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psnet.ahrq.gov/issue/world-health-organization-field-trial-assessing-proposed-icd-11-framework-classifying-patient
December 29, 2014 - Study
A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events.
Citation Text:
Forster AJ, Bernard B, Drösler SE, et al. A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety…
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psnet.ahrq.gov/issue/hospital-nurses-and-physicians-experiences-practicing-patient-safety-work-recognize
October 20, 2021 - Study
Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study.
Citation Text:
Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…
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psnet.ahrq.gov/issue/why-do-healthcare-professionals-fail-escalate-early-warning-system-ews-protocol-qualitative
August 25, 2021 - Review
Emerging Classic
Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation.
Citation Text:
O’Neill SM, Clyne B, Bell M, et al. Why do h…
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psnet.ahrq.gov/issue/covid-19-increased-risk-icu-acquired-bloodstream-infections-case-cohort-study-multicentric
March 11, 2020 - Study
COVID-19 increased the risk of ICU-acquired bloodstream infections: a case-cohort study from the multicentric OUTCOMEREA network.
Citation Text:
Buetti N, Ruckly S, de Montmollin E, et al. COVID-19 increased the risk of ICU-acquired bloodstream infections: a case–cohort study from …
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - Study
Analysis of adverse events associated with adult moderate procedural sedation outside the operating room.
Citation Text:
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…
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psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery
November 21, 2021 - Study
Classic
Association of overlapping surgery with increased risk for complications following hip surgery.
Citation Text:
Ravi B, Pincus D, Wasserstein D, et al. Association of Overlapping Surgery With Increased Risk for Complications Following Hip Surgery: A…
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psnet.ahrq.gov/issue/identifying-hospitalized-patients-risk-harm-comparison-nurse-perceptions-vs-electronic-risk
November 03, 2015 - Study
Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores.
Citation Text:
Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perc…
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www.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
August 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ Expands Its Repertoire to Eliminate Diagnostic Errors
AUG
22
2022
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
R. Valdez, Ph.D., M.H.S.A.
Too many Americans have experienced the health-related consequences and anxieties that f…
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psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative
September 24, 2017 - Study
Classic
Mortality trends after a voluntary checklist-based surgical safety collaborative.
Citation Text:
Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-9…
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psnet.ahrq.gov/issue/implementation-surgical-safety-checklist-south-carolina-hospitals-associated-improvement
June 02, 2015 - Study
Implementation of the surgical safety checklist in South Carolina hospitals is associated with improvement in perceived perioperative safety.
Citation Text:
Molina G, Jiang W, Edmondson L, et al. Implementation of the Surgical Safety Checklist in South Carolina Hospitals Is Associa…
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psnet.ahrq.gov/issue/association-between-hospital-safety-culture-and-surgical-outcomes-statewide-surgical-quality
February 14, 2017 - Study
Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative.
Citation Text:
Odell DD, Quinn CM, Matulewicz RS, et al. Association Between Hospital Safety Culture and Surgical Outcomes in a Statewide Surgical Quality Im…
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psnet.ahrq.gov/issue/scaling-safety-south-carolina-surgical-safety-checklist-experience
February 07, 2018 - Study
Scaling safety: the South Carolina Surgical Safety Checklist experience.
Citation Text:
Berry WR, Edmondson L, Gibbons LR, et al. Scaling Safety: The South Carolina Surgical Safety Checklist Experience. Health Aff (Millwood). 2018;37(11):1779-1786. doi:10.1377/hlthaff.2018.0717.
…
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psnet.ahrq.gov/issue/early-warning-systems-and-rapid-response-systems-prevention-patient-deterioration-acute-adult
July 29, 2020 - Review
Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards.
Citation Text:
McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for the prevention of patient deterioration …
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psnet.ahrq.gov/issue/gender-based-differences-surgical-residents-perceptions-patient-safety-continuity-care-and
February 14, 2017 - Study
Gender-based differences in surgical residents' perceptions of patient safety, continuity of care, and well-being: an analysis from the Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial.
Citation Text:
Ban KA, Chung JW, Matulewicz RS, et al. Gender-Based Dif…
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psnet.ahrq.gov/issue/identifying-and-reducing-medication-errors-psychiatry-creating-culture-safety-through-use
September 27, 2017 - Study
Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.
Citation Text:
Jayaram G, Doyle D, Steinwachs D, et al. Identifying and reducing medication errors in psychiatry: creating a culture of sa…
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psnet.ahrq.gov/issue/association-residency-work-hour-reform-long-term-quality-and-costs-care-us-physicians
June 21, 2016 - Study
Association of residency work hour reform with long term quality and costs of care of US physicians: observational study.
Citation Text:
Jena AB, Farid M, Blumenthal D, et al. Association of residency work hour reform with long term quality and costs of care of US physicians: obser…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-k.pdf
June 02, 2025 - Appendix K. Infographic Poster on CAUTI Prevention
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix K. Infographic Poster on CAUTI Prevention
The poster on the following page is intended to be printed with dimensions of 28 by 36 inches.
This can be done by sending the PDF out to a printer for large-f…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix L. Intensive Care Unit Infographic Poster
…
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psnet.ahrq.gov/issue/patient-safety-indicators-england-hospital-administrative-data-case-control-analysis-and
June 15, 2011 - Study
Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data.
Citation Text:
Raleigh VS, Cooper J, Bremner SA, et al. Patient safety indicators for England from hospital administrative data: case-control analysis and c…
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psnet.ahrq.gov/issue/current-teaching-and-evaluation-methods-critical-care-medicine-has-accreditation-council
February 23, 2022 - Study
Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit?
Citation Text:
Chudgar SM, Cox CE, Que LG, et al. Current teaching and evaluation methods…