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psnet.ahrq.gov/issue/enhancing-patient-care-practical-guide-improving-quality-and-safety-hospitals
January 13, 2010 - Book/Report
Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals.
Citation Text:
Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals. Wolff A, Taylor S. Sydney, Australia: MJA Books; 2009. ISBN: 9780977578665.
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psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety
March 07, 2018 - Newspaper/Magazine Article
For Colorado mom, story of daughter's hospital death is key to others' safety.
Citation Text:
For Colorado mom, story of daughter's hospital death is key to others' safety. Daley J. Colorado Public Radio. February 17, 2015.
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psnet.ahrq.gov/issue/no-pay-never-event-errors-becoming-standard
March 07, 2012 - Newspaper/Magazine Article
No pay for "never event" errors becoming standard.
Citation Text:
No pay for "never event" errors becoming standard. O'Reilly KB. American Medical News. January 7, 2008.
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psnet.ahrq.gov/issue/coming-clean-medical-mistakes
February 20, 2019 - Newspaper/Magazine Article
Coming clean on medical mistakes.
Citation Text:
Coming clean on medical mistakes. Talaga T, Cribb R. Toronto Star. March 19, 2007.
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psnet.ahrq.gov/issue/why-doesnt-medical-care-get-better-when-doctors-rest-more
January 13, 2021 - Newspaper/Magazine Article
Why doesn't medical care get better when doctors rest more?
Citation Text:
Why doesn't medical care get better when doctors rest more? Rosenbaum L. The New Yorker: Elements. August 20, 2013.
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psnet.ahrq.gov/issue/surgical-checklists-unused-10-hospitals-cms-data-shows
October 01, 2014 - Newspaper/Magazine Article
Surgical checklists unused in 10% of hospitals, CMS data shows.
Citation Text:
Surgical checklists unused in 10% of hospitals, CMS data shows. Clark C. HealthLeaders Media. July 24, 2014.
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psnet.ahrq.gov/issue/bringing-systemness-focus-quality-safety-and-patient-experience
June 17, 2014 - Meeting/Conference Proceedings
Bringing a ‘Systemness’ Focus to Quality, Safety, and Patient Experience.
Citation Text:
Bringing a ‘Systemness’ Focus to Quality, Safety, and Patient Experience. American Hospital Association. December 7, 2023.
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psnet.ahrq.gov/issue/scant-oversight-drug-maker-fatal-meningitis-outbreak
March 17, 2015 - Newspaper/Magazine Article
Scant oversight of drug maker in fatal meningitis outbreak.
Citation Text:
Scant oversight of drug maker in fatal meningitis outbreak. Grady D, Pollack A, Tavernise S. New York Times. October 6, 2012.
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psnet.ahrq.gov/issue/why-hospitals-should-fly-ultimate-flight-plan-patient-safety-and-quality-care
December 19, 2018 - Book/Report
Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care.
Citation Text:
Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care. Nance JJ. Boseman, MT: Second River Healthcare Press; 2008. ISBN: 9780974386058.
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psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-cms-nursing-home-compare
May 26, 2021 - Multi-use Website
Nursing Home Compare.
Citation Text:
Nursing Home Compare. Centers for Medicare and Medicaid Services.
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hcup-us.ahrq.gov/reports/race/StandAloneR_EExecSum4_28forweb.pdf
March 11, 2011 - featured state data report also included measures
of health care access/utilization, such as avoidable hospitalizations
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017
January 2019
AHRQ National Scorecard on Hospital-Acquired Conditions
Updated Baseline Rates and Preliminary Results 2014–2017
Summary
Updated and new patient safety data for 2014 through 2017 conti…
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - If there were an ambulatory missed opportunity that led to a subsequent hospitalization that would be … Extrapolating from these data, an estimated 75,000 hospitalizations per year are due to preventable adverse
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Montgomery_42.pdf
March 05, 2008 - Impact of Staff-Led Safety Walk Rounds
Impact of Staff-Led Safety Walk Rounds
Vicki L. Montgomery, MD, FAAP, FCCM
Abstract
Objectives: The primary objectives of this study were to provide a venue for discussing safety
concerns and to facilitate finding solutions for everyday safety issues. Methods: The
mul…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/nm7.jsp
July 01, 2016 - Adapting a National Curriculum to Better Collect Race and Ethnicity Data in New Mexico Hospitals
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-slides.pdf
May 13, 2025 - Implementing the CMS Patient Safety Structural Measure: Slide Presentation
Implementing the CMS Patient Safety
Structural Measure
NATIONAL WEBINAR SERIES
May 13, 2025
Housekeeping Instructions
• This webinar will be recorded and available for viewing on the National Action
Alliance website.
• Please use the ‘…
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psnet.ahrq.gov/node/33781/psn-pdf
March 01, 2015 - In Conversation With… Brian Jarman, PhD
March 1, 2015
In Conversation With… Brian Jarman, PhD. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
Editor's note: Sir Brian Jarman is an emeritus professor at Imperial College School of Medicine and a
past president of the Britis…
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www.ahrq.gov/hai/pfp/interimhacrate2014.html
January 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Next Page
Table of Contents
Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AppendixB_BAAAddendum.pdf
September 30, 2009 - Data Use/ Business Associate Agreement
ADDENDUM A
BUSINESS ASSOCIATE PRIVACY AND SECURITY AGREEMENT
“Adding Clinical Data to Administrative Data”
AHRQ Contract with MHA HHSA290 2007 10080
This document is an addendum to the Business Associate and Security Agreement made
between the Minnesota hospital listed …
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hcup-us.ahrq.gov/datainnovations/NJAbstractFinal.pdf
September 29, 2013 - Title:
State: New Jersey
Title: Comparative Effectiveness of Prehospital and Hospital Emergency
Care
Principal Investigator: Joel C. Cantor
Organization: Rutgers The State University of New Jersey, New Brunswick
Project Dates: September 30, 2010, to September 29, 2013
Grant Number: R01 HS20097-01
P…