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  1. Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers. | PSNet

    psnet.ahrq.gov/issue/factors-associated-use-cognitive-aids-operating-room-crises-cross-sectional-study-us
    February 07, 2018 - Study Emerging Classic Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers. Citation Text: Alidina S, Goldhaber-Fiebert SN, Hannenberg A, et al. Factors associated wi…

  2. Job Aid: Standardized Quality Measures (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-standardized-quality-measures.pdf
    June 02, 2025 - Job Aid: Standardized Quality Measures Primary Care Practice Facilitator Training Series 1 Job Aid: Standardized Quality Measures Familiarity with the standardized quality measures that payers and regulatory groups use is an important part of a practice facilitator's core knowledge. Standar…

  3. Can aviation-based team training elicit sustainable behavioral change? | PSNet

    psnet.ahrq.gov/issue/can-aviation-based-team-training-elicit-sustainable-behavioral-change
    July 19, 2023 - Study Can aviation-based team training elicit sustainable behavioral change? Citation Text: Sax HC, Browne P, Mayewski RJ, et al. Can aviation-based team training elicit sustainable behavioral change? Arch Surg. 2009;144(12):1133-1137. doi:10.1001/archsurg.2009.207. Copy Citation …

  4. Cluster randomized trial to evaluate the impact of team training on surgical outcomes. | PSNet

    psnet.ahrq.gov/issue/cluster-randomized-trial-evaluate-impact-team-training-surgical-outcomes
    April 24, 2018 - Study Cluster randomized trial to evaluate the impact of team training on surgical outcomes. Citation Text: Duclos A, Peix JL, Piriou V, et al. Cluster randomized trial to evaluate the impact of team training on surgical outcomes. Br J Surg. 2016;103(13):1804-1814. doi:10.1002/bjs.10295.…

  5. Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis. | PSNet

    psnet.ahrq.gov/issue/readmission-rates-after-passage-hospital-readmissions-reduction-program-pre-post-analysis
    October 30, 2010 - Study Classic Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis. Citation Text: Wasfy JH, Zigler CM, Choirat C, et al. Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post An…

  6. The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study. | PSNet

    psnet.ahrq.gov/issue/effects-electronic-nursing-handover-patient-safety-general-non-covid-19-and-covid-19
    February 26, 2020 - Study The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study. Citation Text: Tataei A, Rahimi B, Afshar HL, et al. The effects of electronic nursing handover on patient safety in the general…

  7. Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. | PSNet

    psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm
    August 10, 2022 - Study Classic Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. Citation Text: Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm…

  8. Is physician mentorship associated with the occurrence of adverse patient safety events? | PSNet

    psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events
    February 11, 2015 - Study Is physician mentorship associated with the occurrence of adverse patient safety events? Citation Text: 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…

  9. Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. | PSNet

    psnet.ahrq.gov/issue/differential-safety-between-top-ranked-cancer-hospitals-and-their-affiliates-complex-cancer
    July 24, 2019 - Study Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. Citation Text: Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 20…

  10. A July spike in fatal medication errors: a possible effect of new medical residents. | PSNet

    psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents
    February 15, 2011 - Study Classic A July spike in fatal medication errors: a possible effect of new medical residents. Citation Text: Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …

  11. The relationship between organizational culture and family satisfaction in critical care. | PSNet

    psnet.ahrq.gov/issue/relationship-between-organizational-culture-and-family-satisfaction-critical-care
    April 25, 2012 - Study The relationship between organizational culture and family satisfaction in critical care. Citation Text: Dodek P, Wong H, Heyland DK, et al. The relationship between organizational culture and family satisfaction in critical care. Crit Care Med. 2012;40(5):1506-12. doi:10.1097/CCM.…

  12. Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and
    October 19, 2022 - Study Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. Citation Text: Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to …

  13. Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. | PSNet

    psnet.ahrq.gov/issue/systematic-review-effectiveness-strategies-encourage-patients-remind-healthcare-professionals
    February 01, 2011 - Review Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. Citation Text: Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage patients to remind healthcare…

  14. Surgical patient safety outcomes in critical access hospitals: how do they compare? | PSNet

    psnet.ahrq.gov/issue/surgical-patient-safety-outcomes-critical-access-hospitals-how-do-they-compare
    June 05, 2019 - Study Surgical patient safety outcomes in critical access hospitals: how do they compare? Citation Text: Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176. C…

  15. Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. | PSNet

    psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices
    June 11, 2008 - Study Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. Citation Text: Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and conseq…

  16. Resources (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/resources/resources.doc
    June 02, 2025 - Resources Resources Contents Federal Interagency Forum on Child and Family Statistics Summary Health Statistics for U.S. Children Advancing State Child Indicators Initiatives This section identifies national initiatives that serve as clearinghouses for measures of the quality of children's health, health care, a…

  17. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. | PSNet

    psnet.ahrq.gov/issue/global-comparators-project-international-comparison-30-day-hospital-mortality-day-week
    May 04, 2016 - Study The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. Citation Text: Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24…

  18. Contextual errors and failures in individualizing patient care: a multicenter study. | PSNet

    psnet.ahrq.gov/issue/contextual-errors-and-failures-individualizing-patient-care-multicenter-study
    October 29, 2012 - Study Classic Contextual errors and failures in individualizing patient care: a multicenter study. Citation Text: Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010…

  19. Foundations of Diagnosis Education | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-2.html
    March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes Foundations of Diagnosis Education Previous Page Next Page Table of Contents Improving Education—A Key to Better Diagnostic Outcomes Introduction Foundations of Diagnosis Education Current State of Diagnosis Education Competencies To Im…

  20. Grantees Focusing on African Americans | Agency for Healthcare Research and Quality

    www.ahrq.gov/priority-populations/observances/bhm/grantees.html
    February 01, 2021 - Grantees Focusing on African Americans Brian William Jack, M.D. "Maternal health disparities begin well before a positive pregnancy test. Our work aims to offer Black women useful healthcare tools tailored specifically to their needs. Gabby is one such tool." Implementation and Dissemination of Ga…
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