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psnet.ahrq.gov/issue/comparing-outcomes-reporting-and-trigger-tool-methods-capture-adverse-events-emergency
May 04, 2017 - Study
Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department.
Citation Text:
Lee W-H, Zhang E, Chiang C-Y, et al. Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency Department…
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psnet.ahrq.gov/issue/detecting-patient-deterioration-using-artificial-intelligence-rapid-response-system
October 21, 2020 - Study
Emerging Classic
Detecting patient deterioration using artificial intelligence in a rapid response system.
Citation Text:
Cho K-J, Kwon O, Kwon J-myoung, et al. Detecting patient deterioration using artificial intelligence in a rapid response system. Crit …
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psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error-rates-and
August 26, 2020 - Review
Emerging Classic
How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis.
Citation Text:
Gates PJ, Hardie R-A, Raban MZ, et al. How effective a…
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www.ahrq.gov/policymakers/chipra/overview/background/executive-summary.html
December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
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psnet.ahrq.gov/issue/impact-national-qi-programme-reducing-electronic-health-record-notifications-clinicians
February 24, 2021 - Study
Classic
Impact of a national QI programme on reducing electronic health record notifications to clinicians.
Citation Text:
Shah T, Patel-Teague S, Kroupa L, et al. Impact of a national QI programme on reducing electronic health record notifications to clin…
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pso.ahrq.gov/sites/default/files/Choosing%20a%20PSO.pdf
August 01, 2012 - Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers
Background
The Patient Safety and Quality Improvement Act of 2005
(Patient Safety Act) authorized the creation of Patient
Safety Organizations (PSOs). It encourages clinicians
and health care organizations to voluntarily report to…
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psnet.ahrq.gov/issue/overall-performance-drug-drug-interaction-clinical-decision-support-system-quantitative
August 10, 2022 - Study
Overall performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey.
Citation Text:
Van De Sijpe G, Quintens C, Walgraeve K, et al. Overall performance of a drug–drug interaction clinical decision support system: quantitative…
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psnet.ahrq.gov/issue/improving-specificity-drug-drug-interaction-alerts-can-it-be-done
September 07, 2022 - Study
Improving the specificity of drug-drug interaction alerts: can it be done?
Citation Text:
Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045.
Copy Cita…
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psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop
September 01, 2016 - Study
Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode.
Citation Text:
Hwang Y, Yoon D, Ahn EK, et al. Provider risk factors for medication administration error alerts: analyses…
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psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events
November 23, 2016 - Review
Time to listen: a review of methods to solicit patient reports of adverse events.
Citation Text:
King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.0301…
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psnet.ahrq.gov/issue/sustained-decrease-latent-safety-threats-through-regular-interprofessional-situ-simulation
June 15, 2016 - Study
Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies.
Citation Text:
Mileder LP, Schwaberger B, Baik-Schneditz N, et al. Sustained decrease in latent safety threats through regular interprofessional in sit…
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psnet.ahrq.gov/issue/squire-20-standards-quality-improvement-reporting-excellence-revised-publication-guidelines
December 02, 2015 - Organizational Policy/Guidelines
Classic
SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process.
Citation Text:
Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-19.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-19. Measure 16: CHERL referrals to community resources
Previous Page Next Page
Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Executive Summary
Introduction
Potential Measure Development Met…
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psnet.ahrq.gov/issue/effectiveness-inking-needle-core-prostate-biopsies-preventing-patient-specimen-identification
August 04, 2021 - Study
The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories.
Citation Text:
Raff LJ, Engel G, Beck KR, et al. The effectiveness of inking ne…
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www.ahrq.gov/talkingquality/resources/comparative-reports/nursing-homes.html
October 01, 2022 - Comparative Reports on Nursing Homes
The following reports are examples of comparative information on the quality of care provided by nursing homes.
Report Title: Nursing Home Compare
Website: https://www.medicare.gov/nursinghomecompare/search.html . Accessed July 21, 2022.
Developer: Centers for Medic…
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psnet.ahrq.gov/issue/elder-abuse-and-neglect-overlooked-patient-safety-issue-focus-group-study-nursing-home
March 20, 2019 - Study
Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect.
Citation Text:
Myhre J, Saga S, Malmedal W, et al. Elder abuse and neglect: an overlooked patient safety issue. A focus group study of n…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/sopstipsheet.pdf
June 02, 2025 - Tip Sheet: Improving Response Rates on the AHRQ Surveys on Patient Safety Culture
Tip Sheet: Improving Response Rates
on the AHRQ Surveys on Patient Safety Culture
This Tip Sheet will help you understand the importance of high survey response rates and provide suggestions for
improving your response rates.…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapf.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
F. Granular Ethnicities with No Determinate OMB Race Classification
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Re…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/emergency-preparedness-plans.pdf
May 01, 2022 - Incorporating Infection Prevention and Control into an Emergency Preparedness Plan
Incorporating Infection Prevention and Control
into an Emergency Preparedness Plan
Emergency preparedness plans capture a nursing home’s approach to meeting the health, safety, and
security needs of staff and residents during an…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-sops101-webcast-2023-kirchner.pdf
January 01, 2023 - An Overview of the SOPS® Surveys for New Users - Kirchner
Overview of the SOPS Surveys
Jess Kirchner, M.A.
SOPS Program Manager
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
What are the SOPS Surveys?
• Surveys of providers and staff about the extent to which their
organizational cu…