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psnet.ahrq.gov/issue/hospital-report-card-ontario-2009
December 17, 2014 - Book/Report
Hospital Report Card: Ontario 2009.
Citation Text:
Hospital Report Card: Ontario 2009. Esmail N, Hazel M. Studies in Health Care Policy. Fraser Institute. Calgary, Alberta, Canada; March 2009. ISSN: 1918-2082.
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psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture
August 29, 2017 - Book/Report
Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture.
Citation Text:
Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. Krause TR, Hidley J. Hoboken, NJ: Wiley; 2008. ISBN: 9780470225394.…
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psnet.ahrq.gov/issue/will-my-patient-fall
March 13, 2013 - Review
Will my patient fall?
Citation Text:
Ganz DA, Bao Y, Shekelle PG, et al. Will my patient fall? JAMA. 2007;297(1):77-86.
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psnet.ahrq.gov/issue/during-flight-emergencies-sometimes-airlines-medical-kits-fall-short
January 25, 2023 - Newspaper/Magazine Article
During in-flight emergencies, sometimes airlines’ medical kits fall short.
Citation Text:
During in-flight emergencies, sometimes airlines’ medical kits fall short. Ramachandran V. Kaiser Health News. January 6, 2023.
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www.ahrq.gov/evidencenow/model/profiles/burke.html
March 01, 2021 - A One-Stop Shop for Health Care in Suburban North Carolina
"We're kind of like a mini hospital," explains Ms. May Thao, patient care coordinator at Burke Primary Care, a comprehensive family practice that offers a wide range of health care services at the foothills of the Blue Ridge Mountains in Morgantown, Nor…
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psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
October 19, 2022 - Toolkit
Starter Kit for Alarm Fatigue.
Citation Text:
Starter Kit for Alarm Fatigue. National Association of Clinical Nurse Specialists; NACNS.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
June 02, 2025 - Observing Patient Care Rounds
Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentinel events. Communication among disciplines can be improved if viewed through the eyes of an objective observer.
What are obser…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/055-guide-nursing-practice.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Decolonization Nursing Practice Guide
Use this guide to help ensure that all nursing practice procedures and leadership support are in place to actively support the decolonization intervention.
Engagement & Collaboration
Determine Which Patients Need Treatment
CHG Bath Docume…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips32.html
October 01, 2014 - North Dakota Critical Access Hospitals Use AHRQ TeamSTEPPS® to Improve Patient Safety
Search All Impact Case Studies
January 2010
The University of Nebraska Medical Center customized the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) curriculum for use in critical access h…
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psnet.ahrq.gov/issue/reducing-risk-designing-safer-shame-free-health-care-environment
September 29, 2017 - Book/Report
Reducing the Risk by Designing a Safer, Shame-free Health Care Environment.
Citation Text:
Reducing the Risk by Designing a Safer, Shame-free Health Care Environment. Abrams MA, Hung LL, Kashuba AB, et al. Chicago, IL: American Medical Association; 2007.
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psnet.ahrq.gov/issue/complying-2008-national-patient-safety-goals
July 13, 2010 - Commentary
Complying with the 2008 national patient safety goals.
Citation Text:
Catalano K, Fickenscher K. Complying with the 2008 National Patient Safety Goals. AORN J. 2008;87(3):547-56. doi:10.1016/j.aorn.2007.12.029.
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psnet.ahrq.gov/issue/serious-medication-errors-intravenous-administration-nimodipine-oral-capsules
March 01, 2010 - Government Resource
Serious medication errors from intravenous administration of nimodipine oral capsules.
Citation Text:
Serious medication errors from intravenous administration of nimodipine oral capsules. United States Food and Drug Administration; FDA.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Diagnostic Error in the Testing Process
Previous Page Next Page
Table of Contents
Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Introduction
Background
Diagnostic Error in the …
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www.ahrq.gov/ncepcr/tools/confid-report/app-1.html
March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Appendix 1. Advantages of sharing “unblinded” performance data within a team, practice, or network*
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Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on …
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psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-role-improving-safety
April 25, 2016 - Newspaper/Magazine Article
Strengthening the core. Middle managers play a vital role in improving safety.
Citation Text:
Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety. Healthcare executive. 2010;25(1):68-70.
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www.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
January 01, 2023 - Major Physician Measurement Sets
Because physician-level measurement sets were introduced relatively recently—and some are still in development—they have not yet been widely implemented by report card sponsors. The measure sets listed here have been endorsed, in whole or in part, by the National Quality Forum …
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psnet.ahrq.gov/issue/hospital-black-boxes-put-surgical-practices-under-microscope
March 29, 2023 - Newspaper/Magazine Article
Hospital ‘black boxes’ put surgical practices under the microscope.
Citation Text:
Hospital ‘black boxes’ put surgical practices under the microscope. Sadick B. Wall Street Journal. March 19, 2023.
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www.ahrq.gov/talkingquality/measures/understand/patient-comments.html
February 01, 2016 - The Influence and Use of Individual Patient Comments
Comments from individual patients are becoming an increasingly popular ingredient in reports on the performance of health plans and providers, particularly physicians. Its use is controversial because of its potential to unduly influence consumer decisions.
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psnet.ahrq.gov/issue/medicare-study-finds-teaching-hospitals-have-higher-risk-complications-findings-disputed
June 01, 2016 - Newspaper/Magazine Article
Medicare study finds teaching hospitals have higher risk of complications; findings disputed.
Citation Text:
Medicare study finds teaching hospitals have higher risk of complications; findings disputed. Rau J. Washington Post. February 12, 2012:A03.
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psnet.ahrq.gov/issue/does-your-knee-make-more-click-or-clack-teaching-car-talk-new-docs
April 17, 2019 - Newspaper/Magazine Article
"Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs.
Citation Text:
"Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs. Chisholm P. Health Shots. National Public Radio. February 27, 2019.
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