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psnet.ahrq.gov/node/45585/psn-pdf
June 29, 2017 - Impact of Medicare's nonpayment program on hospital-
acquired conditions.
June 29, 2017
Thirukumaran CP, Glance LG, Temkin-Greener H, et al. Impact of Medicare's Nonpayment Program on
Hospital-acquired Conditions. Med Care. 2017;55(5):447-455. doi:10.1097/MLR.0000000000000680.
https://psnet.ahrq.gov/issue/impact-m…
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psnet.ahrq.gov/node/47930/psn-pdf
May 01, 2019 - Evolving quality improvement support strategies to
improve Plan–Do–Study–Act cycle fidelity: a retrospective
mixed-methods study.
May 1, 2019
McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to improve
Plan-Do-Study-Act cycle fidelity: a retrospective mixed-methods study. …
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psnet.ahrq.gov/node/837311/psn-pdf
June 01, 2022 - Effects of healthcare organization actions and policies
related to COVID-19 on perceived organizational support
among U.S. internists: a national study.
June 1, 2022
Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to
COVID-19 on perceived organizational support a…
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psnet.ahrq.gov/node/43072/psn-pdf
November 21, 2016 - Physician attitudes toward family-activated medical
emergency teams for hospitalized children.
November 21, 2016
Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency
teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;40(4):187-192.
https://psnet.a…
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psnet.ahrq.gov/node/43450/psn-pdf
May 06, 2015 - Advances in the Prevention and Control of HAIs.
May 6, 2015
Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Rockville, MD: Agency for Healthcare Research and
Quality; June 2014. AHRQ Publication No. 14-0003.
https://psnet.ahrq.gov/issue/advances-prevention-and-control-hais
Health care–associated infections (HAI…
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psnet.ahrq.gov/node/47900/psn-pdf
January 01, 2021 - Is physician mentorship associated with the occurrence
of adverse patient safety events?
April 10, 2019
Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of
Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637.
doi:10.1097/PTS.0000000000000592.
https://p…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-overview-webcast-bakdash.pdf
June 02, 2025 - AHRQ’s Surveys on Patient Safety Culture® for New Users - Jonathan Bakdash
AHRQ’s Surveys on Patient Safety Culture®
(SOPS®) Program
Jonathan Bakdash, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and science-based agency of
t…
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psnet.ahrq.gov/node/45802/psn-pdf
December 12, 2018 - Intravenous smart pump drug library compliance: a
descriptive study of 44 hospitals.
December 12, 2018
Giuliano KK, Su W-T, Degnan DD, et al. Intravenous Smart Pump Drug Library Compliance: A Descriptive
Study of 44 Hospitals. J Patient Saf. 2018;14(4):e76-e82. doi:10.1097/PTS.0000000000000383.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/38891/psn-pdf
January 04, 2010 - Do calculation errors by nurses cause medication errors
in clinical practice? A literature review.
January 4, 2010
Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review.
Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2009.06.009.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - There are three primary critiques :
There is considerable interrater variability in determining … experienced clinical reviewers achieve only moderate agreement on whether or not an error even occurred, and determining
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-evidence-communication_executive.pdf
November 01, 2013 - After
determining article inclusion, one reviewer entered data
about studies into evidence tables and … While this tactic creates the potential
for a more powerful effect, it also complicates determining … Key Points: Disseminating Evidence to Patients
• Evidence is inconsistent for determining the beneft … • Evidence is insuffcient for determining the beneft
of reach, ability, motivation, or multicomponent … • Evidence is insuffcient for determining the beneft
of reach, ability, motivation, or multicomponent
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-de-novo-processes_methods.pdf
September 01, 2009 - Determining How To Use Existing Systematic Reviews
At this point in the process, we assume that EPCs … These include:
• Determining whether the targeted SR search strategy that has been proposed
in this … • Determining whether it is more efficient to search for an SR as part of the
overall search strategy … • Determining specific criteria to assess the quality of individual patient data
meta-analyses. … • Determining if SRs evaluating diagnostic tests or harms require a different
emphasis on certain
-
effectivehealthcare.ahrq.gov/sites/default/files/systematicreviewsreplacedenovo.pdf
September 01, 2009 - Determining How To Use Existing Systematic Reviews
At this point in the process, we assume that EPCs … These include:
• Determining whether the targeted SR search strategy that has been proposed
in this … • Determining whether it is more efficient to search for an SR as part of the
overall search strategy … • Determining specific criteria to assess the quality of individual patient data
meta-analyses. … • Determining if SRs evaluating diagnostic tests or harms require a different
emphasis on certain
-
psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-prevent-catheter-associated-urinary
January 25, 2017 - May 11, 2022
Determining the skills needed by frontline NHS staff to deliver quality
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psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting
September 25, 2008 - June 8, 2016
Comparison of military and civilian methods for determining potentially
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psnet.ahrq.gov/issue/leveraging-redesigned-morbidity-and-mortality-conference-incorporates-clinical-and
April 24, 2018 - December 3, 2018
Comparison of military and civilian methods for determining potentially
-
psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
May 23, 2018 - Related Resources From the Same Author(s)
Comparison of military and civilian methods for determining
-
psnet.ahrq.gov/issue/cost-effectiveness-computerized-provider-order-entry-system-improving-medication-safety
August 09, 2017 - December 21, 2016
Comparison of military and civilian methods for determining potentially
-
digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2011
January 01, 2011 - care, estimating the prevalence of voluntary physician use of the DMF embedded within the EHR, and determining
-
digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2012
January 01, 2012 - also investigating the prevalence of voluntary physician use of the DMF embedded within the EHR, and determining