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psnet.ahrq.gov/node/45453/psn-pdf
November 02, 2016 - Creating highly reliable health care: how reliability-
enhancing work practices affect patient safety in
hospitals.
November 2, 2016
Vogus TJ, Iacobucci D. Creating Highly Reliable Health Care. ILR Review. 2016;69(4).
doi:10.1177/0019793916642759.
https://psnet.ahrq.gov/issue/creating-highly-reliable-health-care-…
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psnet.ahrq.gov/node/838069/psn-pdf
September 14, 2022 - Experience of learning from everyday work in daily safety
huddles: a multi-method study.
September 14, 2022
Wahl K, Stenmarker M, Ros A. Experience of learning from everyday work in daily safety huddles—a multi-
method study. BMC Health Serv Res. 2022;22(1):1101. doi:10.1186/s12913-022-08462-9.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/38799/psn-pdf
September 29, 2009 - Work-arounds and artifacts during transition to a
computer physician order entry: what they are and what
they mean.
September 29, 2009
Schoville RR. Work-arounds and artifacts during transition to a computer physician order entry: what they
are and what they mean. J Nurs Care Qual. 2009;24(4):316-324. doi:10.1097/…
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psnet.ahrq.gov/node/45974/psn-pdf
May 03, 2017 - Effects of workload, work complexity, and repeated alerts
on alert fatigue in a clinical decision support system.
May 3, 2017
Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert
fatigue in a clinical decision support system. BMC Med Inform Decis Mak. 2017;17(1):3…
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psnet.ahrq.gov/node/43673/psn-pdf
November 19, 2014 - Work-arounds observed by fourth-year nursing students.
November 19, 2014
Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs
Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707.
https://psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
Accordi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
December 01, 2017 - Facilitator Guide: Science of Safety Training & Identifying Defects
Science of Improving Safety and Identifying Defects – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
The Science of Improving Patient Safety and Identifying Defects
SAY:
The topic of this module is the science of …
-
psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II
Frameworks
December 14, 2022
Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
Resilient healthca…
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digital.ahrq.gov/ahrq-funded-projects/understanding-primary-care-teamwork-context-implications-health-information
January 01, 2023 - Understanding Primary Care Teamwork in Context: Implications for Health Information Technology Design
Project Final Report ( PDF , 675.67 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-roster.docx
April 01, 2022 - Team Roster
ICU Comprehensive Unit-based Safety Program (CUSP) Team Roster
Objective: To assemble a team of influential leaders and staff members necessary to drive successful implementation of the AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI.
Name
Team Role
Key Characteristics
Sugge…
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psnet.ahrq.gov/node/836860/psn-pdf
April 06, 2022 - Learning environments, reliability enhancing work
practices, employee engagement, and safety climate in
VA cardiac catheterization laboratories.
April 6, 2022
Gilmartin HM, Hess E, Mueller C, et al. Learning environments, reliability enhancing work practices,
employee engagement, and safety climate in VA cardiac c…
-
psnet.ahrq.gov/node/847543/psn-pdf
April 12, 2023 - What works in medication reconciliation: an on-treatment
and site analysis of the MARQUIS2 study.
April 12, 2023
Schnipper JL, Reyes Nieva H, Yoon CS, et al. What works in medication reconciliation: an on-treatment
and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023;32(8):457-469. doi:10.1136/bmjqs-2022-
0…
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psnet.ahrq.gov/node/862133/psn-pdf
February 07, 2024 - Longer work experience and age associated with safety
attitudes in operating room nurses: an online cross-
sectional study.
February 7, 2024
Nyberg A, Olofsson B, Fagerdahl A, et al. Longer work experience and age associated with safety attitudes
in operating room nurses: an online cross-sectional study. BMJ Open …
-
psnet.ahrq.gov/node/73979/psn-pdf
January 01, 2022 - The work of nurses to provide good and safe services to
children receiving hospital-at-home: a qualitative
interview study from the perspectives of hospital nurses
and physicians.
October 20, 2021
Aasen L, Johannessen A?K, Ruud Knutsen I, et al. The work of nurses to provide good and safe services
to children rec…
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psnet.ahrq.gov/node/47001/psn-pdf
August 17, 2018 - Realist synthesis of intentional rounding in hospital
wards: exploring the evidence of what works, for whom,
in what circumstances and why.
August 17, 2018
Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the
evidence of what works, for whom, in what circumst…
-
psnet.ahrq.gov/node/36227/psn-pdf
August 30, 2006 - Does crew resource management training work? An
update, an extension, and some critical needs.
August 30, 2006
Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an
Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412.
doi:10.1518/001872006777724444.
https:…
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psnet.ahrq.gov/node/853964/psn-pdf
September 27, 2023 - Surgeon's narcissism, hostility, stress, bullying, meaning
in life and work environment: a two-centered analysis.
September 27, 2023
El Boghdady M, Ewalds-Kvist BM. Surgeon’s narcissism, hostility, stress, bullying, meaning in life and work
environment: a two-centered analysis. Langenbecks Arch Surg. 2023;408(1):34…
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psnet.ahrq.gov/node/867012/psn-pdf
October 23, 2024 - Do healthcare professionals work around safety
standards, and should we be worried? A scoping review.
October 23, 2024
Clark D, Lawton R, Baxter R, et al. Do healthcare professionals work around safety standards, and should
we be worried? A scoping review. BMJ Qual Saf. 2024;Epub Sep 27. doi:10.1136/bmjqs-2024-0175…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/understanding-how%20the%20tf-works-2022-update_3.pdf
January 01, 2022 - Understanding How the U.S. Preventive Services Task Force (USPSTF) Works
Understanding How the
U.S. Preventive Services
Task Force (USPSTF)
Works
USPSTF 101
February 2023
Goals
• Improve understanding of the U.S. Preventive Services Task
Force (USPSTF or Task Force)
• Explain the connection between…
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integrationacademy.ahrq.gov/sites/default/files/2024-02/MAT-for-OUD-playbook-tips.pdf
January 01, 2024 - How AHRQ Grantees Make Work Visible Through Effective Dissemination
6 Tips from the
MAT for OUD Playbook
The Academy Medication-Assisted Treatment (MAT) for Opioid Use
Disorder (OUD) Playbook is full of tips on how to implement MAT in
primary care and other ambulatory care settings. It also offers important
…
-
integrationacademy.ahrq.gov/sites/default/files/2021-02/ahrq-whatnottodo-infographic.pdf
January 01, 2021 - How AHRQ Grantees Make Work Visible Through Effective Dissemination
6 Tips from the
MAT for OUD Playbook
The Academy Medication-Assisted Treatment (MAT) for Opioid Use
Disorder (OUD) Playbook is full of tips on how to implement MAT in
primary care and other ambulatory care settings. It also offers important
…