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psnet.ahrq.gov/node/35760/psn-pdf
July 19, 2010 - Achieving rapid door-to-balloon times: how top hospitals
improve complex clinical systems.
July 19, 2010
Bradley EH, Curry LA, Webster TR, et al. Achieving rapid door-to-balloon times: how top hospitals improve
complex clinical systems. Circulation. 2006;113(8):1079-85.
https://psnet.ahrq.gov/issue/achieving-rapid…
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psnet.ahrq.gov/node/42485/psn-pdf
August 14, 2013 - Impact of individual and team features of patient safety
climate: a survey in family practices.
August 14, 2013
Hoffmann B, Miessner C, Albay Z, et al. Impact of individual and team features of patient safety climate: a
survey in family practices. Ann Fam Med. 2013;11(4):355-62. doi:10.1370/afm.1500.
https://psnet…
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psnet.ahrq.gov/node/43421/psn-pdf
August 13, 2014 - The inevitability of physician burnout: implications for
interventions.
August 13, 2014
Montgomery A. The inevitability of physician burnout: Implications for interventions. Burn Res. 2014;1(1).
doi:10.1016/j.burn.2014.04.002.
https://psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
…
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psnet.ahrq.gov/node/33953/psn-pdf
February 05, 2018 - Evidence-based Recommendations for Best Practices in
Weight Loss Surgery.
February 5, 2018
Expert Panel on Weight Loss Surgery, Betsy Lehman Center for Patient Safety and Medical Error
Reduction. Obesity Res. 2005;13(2):203-379.
https://psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-pat…
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psnet.ahrq.gov/node/43052/psn-pdf
March 19, 2014 - Surgical ward round quality and impact on variable
patient outcomes.
March 19, 2014
Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes.
Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376.
https://psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact…
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psnet.ahrq.gov/node/41262/psn-pdf
April 04, 2012 - Achieving a high-reliability organization through
implementation of the ARCC model for systemwide
sustainability of evidence-based practice.
April 4, 2012
Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for
systemwide sustainability of evidence-based practice. Nurs Adm…
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psnet.ahrq.gov/node/46275/psn-pdf
March 27, 2018 - Errors originating in hospital and health-system
outpatient pharmacies.
March 27, 2018
Straka M, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. June 2017;14:55-63.
https://psnet.ahrq.gov/issue/errors-originating-hospital-and-health-system-outpatient-pharmacies
According to this analysis of more than 1000 repor…
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psnet.ahrq.gov/node/47120/psn-pdf
July 18, 2018 - Complicated: medical missteps are not inevitable.
July 18, 2018
Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-
1181. doi:10.1377/hlthaff.2017.1550.
https://psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
This commentary provides a clini…
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psnet.ahrq.gov/node/47084/psn-pdf
July 25, 2018 - Best Practices for Safe Medication Administration During
Anesthesia Care.
July 25, 2018
APSF Committee on Technology. Anesthesia Patient Safety Foundation.
https://psnet.ahrq.gov/issue/best-practices-safe-medication-administration-during-anesthesia-care
Medication errors in anesthesia practice can be result in ser…
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psnet.ahrq.gov/node/43165/psn-pdf
May 07, 2014 - Disrespectful behaviors—part 1 and part 2.
May 7, 2014
ISMP Medication Safety Alert! Acute care edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4.
https://psnet.ahrq.gov/issue/disrespectful-behaviors-part-1-and-part-2
The first article of this series reports the results of a survey investigating disruptive beh…
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www.ahrq.gov/topics/access-care.html
Topic: Access to Care
Access to health care means having "the timely use of personal health services to achieve the best health outcomes."
Access to health care consists of four components:
Coverage: facilitates entry into the health care system. Uninsured people are less likely to receive medical care and …
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psnet.ahrq.gov/training-catalog/safety-pediatric-dental-care
August 10, 2025 - Safety in Pediatric Dental Care
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Organization:
Organization
American Academy of Pediatric Dentistry
Event Description: Th…
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psnet.ahrq.gov/node/867450/psn-pdf
January 08, 2025 - Advancing Health Care Safety for All.
January 8, 2025
Advancing Health Care Safety for All. Centers for Medicare and Medicaid Services. 2024.
https://psnet.ahrq.gov/issue/advancing-health-care-safety-all
As one element of a national program to improve care quality, the Centers for Medicare and Medicaid
Services (C…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-decision-support-tools_research-protocol.pdf
November 12, 2013 - population);
health or numerical literacy, mismatch of native language and language of the DST, and
cultural … to the needs of
the target populations (e.g., in terms of language, literacy and numeracy level or cultural … early cancer) and other potentially important consumer
characteristics (e.g., numerical literacy, cultural
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www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - Organizational and cultural changes for providing safe
patient care. … Organizational and Cultural Changes for Providing Safe Patient
Care. In: Borkowski N editor. … Organizational and cultural change for providing safe
care.
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyref.html
April 01, 2020 - Mediating the cultural boundaries between medicine, nursing and management—the central challenge in hospital … Organizational and cultural changes for providing safe patient care.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-14-attachment-1.pdf
January 01, 2011 - Language and cultural differences may also impact treatment
decisions. 5
Prescribing habits … of directors),
Steering Committee – National Quality Forum (2011-
2012 Health care disparities and cultural
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-14-attach-1.pdf
January 01, 2011 - Language and cultural differences may also impact treatment
decisions. 5
Prescribing habits … of directors),
Steering Committee – National Quality Forum (2011-
2012 Health care disparities and cultural
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-mental-health-data-spotlight.pdf
July 01, 2024 - People may also have cultural differences (e.g., different or lack of terminology about
specific mental … Distrust of the mental health and general medical system, as well as cultural and language
barriers,
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024949-yellowlees-final-report-2022.pdf
January 01, 2022 - psychiatrist to view, evaluate, and write assessments for the
patient
o language accuracy and cultural … documentation are all in Spanish is simply more costly than otherwise and
being fully aware of the patients cultural