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psnet.ahrq.gov/issue/association-pediatric-resident-physician-depression-and-burnout-harmful-medical-errors
April 24, 2018 - Study
Emerging Classic
Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services.
Citation Text:
Brunsberg KA, Landrigan CP, Garcia BM, et al. Association of Pediatric Resident Physician Depression and B…
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psnet.ahrq.gov/issue/learning-environments-reliability-enhancing-work-practices-employee-engagement-and-safety
August 12, 2020 - Study
Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories.
Citation Text:
Gilmartin HM, Hess E, Mueller C, et al. Learning environments, reliability enhancing work practices, employee engagement, …
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psnet.ahrq.gov/issue/program-director-perceptions-surgical-resident-training-and-patient-care-under-flexible-duty
November 18, 2016 - Study
Program director perceptions of surgical resident training and patient care under flexible duty hour requirements.
Citation Text:
Saadat L, Dahlke AR, Rajaram R, et al. Program Director Perceptions of Surgical Resident Training and Patient Care under Flexible Duty Hour Requirements…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/141-cusp-tip-sheet-assembling-team.docx
April 01, 2025 - CUSP Tip Sheet:
Assembling the CUSP Team
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Purpose
Teamwork and interprofessional collaboration are important to high-quality patient care. A culture of teamwork and learning from mistakes helps improve patient safety. The Compre…
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psnet.ahrq.gov/issue/containing-covid-19-emergency-department-role-improved-case-detection-and-segregation-suspect
May 05, 2021 - Study
Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases.
Citation Text:
Wee LE, Fua T‐P, Chua YY, et al. Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cas…
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www.ahrq.gov/nursing-home/learning-modules/lead-by-example.html
December 01, 2022 - Leading by Example Learning Module
This learning module offers ideas to help boost morale, build trust, create a positive work environment, and practice open communication.
Leading by Example
No matter what your position, there are simple things you can do to take on a leadership and mentorship role in…
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psnet.ahrq.gov/node/42756/psn-pdf
November 20, 2013 - Removing the "me" from "MD."
November 20, 2013
Parikh RB. Removing the “Me” From “MD”. JAMA. 2013;310(18). doi:10.1001/jama.2013.280722.
https://psnet.ahrq.gov/issue/removing-me-md
Recounting what one medical student learned by shadowing a nurse, this commentary emphasizes the
importance of interprofessional commu…
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psnet.ahrq.gov/node/36365/psn-pdf
February 08, 2011 - Designing Safer Rotas for Junior Doctors in the 48-Hour
Week.
February 8, 2011
Horrocks N, Pounder R. London, UK: Royal College of Physicians of London; 2006.
https://psnet.ahrq.gov/issue/designing-safer-rotas-junior-doctors-48-hour-week
This report discusses risks associated with junior doctor night shift work an…
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cds.ahrq.gov/sites/default/files/cds/artifact/76/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making.pdf
April 01, 2021 - A clinical background that includes working knowledge of the underlying clinical
guideline and its application
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psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
October 28, 2020 - research is care coordination in transitional care, my clinical specialty is geriatrics, and I have been working
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psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - research is care coordination in transitional care, my clinical specialty is geriatrics, and I have been working
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digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015182-bentley-final-report-2008.pdf
January 01, 2008 - aging population;
lack of insurance or the funds to pay for both healthcare and medications among the working
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
May 01, 2017 - Say:
Teamwork is working together toward a common goal, knowing everyone's roles, respecting people
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digital.ahrq.gov/ahrq-funded-projects/closing-feedback-loop-improve-diagnostic-quality/citation/telephone-follow-up-primary-care
January 01, 2023 - Telephone follow-up in primary care: can interactive voice response calls work?
Citation
Houser SH, Ray MN, Maisiak R, et al. Telephone follow-up in primary care: can interactive voice response calls work? Stud Health Technol Inform 2013;192:112-6.
Link
http://www.ncbi.nlm.nih.gov/pubmed/23920…
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www.ahrq.gov/sites/default/files/publications2/files/takeheart-hybrid-workgroup-evaluation.pdf
August 01, 2023 - Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination
e
Implementing PCOR To Increase Referral,
Enrollment, and Retention in Cardiac
Rehabilitation through Automatic Referral
with Care Coordination
Hybrid CR Workgroup
Evalu…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/Workflow_Assessment_Checklist.pdf
June 01, 2005 - Physician Office
Originated: April 2005 Page 1 of 9
Revised: June 2005
Work Flow Assessment Checklist
Scheduling
How are appointments made?
Phone in advance
Phone for same day appointment
Previous visit
Does anything happen between the time an appointment is made and
the patient ar…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-slides.html
February 01, 2017 - Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Science of Safety and Identifying Defects in Care of Mechanically Ventilated …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
October 01, 2009 - Spotlight Case
Spotlight Case
Difficult Encounters:
A CMO and CNO Respond
Source and Credits
This presentation is based on the October 2009
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Ernie Ring, MD; Jane Hirsch, RN, MS
UCSF Medical Cen…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/sorraslides.pdf
January 01, 2014 - Using the AHRQ Pharmacy Survey on Patient Safety Culture
9
9
Development of the
AHRQ Pharmacy Survey on
Patient Safety Culture
Joann Sorra, PhD
Project Director
CAHPS and SOPS User Network
Westat
10
10
What is Patient Safety Culture?
“The way we do things around here”
Exists at
multiple
leve…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-2.html
June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action
Why Are Leaders Essential to Diagnostic Safety?
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Table of Contents
Leadership To Improve Diagnosis: A Call to Action
Diagnostic Safety as a Challenge for Healthcare Leadership
Why Are Leaders Essential to Diagnostic Safety?…