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psnet.ahrq.gov/node/837314/psn-pdf
June 01, 2022 - CMS proposal to suppress hospital safety data angers
advocates — agency says COVID disruptions, staff
shortages hamper ability to fairly score poor performers.
June 1, 2022
Clark C. MedPage Today. May 20, 2022.
https://psnet.ahrq.gov/issue/cms-proposal-suppress-hospital-safety-data-angers-advocates-agency-says-
c…
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psnet.ahrq.gov/node/73566/psn-pdf
August 04, 2021 - Personal formularies of primary care physicians across 4
health care systems.
August 4, 2021
Galanter W, Eguale T, Gellad WF, et al. Personal formularies of primary care physicians across 4 health
care systems. JAMA Netw Open. 2021;4(7):e2117038. doi:10.1001/jamanetworkopen.2021.17038.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/844988/psn-pdf
February 22, 2023 - Assessment of patient retention of inpatient care
information post-hospitalization.
February 22, 2023
Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information
post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j.jcjq.2022.11.002.
https://psn…
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psnet.ahrq.gov/node/43823/psn-pdf
June 07, 2017 - Safety perceptions of health care leaders in 2 Canadian
academic acute care centers.
June 7, 2017
Goldstein DH, Nyce JM, Van Den Kerkhof EG. Safety Perceptions of Health Care Leaders in 2 Canadian
Academic Acute Care Centers. J Patient Saf. 2017;13(2):62-68. doi:10.1097/PTS.0000000000000112.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/50733/psn-pdf
December 11, 2019 - Association between measured teamwork and medical
errors: an observational study of prehospital care in the
USA
December 11, 2019
Herzberg S, Hansen M, Schoonover A, et al. Association between measured teamwork and medical errors:
an observational study of prehospital care in the USA. BMJ Open. 2019;9(10):e025314.…
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psnet.ahrq.gov/node/37946/psn-pdf
June 10, 2010 - Patient comprehension of emergency department care
and instructions: are patients aware of when they do not
understand?
June 10, 2010
Engel KG, Heisler M, Smith DM, et al. Patient comprehension of emergency department care and
instructions: are patients aware of when they do not understand? Ann Emerg Med. 2009;53(…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0243-section2.pdf
June 02, 2025 - Overuse of Imaging - Measure 5: Policy for ALARA Specific to Imaging Children
The percentage of facilities with a policy for “as low as reasonably achievable” (ALARA), specific to
the imaging of children. A higher proportion indicates better performance as reflected by use of
minimal radiation when imagi…
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psnet.ahrq.gov/node/42884/psn-pdf
February 06, 2014 - Application of a theoretical framework for behavior
change to hospital workers' real-time explanations for
noncompliance with hand hygiene guidelines.
February 6, 2014
Fuller C, Besser S, Savage J, et al. Application of a theoretical framework for behavior change to hospital
workers' real-time explanations for non…
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psnet.ahrq.gov/node/846149/psn-pdf
March 15, 2023 - Medication errors in community pharmacies: evaluation
of a standardized safety program.
March 15, 2023
Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a
standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218.
doi:10.1016/j.rcsop.2022.100218.
https://ps…
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psnet.ahrq.gov/node/46428/psn-pdf
November 01, 2017 - Translating staff experience into organisational
improvement: the HEADS-UP stepped wedge, cluster
controlled, non-randomised trial.
November 1, 2017
Pannick S, Athanasiou T, Long SJ, et al. Translating staff experience into organisational improvement: the
HEADS-UP stepped wedge, cluster controlled, non-randomised …
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psnet.ahrq.gov/node/50748/psn-pdf
December 18, 2019 - Systematic review of interventions to improve safety and
quality of anticoagulant prescribing for therapeutic
indications for hospital inpatients
December 18, 2019
Frazer A, Rowland J, Mudge A, et al. Eur J Clin Pharmacol. 2019;75(12):1645-1657.
https://psnet.ahrq.gov/issue/systematic-review-interventions-imp…
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psnet.ahrq.gov/node/865666/psn-pdf
April 24, 2024 - Why do nurses miss nursing care? A qualitative meta-
synthesis.
April 24, 2024
Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta?synthesis. Jpn J Nurs
Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578.
https://psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthe…
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psnet.ahrq.gov/node/853065/psn-pdf
August 30, 2023 - Exploring the impact of safety culture on incident
reporting: lessons learned from machine learning
analysis of NHS England staff survey and incident data.
August 30, 2023
Kaya GK, Ustebay S, Nixon J, et al. Exploring the impact of safety culture on incident reporting: lessons
learned from machine learning analysi…
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psnet.ahrq.gov/node/60684/psn-pdf
January 01, 2021 - Post-discharge adverse events among African American
and Caucasian patients of an urban community hospital.
July 15, 2020
Costello WG, Zhang L, Schnipper JL, et al. Post-discharge adverse events among African American and
Caucasian patients of an urban community hospital. J Racial Ethn Health Disparities. 2021;8(2)…
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psnet.ahrq.gov/node/44855/psn-pdf
July 11, 2017 - Unannounced versus announced hospital surveys: a
nationwide cluster-randomized controlled trial.
July 11, 2017
Ehlers LH, Simonsen KB, Jensen MB, et al. Unannounced versus announced hospital surveys: a
nationwide cluster-randomized controlled trial. Int J Qual Health Care. 2017;29(3):406-411.
doi:10.1093/intqhc/mz…
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psnet.ahrq.gov/node/50414/psn-pdf
September 04, 2019 - Rating the raters: an evaluation of publicly reported
hospital quality rating systems.
September 4, 2019
Bilimoria KY, Birkmeyer JD, Burstin H, et al. NEJM Catalyst. August 14, 2019.
https://psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems
Numerous publicly available …
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psnet.ahrq.gov/node/845347/psn-pdf
March 01, 2023 - Race differences in a malpractice event database in a
large healthcare system.
March 1, 2023
Thomas AD, Pandit C, Krevat S. Race differences in a malpractice event database in a large healthcare
system. J Patient Saf. 2023;19(2):67-70. doi:10.1097/pts.0000000000001090.
https://psnet.ahrq.gov/issue/race-differences…
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psnet.ahrq.gov/node/72643/psn-pdf
January 13, 2021 - Ockenden Report. Emerging Fndings and
Recommendations from the Independent Review of
Maternity Services at the Shrewsbury and Telford
Hospital NHS Trust.
January 13, 2021
London UK: Crown Copyright; December 10, 2020. ISBN: 9781528623049.
https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-a…
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psnet.ahrq.gov/node/72802/psn-pdf
March 03, 2021 - What does safety in mental healthcare transitions mean
for service users and other stakeholder groups: an open-
ended questionnaire study.
March 3, 2021
Tyler N, Wright N, Panagioti M, et al. What does safety in mental healthcare transitions mean for service
users and other stakeholder groups: an open?ended questi…
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psnet.ahrq.gov/node/46107/psn-pdf
August 16, 2017 - The relationship between patient safety climate and
occupational safety climate in healthcare—a multi-level
investigation.
August 16, 2017
Pousette A, Larsman P, Eklöf M, et al. The relationship between patient safety climate and occupational
safety climate in healthcare – A multi-level investigation. J Safety Res…