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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - Good Catch in the Operating Room
May 1, 2019
Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/good-catch-operating-room
The Case
A 46-year-old woman with extensive history of back pain from lumbar stenosis was scheduled for an
elective laminectomy and spinal…
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psnet.ahrq.gov/node/33853/psn-pdf
March 01, 2018 - In Conversation With… Linda Aiken, PhD, RN
March 1, 2018
In Conversation With… Linda Aiken, PhD, RN. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
Editor's note: Dr. Aiken is Claire M. Fagin Leadership Professor of Nursing, Professor of Sociology, and
Director of the Ce…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Human_Resources_Transcript_2011_02_01.pdf
January 01, 2011 - Human Resources Issues
Human Resources Issues
February 2012 Podcast
Speaker
Wendy Leebov, Ed.D., CEO Leebov Golde & Associates
Moderator
Lise Rybowski, Consultant, CAHPS User Network; President, The Severyn Group
Presentation Available
https://www.cahps.ahrq.gov/News-and-Events/Podcasts.aspx
Li…
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www.ahrq.gov/topics/s.html
July 09, 2025 - Topics Browse A - Z
S
Safety Net Screening Sepsis Shared Decision Making Sickle Cell Disease Simulation Sleep Problems Social Determinants of Health Spanish-Language Resources State Data Substance Abuse Surgery Surveys on Patient Safety Culture System Design
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www.ahrq.gov/patient-safety/settings/esrd/resource/infectionpx.html
November 01, 2014 - Patient Engagement in Infection Prevention
This video vignette illustrates how to engage dialysis patients in infection prevention.
ESRD Toolkit Modules
The four modules are:
Creating a Culture of Safety
Clinical Care
Using Checklists and Audits
Patient and Family Engagement…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/DxSftyRpt-Updated-2022.pdf
January 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety CultureTM (SOPS®) Diagnostic Safety Supplemental Items for Medical Offices
2022 Updated Results for the AHRQ
Surveys on Patient Safety CultureTM (SOPS®)
Diagnostic Safety Supplemental Items for
Medical Offices
Prepared for:
Agency for Healthcare Resea…
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psnet.ahrq.gov/node/33738/psn-pdf
December 01, 2012 - I think it's one of the most
interesting cultural, process, and cognitive issues because we have such
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-section-6b-table-6.pdf
June 02, 2025 - Section 6B, Table 6
Table 6: Timely Blood Culture for Children with Sepsis Syndrome
Site Numerator Denominator Rate
Hospital #1 64 88 73%
Hospital #2 56 94 60%
Hospital #3 71 92 77%
All Sites 191 274 70%
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psnet.ahrq.gov/node/35519/psn-pdf
July 24, 2008 - Bringing surgeons down to earth.
July 24, 2008
Landro L.
https://psnet.ahrq.gov/issue/bringing-surgeons-down-earth
This article reports on several pilot initiatives designed to improve safety culture in the operating room.
https://psnet.ahrq.gov/issue/bringing-surgeons-down-earth
https://psnet.ahrq.gov//#safetycul…
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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/hai/tools/mrsa/157-what-are-4-es.docx
October 01, 2024 - Changing attitudes and behaviors is the adaptive or cultural component of safety interventions, which
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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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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/2022-HSOPS-WPS-database-report-appendix-508.pdf
January 01, 2022 - Surveys on Patient Safety Culture (SOPS) Hospital Workplace Safety: 2022 Updated Results, Appendix C
2022 Updated Results for the AHRQ
Surveys on Patient Safety Culture® (SOPS®)
Workplace Safety Supplemental Item Set for
Hospitals
Appendix C: Results by Additional Respondent
Characteristics
Prepared for:
A…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
April 06, 2008 - A cultural shift from “my exam room” to the “standard
exam room” was noted.
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psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - In Conversation with…Jennifer Daley, MD
January 1, 2008
Also Read an Essay
Citation Text:
In Conversation with…Jennifer Daley, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Co…
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - Implementing a Patient Safety Program at a Large National Health System
Loran Hauck, MD, and Jan Jacob, MBA, RN | January 1, 2008
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Hauck LD, Jacob J. Implementing a Patient Safety …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/c-diff-infections_disposition-comments.pdf
March 01, 2012 - Effectiveness of Early Diagnosis, Prevention, and Treatment of Clostridium difficile Infection
Source: http://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-
reports/?pageaction=displayproduct&productID=772
Published Online: March 2012
Comparative Effectiveness Research Revie…
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - /surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
a very big social and cultural
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
January 01, 2004 - • What cultural, organizational, and leadership factors hinder or promote
safety improvements?
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psnet.ahrq.gov/node/35765/psn-pdf
September 14, 2008 - Manchester Patient Safety Framework (MaPSaF).
September 14, 2008
Manchester, UK: University of Manchester; 2006.
https://psnet.ahrq.gov/issue/manchester-patient-safety-framework-mapsaf
This tool was developed to help National Health Service organizations assess their progress in
implementing and sustaining a safet…