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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/Patient_and_Family_Engagement_in_the_ED_transcript.docx
July 07, 2015 - On the CUSP: Stop CAUTI in the ED
ED Mini-Presentation to Accompany July 7, 2015 ED Coaching Call
Sarah: Hello everyone, and thank you for listening today. My name is Sarah Dalton, and I am a Program Specialist at the Health Research and Educational Trust. Welcome to the fifth mini-presentation in the CAUTI ED cohort …
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - Diffusion of Responsibility Leads to Danger
Citation Text:
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - Bowel Injury After Laparoscopic Surgery
Citation Text:
Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/33614/psn-pdf
June 01, 2005 - Interpreting the Patient Safety Literature
June 1, 2005
Shojania KG. Interpreting the Patient Safety Literature. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
Perspective
Five years ago, a widely publicized randomized trial reported a 90% reduction in the inciden…
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - Failure to Rescue
January 29, 2025
Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/failure-rescue
Updated in January 2025 by Irina Tokareva RN, BSN, MAS, CPHQ and Patrick Romano, MD, MPH. PSNet
primers are regularly reviewed and updated to ensure that they reflect cur…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4n
Selected Best Practices and Suggestions for Improvement
IQI: Mortality Review of Select Procedures and Conditions
Why Focus on Mortality Review? …
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi25.pdf
October 01, 2011 - eHHIC: Data Acquisition
Hawaii Health Information Corporation
Enhancing Hawaii Hospital Information Content (eHHIC)
Deliverable 2:
Data Acquisition
2 | P a g e
TABLE OF CONTENTS
I. OBJECTIVE……………………………….………………..…………………………………………3
a. IMPLEMENTATION GUIDE.……….……………………………………………
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www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
November 01, 2016 - We talk about wanting to achieve this idea of structural and cultural change, or at least starting that
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psnet.ahrq.gov/node/50914/psn-pdf
February 19, 2020 - Uncovering, creating or constructing problems? Enacting
a new role to support staff who raise concerns about
quality and safety in the English National Health Service
February 19, 2020
Martin GP, Chew S, Dixon-Woods M. Uncovering, creating or constructing problems? Enacting a new role
to support staff who raise co…
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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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psnet.ahrq.gov/node/43895/psn-pdf
November 03, 2015 - The Digital Doctor: Hope, Hype, and Harm at the Dawn of
Medicine's Computer Age.
November 3, 2015
Wachter R. New York, NY: McGraw-Hill; 2015. ISBN: 9780071849463.
https://psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
Over the past few years, driven by $30 billion of federal inc…
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psnet.ahrq.gov/node/847533/psn-pdf
April 12, 2023 - Linking patient safety climate with missed nursing care in
labor and delivery units: findings from the LaborRNs
survey.
April 12, 2023
Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and
delivery units: findings from the LaborRNs survey. J Patient Saf. 2023;19(…
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psnet.ahrq.gov/node/73414/psn-pdf
June 23, 2021 - Promoting the psychological well-being of healthcare
providers facing the burden of adverse events: a
systematic review of second victim support resources.
June 23, 2021
Busch IM, Moretti F, Campagna I, et al. Promoting the psychological well-being of healthcare providers
facing the burden of adverse events: a sys…
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psnet.ahrq.gov/node/37368/psn-pdf
January 10, 2017 - Effective implementation of work-hour limits and
systemic improvements.
January 10, 2017
Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic
improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl):19-29.
https://psnet.ahrq.gov/issue/effective-implementation-wo…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/sustainability.html
July 01, 2018 - Sustainability
Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities
This section explains the importance of planning for sustainability from the beginning and provides an overview of factors to help achieve sustainable gains. Infection prevention strategies can only be sustained if they are emb…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/how-to-use.html
March 01, 2017 - How To Use This Toolkit
Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities
The toolkit consists of three sections. Your facility can use the materials in each section in improvement efforts to reduce CAUTI and other HAIs.
Implementation
Sustainability
Resources
Sections aggregate …
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psnet.ahrq.gov/node/35611/psn-pdf
June 23, 2010 - Error or "act of God"? A study of patients' and operating
room team members' perceptions of error definition,
reporting, and disclosure.
June 23, 2010
Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team
members' perceptions of error definition, reporting, and d…
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psnet.ahrq.gov/node/43593/psn-pdf
May 06, 2015 - Reducing the Risks of Wrong-Site Surgery: Safety
Practices from The Joint Commission Center for
Transforming Healthcare Project.
May 6, 2015
Chicago, IL: American Hospital Association, Health Research and Educational Trust, and Joint
Commission Center for Transforming Healthcare; 2014.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/45345/psn-pdf
July 27, 2016 - An official Critical Care Societies Collaborative statement:
burnout syndrome in critical care healthcare
professionals: a call for action.
July 27, 2016
Moss M, Good VS, Gozal D, et al. An Official Critical Care Societies Collaborative Statement: Burnout
Syndrome in Critical Care Healthcare Professionals: A Call …
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psnet.ahrq.gov/node/866910/psn-pdf
October 09, 2024 - From theory to policy in resilient health care: policy
recommendations and lessons learnt from the Resilience
in Healthcare Research Program.
October 9, 2024
Wiig S, Lyng HB, Guise V, et al. From theory to policy in resilient health care: policy recommendations and
lessons learnt from the Resilience in Healthcare …