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psnet.ahrq.gov/issue/resident-duty-hour-regulation-and-patient-safety-establishing-balance-between-concerns-about
May 20, 2009 - Commentary
Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery.
Citation Text:
Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance betwee…
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psnet.ahrq.gov/issue/perspective-ten-thousand-hours-patient-safety-sooner-or-later
June 23, 2009 - Commentary
Perspective: ten thousand hours to patient safety, sooner or later.
Citation Text:
Pellegrini VD. Perspective: ten thousand hours to patient safety, sooner or later. Acad Med. 2012;87(2):164-7. doi:10.1097/ACM.0b013e31823f7202.
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Format:
DOI Google…
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psnet.ahrq.gov/issue/change-intern-calls-night-after-work-hour-restriction-process-change
September 01, 2017 - Study
Change in intern calls at night after a work hour restriction process change.
Citation Text:
Spellberg B, Sue D, Chang D, et al. Change in intern calls at night after a work hour restriction process change. JAMA Intern Med. 2013;173(8):707-9; discussion 663. doi:10.1001/jamainternm…
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psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error
September 28, 2010 - Commentary
“Those found responsible have been sacked”: some observations on the usefulness of error.
Citation Text:
Cook RI, Nemeth CP. “Those found responsible have been sacked”: some observations on the usefulness of error. Cogn Tech Work. 2010;12(2):87-93. doi:10.1007/s10111-010-0149-…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/nmstateataglance.pdf
March 01, 2012 - New Mexico State at a Glance
…
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psnet.ahrq.gov/issue/role-continuous-quality-improvement-and-psychological-safety-predicting-work-arounds
July 31, 2008 - Study
The role of continuous quality improvement and psychological safety in predicting work-arounds.
Citation Text:
Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44. do…
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psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals
June 25, 2010 - Study
Classic
Nurse-staffing levels and the quality of care in hospitals.
Citation Text:
Needleman J, Buerhaus P, Mattke S, et al. Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. 2002;346(22):1715-22.
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psnet.ahrq.gov/issue/sleep-sleepiness-fatigue-and-performance-12-hour-shift-nurses
July 22, 2010 - Study
Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses.
Citation Text:
Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses. Chronobiol Int. 2012;29(2). doi:10.3109/07420528.2011.645752.
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psnet.ahrq.gov/issue/recognizing-and-responding-toxic-work-environment-worker-safety-patient-safety-and
July 02, 2019 - Study
Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes.
Citation Text:
Pickering CEZ, Nurenberg K, Schiamberg L. Recognizing and Responding to the "Toxic" Work Environment: Worker Safety, Patient Safety, and Abu…
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psnet.ahrq.gov/issue/sleep-and-errors-group-australian-hospital-nurses-work-and-during-commute
February 14, 2024 - Study
Sleep and errors in a group of Australian hospital nurses at work and during the commute.
Citation Text:
Dorrian J, Tolley C, Lamond N, et al. Sleep and errors in a group of Australian hospital nurses at work and during the commute. Appl Ergon. 2008;39(5):605-13. doi:10.1016/…
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pso.ahrq.gov/resources/guides
August 01, 2023 - SHARE:
More topics in this section
Resources
Resources
Resources About the Patient Safety and Quality Improvement Act of 2005
Patient Safety Act
Patient Safety Rule
HHS Guidance
Guides
Other Educational Materials
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/048-talking-points-patients-chg-bathing.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Talking Points for Patients:
Chlorhexidine Bathing
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Patients may have questions regarding chlorhexidine (CHG) bathing to prevent surgical site infections (SSI). B…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
December 01, 2017 - Surgical Complication Prevention Guide
AHRQ Safety Program for Surgery
Surgical Complication Prevention Guide
AHRQ Publication No. 16(18)-0004-13-EF
December 2017
AHRQ Safety Program for Surgery Surgical Complication
Prevention Guide
Contents
Introduction .................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
June 02, 2025 - TAKEheart Care Coordination Implementation Guide – Part 1 -- Module 6
Laying the Groundwork for Effective Care Coordination
Purpose and Overview
The overall goal of TAKEheart is to increase the enrollment and successful completion of
cardiac rehabilitation (CR) by eligible patients. The evidence demonstrate…
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psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - In Conversation With… Richard Platt, MD, MSc
October 1, 2016
Also Read an Essay
Citation Text:
In Conversation With… Richard Platt, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/node/73906/psn-pdf
October 06, 2021 - In Conversation With….Alison Stuebe, MD, MSc and
Kristin Tully, PhD
October 6, 2021
In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
Editor’s Note: Alison Stuebe, MD, MSc, is a…
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psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - High Reliability
September 15, 2024
High Reliability. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/high-reliability
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/111-cusp-program-sustainability.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
CUSP Program: Sustainability
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Program Sustainability
SAY:
Welcome to this presentation on optimizing CUSP Program sustainability as part of the overall approach to preventing MRSA in ICU and non-ICU settings.
Sl…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
February 01, 2017 - Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Assess Patient Safety Culture Using the Hospital Survey on Patient Safety
Say:
In this module, we will introduce the Hospital Survey on Patient S…
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psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - Key Issues in Developing a Successful Hospital Safety Program
John Whittington, MD | July 1, 2006
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Whittington JC. Key Issues in Developing a Successful Hospital Safety Program. PS…