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psnet.ahrq.gov/node/48168/psn-pdf
July 24, 2019 - Changes in hospital safety following penalties in the US
Hospital Acquired Condition Reduction Program:
retrospective cohort study.
July 24, 2019
Sankaran R, Sukul D, Nuliyalu U, et al. Changes in hospital safety following penalties in the US Hospital
Acquired Condition Reduction Program: retrospective cohort stud…
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psnet.ahrq.gov/node/46424/psn-pdf
March 20, 2018 - Electronic triggers to identify delays in follow-up of
mammography: harnessing the power of big data in
health care.
March 20, 2018
Murphy DR, Meyer AND, Vaghani V, et al. Electronic Triggers to Identify Delays in Follow-Up of
Mammography: Harnessing the Power of Big Data in Health Care. J Am Coll Radiol. 2018;15(…
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psnet.ahrq.gov/node/44268/psn-pdf
November 23, 2016 - A patient-initiated voluntary online survey of adverse
medical events: the perspective of 696 injured patients
and families.
November 23, 2016
Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical
events: the perspective of 696 injured patients and families. BMJ Qual …
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psnet.ahrq.gov/node/38761/psn-pdf
July 15, 2009 - Effect of bar-code–assisted medication administration on
medication administration errors and accuracy in multiple
patient care areas.
July 15, 2009
Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication
administration errors and accuracy in multiple patient care are…
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psnet.ahrq.gov/node/47307/psn-pdf
December 12, 2018 - Are teaching hospitals treated fairly in the Hospital-
Acquired Condition Reduction Program?
December 12, 2018
Mohajer MA, Joiner KA, Nix DE. Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition
Reduction Program? Acad Med. 2018;93(12):1827-1832. doi:10.1097/ACM.0000000000002399.
https://psnet.…
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psnet.ahrq.gov/node/38909/psn-pdf
September 02, 2009 - Effect of work-hours regulations on intensive care unit
mortality in United States teaching hospitals.
September 2, 2009
Prasad M, Iwashyna TJ, Christie JD, et al. Effect of work-hours regulations on intensive care unit mortality
in United States teaching hospitals. Crit Care Med. 2009;37(9):2564-9.
doi:10.1097/CC…
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psnet.ahrq.gov/node/40232/psn-pdf
February 23, 2011 - Large scale organisational intervention to improve patient
safety in four UK hospitals: mixed method evaluation.
February 23, 2011
Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in
four UK hospitals: mixed method evaluation. BMJ. 2011;342(feb03 1):d195. doi:1…
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psnet.ahrq.gov/node/44643/psn-pdf
July 21, 2016 - Differing perceptions of safety culture across job roles in
the ambulatory setting: analysis of the AHRQ Medical
Office Survey on Patient Safety Culture.
July 21, 2016
Hickner J, Smith SA, Yount N, et al. Differing perceptions of safety culture across job roles in the
ambulatory setting: analysis of the AHRQ Medic…
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psnet.ahrq.gov/node/43386/psn-pdf
January 20, 2016 - The influence of organizational factors on patient safety:
examining successful handoffs in health care.
January 20, 2016
Richter J, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: Examining
successful handoffs in health care. Health Care Manage Rev. 2016;41(1):32-41.
doi:10.1…
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psnet.ahrq.gov/node/42945/psn-pdf
February 19, 2014 - Integrating patient safety into health professionals'
curricula: a qualitative study of medical, nursing and
pharmacy faculty perspectives.
February 19, 2014
Tregunno D, Ginsburg LR, Clarke B, et al. Integrating patient safety into health professionals' curricula: a
qualitative study of medical, nursing and pharma…
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psnet.ahrq.gov/node/47949/psn-pdf
July 10, 2019 - Association of coworker reports about unprofessional
behavior by surgeons with surgical complications in their
patients.
July 10, 2019
Cooper WO, Spain DA, Guillamondegui O, et al. Association of Coworker Reports About Unprofessional
Behavior by Surgeons With Surgical Complications in Their Patients. JAMA Surg. 20…
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psnet.ahrq.gov/node/44721/psn-pdf
August 20, 2016 - Tall Man lettering and potential prescription errors: a time
series analysis of 42 children's hospitals in the USA over
9 years.
August 20, 2016
Zhong W, Feinstein JA, Patel NS, et al. Tall Man lettering and potential prescription errors: a time series
analysis of 42 children's hospitals in the USA over 9 years. B…
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psnet.ahrq.gov/node/39620/psn-pdf
September 20, 2011 - The relationship between patients' perception of care and
measures of hospital quality and safety.
September 20, 2011
Isaac T, Zaslavsky AM, Cleary PD, et al. The relationship between patients' perception of care and
measures of hospital quality and safety. Health Serv Res. 2010;45(4):1024-40. doi:10.1111/j.1475-
…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/webinar-012220-ginsberg.pdf
June 02, 2025 - Understanding CAHPS® Surveys: A Primer for New Users - Ginsberg
AHRQ’S CAHPS® PROGRAM
Caren Ginsberg, Ph.D., CPXP,
Director, CAHPS & SOPS
Center for Quality Improvement & Patient Safety, AHRQ
AHRQ’s Core Competencies
• Health Systems Research: Invest in research and
evidence to make health care safer and impr…
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psnet.ahrq.gov/issue/finding-way-ask-doctors-tough-questions
August 17, 2016 - May 18, 2016
Hospitals find a way to say, 'I'm sorry.'
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pso.ahrq.gov/sites/default/files/wysiwyg/ChoosingPSO_2016.pdf
January 01, 2016 - To find out if a PSO is federally listed, visit
www.pso.ahrq.gov/listing/psolist.htm. … Find a Listed PSO
AHRQ is responsible for officially listing PSOs.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021301-miller-final-report-2015.pdf
January 01, 2015 - model, with time and county fixed effects and only controlling for county population,
we find … We find that the decline in PQI admissions is coming from both acute and chronic conditions. … We did not
find any significant associations between ambulatory HIT and pediatric outcomes
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digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixE.pdf
October 31, 2013 - So our
discussion is designed to help find out about the challenges you might face in establishing … If not, please take this time to find a quiet place now. … Moderator: You may find
it easier to call on
participants by name. … Are they difficult to
use, or find in your system? … Moderator: For Question
I-AB-1, you may prompt to
find out if there are other
provider types, such
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Opioid%20Patient%20Handout.pdf
July 18, 2023 - Once side-effects of
opioids lessen, people often find they feel better.
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
January 01, 2018 - linked to dementia and falls
HOW TO SAFELY REDUCE OR STOP A BZRA:
• Ask your health care provider to find