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psnet.ahrq.gov/issue/cost-quality-academic-health-centers-annual-costs-its-quality-and-patient-safety
October 14, 2020 - Resources
An evidence and consensus-based definition of second victim: a strategic topic in healthcare … quality, patient safety, person-centeredness and human resource management.
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psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods-qualitative-inquiry
April 19, 2023 - Study
Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry.
Citation Text:
Jeffs L, Kuluski K, Flintoft V, et al. Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. J Nurs Care Qual. 2024;39(3):226-2…
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psnet.ahrq.gov/innovation/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
June 16, 2021 - that the enhanced checklist required less time to complete per patient and improved certain process measures
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psnet.ahrq.gov/issue/grand-rounds-methodology-key-considerations-implementing-machine-learning-solutions-quality
July 26, 2023 - Commentary
Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives.
Citation Text:
Verma AA, Trbovich PL, Mamdani MM, et al. Grand rounds in methodology: key considerations for implementing machine learning solutions …
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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures
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psnet.ahrq.gov/issue/leadership-guide-patient-safety-resources-and-tools-establishing-and-maintaining-patient
November 18, 2011 - Book/Report
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety.
Citation Text:
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. Botwinick L, Bisognano M, Haraden C. Cambr…
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - organization-wide commitments, especially to “safety, high levels of redundancy in personnel and safety measures … In a focus group study comparing healthcare units based on safety measure performance, researchers … Kathie Sutcliffe and I developed a measure that has been deployed in various places. … In terms of outcome measures, many of the studies I have done rely on a health system being willing to … Engaging with some of the process measures and surveys can also validate high reliability.
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psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest
April 06, 2022 - Multi-use Website
Center for Innovations in Quality, Effectiveness and Safety. IQuESt!
Citation Text:
Center for Innovations in Quality, Effectiveness and Safety. IQuESt! Houston, TX: Baylor College of Medicine.
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - Evaluation of verbal and written handoffs demonstrated significant gains across 14 out of 14 process measures … (p<0.001 for all 14 measures). … Starmer, MD, MPH Associate Medical Director of Quality, Department of Medicine Director of Primary Care … Quality Improvement Assistant Professor of Pediatrics Boston Children's Hospital Harvard Medical School
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - patient safety by using the NPSGs to identify their priorities for data collection, select metrics to measure … December 9, 2020
Using an online quiz-based reinforcement system to teach healthcare … of care: a scoping review. … February 15, 2023
Health care quality and safety in a correctional system: creating goals … and performance measures for improvement.
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psnet.ahrq.gov/issue/woman-who-cried-pain-do-sex-based-disparities-still-exist-experience-and-treatment-pain
January 02, 2001 - Commentary
The woman who cried pain: do sex-based disparities still exist in the experience and treatment of pain?
Citation Text:
Hoffmann DE, Fillingim RB, Veasley C. The woman who cried pain: do sex-based disparities still exist in the experience and treatment of pain? J Law Med Ethics…
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psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error
March 30, 2022 - Study
The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting.
Citation Text:
Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. …
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psnet.ahrq.gov/issue/nursing-and-physician-attire-possible-source-nosocomial-infections
July 01, 2016 - Study
Nursing and physician attire as possible source of nosocomial infections.
Citation Text:
Wiener-Well Y, Galuty M, Rudensky B, et al. Nursing and physician attire as possible source of nosocomial infections. Am J Infect Control. 2011;39(7):555-9. doi:10.1016/j.ajic.2010.12.016.
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psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
February 26, 2025 - found to improve key communication behaviors, like family and nurse engagement on rounds, and several measures … Institute of Medicine Committee on Quality of Health Care in America.
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psnet.ahrq.gov/issue/multicenter-collaborative-approach-reducing-pediatric-codes-outside-icu
August 13, 2014 - November 16, 2022
HIM functions in healthcare quality and patient safety.
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psnet.ahrq.gov/primer/telehealth-and-patient-safety
July 27, 2022 - auscultation and private or inaccessible areas of the body, (3) reliance on patients and their families to measure … patient monitoring with peripheral medical devices such as pulse oximetry, blood pressure cuffs, and scales … Editor, AHRQ’s Patient Safety Network (PSNet) Professor, Department of Pediatrics Medical Director for Healthcare … Quality UC Davis Health ushaikh@ucdavis.edu James Marcin, MD, MPH Director, UC Davis Center for Health … Access and quality of care in direct-to-consumer telemedicine.
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psnet.ahrq.gov/issue/describing-evidence-linking-interprofessional-education-interventions-improving-delivery-safe
June 12, 2013 - In this scoping review, 94 articles that linked IPE to at least one of ten CMS quality measures (e.g.
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - obtained, the findings were appropriately reported to caregivers as well as external agencies, and measures
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psnet.ahrq.gov/issue/medication-safety-certificate-program
September 30, 2020 - April 1, 2015
Move toward full use of metric dosing: eliminate dosage cups that measure … Use cups that measure mL. … February 1, 2022
- March 8, 2022
Master of Healthcare Quality and Safety.
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psnet.ahrq.gov/issue/defining-avoidable-healthcare-associated-harm-prisons-mixed-method-development-study
August 04, 2021 - Study
Defining avoidable healthcare-associated harm in prisons: a mixed-method development study.
Citation Text:
Keers RN, Wainwright V, McFadzean J, et al. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. PLOS One. 2023;18(3):e0282021. doi:10.1…