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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/psychological-safety-slides.pdf
March 18, 2025 - NAA National Webinar, February 2025: Establishing Psychological Safety for Healthcare Workers
Creating and Maintaining a Culture of Safety Series
(Session 1)
Establishing Psychological Safety for Healthcare Workers
NATIONAL WEBINAR SERIES
February 18, 2025
Housekeeping Instructions
• This webinar will be record…
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psnet.ahrq.gov/node/33719/psn-pdf
October 01, 2011 - The Context Is the Intervention
October 1, 2011
Øvretveit J. The Context Is the Intervention. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/context-intervention
Perspective
Introduction
What we say, do, and feel are facts. We live and work in groups, in a society, and are influenced by this
context.…
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-2.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Chapter 2. Building the Project Foundation: Project Teams and Scope
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation …
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-2.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Chapter 2. Building the Project Foundation: Project Teams and Scope
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation …
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psnet.ahrq.gov/node/859346/psn-pdf
January 01, 2024 - Sleep deprivation and medication administration errors in
registered nurses- a scoping review.
December 20, 2023
Martin CV, Joyce?McCoach J, Peddle M, et al. Sleep deprivation and medication administration errors in
registered nurses- a scoping review. J Clin Nurs. 2024;33(3):859-873. doi:10.1111/jocn.16912.
https…
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psnet.ahrq.gov/node/44539/psn-pdf
June 21, 2016 - The impact of rudeness on medical team performance: a
randomized trial.
June 21, 2016
Riskin A, Erez A, Foulk T, et al. The impact of rudeness on medical team performance: a randomized trial.
Pediatrics. 2015;136(3):487-495. doi:10.1542/peds.2015-1385.
https://psnet.ahrq.gov/issue/impact-rudeness-medical-team-perf…
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psnet.ahrq.gov/node/844555/psn-pdf
February 15, 2023 - AHRQ-Funded Patient Safety Project Highlights:
Improving Healthcare Safety by Engaging Patients and
Families.
February 15, 2023
Rockville, MD: Agency for Healthcare Research and Quality; January 2023. AHRQ Pub. No.22(23)-0065-1.
https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-h…
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psnet.ahrq.gov/node/44451/psn-pdf
October 14, 2015 - Surgeons in difficulty: an exploration of differences in
assistance-seeking behaviors between male and female
surgeons.
October 14, 2015
Sanfey H, Fromson J, Mellinger JD, et al. Surgeons in Difficulty: An Exploration of Differences in
Assistance-Seeking Behaviors between Male and Female Surgeons. J Am Coll Surg. …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/infection-prevention.html
March 01, 2017 - Implement an Infection Prevention Quality Improvement Project
Start with the Implementation Guide , and then consult the Sustainability Guide
Long -Term Care Safety Toolkit Modules
Comprises six modules (available in English and Spanish) that describe how to apply CUSP for long-term care resident safety…
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psnet.ahrq.gov/node/47380/psn-pdf
September 05, 2018 - Operating management system for high reliability:
leadership, accountability, learning and innovation in
healthcare.
September 5, 2018
Day RM, Demski RJ, Pronovost PJ, et al. Operating management system for high reliability: Leadership,
accountability, learning and innovation in healthcare. J Patient Saf Risk Mana…
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psnet.ahrq.gov/node/865930/psn-pdf
May 22, 2024 - Operational failures in general practice: a consensus-
building study on the priorities for improvement.
May 22, 2024
Sinnott C, Alboksmaty A, Moxey JM, et al. Operational failures in general practice: a consensus-building
study on the priorities for improvement. Br J Gen Pract. 2024;74(742):e339-e346.
doi:10.3399…
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psnet.ahrq.gov/node/50622/psn-pdf
November 06, 2019 - Starting elective cardiac surgery after 3 pm does not
impact patient morbidity, mortality, or hospital costs.
November 6, 2019
Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact
patient morbidity, mortality, or hospital costs. J Thorac Cardiovasc Surg. 2019.
d…
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psnet.ahrq.gov/node/854824/psn-pdf
October 25, 2023 - Toxic leadership and its relationship with outcomes on
the nursing workforce and patient safety: a systematic
review.
October 25, 2023
Labrague LJ. Toxic leadership and its relationship with outcomes on the nursing workforce and patient
safety: a systematic review. Leadersh Health Serv (Bradf Engl). 2024;37(2):192…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/staff-safety-assessment.docx
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
Staff Safety Assessment
Purpose: To tap into your experience to determine risks that could harm residents.
Who should use this tool? Anyone who works in or provides services to this nursing home.
How should you use this tool? Provid…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-14.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.14. Major Factors that Facilitated Lean Success at Central
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Hea…
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psnet.ahrq.gov/node/44563/psn-pdf
October 21, 2015 - The effect of staff nurses' shift length and fatigue on
patient safety and nurses' health: from the National
Association of Neonatal Nurses.
October 21, 2015
Samra HA, Smith BA. The Effect of Staff Nurses' Shift Length and Fatigue on Patient Safety and Nurses'
Health: From the National Association of Neonatal Nurs…
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psnet.ahrq.gov/node/39979/psn-pdf
November 03, 2010 - Does simulator-based clinical performance correlate with
actual hospital behavior? The effect of extended work
hours on patient care provided by medical interns.
November 3, 2010
Gordon JA, Alexander EK, Lockley SW, et al. Does Simulator-Based Clinical Performance Correlate With
Actual Hospital Behavior? The Effec…
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psnet.ahrq.gov/node/72529/psn-pdf
January 01, 2021 - Physician task load and the risk of burnout among US
physicians in a national survey.
December 2, 2020
Harry EM, Sinsky CA, Dyrbye LN, et al. Physician task load and the risk of burnout among US physicians in
a national survey. Jt Comm J Qual Patient Saf. 2021;47(2):76-85. doi:10.1016/j.jcjq.2020.09.011.
https://p…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/learning-modules/feeling-stressed-flyer.pdf
November 01, 2021 - Feeling Stressed?
Feeling Stressed?
Do you have any of these signs of stress?
Physical
• Shallow breathing
• Increased heart rate
• Clenched teeth
• Upset stomach
• Headache
• Shoulders “at your ears”
Behavioral and Emotional
• Anger
• Fear
• Irritability
• Hopelessness
• Unable to concentrate
• Edgy, jittery…
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psnet.ahrq.gov/node/43124/psn-pdf
August 02, 2015 - Practice gaps in patient safety among dermatology
residents and their teachers: a survey study of
dermatology residents.
August 2, 2015
Swary JH, Stratman EJ. Practice gaps in patient safety among dermatology residents and their teachers: a
survey study of dermatology residents. JAMA Dermatol. 2014;150(7):738-42.
…