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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-laser-safety
July 16, 2018 - Commentary
Implementing AORN recommended practices for laser safety.
Citation Text:
Castelluccio D, Nurses A of OR. Implementing AORN Recommended Practices for Laser Safety. AORN J. 2012;95(5):612-24; quiz 625-7. doi:10.1016/j.aorn.2012.03.001.
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psnet.ahrq.gov/issue/actively-caring-safety-overcoming-bystander-apathy
December 03, 2014 - Newspaper/Magazine Article
Actively caring for safety: overcoming bystander apathy.
Citation Text:
Actively caring for safety: overcoming bystander apathy. ISMP Medication Safety Alert! Acute Care Edition. November 20, 2008:13:1-3.
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psnet.ahrq.gov/issue/disclosure-and-apology-whats-missing-advancing-programs-support-clinicians
December 07, 2016 - Book/Report
Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians.
Citation Text:
Disclosure and Apology: What's Missing? Advancing Programs that Support Clinicians. Carr S. Chestnut Hill, MA: Medically Induced Trauma Support Services; 2009.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-SOPS_101_Webcast-GRAY-Overview.pdf
June 02, 2025 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Gray (Overview)
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
What is Patient Safety Culture?
13
AHRQ Surveys on Patient Safety Culture
• Surveys …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/unlicensed-staff/catheter-maint-scenarios.docx
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Urinary Catheter Types and How To Care for Them Activity
Staff Role Play—How good are your catheter care skills?
Scenario 1
A staff member comes in to say “hi” to the resident. The staff person does not perform hand hygiene or put on gloves, but proceeds to touch the…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/case-study-key.docx
March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Antibiotic Stewardship
Case Study Facilitator Key
Instructions:
1. Divide into small groups of two to three people.
2. Ask each group to work through each part of the case scena…
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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - Patient Safety 101: The Fundamentals
What is Patient Safety?
The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/engage/leader.html
March 01, 2017 - Resident And Family Engagement: What is my role as a leader?
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
What is resident and family engagement?
Resident and family engagement is one component of person-centered care, a philosophy that recognizes residents as individuals and as partners…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex518.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-18. Measure 18: Rate of patients that were ready to improve a targeted behavior
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Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinica…
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psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
June 12, 2019 - United States Meeting/Conference
Improving Patient Safety with Human Factors Methods.
Citation Text:
Improving Patient Safety with Human Factors Methods. Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025.
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex517.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-17. Measure 17: Referral rate for intensive counseling from a community program
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Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinical…
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www.ahrq.gov/talkingquality/assess/what-you-evaluate/chcf-example.html
March 01, 2016 - Evaluating a Campaign to Promote CalHospitalCompare.org
In 2008, the California HealthCare Foundation (CHCF) released an update to a periodic survey of Californians on how consumers use the Internet to manage their health care. CHCF found that in 2007:
Of those surveyed, 23 percent had seen hospital rating …
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psnet.ahrq.gov/issue/reduce-medication-errors-through-following-metrics
December 21, 2022 - Newspaper/Magazine Article
Reduce medication errors through following metrics.
Citation Text:
Reduce medication errors through following metrics. Drug Formulary Review. June 1, 2009.
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psnet.ahrq.gov/issue/unprotected-broken-promises-georgias-senior-care-industry
December 04, 2016 - Special or Theme Issue
Unprotected: broken promises in Georgia’s senior care industry.
Citation Text:
Unprotected: broken promises in Georgia’s senior care industry. Schrade B, Teegardin C. Atlanta Journal-Constitution. Sept-October 2019.
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psnet.ahrq.gov/issue/high-cost-low-morale-clinical-laboratory-how-workplace-environment-impacts-patient-safety
March 06, 2005 - Newspaper/Magazine Article
The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety.
Citation Text:
The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. Barker T; Noguez J.
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psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians
December 15, 2021 - Book/Report
New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians.
Citation Text:
New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 978311…
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psnet.ahrq.gov/issue/second-society-simulation-healthcare-research-summit-beyond-our-boundaries
September 02, 2020 - Meeting/Conference Proceedings
The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries.
Citation Text:
The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries. Simul Healthc. 2018;13(3S suppl 1):S1-S55.
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www.ahrq.gov/topics/index.html
October 01, 2008 - Topics
Information on AHRQ's most-searched topics are included below and in the A to Z menu above. Results
Topics 1 - 10 of 19 displayed
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Antimicrobial Stewardship Antimicrobial stewardship programs are coordinated p…
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digital.ahrq.gov/2020-year-review/research-summary
January 01, 2020 - Research Summary
The mission of AHRQ’s Digital Healthcare Research Program is directly aligned with the overall AHRQ mission. Through rigorous research, AHRQ generates the ground-breaking knowledge, tools, and data needed to improve health system performance and health outcomes.
Thes…
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psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
January 26, 2023 - Measurement Tool/Indicator
ISMP Medication Errors Reporting Program.
Citation Text:
ISMP Medication Errors Reporting Program. Institute for Safe Medication Practices
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