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  1. Rural hospital nursing: better environments = shared vision and quality/safety engagement.  | PSNet

    psnet.ahrq.gov/issue/rural-hospital-nursing-better-environments-shared-vision-and-qualitysafety-engagement
    February 16, 2011 - Study Rural hospital nursing: better environments = shared vision and quality/safety engagement.  Citation Text: Newhouse RP, Morlock L, Pronovost P, et al. Rural hospital nursing: Better environments = shared vision and quality/safety engagement. J Nurs Admin. 2009;39(4):189-195. doi:…

  2. When systems fail. | PSNet

    psnet.ahrq.gov/issue/when-systems-fail
    February 10, 2011 - Commentary When systems fail. Citation Text: Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090-2616(01)00025-0. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

  3. Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). | PSNet

    psnet.ahrq.gov/issue/measuring-handoff-quality-labor-and-delivery-development-validation-and-application
    January 03, 2017 - Study Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). Citation Text: Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development, valid…

  4. Second-victim phenomenon. | PSNet

    psnet.ahrq.gov/issue/second-victim-phenomenon
    July 10, 2024 - Review Second-victim phenomenon. Citation Text: New L, Lambeth T. Second-victim phenomenon. Nurs Clin North Am. 2024;59(1):141-152. doi:10.1016/j.cnur.2023.11.011. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  5. ReCASTing the RCA: an improved model for performing root cause analyses. | PSNet

    psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
    November 10, 2010 - Commentary ReCASTing the RCA: an improved model for performing root cause analyses. Citation Text: Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533…

  6. INSTRUCTIONS: Project Charter (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/d2-projectcharter.pdf
    December 23, 2009 - INSTRUCTIONS: Project Charter AHRQ Quality Indicators Toolkit INSTRUCTIONS Project Charter What is this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to which the team will commit. Who are the target audiences? St…

  7. AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016. | PSNet

    psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary
    October 23, 2019 - Book/Report AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016. Citation Text: AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016. Rockville, MD: Agency for Healthc…

  8. Figure 3: Hospital Cost of Excess Black or African American Hospital Admissions, Maryland, 2004

    hcup-us.ahrq.gov/figures/figure3_re_rpt.jsp
    July 01, 2016 - Figure 3: Hospital Cost of Excess Black or African American Hospital Admissions, Maryland, 2004 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers …

  9. Assessing patient safety in the United States: challenges and opportunities. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-safety-united-states-challenges-and-opportunities
    July 07, 2021 - Review Assessing patient safety in the United States: challenges and opportunities. Citation Text: Zhan C, Kelley E, Yang HP, et al. Assessing patient safety in the United States: challenges and opportunities. Med Care. 2005;43(3 Suppl):I42-I47. Copy Citation Format: Goog…

  10. Hospital process compliance and surgical outcomes in Medicare beneficiaries. | PSNet

    psnet.ahrq.gov/issue/hospital-process-compliance-and-surgical-outcomes-medicare-beneficiaries
    May 01, 2015 - Study Hospital process compliance and surgical outcomes in Medicare beneficiaries. Citation Text: Nicholas LH, Osborne NH, Birkmeyer JD, et al. Hospital process compliance and surgical outcomes in medicare beneficiaries. Arch Surg. 2010;145(10):999-1004. doi:10.1001/archsurg.2010.191. …

  11. Diagnostic decision-making in the emergency department. | PSNet

    psnet.ahrq.gov/issue/diagnostic-decision-making-emergency-department
    December 16, 2020 - Review Diagnostic decision-making in the emergency department. Citation Text: Medford-Davis LN, Singh H, Mahajan P. Diagnostic decision-making in the emergency department. Pediatr Clin North Am. 2018;65(6):1097-1105. doi:10.1016/j.pcl.2018.07.003. Copy Citation Format: DOI …

  12. Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience. | PSNet

    psnet.ahrq.gov/issue/pharmacist-outpatient-prescription-review-emergency-department-pediatric-tertiary-hospital
    March 15, 2016 - Study Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience. Citation Text: Shah D, Manzi S. Pharmacist Outpatient Prescription Review in the Emergency Department: A Pediatric Tertiary Hospital Experience. Pediatr Emerg Care. 2018…

  13. Pediatric emergency nurses self-reported medication safety practices. | PSNet

    psnet.ahrq.gov/issue/pediatric-emergency-nurses-self-reported-medication-safety-practices
    March 03, 2019 - Study Pediatric emergency nurses self-reported medication safety practices. Citation Text: Mattei JL, Gillespie GL. Pediatric emergency nurses' self-reported medication safety practices. J Pediatr Nurs. 2013;28(6):596-602. doi:10.1016/j.pedn.2013.03.005. Copy Citation Format: …

  14. Leadership and patient safety: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/leadership-and-patient-safety-review-literature
    March 29, 2023 - Review Leadership and patient safety: a review of the literature. Citation Text: Ring L, Fairchild RM. Leadership and Patient Safety: A Review of the Literature. J Nurs Reg. 2015;4(1):52-56. doi:10.1016/s2155-8256(15)30164-2. Copy Citation Format: DOI Google Scholar BibTe…

  15. Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. | PSNet

    psnet.ahrq.gov/issue/financial-incentives-promote-health-care-quality-hospital-acquired-conditions-nonpayment
    November 08, 2023 - Commentary Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Citation Text: Kavanagh KT. Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Soc Work Public Health. 2011;26(5):52…

  16. Patient safety research: an overview of the global evidence. | PSNet

    psnet.ahrq.gov/issue/patient-safety-research-overview-global-evidence
    September 29, 2017 - Review Patient safety research: an overview of the global evidence. Citation Text: Jha AK, Prasopa-Plaizier N, Larizgoitia I, et al. Patient safety research: an overview of the global evidence. Qual Saf Health Care. 2010;19(1):42-7. doi:10.1136/qshc.2008.029165. Copy Citation Forma…

  17. The new CMS hospital quality star ratings: the stars are not aligned. | PSNet

    psnet.ahrq.gov/issue/new-cms-hospital-quality-star-ratings-stars-are-not-aligned
    May 26, 2021 - Commentary The new CMS hospital quality star ratings: the stars are not aligned. Citation Text: Bilimoria KY, Barnard C. The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned. JAMA. 2016;316(17):1761-1762. doi:10.1001/jama.2016.13679. Copy Citation Format: DO…

  18. Building a highway to quality health care. | PSNet

    psnet.ahrq.gov/issue/building-highway-quality-health-care
    February 14, 2017 - Commentary Building a highway to quality health care. Citation Text: Watson S, Pronovost P. Building a Highway to Quality Health Care. J Patient Saf. 2016;12(3):165-6. doi:10.1097/PTS.0000000000000074. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  19. Topic 0610 CE of Treatments for Uterine Fibroids NSD FINAL (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0745-141009.pdf
    September 03, 2014 - Topic 0610 CE of Treatments for Uterine Fibroids NSD FINAL Comparative Effectiveness of Treatments for Uterine Fibroids Nominati…

  20. ROI for a fall prevention intervention: invest a little, save a lot. | PSNet

    psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot
    September 13, 2017 - Study ROI for a fall prevention intervention: invest a little, save a lot. Citation Text: Cooper AS. ROI for a fall prevention intervention: invest a little, save a lot. Nurs Adm Q. 2024;48(3):248-252. doi:10.1097/naq.0000000000000647. Copy Citation Format: DOI Google Schol…
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