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psnet.ahrq.gov/node/47948/psn-pdf
May 29, 2019 - Potential consequences of patient complications for
surgeon well-being: a systematic review.
May 29, 2019
Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being:
A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamasurg.2018.5640.
https://psnet.ahrq.go…
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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/48139/psn-pdf
July 17, 2019 - 'Poking the skunk': ethical and medico-legal concerns in
research about patients' experiences of medical injury.
July 17, 2019
Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about
patients' experiences of medical injury. Bioethics. 2019;33(8):948-957. doi:10.1111/bi…
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psnet.ahrq.gov/issue/toolkit-decolonization-non-icu-patients-devices
November 15, 2023 - Toolkit
Toolkit for Decolonization of Non-ICU Patients with Devices.
Citation Text:
Agency for Healthcare Research and Quality. Toolkit for Decolonization of Non-ICU Patients with Devices.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/decolonization-evidence.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
The Evidence for MRSA Decolonization
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
The Evidence for MRSA Decolonization
Nasal Dec…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-1.html
August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Previous Page Next Page
Table of Contents
Pediatric Diagnostic Safety: State of the Science and Future Directions
Introduction
Challenges in Approaching Diagnostic Safety Unique to Children
Pediatric Diagnosti…
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psnet.ahrq.gov/node/37167/psn-pdf
February 03, 2011 - Mortality among patients in VA hospitals in the first 2
years following ACGME resident duty hour reform.
February 3, 2011
Volpp KG, Rosen AK, Rosenbaum PR, et al. Mortality among patients in VA hospitals in the first 2 years
following ACGME resident duty hour reform. JAMA. 2007;298(9):984-92.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/40078/psn-pdf
January 19, 2011 - Speaking up about safety concerns: multi-setting
qualitative study of patients' views and experiences.
January 19, 2011
Entwistle VA, McCaughan D, Watt I, et al. Speaking up about safety concerns: multi-setting qualitative
study of patients' views and experiences. Qual Saf Health Care. 2010;19(6):e33.
doi:10.1136/…
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www.ahrq.gov/npsd/resources/index.html
June 01, 2019 - Resources
Patient Safety and Quality Improvement Act, Patient Safety Rule and Technical Resources for Patient Safety Organizations (PSOs)
Patient Safety and Quality Improvement Act of 2005
https://pso.ahrq.gov/legislation/act
Patient Safety and Quality Improvement Final Rule (42 CFR Part 3)
https://pso.…
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www.ahrq.gov/talkingquality/translate/organize/quality-domain.html
December 01, 2022 - Organizing Quality Measures by Domains of Health Care Quality
Quality information is easier to understand if users have a framework, or mental model, for thinking about health care quality. (Learn more about quality frameworks .) One of the most commonly used frameworks comes from the Institute of Medicine (IO…
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pso.ahrq.gov/taxonomy/term/2/feed
April 23, 2019 - PSO General Information
PSO General Information
What are "patient safety activities"?
What are "patient safety activities"?
ahrqSuperAdmin
Tue, 04/23/2019 - 10:09
There are eight patient safety activities that are carried out by, or on behalf of a PSO, or a healthcare provider:
Efforts to improve p…
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System
Evaluate the Effects of the Massachusetts Reporting System
Principal Investigator: Nancy Ridley, M.S.
Associate Commissioner, Massachusetts Department of Public Health
Co-Investigators (alphabetically):
Paul Dreyer, Ph.D.
Massachuset…
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psnet.ahrq.gov/web-mm/poorly-advanced-directives
August 01, 2018 - As the use of CPR was expanded to all hospitalized patients, it became clear that the harms associated
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - September 30, 2020
WebM&M Cases
The Hidden Harms
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psnet.ahrq.gov/node/865374/psn-pdf
March 27, 2024 - healthcare is a complex task, with numerous interrelated factors
contributing to numerous potential harms
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psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms
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psnet.ahrq.gov/web-mm/painful-dilemma
September 01, 2013 - May 9, 2018
Identifying and measuring administrative harms experienced by hospitalists
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psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
January 24, 2018 - Here, it is useful to consider strategies to mitigate secondary harms.
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psnet.ahrq.gov/node/49865/psn-pdf
June 01, 2019 - Other harms of unverified penicillin allergy labels include increased risk of adverse events,
Clostridium
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psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - these cases, ADEs, which include outcomes where an error in drug ordering or
prescription filling harms