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  1. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
    August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Chapter 1. Background Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Design Chapter 3. Descript…
  2. psnet.ahrq.gov/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patients
    January 12, 2022 - Commentary Bundaberg and beyond: duty to disclose adverse events to patients. Citation Text: Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…
  3. psnet.ahrq.gov/issue/common-formats-allow-uniform-collection-and-reporting-patient-safety-data-patient-safety
    May 20, 2009 - Commentary Common formats allow uniform collection and reporting of patient safety data by patient safety organizations. Citation Text: Clancy CM. Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient Safety Organizations. Am J Med Qual. 2009;25(1):73-…
  4. psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
    July 11, 2018 - Commentary Nurses and patients: natural partners to advance patient safety Citation Text: Ricciardi R, Shofer M. Nurses and Patients: Natural Partners to Advance Patient Safety. J Nurs Care Qual. 2019;34(1):1-3. doi:10.1097/NCQ.0000000000000377. Copy Citation Format: DOI Go…
  5. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
    August 01, 2022 - Event Investigation and Analysis Guide: Appendix B Detailed Review Timeline Event Type: Individuals Interviewed: NAME TITLE/ROLE Nurse #1 Charge nurse Nurse #2 RN CNA X Nursing tech Manager MS Manager Pertinent Interview Findings There was only one certifi…
  6. psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
    January 24, 2024 - Newspaper/Magazine Article Preventing medical errors: how to proceed with caution. Citation Text: Shaw G. Preventing Medical Errors. The Hearing Journal. 2014;67(7). doi:10.1097/01.hj.0000452244.07451.64. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNot…
  7. www.ahrq.gov/cahps/surveys-guidance/helpful-resources/analysis/index.html
    July 01, 2025 - Analyzing CAHPS Survey Data Users of CAHPS surveys may take a few different approaches to analyzing their data to generate results that can be reported to healthcare providers, administrators, and consumers. The CAHPS team supports users in conducting their analyses of the closed-ended surveys by developing and…
  8. psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
    February 03, 2021 - Commentary Beyond FMEA: the structured what-if technique (SWIFT). Citation Text: Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101. Copy Citation Format: DOI Google Scholar Bi…
  9. psnet.ahrq.gov/issue/patient-safety-and-quality-evidence-based-handbook-nurses
    May 29, 2024 - Book/Report Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Citation Text: Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Hughes RG, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043.   Copy Ci…
  10. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chen-c-et-al-2009
    January 01, 2009 - Chen C et al. 2009 "The Kaiser Permanente Electronic Health Record: transforming and streamlining modalities of care." Reference Chen C, Garrido T, Chock D, et al. The Kaiser Permanente electronic health record: transforming and streamlining modalities of care. Health Aff 2009;28(2):323-333. Abs…
  11. psnet.ahrq.gov/issue/pharmacy-nursing-intervention-improve-accuracy-and-completeness-medication-histories
    May 29, 2014 - Commentary Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. Citation Text: Tessier EG, Henneman EA, Nathanson BH, et al. Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. American Journal of Health-Sys…
  12. psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
    October 12, 2011 - Commentary A nurse-driven system for improving patient quality outcomes. Citation Text: Johnson K, Hallsey D, Meredith RL, et al. A nurse-driven system for improving patient quality outcomes. J Nurs Care Qual. 2006;21(2):168-175. Copy Citation Format: Google Scholar PubMe…
  13. psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants
    December 24, 2008 - Measurement Tool/Indicator Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. Citation Text: Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. Rockville, MD: Agency for Health Quality and Research; June 2022. Copy Citation …
  14. psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
    November 23, 2016 - Measurement Tool/Indicator Nursing Home Survey on Patient Safety Culture. Citation Text: Nursing Home Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; October 2020. Copy Citation Save Save to your library Print …
  15. integrationacademy.ahrq.gov/sites/default/files/2020-07/Update_Geriatric_Depression_Scale-15.pdf
    January 01, 2020 - Geriatric Depression Scale-15 (short version) Geriatric Depression Scale (Short Form) Patient’s Name: Date: Instructions: Choose the best answer for how you felt over the pas…
  16. digital.ahrq.gov/ahrq-funded-projects/intervention-inc-interactive-family-centered-mhealth-tool-reduce-obesity-risk
    January 01, 2023 - Intervention INC: An Interactive Family-Centered mHealth Tool to Reduce Obesity Risk in Urban Minority Preadolescents Project Description Events A family-centered multi-component digital tool with an innovative communication approach may reduce childhood obesity risk, as …
  17. psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
    November 30, 2016 - Newspaper/Magazine Article Preventing errors when preparing and administering medications via enteral feeding tubes. Citation Text: Preventing errors when preparing and administering medications via enteral feeding tubes. ISMP Medication Safety Alert! Acute care edition. November 17, 202…
  18. psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-codes
    November 02, 2022 - Newspaper/Magazine Article Survey results from pharmacists provide support to enhance the organizational response to codes. Citation Text: Survey results from pharmacists provide support to enhance the organizational response to codes. ISMP Medication Safety Alert! Acute care edition. Oc…
  19. psnet.ahrq.gov/issue/healthgrades-sixth-annual-patient-safety-american-hospitals-study
    October 25, 2013 - Book/Report HealthGrades Sixth Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Sixth Annual Patient Safety in American Hospitals Study. Golden, CO: HealthGrades, Inc.; April 2009.  Copy Citation Save Save to your library …
  20. psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
    February 09, 2011 - Commentary The vanishing nonforensic autopsy. Citation Text: Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …