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psnet.ahrq.gov/issue/systematic-review-human-factors-and-ergonomics-hfe-based-healthcare-system-redesign-quality
February 13, 2014 - Review
A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety.
Citation Text:
Xie A, Carayon P. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and pa…
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psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-improve-safety
August 08, 2018 - Newspaper/Magazine Article
Survey results: smart pump data analytics pump metrics that should be monitored to improve safety.
Citation Text:
Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. ISMP Medication Safety Alert! Acute care edition…
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www.ahrq.gov/hai/cauti-tools/impl-guide/index.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Next Page
Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Overview
Frameworks for Change and Improvement
Technical…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T6-Sample_Vignettes_Phase_3_final.doc
June 02, 2025 - Comprehensive Antibiogram Toolkit: Phase 3
Sample Vignettes
The following series of vignettes are similar to cases that a prescribing clinician may be presented with in a nursing home. Work through the vignettes and discussion questions—first without referring to the antibiogram and then by referring to the antibiogra…
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psnet.ahrq.gov/issue/role-chief-executive-officers-quality-improvement-qualitative-study
September 17, 2014 - Study
The role of chief executive officers in a quality improvement: a qualitative study.
Citation Text:
Parand A, Dopson S, Vincent CA. The role of chief executive officers in a quality improvement : a qualitative study. BMJ Open. 2013;3(1). doi:10.1136/bmjopen-2012-001731.
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psnet.ahrq.gov/issue/rules-and-guidelines-clinical-practice-qualitative-study-operating-theatres-doctors-and
January 06, 2018 - Study
Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views.
Citation Text:
McDonald R. Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views. Quality and Safety in…
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www.ahrq.gov/patient-safety/reports/engage/model-in-pc.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Model of Patient Safety in Primary Care
Previous Page Next Page
Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduc…
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psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-violent-patients
July 14, 2010 - Commentary
Ensuring staff safety when treating potentially violent patients.
Citation Text:
Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA. 2016;316(24):2669-2670. doi:10.1001/jama.2016.18260.
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Format:
DOI G…
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psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments
June 01, 2021 - Commentary
Reducing the incidence of retained surgical instrument fragments.
Citation Text:
Reece M, Troeleman ND, McGowan JE, et al. Reducing the incidence of retained surgical instrument fragments. AORN J. 2011;94(3):301-4. doi:10.1016/j.aorn.2011.05.014.
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psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fail
July 31, 2013 - Newspaper/Magazine Article
Hospital checklists are meant to save lives—so why do they often fail?
Citation Text:
Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a.
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DOI G…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
November 01, 2014 - The second major cultural shift included empowering the staff to try out new ideas (using rapid tests
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psnet.ahrq.gov/node/40532/psn-pdf
June 15, 2011 - Safety in Anaesthesia.
June 15, 2011
Staender S, ed. Best Pract Res Clin Anaesthesiol. 2011;25(2):109-304.
https://psnet.ahrq.gov/issue/safety-anaesthesia
This special issue explores safety in anesthesia, including safety culture, incident reporting, and handoffs.
https://psnet.ahrq.gov/issue/safety-anaesth…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/05-sops-riverside-handoffs-webcast-closing.pdf
June 02, 2025 - Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Closing Slides
Q&A
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EVALUATION
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psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - better clinical outcomes, and effectively redesigning systems of care require both educational and cultural
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psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - Delayed Management of Necrotizing Soft Tissue Infection
– Who does the Patient Belong To?
April 29, 2020
Rinderknecht T, Utter GH. Delayed Management of Necrotizing Soft Tissue Infection – Who does the
Patient Belong To? PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tiss…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-transcript.html
December 01, 2017 - Integrating Teamwork Tools into CUSP Efforts
Webinar Transcript
On the CUSP: Stop CAUTI in the ED
ED Mini-Presentation to Accompany April 7, 2015 ED Coaching Call
Sarah: Hello, everyone, and thank you for listening today. My name is Sarah Dalton and I am a research specialist with the Health Research and…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-into-cusp-efforts-transcript.docx
April 07, 2015 - On the CUSP: Stop CAUTI in the ED
ED Mini-Presentation to Accompany April 7, 2015 ED Coaching Call
Sarah: Hello, everyone, and thank you for listening today. My name is Sarah Dalton and I am a research specialist with the Health Research and Educational Trust.
Welcome to the second mini-presentation in the CAUTI ED …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-items-composite-spanish.pdf
September 01, 2024 - SOPS® Nursing Home Survey Items and Composite Measures (Spanish)
SOPS® Nursing Home Survey Items and
Composite Measures
Version: 1.0
Language: Spanish
Notes
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conduct…
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www.ahrq.gov/news/newsletters/e-newsletter/951.html
March 01, 2025 - AHRQ Report Identifies Strategies To Reduce Emergency Department Boarding
Issue Number
951
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
March 25, 2025
AHRQ Stats: MRSA Rates by Payer Type The rate of MRSA diagnoses on admission among expected self-pay hosp…
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www.ahrq.gov/news/newsletters/e-newsletter/912.html
May 01, 2024 - Winners Chosen in Challenge Competition To Advance AHRQ’s CDS Connect
Issue Number
912
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
May 7, 2024
AHRQ Stats: Cost of Treatment for Dental Conditions Among Seniors In 2020, the first year of the COVID-19 pandem…