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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - Presentation: Science of Improving Patient Safety and Identifying Defects
The Science of Improving Patient Safety
and Identifying Defects
AHRQ Safety Program for Surgery
Onboarding
AHRQ Pub No. 16(18)-0004-15-EF
December 2017
Science of
Improving Patient Safety ‹#›
AHRQ Safety Program for Surgery – …
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psnet.ahrq.gov/node/837194/psn-pdf
January 01, 2023 - National improvements in resident physician-reported
patient safety after limiting first-year resident physicians'
extended duration work shifts: a pooled analysis of
prospective cohort studies.
May 25, 2022
Weaver MD, Landrigan CP, Sullivan JP, et al. National improvements in resident physician-reported patient
…
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psnet.ahrq.gov/issue/association-work-environment-missed-and-rushed-care-tasks-among-care-aides-nursing-homes
August 31, 2016 - Study
Association of work environment with missed and rushed care: tasks among care aides in nursing homes.
Citation Text:
Song Y, Hoben M, Norton PG, et al. Association of work environment with missed and rushed care: tasks among care aides in nursing homes. JAMA Netw Open. 2020;3(1):e1…
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digital.ahrq.gov/sites/default/files/docs/survey/baseline-clinician-interview-script.pdf
June 16, 2021 - Baseline Clinician Interview Script
Baseline Clinician Interview Script
Primary Care Development Corporation, New York NY
This is an interview guide designed to be conducted with clinical staff in an
ambulatory setting. The tool includes questions to assess the current state of
electronic health records.
Permiss…
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psnet.ahrq.gov/issue/physicians-experiences-mistreatment-and-discrimination-patients-families-and-visitors-and
October 26, 2022 - Study
Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout.
Citation Text:
Dyrbye LN, West CP, Sinsky CA, et al. Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and a…
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psnet.ahrq.gov/issue/patient-safety-era-80-hour-workweek
March 09, 2019 - Study
Patient safety in the era of the 80-hour workweek.
Citation Text:
Shelton J, Kummerow K, Phillips S, et al. Patient safety in the era of the 80-hour workweek. J Surg Educ. 2014;71(4):551-9. doi:10.1016/j.jsurg.2013.12.011.
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Format:
DOI Google Scholar PubM…
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psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and-sign-out-system
July 14, 2010 - Study
Classic
A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours.
Citation Text:
Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating…
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psnet.ahrq.gov/issue/2017-acgme-common-work-hour-standards-promoting-physician-learning-and-professional
October 19, 2022 - Commentary
The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment.
Citation Text:
Burchiel KJ, Zetterman RK, Ludmerer KM, et al. The 2017 ACGME Common Work Hour Standards: Promoting Physician Learning and Profess…
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psnet.ahrq.gov/issue/front-line-staff-perspectives-opportunities-improving-safety-and-efficiency-hospital-work
February 04, 2009 - Study
Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems.
Citation Text:
Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. H…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/carayon-p-et
January 01, 2023 - Carayon P et al. 2009 "Implementation of an electronic health records system in a small clinic: the viewpoint of clinic staff."
Reference
Carayon P, Smith P, Hundt AS, et al. Implementation of an electronic health records system in a small clinic: the viewpoint of clinic staff. Behaviour & Information…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - 98% 100% 100%
% Disagree/Strongly Disagree
Our facility allows disrespectful behavior by those working … an example of a
negatively worded item is B6 – Our facility allows disrespectful behavior by those working
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psnet.ahrq.gov/issue/discovering-healthcare-cognition-use-cognitive-artifacts-reveal-cognitive-work
October 10, 2010 - Study
Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.
Citation Text:
Nemeth CP, O’Connor M, Klock PA, et al. Discovering Healthcare Cognition: The Use of Cognitive Artifacts to Reveal Cognitive Work. Organization Studies. 2006;…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/11-identifying-stakeholders.pptx
June 01, 2023 - PowerPoint Presentation
Identifying Stakeholders
How To Do a Stakeholder Analysis for Your Improving Surgical Care and Recovery Program
AHRQ Safety Program for Improving
Surgical Care and Recovery
AHRQ Pub. No. 23-0052
June 2023
AHRQ Safety Program for Improving Surgical Care and Recovery
1
The AHRQ Safety Pr…
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psnet.ahrq.gov/issue/recognizing-ordinary-extraordinary-insight-way-we-work-improve-patient-safety-outcomes
December 12, 2012 - Commentary
Recognizing the ordinary as extraordinary: insight into the "way we work" to improve patient safety outcomes.
Citation Text:
Henneman EA. Recognizing the Ordinary as Extraordinary: Insight Into the "Way We Work" to Improve Patient Safety Outcomes. Am J Crit Care. 2017;26(4):27…
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psnet.ahrq.gov/node/837003/psn-pdf
April 27, 2022 - Woman works to end Black maternal health crisis after
daughter dies after giving birth.
April 27, 2022
Kindelan K. ABC News. April 14, 2022.
https://psnet.ahrq.gov/issue/woman-works-end-black-maternal-health-crisis-after-daughter-dies-after-
giving-birth
Maternal injury is a persistent challenge in the Black…
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psnet.ahrq.gov/node/44677/psn-pdf
June 07, 2016 - Computerised prescribing for safer medication ordering:
still a work in progress.
June 7, 2016
Schiff G, Hickman T-TT, Volk LA, et al. Computerised prescribing for safer medication ordering: still a work
in progress. BMJ Qual Saf. 2016;25(5):315-9. doi:10.1136/bmjqs-2015-004677.
https://psnet.ahrq.gov/issue/comput…
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psnet.ahrq.gov/node/853430/psn-pdf
September 13, 2023 - Work system barriers and facilitators of a team health
information technology.
September 13, 2023
Hose B-Z, Carayon P, Hoonakker PLT, et al. Work system barriers and facilitators of a team health
information technology. Appl Ergon. 2023;113:104105. doi:10.1016/j.apergo.2023.104105.
https://psnet.ahrq.gov/issue/wor…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf
March 01, 2018 - 2018 Hospital Survey on Patient Safety Culture Part I
PATIENT
SAFETY
HOSPITAL SURVEY
ON PATIENT
SAFETY
CULTURE
2018 User
Database
Report
Surveys on
Patient Safety
Culture™
The authors of this report are responsible for its content. Statements in the report should not
be construed as endorsement by the A…
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psnet.ahrq.gov/issue/patientfamily-crisis-hotline
December 02, 2020 - Multi-use Website
Patient/Family Crisis Hotline.
Citation Text:
Patient/Family Crisis Hotline. Sorry Works!
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/action-plan-template.docx
April 01, 2022 - Unit Action Plan
The Comprehensive Unit-based Safety Program (CUSP) or healthcare-associated infection (HAI) leader is responsible for leading the CUSP team in completing an Action Plan in order to drive work related to lowering bloodstream infections (CLABSI) and/or catheter-associated urinary tract infections (CAUTI)…