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www.ahrq.gov/patient-safety/reports/advances/planning.html
July 01, 2022 - Advances in Patient Safety
Dissemination Planning Tool: Exhibit A from Volume 4
Previous Page
Table of Contents
Advances in Patient Safety
Acknowledgments
Preface
Peer Reviewers for Volume 1. Research Findings
Peer Reviewers for Volume 2. Concepts and Methodology
Peer Reviewers for Volum…
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psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - Situational Awareness and Patient Safety
Citation Text:
Farnan JE. Situational Awareness and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-current-state-and
January 01, 2024 - Patient-Centered Outcomes Research Clinical Decision Support: Current State and Future Directions
Project Description
Publications
Research Story
Trust, interoperability, and ease of implementation are important factors that can increase uptake of evidence into prac…
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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - Patient Safety 101
Citation Text:
Patient Safety 101. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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D…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Selected …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4b
Selected Best Practices and Suggestions for Improvement
PSI 05: Retained Surgical Item or Unretrieved Device Fragment Count
Why Focus on Retained Fore…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4q
Selected Best Practices and Suggestions for Improvement
PDI 03: Retained Surgical Item or Unretrieved Device Fragment Count
Why focus on retained forei…
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - Turn the Other Cheek
Citation Text:
Starling J. Turn the Other Cheek. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/026-why-choose-cusp.pptx
April 01, 2025 - PowerPoint Presentation
Why Choose a CUSP Approach?
Surgical Services
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
AHRQ Safety Program for MRSA Prevention |
Why Choose a CUSP Approach?
1
Educational Objectives
D…
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV)
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June 30, 2021
Innovat…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects Tool—Sample
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is a Defect?
A defect is any clinical or operational event or situation that you would not want to happen again. This could include i…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.308_slideshow.ppt
October 01, 2013 - PowerPoint Presentation
Spotlight Case
It's Sarah, not Stephen!
1
This presentation is based on the October 2013 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Urmimala Sarkar, MD, MPH, University of California at San Francisco
Editor, AHRQ WebM&…
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psnet.ahrq.gov/node/47445/psn-pdf
October 24, 2018 - Diagnostic error in the critically ill: defining the problem
and exploring next steps to advance intensive care unit
safety.
October 24, 2018
Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring
Next Steps to Advance Intensive Care Unit Safety. Ann Am Thorac Soc…
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psnet.ahrq.gov/node/36667/psn-pdf
April 14, 2011 - Effective healthcare teams require effective team
members: defining teamwork competencies.
April 14, 2011
Leggat SG. Effective healthcare teams require effective team members: defining teamwork competencies.
BMC Health Serv Res. 2007;7:17.
https://psnet.ahrq.gov/issue/effective-healthcare-teams-require-effective-t…
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psnet.ahrq.gov/node/39246/psn-pdf
April 11, 2018 - How perioperative nurses define, attribute causes of, and
react to intraoperative nursing errors.
April 11, 2018
Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.
AORN J. 2010;91(1):132-45. doi:10.1016/j.aorn.2009.06.028.
https://psnet.ahrq.gov/issue/how-per…
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psnet.ahrq.gov/node/47309/psn-pdf
August 22, 2018 - Defining patient safety events in inpatient psychiatry.
August 22, 2018
Marcus SC, Hermann R, Cullen SW. Defining Patient Safety Events in Inpatient Psychiatry. J Patient Saf.
2018;17(8):e1452-e1457. doi:10.1097/PTS.0000000000000520.
https://psnet.ahrq.gov/issue/defining-patient-safety-events-inpatient-psychiatry
…
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psnet.ahrq.gov/node/36622/psn-pdf
January 14, 2011 - Measuring errors in surgical pathology in real-life
practice: defining what does and does not matter.
January 14, 2011
Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does
and does not matter. Am J Clin Pathol. 2007;127(1):144-52.
https://psnet.ahrq.gov/issue/measu…
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psnet.ahrq.gov/node/41727/psn-pdf
October 10, 2012 - Transferring responsibility and accountability in maternity
care: clinicians defining their boundaries of practice in
relation to clinical handover.
October 10, 2012
Chin GSM, Warren N, Kornman L, et al. Transferring responsibility and accountability in maternity care:
clinicians defining their boundaries of pract…
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psnet.ahrq.gov/node/44262/psn-pdf
November 17, 2016 - The challenges in defining and measuring diagnostic
error.
November 17, 2016
Zwaan L, Singh H. The challenges in defining and measuring diagnostic error. Diagnosis (Berl).
2015;2(2):97-103. doi:10.1515/dx-2014-0069.
https://psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error
Although diagnosti…
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psnet.ahrq.gov/node/41489/psn-pdf
October 12, 2012 - Defining patient safety in hospice: principles to guide
measurement and public reporting.
October 12, 2012
Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement
and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10.1089/jpm.2011.0530.
https://psnet.ahr…