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psnet.ahrq.gov/node/852283/psn-pdf
January 01, 2024 - Physician engagement in organisational patient safety
through the implementation of a Medical Safety Huddle
initiative: a qualitative study.
August 9, 2023
Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety
through the implementation of a Medical Safety Huddle initiat…
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psnet.ahrq.gov/node/42547/psn-pdf
May 19, 2014 - Using AHRQ Patient Safety Indicators to detect
postdischarge adverse events in the Veterans Health
Administration.
May 19, 2014
Mull HJ, Borzecki A, Chen Q, et al. Using AHRQ patient safety indicators to detect postdischarge adverse
events in the Veterans Health Administration. Am J Med Qual. 2014;29(3):213-9.
do…
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psnet.ahrq.gov/node/47841/psn-pdf
April 24, 2019 - Criminalisation of unintentional error in healthcare in the
UK: a perspective from New Zealand.
April 24, 2019
Ameratunga R, Klonin H, Vaughan J, et al. Criminalisation of unintentional error in healthcare in the UK: a
perspective from New Zealand. BMJ. 2019;364:l706. doi:10.1136/bmj.l706.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/50686/psn-pdf
January 01, 2020 - 'Whatever you cut, I can fix it': clinical supervisors'
interview accounts of allowing trainee failure while
guarding patient safety.
November 20, 2019
Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview
accounts of allowing trainee failure while guarding p…
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psnet.ahrq.gov/node/863208/psn-pdf
February 28, 2024 - Exploring clinical lessons learned by experienced
hospitalists from diagnostic errors and successes.
February 28, 2024
Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from
diagnostic errors and successes. J Gen Intern Med. 2024;39(8):1386-1392. doi:10.1007/s11606-0…
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psnet.ahrq.gov/node/865337/psn-pdf
March 27, 2024 - Scoping review of the second victim syndrome among
surgeons: understanding the impact, responses, and
support systems.
March 27, 2024
Chong RIH, Yaow CYL, Chong NZ-Y, et al. Scoping review of the second victim syndrome among
surgeons: understanding the impact, responses, and support systems. Am J Surg. 2024;229:5-…
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psnet.ahrq.gov/node/44220/psn-pdf
June 10, 2015 - Building a Culture of Patient Safety Through Simulation:
An Interprofessional Learning Model.
June 10, 2015
Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. ISBN: 9780826169068.
https://psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-
model…
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psnet.ahrq.gov/node/43523/psn-pdf
October 29, 2014 - Potentially inappropriate prescribing in older patients
discharged from acute care hospitals to residential aged
care facilities.
October 29, 2014
Poudel A, Peel NM, Nissen L, et al. Potentially inappropriate prescribing in older patients discharged from
acute care hospitals to residential aged care facilities. An…
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psnet.ahrq.gov/node/46891/psn-pdf
December 21, 2018 - Day of discharge does not impact hospital readmission
after major cardiac surgery.
December 21, 2018
Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major
Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.2018.07.031.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/50620/psn-pdf
November 06, 2019 - Comparing rates of adverse events and medical errors on
inpatient psychiatric units at Veterans Health
Administration and community-based general hospitals.
November 6, 2019
Cullen SW, Xie M, Vermeulen JM, et al. Comparing Rates of Adverse Events and Medical Errors on
Inpatient Psychiatric Units at Veterans Health…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/01-listening-voice-of-patient-webcast-intro.pdf
May 08, 2024 - Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data Webcast - Introduction
Listening to the Voice of the Patient:
Using Multiple Feedback Methods to Complement
Consumer Assessment of Healthcare Providers and
Systems (CAHPS®) Survey Data
A Webinar Presented by the…
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psnet.ahrq.gov/node/48020/psn-pdf
July 17, 2019 - 'I think this medicine actually killed my wife': patient and
family perspectives on shared decision-making to
optimize medications and safety.
July 17, 2019
Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family
perspectives on shared decision-making to optimize …
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psnet.ahrq.gov/node/848816/psn-pdf
May 10, 2023 - Racial bias in cesarean decision-making.
May 10, 2023
Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol
MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927.
https://psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
Racial bias negatively impacts maternal…
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psnet.ahrq.gov/node/47359/psn-pdf
October 10, 2018 - Is there evidence of a July effect among patients
undergoing hysterectomy surgery?
October 10, 2018
Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing
hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.ajog.2018.05.033.
https://psnet.a…
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psnet.ahrq.gov/node/60334/psn-pdf
May 13, 2020 - Crisis Standards of Care: Ten Years of Successes and
Challenges–Proceedings of a Workshop.
May 13, 2020
National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies
Press: 2020. ISBN 9780309676250.
https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-…
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psnet.ahrq.gov/node/852456/psn-pdf
August 16, 2023 - Residents, responsibility, and error: how residents learn
to navigate the intersection.
August 16, 2023
Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate
the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000000005267.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/45123/psn-pdf
May 07, 2018 - Hardwiring safety into the computer system: one
hospital's actions to provide technology support for U-
500 insulin.
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4.
https://psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-
support-u-…
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www.ahrq.gov/ncepcr/about/pcr-webinar-series/index.html
May 01, 2025 - Primary Care Research Webinars
New 2025 Webinar Series: The Value and Impact of Primary Care Research Watch recordings and access slides from past webinars in this series: Approaches to Address the Health of Specific Patient Populations in Primary Care (May 1, 2025) The Impact of Consolidation and Ownership…
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www.ahrq.gov/cahps/surveys-guidance/cg/about/survey-measures.html
September 01, 2020 - CAHPS Clinician and Group Survey 3.0 Measures
For more information: Patient Experience Measures from the CAHPS Clinician & Group Survey 3.0 (PDF, 305 KB)
Getting Timely Appointments, Care, and Information
Q6 Patient got appointment for urgent care as soon as needed
Q8 Patient got appoin…
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www.ahrq.gov/cahps/surveys-guidance/hp/about/NCQAs-CAHPS-HP-Survey.html
April 01, 2020 - NCQA's Version of the Health Plan Survey
The National Committee for Quality Assurance (NCQA) is the nation's most prominent evaluator of the quality of managed care health plans. Since January 1999, the CAHPS Health Plan Survey has been an integral part of NCQA's efforts to assess and promote quality health car…