communication is a continued focus in the hospital setting. This toolkit is designed to help organizations create a culture that embeds teamwork…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845655/psn-pdf
    March 08, 2023 - Crisis in the Lakeshore Hospital ER. March 8, 2023 Derfel A. Montreal Gazette. February 24- March 1, 2023 https://psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er Emergency room failures are often rooted in system weaknesses. This series examines six patient deaths associated with emergency care that, w…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44467/psn-pdf
    February 20, 2016 - The underappreciated role of habit in highly reliable healthcare. February 20, 2016 Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf. 2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512. https://psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-health…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42511/psn-pdf
    February 06, 2014 - Ending disruptive behavior: staff nurse recommendations to nurse educators. February 6, 2014 Lux KM, Hutcheson JB, Peden AR. Ending disruptive behavior: staff nurse recommendations to nurse educators. Nurse Educ Pract. 2014;14(1):37-42. doi:10.1016/j.nepr.2013.06.014. https://psnet.ahrq.gov/issue/ending-disruptive…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42057/psn-pdf
    February 20, 2013 - Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. February 20, 2013 Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for acc…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72611/psn-pdf
    December 23, 2020 - Improving Diagnosis in Medicine Act of 2020. December 23, 2020 116th Congress 2d session. December 10, 2020. https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020 The strengthening of diagnostic error research and processes can strategically ensure lasting diagnostic improvement. The ‘‘Improving Diagn…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836787/psn-pdf
    December 01, 2021 - The second victim: a contested term? December 1, 2021 Tumelty M-E. The second victim: a contested term? J Patient Saf. 2021;17(8):e1488-e1493. doi:10.1097/pts.0000000000000558. https://psnet.ahrq.gov/issue/second-victim-contested-term There has been some controversy around the term ‘second victim.’ Based on qualit…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38823/psn-pdf
    July 29, 2009 - Attending physician work hours: ethical considerations and the last doctor standing. July 29, 2009 Mercurio MR, Peterec SM. Attending physician work hours: ethical considerations and the last doctor standing. Pediatrics. 2009;124(2):758-62. doi:10.1542/peds.2008-2953. https://psnet.ahrq.gov/issue/attending-physici…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44510/psn-pdf
    October 08, 2016 - Wisdom in medicine: what helps physicians after a medical error? October 8, 2016 Plews-Ogan M, May NB, Owens J, et al. Wisdom in Medicine. Academic Medicine. 2015;91(2). doi:10.1097/acm.0000000000000886. https://psnet.ahrq.gov/issue/wisdom-medicine-what-helps-physicians-after-medical-error This interview study wi…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43562/psn-pdf
    September 24, 2014 - What's that sound? Managing alarm fatigue. September 24, 2014 George TP, Martin V. What?s that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!. 2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f. https://psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue Alarm fatigue has been described as a cont…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35116/psn-pdf
    April 06, 2011 - Crises in clinical care: an approach to management. April 6, 2011 Runciman WB. Crises in clinical care: an approach to management. Quality and Safety in Health Care. 2005;14(3). doi:10.1136/qshc.2004.012856. https://psnet.ahrq.gov/issue/crises-clinical-care-approach-management This commentary discusses the many fa…