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psnet.ahrq.gov/node/46055/psn-pdf
July 26, 2017 - Bridging the gap between work-as-imagined and work-as-
done.
July 26, 2017
Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83.
https://psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done
Understanding what is possible in the context of frontline practice is key when designing enhancements …
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psnet.ahrq.gov/node/34070/psn-pdf
February 18, 2011 - Effect of reducing interns' work hours on serious medical
errors in intensive care units.
February 18, 2011
Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical
errors in intensive care units. N Engl J Med. 2004;351(18):1838-48.
https://psnet.ahrq.gov/issue/effec…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/florida
January 01, 2023 - Florida
Team Description
Dear Interested Party:
The Agency for Health Care Administration is pleased to participate in the national health information security and privacy collaborative to study the privacy and security issues related to the development and interoperability of a national…
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psnet.ahrq.gov/issue/national-improvements-resident-physician-reported-patient-safety-after-limiting-first-year
July 15, 2020 - Study
National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies.
Citation Text:
Weaver MD, Landrigan CP, Sullivan JP, et al. National improvements in re…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexec.pptx
January 01, 2006 - Project Report - Lean Sigma
1
Learning Objectives
2
2
Explain the role of the senior executive in addressing technical and adaptive work
Identify characteristics to search for when recruiting the senior executive
Describe the responsibilities of the senior executive
Explain how to engage the senior execut…
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pso.ahrq.gov/sites/default/files/wysiwyg/ChoosingPSO_2016.pdf
January 01, 2016 - Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers
Background
Your organization is committed to making health care
better and safer for your patients. But achieving this
goal is no small feat. You and your staff must collect
data, identify quality and safety problems, design
impr…
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www.ahrq.gov/hai/cusp/modules/engage/alt-text.html
April 01, 2013 - Engage Module Alternate Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The"Engage the Senior Executive" module of the CUSP Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules pr…
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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…
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digital.ahrq.gov/sites/default/files/docs/page/ImpactHealthITPrimaryCareWorkflow.pdf
September 19, 2011 - Impact of Health IT on Primary Care Workflow and Financial Measures
Impact of Health IT on
Primary Care Workflow and
Financial Measures
Neil S. Fleming, PhD, CQE;
Funded by AHRQ (R03HS018220-01)
Track F: Economic Analysis of Health IT
AHRQ 2011 Annual Conference
September 19, 2011
Contact: Neil.Fle…
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psnet.ahrq.gov/node/852445/psn-pdf
August 16, 2023 - Systematic review of the impact of physician work
schedules on patient safety with meta-analyses of
mortality risk.
August 16, 2023
Weaver MD, Sullivan JP, Landrigan CP, et al. Systematic review of the impact of physician work schedules
on patient safety with meta-analyses of mortality risk. Jt Comm J Qual Patient…
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psnet.ahrq.gov/node/60025/psn-pdf
March 11, 2020 - Association of work environment with missed and rushed
care: tasks among care aides in nursing homes.
March 11, 2020
Song Y, Hoben M, Norton PG, et al. Association of work environment with missed and rushed care: tasks
among care aides in nursing homes. JAMA Netw Open. 2020;3(1):e1920092.
doi:10.1001/jamanetworkop…
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psnet.ahrq.gov/node/37577/psn-pdf
July 12, 2016 - Optimizing Graduate Medical Trainee (Resident) Hours
and Work Schedules to Improve Patient Safety.
July 12, 2016
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident)
Hours and Work Schedules to Improve Patient Safety. 2009. Washington DC; Institute of Medicine: ISBN:
9781…
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psnet.ahrq.gov/node/867651/psn-pdf
February 26, 2025 - Safety I, Safety II, and the New Views of Safety
February 26, 2025
Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
Background and Context
Safety I and Safety II (Safety I/II) are not safety method…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
September 01, 2015 - Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Primary Care
Practice Facilitation
Curriculum
Module 7: Professionalism for Practice Facilitators
Pri…
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psnet.ahrq.gov/node/46336/psn-pdf
August 23, 2017 - Improving the Working Environment for Safe Surgical
Care.
August 23, 2017
Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of
Edinburgh; July 31, 2017.
https://psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
Surgical training is demanding and can r…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-heart-health.docx
February 01, 2016 - Implementing Heart Health Practice Self-Assessment
Implementing Heart Health
Practice Self-Assessment
February 1, 2016
Implementing Heart Health Practice Self-Assessment – February 1, 2016 pg. 1
Preface
This document presents a Practice Strategy Toolkit for the Heart of Virginia Healthcare (HVH) Cooperative. T…
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psnet.ahrq.gov/node/38909/psn-pdf
September 02, 2009 - Effect of work-hours regulations on intensive care unit
mortality in United States teaching hospitals.
September 2, 2009
Prasad M, Iwashyna TJ, Christie JD, et al. Effect of work-hours regulations on intensive care unit mortality
in United States teaching hospitals. Crit Care Med. 2009;37(9):2564-9.
doi:10.1097/CC…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/kit.html
June 01, 2017 - A Frontline Management System To Sustain Improvement in Safety Practices
Contents
1. Why a Frontline Management System?
2. Components of the Frontline Management System
3. Interactions of Components
4. Using the Model for Improvement
5. Additional Resources
1. Why a Frontline Management System?
M…
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psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
September 15, 2024 - Fatigue, Sleep Deprivation, and Patient Safety
Citation Text:
Fatigue, Sleep Deprivation, and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 X…
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psnet.ahrq.gov/node/37368/psn-pdf
January 10, 2017 - Effective implementation of work-hour limits and
systemic improvements.
January 10, 2017
Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic
improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl):19-29.
https://psnet.ahrq.gov/issue/effective-implementation-wo…