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psnet.ahrq.gov/node/42051/psn-pdf
October 08, 2013 - A closer look at associations between hospital leadership
walkrounds and patient safety climate and risk reduction:
a cross-sectional study.
October 8, 2013
Schwendimann R, Milne J, Frush K, et al. A closer look at associations between hospital leadership
walkrounds and patient safety climate and risk reduction: a…
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psnet.ahrq.gov/node/36986/psn-pdf
June 18, 2013 - Changes in hospital mortality associated with residency
work-hour regulations.
June 18, 2013
Shetty KD, Bhattacharya J. Changes in hospital mortality associated with residency work-hour regulations.
Ann Intern Med. 2007;147(2):73-80.
https://psnet.ahrq.gov/issue/changes-hospital-mortality-associated-residency-work…
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psnet.ahrq.gov/node/846444/psn-pdf
March 22, 2023 - Teamwork is associated with reduced hospital staff
burnout at military treatment facilities: findings from the
2019 Department of Defense Patient Safety Culture
Survey.
March 22, 2023
Godby Vail S, Dierst-Davies R, Kogut D, et al. Teamwork is associated with reduced hospital staff burnout
at military treatment fa…
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psnet.ahrq.gov/node/837601/psn-pdf
June 29, 2022 - Development, pilot study, and psychometric analysis of
the AHRQ Surveys on Patient Safety Culture (SOPS)
Workplace Safety Supplemental Items for Hospitals.
June 29, 2022
Zebrak K, Yount N, Sorra J, et al. Development, pilot study, and psychometric analysis of the AHRQ
Surveys on Patient Safety Culture (SOPS) Workp…
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psnet.ahrq.gov/node/73177/psn-pdf
April 28, 2021 - The association of nursing home characteristics and
quality with adverse events after a hospitalization.
April 28, 2021
Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with
adverse events after a hospitalization. J Am Med Dir Assoc. 2021;22(10):2196-2200.
doi:10.…
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psnet.ahrq.gov/node/46892/psn-pdf
June 13, 2018 - AHRQ National Scorecard on Hospital-Acquired
Conditions Updated Baseline Rates and Preliminary
Results 2014–2016.
June 13, 2018
Rockville, MD: Agency for Healthcare Research and Quality; June 2018.
https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-
and-prelim…
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psnet.ahrq.gov/node/38454/psn-pdf
January 02, 2017 - Comparing process- and outcome-oriented approaches to
voluntary incident reporting in two hospitals.
January 2, 2017
Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to
voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf. 2009;35(3):139-45.
https://psn…
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psnet.ahrq.gov/node/38047/psn-pdf
January 31, 2011 - Single-patient rooms for safe patient-centered hospitals.
January 31, 2011
Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8).
doi:10.1001/jama.300.8.954.
https://psnet.ahrq.gov/issue/single-patient-rooms-safe-patient-centered-hospitals
Providing patient-centered care continues …
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psnet.ahrq.gov/node/43707/psn-pdf
November 26, 2014 - America's Hospitals: Improving Quality and Safety: The
Joint Commission's Annual Report 2014.
November 26, 2014
Oakbrook Terrace, IL: The Joint Commission; November 2014.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2014
This Joint Commission annual…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/index.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
The Agency for Healthcare Research and Quality (AHRQ) created On-Time Preventable Hospital and Emergency Department Visits to help nursing homes with electronic medical records identify residents at risk for ev…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pptx
July 01, 2014 - PowerPoint Presentation
System Redesign for Value in
Safety-Net Hospitals and Systems:
Challenges and Implications
Boston University School of Public Health
prepared for
Agency for Healthcare Research and Quality
ACTION II
The work reported here was done under AHRQ ACTION II Task Order Contract No. HHSA29020100002…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_11_PPT_508.pptx
January 01, 2008 - Strategy 1: Working with Patients & Families as Advisors (Tool 11)
Insert hospital logo here
Working With Patient
and Family Advisors:
Part 1. Introduction and Overview
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 1: Working With Patient and Family Advisors Training (Tool 11)
Guid…
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psnet.ahrq.gov/issue/adverse-events-toolkit-medical-record-review-methodology
July 19, 2023 - Book/Report
Adverse Events Toolkit: Medical Record Review Methodology.
Citation Text:
Adverse Events Toolkit: Medical Record Review Methodology. Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report no. OEI-06-21-00…
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psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary-deaths
January 19, 2022 - Newspaper/Magazine Article
Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.
Citation Text:
Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. Comarow A. US News & World Report. Jul…
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www.ahrq.gov/news/newsroom/case-studies/201605.html
May 01, 2016 - Blue Shield of California Foundation Uses AHRQ Guide to Reduce Hospital Readmissions
Search All Impact Case Studies
May 2016
AHRQ's Hospital Guide to Reducing Medicaid Readmissions was used by Blue Shield of California Foundation to apply evidence-based strategies that significantly cut hospital readmissi…
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psnet.ahrq.gov/issue/shift-coupon-innovative-method-monitor-adverse-events
June 25, 2010 - Study
The Shift Coupon: an innovative method to monitor adverse events.
Citation Text:
Kellogg VA, Havens DS. The Shift Coupon: an innovative method to monitor adverse events. J Nurs Care Qual. 2006;21(1):49-55.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X…
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psnet.ahrq.gov/issue/half-time-nursing-homes-scrutinized-safety-medicare-are-still-treacherous
March 13, 2019 - Newspaper/Magazine Article
Half the time, nursing homes scrutinized on safety by Medicare are still treacherous.
Citation Text:
Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Rau J. Kaiser Health News. July 6, 2017.
Copy Citation
S…
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psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
October 26, 2011 - Newspaper/Magazine Article
‘Fear of falling’: how hospitals do even more harm by keeping patients in bed.
Citation Text:
‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. Bailey M. Kaiser Health News. October 17, 2019.
Copy Citation
Save
…
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psnet.ahrq.gov/issue/cost-hospital-wide-activities-improve-patient-safety-and-infection-control-multi-centre-study
January 15, 2009 - Study
Cost of hospital-wide activities to improve patient safety and infection control: a multi-centre study in Japan.
Citation Text:
Fukuda H, Imanaka Y, Hayashida K. Cost of hospital-wide activities to improve patient safety and infection control: a multi-centre study in Japan. Healt…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_3_Application_508.docx
June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 3)
Patient and Family Advisor Application Form
Name (First and Last):
Street Address:
City: State: ZIP Code:
Home phone: Cell phone: Email address:
Preferred contact (circle one): Home phone Cell phone Email
The following questions will help u…