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psnet.ahrq.gov/issue/clinical-handover-critical-communications
February 18, 2015 - Special or Theme Issue
Clinical Handover: Critical Communications.
Citation Text:
Clinical Handover: Critical Communications. Med J Aust. 2009;190(s11):s108-s157.
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psnet.ahrq.gov/node/40095/psn-pdf
December 22, 2010 - Assessing and improving safety culture throughout an
academic medical centre: a prospective cohort study.
December 22, 2010
Paine LA, Rosenstein BJ, Sexton B, et al. Assessing and improving safety culture throughout an academic
medical centre: a prospective cohort study. Qual Saf Health Care. 2010;19(6):547-54.
do…
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psnet.ahrq.gov/issue/hospitals-move-cut-dangerous-lab-errors
August 17, 2016 - Newspaper/Magazine Article
Hospitals move to cut dangerous lab errors.
Citation Text:
Hospitals move to cut dangerous lab errors. Landro L.
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www.ahrq.gov/topics/hospital-readmissions.html
January 01, 2012 - Hospital Readmissions
Reducing preventable hospital readmissions is a national priority for payers, providers, and policymakers seeking to improve health care and lower costs. In 2012, the Centers for Medicare & Medicaid Services began reducing Medicare payments for certain hospitals with excess 3…
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psnet.ahrq.gov/issue/knowledge-improvement
December 30, 2014 - Special or Theme Issue
Knowledge for Improvement.
Citation Text:
Knowledge for Improvement. Batalden P, Davidoff F, eds. BMJ Qual Saf. 2011;20(suppl 1):1-105.
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psnet.ahrq.gov/node/836843/psn-pdf
April 07, 2022 - eSIMPLER: a dynamic, electronic health record-integrated
checklist for clinical decision support during PICU daily
rounds.
April 7, 2022
Geva A, Albert BD, Hamilton S, et al. eSIMPLER: a dynamic, electronic health record-integrated checklist
for clinical decision support during PICU daily rounds. Pediatr Crit Care…
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psnet.ahrq.gov/node/40186/psn-pdf
April 21, 2011 - The impact of eHealth on the quality and safety of health
care: a systematic overview.
April 21, 2011
Black AD, Car J, Pagliari C, et al. The impact of eHealth on the quality and safety of health care: a
systematic overview. PLoS Med. 2011;8(1):e1000387. doi:10.1371/journal.pmed.1000387.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/issue/how-american-health-care-killed-my-father
February 13, 2013 - Newspaper/Magazine Article
How American health care killed my father.
Citation Text:
How American health care killed my father. Goldhill D. The Atlantic. September 2009.
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psnet.ahrq.gov/issue/what-doctor-missed
August 17, 2016 - Newspaper/Magazine Article
What the doctor missed.
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October 6, 2010
View more articles from the same authors.
Reporting how mal…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/164-cusp-meeting-pre-work.docx
June 02, 2025 - AHRQ Safety Program for MRSA Prevention
Comprehensive Unit-based Safety Program (CUSP) Monthly Meeting Pre-Work
Setting the Stage: Before Each Meeting
· CUSP Champion: Review previous meeting minutes and status of ongoing safety improvement projects.
· CUSP Champion: Identify any team members or guest speakers who shou…
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psnet.ahrq.gov/node/47484/psn-pdf
March 20, 2019 - Bachelor's degree nurse graduates report better quality
and safety educational preparedness than associate
degree graduates.
March 20, 2019
Djukic M, Stimpfel AW, Kovner C. Bachelor's Degree Nurse Graduates Report Better Quality and Safety
Educational Preparedness than Associate Degree Graduates. Jt Comm J Qual Pa…
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www.ahrq.gov/sops/events/webinar/asc-use-012121.html
February 01, 2024 - How To Use the AHRQ SOPS Ambulatory Surgery Center Survey To Improve Patient Safety (Webcast)
January 21, 2021
Summary
Speakers and Presentation Slides
Recording
Summary
This webcast provided information on how to use AHRQ’s Surveys on Patient Safety Culture™ (SOPS ® ) Ambulatory Surgery Center (A…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/action-plan-template.docx
April 01, 2022 - Unit Action Plan
The Comprehensive Unit-based Safety Program (CUSP) or healthcare-associated infection (HAI) leader is responsible for leading the CUSP team in completing an Action Plan in order to drive work related to lowering bloodstream infections (CLABSI) and/or catheter-associated urinary tract infections (CAUTI)…
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psnet.ahrq.gov/issue/make-safety-priority-create-and-maintain-culture-safety
February 25, 2013 - Newspaper/Magazine Article
Make safety a priority: create and maintain a culture of safety.
Citation Text:
Make safety a priority: create and maintain a culture of safety. Leonard M; Frankel A.
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psnet.ahrq.gov/node/45600/psn-pdf
September 01, 2018 - Using harm-based weights for the AHRQ Patient Safety
for Selected Indicators composite (PSI-90): does it affect
assessment of hospital performance and financial
penalties in Veterans Health Administration hospitals?
September 1, 2018
Chen Q, Rosen AK, Borzecki A, et al. Using Harm-Based Weights for the AHRQ Patien…
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psnet.ahrq.gov/issue/when-doctors-admit-their-mistakes
May 01, 2013 - Newspaper/Magazine Article
When doctors admit their mistakes.
Citation Text:
When doctors admit their mistakes. Chen PW.
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psnet.ahrq.gov/issue/do-you-know-what-your-doctor-talking-about
May 01, 2013 - Newspaper/Magazine Article
Do you know what your doctor is talking about?
Citation Text:
Do you know what your doctor is talking about? Chen PW.
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psnet.ahrq.gov/issue/how-does-robotic-assisted-surgery-change-or-safety-culture
April 24, 2024 - Commentary
How does robotic-assisted surgery change OR safety culture?
Citation Text:
How does robotic-assisted surgery change OR safety culture? AMA J Ethics. 2023;25(8):E615-E623. doi:10.1001/amajethics.2023.615.
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DOI Google Scholar BibTeX EndNote X3 …
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psnet.ahrq.gov/node/47750/psn-pdf
January 30, 2019 - Association of adverse effects of medical treatment with
mortality in the United States: a secondary analysis of the
Global Burden of Diseases, Injuries, and Risk Factors
study.
January 30, 2019
Sunshine JE, Meo N, Kassebaum NJ, et al. Association of Adverse Effects of Medical Treatment With
Mortality in the Unit…
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digital.ahrq.gov/health-it-costs-and-benefits-database
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…