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psnet.ahrq.gov/node/73629/psn-pdf
January 01, 2022 - Rates of adverse events in hospitalized patients after
summer-time resident changeover in the United States: is
there a July effect?
August 25, 2021
Metersky ML, Eldridge N, Wang Y, et al. Rates of adverse events in hospitalized patients after summer-
time resident changeover in the United States: is there a July …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ginsberg-highlights.pdf
June 02, 2025 - Understanding CAHPS Surveys: A Primer for New Users - Highlights from CAHPS Work
HIGHLIGHTS FROM RECENT
CAHPS WORK
Caren Ginsberg, Ph.D.
Director, CAHPS & SOPS
Center for Quality Improvement & Patient Safety, AHRQ
29
CAHPS V Accomplishments
• Survey and Item Set Development and Revision:
► Incorporating Teleh…
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psnet.ahrq.gov/node/41225/psn-pdf
March 29, 2012 - The impact of perioperative catastrophes on
anesthesiologists: results of a national survey.
March 29, 2012
Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists:
results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10.1213/ANE.0b013e318227524e.
https:/…
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psnet.ahrq.gov/node/37042/psn-pdf
March 04, 2011 - Do hospitals provide lower quality care on weekends?
March 4, 2011
Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612.
https://psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
Prior research has demonstrated that patients admitted to the hospita…
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www.ahrq.gov/talkingquality/translate/web/pathways/composites.html
May 01, 2019 - Let Consumers Drill Down to Components of Roll-Up Scores
Whenever you provide a composite or a summary score, you should seriously consider letting people drill down to the details. Not everyone will want to do this, but some will.
To learn more about using composites and summary scores to reduce the burden o…
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psnet.ahrq.gov/issue/bringing-patient-safety-technology-bedside
May 27, 2011 - Newspaper/Magazine Article
Bringing patient safety technology to the bedside.
Save
Save to your library
Print
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August 24, 2005
This case study presents a Louisia…
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www.ahrq.gov/cahps/news-and-events/events/webinar-100620.html
October 01, 2020 - Introducing the CAHPS Emergency Department Survey (ED CAHPS)
Tuesday, October 6, 2020
Summary
Speakers
Recording
Summary
This AHRQ webcast introduced the Consumer Assessment of Healthcare Providers and Systems Emergency Department Survey (ED CAHPS) as a new way to assess patients' experience wit…
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digital.ahrq.gov/national-webinars/optimizing-data-visualization-improve-care
January 01, 2023 - Optimizing Data Visualization to Improve Care
Event Date:
October 19, 2022 | 1:00pm – 2:30pm ET
Event Materials:
Presentation Slides ( PDF , 2.64 MB). Q&As ( PDF , 101 KB).
Your browser does not support inline frames. Please go to https://youtu.be/fF6sFmfdrwc to vi…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/03-diagnostic-safety-infographic.pdf
August 01, 2021 - Did You Know, Safety Infographic
Did you know...
57%
of all diagnostic
failures happen in
ambulatory care.1
1 in 20
patients who attend a
primary care appointment
this year will experience a
diagnostic error.2
79% of diagnostic
errors are related to the
patient-clinician encounter.3
up to
56%
of these …
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psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
February 24, 2021 - SPOTLIGHT CASE
Is the "Surgical Personality" a Threat to Patient Safety?
Citation Text:
Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citati…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-2-public-reporting.pdf
June 01, 2010 - For example, a lead-
in to a report could spell out that the report contains measures on patient experiences
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www.ahrq.gov/sites/default/files/publications/files/simulproj11.pdf
June 30, 2014 - Improving Patient Safety Through Simulation Research: Funded Projects
Introduction
Simulation in health care creates a safe
learning environment that allows
researchers and practitioners to test new
clinical processes and enhance
individual and team skills before
encountering patients. Many simulation
applications in…
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psnet.ahrq.gov/node/867655/psn-pdf
February 26, 2025 - Learning Health Systems for Patient Safety
February 26, 2025
Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
Despite an observable decrease in adverse events in health care over time, rat…
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary,
Promoter of Patient Safety
October 1, 2009
Wachter R. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety. PSNet [internet].
2009.
https://psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
Perspective
…
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psnet.ahrq.gov/node/49405/psn-pdf
June 01, 2003 - XL or Smaller?
June 1, 2003
Kozer E. XL or Smaller? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/xl-or-smaller
The Case
With a history of hypertension and chronic renal failure secondary to hemolytic uremia syndrome at age 3,
a 14-year-old boy presented to the emergency department with dehydration second…
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www.ahrq.gov/ncepcr/tools/workforce-financing/exec-summary.html
July 01, 2019 - Executive Summary
Workforce Configurations to Provide High-Quality, Comprehensive Primary Care
As the U.S. health care system seeks to reconfigure primary care to meet the needs of an aging and more complex population, environmental factors such as the advent of team care and the patient-centered …
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi/slides.html
July 01, 2013 - Sustaining Zero CLABSIs
The Virginia Experience
Contents of slide presentation from May 8, 2012.
Contents
Slide 1. Getting to Zero and Sustaining Success: The Virginia Experience
Slide 2. Learning Objectives
Slide 3. Why Virginia?
Slide 4. Virginia and the National Collaborative;
Slide 5. Nation…
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psnet.ahrq.gov/node/33698/psn-pdf
August 01, 2010 - In Conversation with...Richard P. Shannon, MD
August 1, 2010
In Conversation with..Richard P. Shannon, MD. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
Editor's note: Richard P. Shannon, MD, is the Frank Wister Thomas Professor of Medicine at the
University of Pe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Understand the Science of Safety for Perinatal Safety
Understand the Science of Safety for Perinatal Safety
SAY:
The Understand the Science of Safety module of the AHRQ Safety Program for Perinatal Care discusses the importance of understanding system design, safe design principl…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - Understand the Science of Safety for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Understand the Science of Safety for Perinatal Safety
Say:
The Understand the Science of Safety module of the AHRQ Safety Program for Perinatal Care discusses the importance of unders…