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psnet.ahrq.gov/issue/does-full-disclosure-medical-errors-affect-malpractice-liability-jury-still-out
November 16, 2011 - Review
Classic
Does full disclosure of medical errors affect malpractice liability? The jury is still out.
Citation Text:
Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Com…
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psnet.ahrq.gov/issue/assuring-safe-patient-care-level-iii-nicu-anticipation-hospital-closure
April 22, 2016 - Study
Assuring safe patient care in a level III NICU in anticipation of hospital closure.
Citation Text:
Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7.
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psnet.ahrq.gov/issue/how-prevalent-are-hazardous-attitudes-among-orthopaedic-surgeons
March 14, 2018 - Study
How prevalent are hazardous attitudes among orthopaedic surgeons?
Citation Text:
Bruinsma WE, Becker SJE, Guitton TG, et al. How prevalent are hazardous attitudes among orthopaedic surgeons? Clin Orthop Relat Res. 2015;473(5):1582-9. doi:10.1007/s11999-014-3966-2.
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psnet.ahrq.gov/issue/harvard-medical-practice-study-trigger-system-performance-deceased-patients
March 02, 2022 - Study
The Harvard Medical Practice Study trigger system performance in deceased patients.
Citation Text:
Klein DO, Rennenberg RJMW, Koopmans RP, et al. The Harvard medical practice study trigger system performance in deceased patients. BMC Health Serv Res. 2019;19(1):16. doi:10.1186/s129…
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psnet.ahrq.gov/issue/effect-rapid-response-system-patients-shock-time-treatment-and-mortality-during-5-years
October 19, 2022 - Study
Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years.
Citation Text:
Sebat F, Musthafa AA, Johnson D, et al. Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Crit Care M…
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psnet.ahrq.gov/issue/narrative-feedback-or-personnel-about-safety-their-surgical-practice-and-after-surgical
May 09, 2018 - Study
Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention.
Citation Text:
Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their surgical practice before an…
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim4b.html
July 01, 2013 - Eliminating CAUTI: Interim Data Report
Culture Measures
Previous Page Next Page
Table of Contents
Eliminating CAUTI: Interim Data Report
Executive Summary
Introduction and Objectives
Methods
Results
Outcome and Process Measures
Culture Measures
Conclusions
Catheter Util…
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psnet.ahrq.gov/issue/exploring-relationship-between-hospital-patient-safety-culture-and-performance-measures
August 28, 2024 - Commentary
Exploring the relationship between hospital patient safety culture and performance on measures of hospital-acquired conditions.
Citation Text:
Noghrehchi P, Hefner JL, Stegall H, et al. Exploring the relationship between hospital patient safety culture and performance on measu…
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psnet.ahrq.gov/issue/barriers-implementation-checklists-office-based-procedural-setting
February 18, 2019 - Study
Barriers to the implementation of checklists in the office-based procedural setting.
Citation Text:
Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141…
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psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity-mortality-or
February 12, 2020 - Study
Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs.
Citation Text:
Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. J …
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psnet.ahrq.gov/issue/application-digital-quality-measure-cancer-diagnosis-epic-cosmos
November 13, 2024 - Study
Application of a digital quality measure for cancer diagnosis in Epic Cosmos.
Citation Text:
Zimolzak AJ, Khan SP, Singh H, et al. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. J Am Med Inform Assoc. 2025;32(1):227-229. doi:10.1093/jamia/ocae253.
C…
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psnet.ahrq.gov/issue/biased-language-simulated-handoffs-and-clinician-recall-and-attitudes
June 29, 2022 - Study
Biased language in simulated handoffs and clinician recall and attitudes.
Citation Text:
Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172.
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment
August 26, 2020 - Study
Reducing diagnostic errors in the emergency department at the time of patient treatment.
Citation Text:
Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…
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psnet.ahrq.gov/issue/can-patients-contribute-safer-care-meetings-healthcare-professionals-cross-sectional-survey
November 22, 2017 - Study
Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs.
Citation Text:
Ericsson C, Skagerström J, Schildmeijer K, et al. Can patients contribute to safer care in meetings with healthcare professio…
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www.ahrq.gov/news/newsroom/case-studies/201806.html
October 01, 2018 - Connecticut Hospital Reduces Emergency Wait Time, Adverse Events Using AHRQ Tools
Search All Impact Case Studies
October 2018
Bridgeport Hospital, a 383-bed safety net hospital in Bridgeport, Connecticut, used two AHRQ tools to improve care in its facility. With AHRQ’s Door-to-Doc patient safety toolkit , …
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psnet.ahrq.gov/issue/emotional-safety-patient-safety
October 21, 2020 - Commentary
Emotional safety is patient safety.
Citation Text:
Lyndon A, Davis D-A, Sharma AE, et al. Emotional safety is patient safety. BMJ Qual Saf. 2023;32(7):369-372. doi:10.1136/bmjqs-2022-015573.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7…
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psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
November 15, 2023 - Study
Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy.
Citation Text:
Battar S, Dickerson KRW, Sedgwick C, et al. Understand…
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digital.ahrq.gov/sites/default/files/docs/page/peds_templates_weight_counsel_final.pdf
June 16, 2021 - Clinical Decision Support Toolkit: Pediatric Documentation Templates
Pediatric Documentation Templates
Weight & Nutritional Counseling Template
Executive Summary
The Partners Pediatric Weight & Nutritional Counseling Template was designed to aid
clinicians in documenting delivery of exerci…
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psnet.ahrq.gov/issue/systematic-review-patient-report-safety-climate-measures-health-care
September 15, 2021 - Review
A systematic review of patient-report safety climate measures in health care.
Citation Text:
Madden C, Lydon S, O’Dowd E, et al. A systematic review of patient-report safety climate measures in health care. J Patient Saf. 2022;18(1):e51-e60. doi:10.1097/pts.0000000000000705.
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psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2018-user-database-report
April 22, 2018 - Book/Report
Medical Office Survey on Patient Safety Culture: 2018 User Database Report.
Citation Text:
Medical Office Survey on Patient Safety Culture: 2018 User Database Report. Famolaro T, Yount N, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AH…