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psnet.ahrq.gov/node/44750/psn-pdf
January 06, 2016 - Simulation in the executive suite: lessons learned for
building patient safety leadership.
January 6, 2016
Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building
Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377.
https://psnet.ahrq.gov/issue/simulation-exe…
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psnet.ahrq.gov/node/46250/psn-pdf
July 26, 2017 - Surgical residents' work hours and well-being in year 2 of
the FIRST trial.
July 26, 2017
Dahlke AR, Quinn CM, Chung JW, et al. Surgical Residents' Work Hours and Well-Being in Year 2 of the
FIRST Trial. New Engl J Med. 2017;377(2):192-194. doi:10.1056/NEJMc1703812.
https://psnet.ahrq.gov/issue/surgical-residents-…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-15.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.15. Major Factors that Inhibited Lean Success at Central
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healt…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-9.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.9. Lean Project Activities
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospit…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
July 01, 2023 - CEO/Senior Leader Checklist
AHRQ Safety Program for Perinatal Care
Who should use this tool: Senior leaders
Checklist Items
Leader Responsible
Date Initiated
1. Ensure all current and new employees receive Science of Safety training.
2. Assign a senior executive (C…
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psnet.ahrq.gov/node/72709/psn-pdf
February 03, 2021 - COVID-19 hospital outbreaks: protecting healthcare
workers to protect frail patients. An Italian observational
cohort study.
February 3, 2021
Vimercati L, De Maria L, Quarato M, et al. COVID-19 hospital outbreaks: Protecting healthcare workers to
protect frail patients. An Italian observational cohort study. Int J…
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psnet.ahrq.gov/node/847544/psn-pdf
April 12, 2023 - A nationwide study of the "July Effect" concerning
postpartum hemorrhage and its risk factors at teaching
hospitals across the United States.
April 12, 2023
Shahin Z, Shah GH, Apenteng BA, et al. A nationwide study of the "July Effect" concerning postpartum
hemorrhage and its risk factors at teaching hospitals acr…
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psnet.ahrq.gov/node/48187/psn-pdf
August 21, 2019 - How medical error shapes physicians' perceptions of
learning: an exploratory study.
August 21, 2019
Shepherd L, LaDonna KA, Cristancho SM, et al. How Medical Error Shapes Physicians' Perceptions of
Learning: An Exploratory Study. Acad Med. 2019;94(8):1157-1163. doi:10.1097/ACM.0000000000002752.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/44812/psn-pdf
February 15, 2017 - Combining systems and teamwork approaches to
enhance the effectiveness of safety improvement
interventions in surgery: the Safer Delivery of Surgical
Services (S3) program.
February 15, 2017
McCulloch P, Morgan L, New S, et al. Combining Systems and Teamwork Approaches to Enhance the
Effectiveness of Safety Impro…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error Classification
Previous Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…
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psnet.ahrq.gov/node/45109/psn-pdf
May 11, 2016 - Implementation of the surgical safety checklist in South
Carolina hospitals is associated with improvement in
perceived perioperative safety.
May 11, 2016
Molina G, Jiang W, Edmondson L, et al. Implementation of the Surgical Safety Checklist in South Carolina
Hospitals Is Associated with Improvement in Perceived P…
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psnet.ahrq.gov/node/866248/psn-pdf
July 10, 2024 - Did the organization of primary care practices during the
COVID-19 pandemic influence quality and safety? - an
international survey.
July 10, 2024
Eriksson M, Blomberg K, Arvidsson E, et al. Did the organization of primary care practices during the
COVID-19 pandemic influence quality and safety? – an international…
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psnet.ahrq.gov/node/39056/psn-pdf
April 04, 2011 - Rate of undesirable events at beginning of academic year:
retrospective cohort study.
April 4, 2011
Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective
cohort study. BMJ. 2009;339:b3974. doi:10.1136/bmj.b3974.
https://psnet.ahrq.gov/issue/rate-undesirable-eve…
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psnet.ahrq.gov/node/44710/psn-pdf
May 09, 2017 - The vulnerabilities of computerized physician order entry
systems: a qualitative study.
May 9, 2017
Slight SP, Eguale T, Amato MG, et al. The vulnerabilities of computerized physician order entry systems: a
qualitative study: Table 1. J Am Med Inform Assoc. 2015;23(2):311-316. doi:10.1093/jamia/ocv135.
https://psn…
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psnet.ahrq.gov/node/72467/psn-pdf
November 18, 2020 - Higher incidence of adverse events in isolated patients
compared with non-isolated patients: a cohort study.
November 18, 2020
Jiménez-Pericás F, Gea Velázquez de Castro MT, Pastor-Valero M, et al. Higher incidence of adverse
events in isolated patients compared with non-isolated patients: a cohort study. BMJ Open.…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
Key Subject Area Index
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure ulcer p…
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psnet.ahrq.gov/node/37114/psn-pdf
October 04, 2011 - A descriptive study of morbidity and mortality
conferences and their conformity to medical incident
analysis models: results of the morbidity and mortality
conference improvement study, phase 1.
October 4, 2011
Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…
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psnet.ahrq.gov/node/60320/psn-pdf
May 13, 2020 - Barriers and facilitators to healthcare workers' adherence
with infection prevention and control (IPC) guidelines for
respiratory infectious diseases: a rapid qualitative
evidence synthesis.
May 13, 2020
Houghton C, Meskell P, Delaney H, et al. Barriers and facilitators to healthcare workers’ adherence with
infec…
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www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error Classification
Previous Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…
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psnet.ahrq.gov/node/862137/psn-pdf
February 07, 2024 - What do parents think about the quality and safety of care
provided by hospitals to children and young people with
an intellectual disability? A qualitative study using
thematic analysis.
February 7, 2024
Ong N, Lucien A, Long JC, et al. What do parents think about the quality and safety of care provided by
hospi…