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psnet.ahrq.gov/node/37532/psn-pdf
February 13, 2008 - Internal medicine work hours: trends, associations, and
implications for the future.
February 13, 2008
Shiotani LM, Parkerton PH, Wenger N, et al. Internal medicine work hours: trends, associations, and
implications for the future. Am J Med. 2008;121(1):80-5. doi:10.1016/j.amjmed.2007.10.003.
https://psnet.ahrq.go…
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psnet.ahrq.gov/issue/effects-night-team-system-resident-sleep-and-work-hours
November 16, 2022 - Study
Effects of a night-team system on resident sleep and work hours.
Citation Text:
Chua K-P, Gordon M, Sectish TC, et al. Effects of a night-team system on resident sleep and work hours. Pediatrics. 2011;128(6):1142-7. doi:10.1542/peds.2011-1049.
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DO…
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psnet.ahrq.gov/issue/fatigue-risk-management-impact-anesthesiology-residents-work-schedules-job-performance-and
November 03, 2010 - Commentary
Fatigue risk management: the impact of anesthesiology residents' work schedules on job performance and a review of potential countermeasures.
Citation Text:
Wong LR, Flynn-Evans E, Ruskin KJ. Fatigue Risk Management: The Impact of Anesthesiology Residents' Work Schedules on Jo…
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digital.ahrq.gov/sites/default/files/docs/citation/shareable-cds-efficiencies-final-report.pdf
December 01, 2019 - First, tracking time spent working on specific
projects was not reported to be a common practice among … having worked on the CDS project
(e.g., the Quality and Safety officer estimates 60 hours were spent working … Time-based metrics should differentiate between time spent actively working on the CDS project vs. … In addition, participants were occasionally unsure whether to only report time spent actively
working … Resources: Final Report 37
Appendix F: Isolated CDS Deployment Stakeholder Discussion Guide
We are working
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year3-final-report-2019.pdf
January 01, 2019 - (IT), helping to move evidence into practice, while ensuring that CDS is
more patient centered.1
Working … Working with a pilot partner, the CDS Connect
team developed four patient-facing CDS artifacts based … Maintain Stakeholder Working Group .................................................................. … The CDC “Adapting Clinical Practice Guidelines for the Digital Age” initiative is working to
improve … Maintain Stakeholder Working Group
Task 6.
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - Some of our latest work has been working on using high intensity and low intensity simulation to see
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www.ahrq.gov/sites/default/files/2024-02/gurses-report.pdf
January 01, 2024 - Frontline clinicians working with patients and family members during care transitions may provide
insights … patient journey; there is little perceived
responsibility and specific organizational infrastructure in working
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psnet.ahrq.gov/node/36002/psn-pdf
March 28, 2011 - Persistence of unsafe practice in everyday work: an
exploration of organizational and psychological factors
constraining safety in the operating room.
March 28, 2011
Espin S, Lingard L, Baker GR, et al. Persistence of unsafe practice in everyday work: an exploration of
organizational and psychological factors cons…
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psnet.ahrq.gov/node/41143/psn-pdf
March 08, 2017 - Accelerating what works: using qualitative research
methods in developing a change package for a learning
collaborative.
March 8, 2017
Sorensen A, Bernard SL. Accelerating what works: using qualitative research methods in developing a
change package for a learning collaborative. Jt Comm J Qual Patient Saf. 2012;38…
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psnet.ahrq.gov/node/35411/psn-pdf
September 27, 2016 - Understanding the cognitive work of nursing in the acute
care environment.
September 27, 2016
Potter P, Wolf L, Boxerman S, et al. Understanding the cognitive work of nursing in the acute care
environment. J Nurs Adm. 2005;35(7-8):327-335.
https://journals.lww.com/jonajournal/Abstract/2005/07000/Understanding_the_…
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psnet.ahrq.gov/node/40836/psn-pdf
October 12, 2011 - Exploring varieties of knowledge in safe work
practices—an ethnographic study of surgical teams.
October 12, 2011
Høyland S, Aase K, Hollund JG. Exploring varieties of knowledge in safe work practices - an ethnographic
study of surgical teams. Patient Saf Surg. 2011;5:21. doi:10.1186/1754-9493-5-21.
https://psnet.…
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psnet.ahrq.gov/node/35663/psn-pdf
June 25, 2010 - Effects of critical care nurses' work hours on vigilance
and patients' safety.
June 25, 2010
Scott LD, Rogers AE, Hwang W-T, et al. Effects of critical care nurses' work hours on vigilance and
patients' safety. Am J Crit Care. 2006;15(1):30-7.
https://psnet.ahrq.gov/issue/effects-critical-care-nurses-work-hours-vi…
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psnet.ahrq.gov/node/36965/psn-pdf
February 15, 2011 - Strategic work-arounds to accommodate new technology:
the case of smart pumps in hospital care.
February 15, 2011
McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New
Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63.
https://psnet.ahrq.gov/issue/strat…
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psnet.ahrq.gov/node/42197/psn-pdf
September 24, 2016 - Interruptions during nurses' work: a state-of-the-science
review.
September 24, 2016
Hopkinson SG, Jennings BM. Interruptions during nurses' work: A state-of-the-science review. Res Nurs
Health. 2013;36(1):38-53. doi:10.1002/nur.21515.
https://psnet.ahrq.gov/issue/interruptions-during-nurses-work-state-science-rev…
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psnet.ahrq.gov/issue/large-scale-coordination-health-care
August 06, 2016 - Special or Theme Issue
Large-scale Coordination: Health Care.
Citation Text:
Large-scale Coordination: Health Care. Nemeth CP ed. Cognition Technol Work. 2007;9(3):127-176.
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Shar…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-slides.html
June 01, 2017 - Management Practices for Sustainability Module 3: Problem Solving and Escalation
Slide 1: Management Practices for Sustainability Module 3: Problem Solving and Escalation
Management Practices for Sustainability
Module 3: Problem Solving and Escalation
Slide 2: A Frontline Management System To Promote Sa…
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - In Conversation with Timothy Vogus about High
Reliability Organization (HRO) Principles and Patient
Safety
February 26, 2025
Vogus T, Lee M, Mossburg SE. In Conversation with Timothy Vogus about High Reliability Organization
(HRO) Principles and Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/persp…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-component-kit.docx
May 01, 2017 - Module 4: Component Kit
Standard Work Observation Component Kit
Contents
1. Why Standard Work Observation? 2
Connections to Other Components 3
2. Tips 3
3. Plan-Do-Study-Act “Ramp”: Observe Checklist Use Regularly 5
4. Example 6
Using the Observations 6
1. Why Standard Work Observation?
As you’ve adapted a surgi…
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psnet.ahrq.gov/node/43533/psn-pdf
August 28, 2017 - Organizational, cultural, and psychological determinants
of smart infusion pump work arounds: a study of 3 U.S.
health systems.
August 28, 2017
Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of
Smart Infusion Pump Work Arounds: A Study of 3 U.S. Health Systems. …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/contactsheet.docx
June 02, 2025 - Contact Sheet
If possible, pull information from patient’s medical record. Confirm correct information with patient. Identify the best time of day or days to reach the patient and other contacts.
Patient Name:
OK to send letter (Y / N)
Address
Street Apt #
City, State ZIP Code _____
Email address
Pre…