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psnet.ahrq.gov/node/39495/psn-pdf
September 20, 2011 - Safe Practices for Better Healthcare: 2010 Update.
September 20, 2011
Washington, DC: National Quality Forum; 2010.
https://psnet.ahrq.gov/issue/safe-practices-better-healthcare-2010-update
The National Quality Forum originally published the Safe Practices for Better Healthcare in 2003. These
practices are intende…
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psnet.ahrq.gov/node/36629/psn-pdf
January 05, 2017 - Patient-reported safety and quality of care in outpatient
oncology.
January 5, 2017
Weingart SN, Price J, Duncombe D, et al. Patient-reported safety and quality of care in outpatient
oncology. Jt Comm J Qual Patient Saf. 2007;33(2):83-94.
https://psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpat…
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psnet.ahrq.gov/node/36886/psn-pdf
May 27, 2011 - The extent and importance of unintended consequences
related to computerized provider order entry.
May 27, 2011
Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to
computerized provider order entry. J Am Med Inform Assoc. 2007;14(4):415-23.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/60246/psn-pdf
April 22, 2020 - The impact of surgical count technology on retained
surgical items rates in the Veterans Health
Administration.
April 22, 2020
Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items
rates in the Veterans Health Administration. J Patient Saf. 2020;16(4):255-258.
do…
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psnet.ahrq.gov/node/866315/psn-pdf
July 17, 2024 - Physician specialty differences in unprofessional
behaviors observed and reported by coworkers.
July 17, 2024
Cooper WO, Hickson GB, Dmochowski RR, et al. Physician specialty differences in unprofessional
behaviors observed and reported by coworkers. JAMA Netw Open. 2024;7(6):e2415331.
doi:10.1001/jamanetworkopen.…
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn10.pdf
June 21, 2014 - HOSPITAL COMMITMENT FORM
HOSPITAL COMMITMENT FORM
MINNESOTA HOSPITAL ASSOCIATION
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) GRANT
ADDING LAB AND PHARMACY DATA
Hospital or System Name:________________________________________
Lab data: Our hospital or health system will participate in th…
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psnet.ahrq.gov/node/837692/psn-pdf
July 20, 2022 - Assessment of changes in visits and antibiotic
prescribing during the Agency for Healthcare Research
and Quality Safety Program for Improving Antibiotic Use
and the COVID-19 Pandemic.
July 20, 2022
Keller SC, Caballero TM, Tamma PD, et al. Assessment of changes in visits and antibiotic prescribing
during the Agen…
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www.ahrq.gov/sops/surveys/nursing-home/nursing-home-2/index.html
November 01, 2024 - SOPS Nursing Home Survey 2.0 (Under Development)
AHRQ is currently developing and testing an updated version of the Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey. This new survey will be shorter and have revised and new items and composite measures. During the survey development process, AHRQ w…
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psnet.ahrq.gov/node/38467/psn-pdf
March 11, 2009 - Patients' perceptions of safety if interpersonal continuity
of care were to be disrupted.
March 11, 2009
Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care
were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.1111/j.1369-7625.2008.00503.x.
https://…
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psnet.ahrq.gov/node/41100/psn-pdf
February 01, 2012 - Agency for Healthcare Research and Quality pediatric
indicators as a quality metric for surgery in children: do
they predict adverse outcomes?
February 1, 2012
Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as
a quality metric for surgery in children: do they …
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psnet.ahrq.gov/node/48123/psn-pdf
August 28, 2019 - Hidden health IT hazards: a qualitative analysis of
clinically meaningful documentation discrepancies at
transfer out of the pediatric intensive care unit.
August 28, 2019
Orenstein EW, Ferro DF, Bonafide CP, et al. JAMIA Open. 2019;2(3):392-398.
https://psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-an…
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psnet.ahrq.gov/node/36577/psn-pdf
January 12, 2011 - Effects of teamwork training on adverse outcomes and
process of care in labor and delivery: a randomized
controlled trial.
January 12, 2011
Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of
care in labor and delivery: a randomized controlled trial. Obstet Gyneco…
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psnet.ahrq.gov/node/39768/psn-pdf
August 18, 2010 - Medical team training and coaching in the veterans health
administration; assessment and impact on the first 32
facilities in the programme.
August 18, 2010
Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration;
assessment and impact on the first 32 facilities in…
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psnet.ahrq.gov/node/38343/psn-pdf
December 09, 2014 - Liability associated with obstetric anesthesia: a closed
claims analysis.
December 9, 2014
Davies JM, Posner KL, Lee LA, et al. Liability associated with obstetric anesthesia: a closed claims
analysis. Anesthesiology. 2009;110(1):131-139. doi:10.1097/ALN.0b013e318190e16a.
https://psnet.ahrq.gov/issue/liability-ass…
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psnet.ahrq.gov/node/46450/psn-pdf
August 20, 2018 - Improving Diagnostic Quality and Safety Final Report.
August 20, 2018
Washington, DC: National Quality Forum. September 19, 2017.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
Although diagnostic error is a well-recognized source of preventable patient harm, measuring and
mitiga…
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psnet.ahrq.gov/node/60680/psn-pdf
July 15, 2020 - Contributing factors for pediatric ambulatory diagnostic
process errors: Project RedDE.
July 15, 2020
Dadlez NM, Adelman JS, Bundy DG, et al. Contributing factors for pediatric ambulatory diagnostic process
errors: Project RedDE. Ped Qual Saf. 2020;5(3):e299-e305. doi:10.1097/pq9.0000000000000299.
https://psnet.ah…
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psnet.ahrq.gov/node/850344/psn-pdf
June 14, 2023 - Green Cross method in a postanaesthesia care unit: a
qualitative study of the healthcare professionals'
experiences after 3 years, including the COVID-19
pandemic period.
June 14, 2023
Birkeli GH, Ballangrud R, Jacobsen HK, et al. Green Cross method in a postanaesthesia care unit: a
qualitative study of the healt…
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psnet.ahrq.gov/node/45277/psn-pdf
July 01, 2017 - Cultural transformation after implementation of crew
resource management: is it really possible?
July 1, 2017
Hefner JL, Hilligoss B, Knupp A, et al. Cultural Transformation After Implementation of Crew Resource
Management: Is It Really Possible? Am J Med Qual. 2017;32(4):384-390. doi:10.1177/1062860616655424.
htt…
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psnet.ahrq.gov/node/47014/psn-pdf
July 02, 2019 - Multisource evaluation of surgeon behavior is associated
with malpractice claims.
July 2, 2019
Lagoo J, Berry WR, Miller K, et al. Multisource Evaluation of Surgeon Behavior Is Associated With
Malpractice Claims. Ann Surg. 2019;270(1):84-90. doi:10.1097/SLA.0000000000002742.
https://psnet.ahrq.gov/issue/multisourc…
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psnet.ahrq.gov/node/42266/psn-pdf
May 15, 2013 - Medication errors in the home: a multisite study of
children with cancer.
May 15, 2013
Walsh KE, Roblin DW, Weingart SN, et al. Medication errors in the home: a multisite study of children with
cancer. Pediatrics. 2013;131(5):e1405-14. doi:10.1542/peds.2012-2434.
https://psnet.ahrq.gov/issue/medication-errors-home…