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psnet.ahrq.gov/node/45612/psn-pdf
November 09, 2016 - Pharmacist work stress and learning from quality related
events.
November 9, 2016
Boyle TA, Bishop A, Morrison B, et al. Pharmacist work stress and learning from quality related events. Res
Social Adm Pharm. 2016;12(5):772-83. doi:10.1016/j.sapharm.2015.10.003.
https://psnet.ahrq.gov/issue/pharmacist-work-stress-a…
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psnet.ahrq.gov/node/38854/psn-pdf
August 12, 2009 - Implementation of resident work hour restrictions is
associated with a reduction in mortality and provider-
related complications on the surgical service: a
concurrent analysis of 14,610 patients.
August 12, 2009
Privette AR, Shackford SR, Osler T, et al. Implementation of resident work hour restrictions is associ…
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/functioning.html
April 01, 2022 - Team Functioning
From your first team convening where you set your unit's goals for preventing infections, to celebrating and spreading successful strategies with other units, team functioning is essential to creating and sustaining a culture of safety. Common challenges addressed by these tools are how to stru…
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psnet.ahrq.gov/node/37808/psn-pdf
February 22, 2011 - How do hospitalized patients feel about resident work
hours, fatigue, and discontinuity of care?
February 22, 2011
Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours,
fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(5):623-8. doi:10.1007/s11606-007-…
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psnet.ahrq.gov/node/37843/psn-pdf
March 04, 2011 - Front-line staff perspectives on opportunities for
improving the safety and efficiency of hospital work
systems.
March 4, 2011
Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety
and efficiency of hospital work systems. Health Serv Res. 2008;43(5 Pt 2):1807…
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psnet.ahrq.gov/issue/common-program-requirements-learning-and-working-environment-duty-hours
November 18, 2020 - Multi-use Website
Common Program Requirements. The Learning and Working Environment (Duty Hours).
Citation Text:
Common Program Requirements. The Learning and Working Environment (Duty Hours). Accreditation Council for Graduate Medical Education.
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/menus.html
February 01, 2022 - Module Menus
The Modules
Introduction to the AHRQ Practice Facilitation Training Modules
Starting with a Practice
Facilitator Fundamentals
Effective Meetings
Introduction to Quality Improvement (QI) in Primary Care
Model for Improvement and PDSA Cycles
Process Mapping
The 5 Whys and Fishbone…
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - SPOTLIGHT CASE
Unintended Consequences of CPOE
Citation Text:
Wears RL. Unintended Consequences of CPOE. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX EndNot…
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digital.ahrq.gov/sites/default/files/docs/page/2006Estrin_Ftrd_051211comp.pdf
June 01, 2006 - SW Tennessee's Experience in Using the Connecting for Health Framework Model Contract
Volunteer eHealth Initiative
SW Tennessee’s experience in
Using the Connecting for Health
Framework Model Contract
Vicki Estrin – Program Manager
vicki.y.estrin@vanderbilt.edu
Funding: AHRQ Contract 290-04-0006; State of Ten…
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psnet.ahrq.gov/issue/joy-medical-practice-clinician-satisfaction-healthy-work-place-trial
January 23, 2017 - Study
Joy in medical practice: clinician satisfaction in the Healthy Work Place trial.
Citation Text:
Linzer M, Sinsky CA, Poplau S, et al. Joy In Medical Practice: Clinician Satisfaction In The Healthy Work Place Trial. Health Aff (Millwood). 2017;36(10):1808-1814. doi:10.1377/hlthaff.2…
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psnet.ahrq.gov/issue/factors-affecting-medical-residents-decisions-work-after-call
October 19, 2022 - Study
Factors affecting medical residents' decisions to work after call.
Citation Text:
Carr MM, Foreman AM, Friedel JE, et al. Factors affecting medical residents' decisions to work after call. J Patient Saf. 2024;20(1):16-21. doi:10.1097/pts.0000000000001175.
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Format…
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psnet.ahrq.gov/node/37879/psn-pdf
July 02, 2008 - Work hour rules and contributors to patient care
mistakes: a focus group study with internal medicine
residents.
July 2, 2008
Fletcher KE, Parekh V, Halasyamani L, et al. Work hour rules and contributors to patient care mistakes: a
focus group study with internal medicine residents. J Hosp Med. 2008;3(3):228-37. d…
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psnet.ahrq.gov/node/40295/psn-pdf
March 16, 2011 - The relationship of the emotional climate of work and
threat to patient outcome in a high-volume thoracic
surgery operating room team.
March 16, 2011
Nurok M, Evans LA, Lipsitz S, et al. The relationship of the emotional climate of work and threat to patient
outcome in a high-volume thoracic surgery operating room…
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psnet.ahrq.gov/node/47986/psn-pdf
May 29, 2019 - Work overload is related to increased risk of error during
chemotherapy preparation.
May 29, 2019
Carrez L, Bouchoud L, Fleury S, et al. Work overload is related to increased risk of error during
chemotherapy preparation. J Oncol Pharm Pract. 2019;25(6):1456-1466. doi:10.1177/1078155219845432.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/74230/psn-pdf
January 12, 2022 - Learning from diagnostic errors to improve patient safety
when GPs work in or alongside emergency departments:
incorporating realist methodology into patient safety
incident report analysis.
January 12, 2022
Cooper A, Carson-Stevens A, Cooke M, et al. Learning from diagnostic errors to improve patient safety
when…
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/mindsets.html
April 01, 2022 - Overcoming Mindsets
It can be difficult to address your staff’s underlying attitudes and beliefs about infection prevention practices. Many teams struggle to believe that reducing the number of infections to zero is possible or to find the passion to keep this work going. With time, effort, and shared understan…
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psnet.ahrq.gov/node/43103/psn-pdf
April 02, 2014 - Ten Years After Keeping Patients Safe: Have Nurses'
Work Environments Been Transformed?
April 2, 2014
Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington University School
of Nursing. March 14, 2014;22:1-8.
https://psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-…
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psnet.ahrq.gov/taxonomy/term/3504
June 24, 2025 - Workaround
From the perspective of frontline personnel trying to accomplish their work, the design of equipment or the policies governing work tasks can seem counterproductive. When frontline personnel adopt consistent patterns of work or ways of bypassing safety features of medical equipment, these patterns and acti…
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psnet.ahrq.gov/node/44259/psn-pdf
April 01, 2024 - Training Program for Nurses on Shift Work and Long
Work Hours.
April 1, 2024
Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health
and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute
for Occupational Safety and He…
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psnet.ahrq.gov/node/843325/psn-pdf
February 01, 2023 - Untenable expectations: nurses' work in the context of
medication administration, error, and the organization.
February 1, 2023
Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration,
error, and the organization. Glob Qual Nurs Res. 2022;9:233339362211317.
doi:10.117…