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psnet.ahrq.gov/issue/resident-uncertainty-clinical-decision-making-and-impact-patient-care-qualitative-study
March 28, 2011 - Study
Resident uncertainty in clinical decision making and impact on patient care: a qualitative study.
Citation Text:
Farnan JM, Johnson JK, Meltzer DO, et al. Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. Qual Saf Health Care. 2008;…
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psnet.ahrq.gov/issue/time-accelerate-integration-human-factors-and-ergonomics-patient-safety
October 03, 2013 - Commentary
Time to accelerate integration of human factors and ergonomics in patient safety.
Citation Text:
Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421.
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psnet.ahrq.gov/issue/factors-associated-adverse-events-resulting-medical-errors-emergency-department-two-work
July 02, 2019 - Study
Factors associated with adverse events resulting from medical errors in the emergency department: two work better than one.
Citation Text:
Freund Y, Goulet H, Bokobza J, et al. Factors associated with adverse events resulting from medical errors in the emergency department: two w…
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psnet.ahrq.gov/issue/medical-error-disclosure-training-evidence-values-based-ethical-environments
October 15, 2016 - Study
Medical error disclosure training: evidence for values-based ethical environments.
Citation Text:
Rathert C, Phillips W. Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments. Journal of Business Ethics. 2010;97(3). doi:10.1007/s10551-010-0520-3.
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psnet.ahrq.gov/issue/effect-50-hour-workweek-limitation-training-surgical-residents-switzerland
October 27, 2010 - Study
Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland.
Citation Text:
Businger A, Guller U, Oertli D. Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland. Arch Surg. 2010;145(6):558-63. doi:10.1001/archsurg…
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psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication
June 29, 2022 - Study
Changes in prognosis after the first postoperative complication.
Citation Text:
Silber JH, Rosenbaum PR, Trudeau ME, et al. Changes in prognosis after the first postoperative complication. Med Care. 2005;43(2):122-31.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/sustainability-scorecard.docx
January 01, 2017 - AHRQ Safety Program for Mechanically Ventilated Patients
Sustainability Scorecard
Instructions: This Sustainability Scorecard is a tool you can use to quickly assess your unit’s progress in applying the Comprehensive Unit-based Safety Program to the care of mechanically ventilated patients. For each question selec…
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www.ahrq.gov/hai/tools/mvp/sustainability/scorecard.html
January 01, 2017 - Sustainability Scorecard
AHRQ Safety Program for Mechanically Ventilated Patients
Instructions: This Sustainability Scorecard is a tool you can use to quickly assess your unit’s progress in applying the Comprehensive Unit-based Safety Program to the care of mechanically ventilated patients. For e…
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psnet.ahrq.gov/issue/persistence-unsafe-practice-everyday-work-exploration-organizational-and-psychological
April 06, 2011 - Study
Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room.
Citation Text:
Espin S, Lingard L, Baker GR, et al. Persistence of unsafe practice in everyday work: an exploration of organizati…
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psnet.ahrq.gov/issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip-fracture
October 19, 2022 - Study
Resident duty-hour reform associated with increased morbidity following hip fracture.
Citation Text:
Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJ…
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psnet.ahrq.gov/issue/leader-communication-approaches-and-patient-safety-integrated-model
July 01, 2019 - Study
Leader communication approaches and patient safety: an integrated model.
Citation Text:
Mattson M, Hellgren J, Göransson S. Leader communication approaches and patient safety: An integrated model. J Safety Res. 2015;53:53-62. doi:10.1016/j.jsr.2015.03.008.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-2.pdf
June 02, 2025 - ADHD Summary of Public Comments
SNAC Submission Form ADHD Measure 2: Behavior Therapy
Section 6: Scientific Soundness
Attachment 2: Summary of Public Comments
Attention Deficit Hyperactivi…
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psnet.ahrq.gov/issue/implementation-computerized-prescriber-order-entry-four-academic-medical-centers
May 18, 2022 - Commentary
Implementation of computerized prescriber order entry in four academic medical centers.
Citation Text:
Cooley TW, May D, Alwan M, et al. Implementation of computerized prescriber order entry in four academic medical centers. Am J Health Syst Pharm. 2012;69(24):2166-73. doi:1…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-6-attachment-2.pdf
June 02, 2025 - Measure 1, Section 6, Attachment 2
SNAC Submission Form Measure 1: Accurate ADHD Diagnosis
Section 6: Scientific Soundness
Attachment 2: Summary of Public Comments
Attention Deficit Hyperact…
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psnet.ahrq.gov/issue/duty-hours-monitoring-revisited-self-report-may-not-be-adequate
April 24, 2018 - Study
Duty-hours monitoring revisited: self-report may not be adequate.
Citation Text:
Buum HAT, Duran-Nelson AM, Menk J, et al. Duty-hours monitoring revisited: self-report may not be adequate. Am J Med. 2013;126(4):362-5. doi:10.1016/j.amjmed.2012.12.003.
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project
January 01, 2023 - Privacy and Security Project (2005-2007)
The Privacy and Security Project
RTI International has subcontracted with 33 states and 1 territory to create the Health Information Security and Privacy Collaboration (HISPC). These subcontractors have leveraged input from state leadership and a br…
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psnet.ahrq.gov/issue/effect-blue-enriched-lighting-medical-error-rate-university-hospital-icu
March 10, 2021 - Study
The effect of blue-enriched lighting on medical error rate in a university hospital ICU.
Citation Text:
Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j…
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psnet.ahrq.gov/issue/residents-perspective-impact-80-hour-workweek-policy
November 16, 2022 - Study
Residents' perspective on the impact of the 80-hour workweek policy.
Citation Text:
Woods SE, Zabat E, Talen MR, et al. Residents' perspective on the impact of the 80-hour workweek policy. Teach Learn Med. 2008;20(2):131-5. doi:10.1080/10401330801991584.
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psnet.ahrq.gov/issue/work-arounds-and-artifacts-during-transition-computer-physician-order-entry-what-they-are-and
January 12, 2022 - Study
Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean.
Citation Text:
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. 2…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-sops-hospital-survey-workplace-item-set-webcast-yount.pdf
June 02, 2025 - SOPS State Hospital Association Webcast - Yount Presentation
Research Linking Workplace Safety Culture and
Patient Safety Culture
Naomi Yount, Ph.D.
Westat
Data Source
• Analyses used data from the pilot test of the SOPS Hospital
Survey 2.0 with Workplace Safety Supplemental Item Set in 2021
• 28 Hospitals
•…