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psnet.ahrq.gov/node/37070/psn-pdf
April 21, 2011 - Excessive work hours of physicians in training in El
Salvador: putting patients at risk.
April 21, 2011
Taylor KRF. Excessive work hours of physicians in training in El Salvador: putting patients at risk. PLoS
Med. 2007;4(7):e205.
https://psnet.ahrq.gov/issue/excessive-work-hours-physicians-training-el-salvador-pu…
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psnet.ahrq.gov/node/40264/psn-pdf
December 21, 2014 - Persistent noncompliance with the work-hour regulation.
December 21, 2014
Tabrizian P, Rajhbeharrysingh U, Khaitov S, et al. Persistent noncompliance with the work-hour regulation.
Arch Surg. 2011;146(2):175-8. doi:10.1001/archsurg.2010.337.
https://psnet.ahrq.gov/issue/persistent-noncompliance-work-hour-regulation…
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psnet.ahrq.gov/node/37330/psn-pdf
January 05, 2012 - Unreported errors in the intensive care unit: a case study
of the way we work.
January 5, 2012
Henneman EA. Unreported errors in the intensive care unit: a case study of the way we work. Crit Care
Nurse. 2007;27(5):27-34; quiz 35.
https://psnet.ahrq.gov/issue/unreported-errors-intensive-care-unit-case-study-way-we…
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psnet.ahrq.gov/node/41268/psn-pdf
April 04, 2012 - Understanding situation awareness in nursing work: a
hybrid concept analysis.
April 4, 2012
Sitterding MC, Broome ME, Everett LQ, et al. Understanding situation awareness in nursing work: a hybrid
concept analysis. ANS Adv Nurs Sci. 2012;35(1):77-92. doi:10.1097/ANS.0b013e3182450158.
https://psnet.ahrq.gov/issue/u…
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www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
January 01, 2025 - Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience
28 November 2009
Title of Project Creating Safe Ambulatory Care: The Path to Resilience
Principal Investigator Christopher Nemeth, PhD
Team Members James Walter, MD
Robert Wears, MD, MS
Richard Cook, MD
Organization The University of Ch…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-1.pdf
February 01, 2012 - Attention Deficit Hyperactivity Disorder Performance Measurement Set
Attention Deficit Hyperactivity Disorder
Performance Measurement Set
Supported by AHRQ/CHIPRA-PQMP
Proposed by the ADHD Expert Work Group (listed in Appendix A)
In collaboration with the Pediatric Meas…
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psnet.ahrq.gov/issue/remaking-surgical-socialization-work-hour-restrictions-rites-passage-and-occupational
March 15, 2023 - Study
Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity.
Citation Text:
Veazey Brooks J, Bosk CL. Remaking surgical socialization: Work hour restrictions, rites of passage, and occupational identity. Soc Sci Med. 2012;75(9). doi:10.1016…
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psnet.ahrq.gov/node/36670/psn-pdf
January 18, 2011 - Nurses' perceptions of multidisciplinary team work in
acute health-care.
January 18, 2011
Atwal A, Caldwell K. Nurses' perceptions of multidisciplinary team work in acute health-care. Int J Nurs
Pract. 2006;12(6):359-65.
https://psnet.ahrq.gov/issue/nurses-perceptions-multidisciplinary-team-work-acute-health-care
…
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psnet.ahrq.gov/node/42271/psn-pdf
September 24, 2016 - Interruptions in emergency department work: an
observational and interview study.
September 24, 2016
Berg LM, Källberg A-S, Göransson KE, et al. Interruptions in emergency department work: an observational
and interview study. BMJ Qual Saf. 2013;22(8):656-63. doi:10.1136/bmjqs-2013-001967.
https://psnet.ahrq.gov/i…
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/engagement.html
April 01, 2022 - Team Engagement
To make sustainable quality improvements, you need to recruit an enthusiastic team and keep members engaged by providing the relevant data, inviting team feedback, and creating necessary incentives. Accomplishing this will take time and frequent evaluation. Although the nuances of your approach …
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psnet.ahrq.gov/node/867750/psn-pdf
March 12, 2025 - Doing 'detective work' to find a cancer: how are non-
specific symptom pathways for cancer investigation
organised, and what are the implications for safety and
quality of care? A multisite qualitative approach.
March 12, 2025
Black GB, Nicholson BD, Moreland J-A, et al. Doing ‘detective work’ to find a cancer: ho…
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www.ahrq.gov/pqmp/publications/index.html
July 01, 2022 - PQMP-Related Publications
The Pediatric Quality Measures Program (PQMP) was established to increase the portfolio of evidence-based, consensus pediatric quality measures available to public and private purchasers of children’s health care services. As a central component of the Children’s Health Insurance Progr…
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psnet.ahrq.gov/node/867223/psn-pdf
December 04, 2024 - "It is not the fault of the health care team - it is the way the
system works": a mixed-methods quality improvement
study of patients with advanced cancer and family
members reveals challenges navigating a fragmented
healthcare system and the administrative and financial
burdens of care.
December 4, 2024
Dillon …
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www.ahrq.gov/policymakers/chipra/overview/background/methods.html
December 01, 2009 - Prior to the July meeting, the SNAC Co-Chairs, working through AHRQ, provided subcommittee members with
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psnet.ahrq.gov/node/37220/psn-pdf
October 14, 2011 - Making the Patient Safety and Quality Improvement Act of
2005 work.
October 14, 2011
Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J
Healthc Qual. 2007;29(4):6-10.
https://psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
The aut…
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psnet.ahrq.gov/node/35480/psn-pdf
February 22, 2010 - Involuntary automaticity: a work-system induced risk to
safe health care.
February 22, 2010
Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health
Serv Manage Res. 2005;18(4):211-6.
https://psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-saf…
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psnet.ahrq.gov/node/41238/psn-pdf
March 21, 2012 - Restricting resident work hours: the good, the bad, and
the ugly.
March 21, 2012
Peets A, Ayas N. Restricting resident work hours: the good, the bad, and the ugly. Crit Care Med.
2012;40(3):960-6. doi:10.1097/CCM.0b013e3182413bc5.
https://psnet.ahrq.gov/issue/restricting-resident-work-hours-good-bad-and-ugly
This…
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psnet.ahrq.gov/node/37605/psn-pdf
February 22, 2010 - Sorry Works! 2.0: Disclosure, Apology, and Relationships
Prevent Medical Malpractice Claims.
February 22, 2010
Wojcieszak D, Saxton JW, Finkelstein MM. Bloomington, IN: AuthorHouse; 2010.
https://psnet.ahrq.gov/issue/sorry-works-20-disclosure-apology-and-relationships-prevent-medical-
malpractice-claims
This manu…
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psnet.ahrq.gov/node/39180/psn-pdf
December 16, 2009 - Description of inpatient medication management using
cognitive work analysis.
December 16, 2009
Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using
cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181bcad2f.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/35452/psn-pdf
January 05, 2017 - Deploying Six Sigma in a health care system as a work in
progress.
January 5, 2017
Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in
progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13.
https://psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-wor…