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psnet.ahrq.gov/node/865708/psn-pdf
May 01, 2024 - Missed nursing care in surgical care- a hazard to patient
safety: a quantitative study within the inCHARGE
programme.
May 1, 2024
Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a
quantitative study within the inCHARGE programme. BMC Nurs. 2024;23(1):233. d…
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psnet.ahrq.gov/node/43859/psn-pdf
May 28, 2015 - Point prevalence of surgical checklist use in Europe:
relationship with hospital mortality.
May 28, 2015
Jammer I, Ahmad T, Aldecoa C, et al. Point prevalence of surgical checklist use in Europe: relationship
with hospital mortality. Br J Anaesth. 2015;114(5):801-807. doi:10.1093/bja/aeu460.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/61065/psn-pdf
October 28, 2020 - Health care-associated infections among critically ill
children in the US, 2013-2018.
October 28, 2020
Hsu HE, Mathew R, Wang R, et al. Health care-associated infections among critically ill children in the US,
2013-2018. JAMA Pediatr. 2020;174(12):1176-1183. doi:10.1001/jamapediatrics.2020.3223.
https://psnet.ahr…
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psnet.ahrq.gov/node/61071/psn-pdf
January 01, 2021 - Changes in early high-risk opioid prescribing practices
after policy interventions in Washington State.
October 28, 2020
Sears JM, Haight JR, Fulton?Kehoe D, et al. Changes in early high?risk opioid prescribing practices after
policy interventions in Washington State. Health Serv Res. 2021;56(1):49-60. doi:10.1111/…
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psnet.ahrq.gov/node/861772/psn-pdf
January 31, 2024 - Rapid expansion of the Healing Emotional Lives of Peers
program during COVID-19: a second victim peer support
program for healthcare professionals.
January 31, 2024
Rivera-Chiauzzi EY, Huang L, Osborne AK, et al. Rapid expansion of the Healing Emotional Lives of Peers
program during COVID-19: a second victim peer …
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psnet.ahrq.gov/node/846158/psn-pdf
March 15, 2023 - Safety risks and workflow implications associated with
nursing-related free-text communication orders.
March 15, 2023
Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related
free-text communication orders. J Am Med Inform Assoc. 2023;30(5):828-837. doi:10.1093/jami…
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psnet.ahrq.gov/node/44376/psn-pdf
October 08, 2016 - Avoidability of hospital deaths and association with
hospital-wide mortality ratios: retrospective case record
review and regression analysis.
October 8, 2016
Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association with hospital-wide
mortality ratios: retrospective case record review…
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psnet.ahrq.gov/node/41986/psn-pdf
January 23, 2013 - Slow progress on meeting hospital safety standards:
learning from the Leapfrog Group's efforts.
January 23, 2013
Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog
Group's efforts. Health Aff (Millwood). 2013;32(1):27-35. doi:10.1377/hlthaff.2011.0056.
https://psnet.…
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psnet.ahrq.gov/node/40148/psn-pdf
June 20, 2012 - Systematic review: association of shift length, protected
sleep time, and night float with patient care, residents'
health, and education.
June 20, 2012
Reed DA, Fletcher KE, Arora V. Systematic review: association of shift length, protected sleep time, and
night float with patient care, residents' health, and edu…
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psnet.ahrq.gov/node/43544/psn-pdf
December 07, 2016 - Development of an electronic pediatric all-cause harm
measurement tool using a modified Delphi method.
December 7, 2016
Stockwell DC, Bisarya H, Classen D, et al. Development of an Electronic Pediatric All-Cause Harm
Measurement Tool Using a Modified Delphi Method. J Patient Saf. 2016;12(4):180-189.
https://psnet.…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt6.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix C6: Falls Assessment Report Sample
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Over…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0208-technical-specs.pdf
June 02, 2025 - Neonatal Intensive Care: All Condition Readmissions Without Gestational Age Reported: Technical Specifications
Neonatal Intensive Care: All Condition Readmissions Without
Gestational Age Reported
Technical Specifications
Eligible Population: Indication of NICU stay in the first 30 days of life without a spec…
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psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - Patient safety culture and the association with safe
resident care in nursing homes.
November 27, 2012
Thomas KS, Hyer K, Castle NG, et al. Patient safety culture and the association with safe resident care in
nursing homes. Gerontologist. 2012;52(6):802-811. doi:10.1093/geront/gns007.
https://psnet.ahrq.gov/issue…
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www.ahrq.gov/research/findings/index.html
March 01, 2025 - Research Findings & Reports
Summaries of research findings and reports
EPC Evidence-Based Reports The Agency for Healthcare Research and Quality (AHRQ), through its EPCs, sponsors the development of various reports to assist public- and private-sector organizations in their efforts to improve the quality of h…
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www.ahrq.gov/news/newsroom/press-releases/sources-financial-strain.html
November 01, 2023 - New AHRQ Study Examines Multiple Sources of Financial Strain for Patients Paying for Healthcare in the United States
Press Release Date: November 6, 2023
Today, the Agency for Healthcare Research and Quality (AHRQ) announces the publication of a new study in Health Affairs that examines the sources of financial…
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www.ahrq.gov/hai/cusp/clabsi-neonatal/index.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention
Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention
Executive Summary
Introduction & Objectives
Methods
Data Collection and Analysis
Results
Rat…
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psnet.ahrq.gov/node/44586/psn-pdf
June 21, 2016 - 2013 Annual Hospital-Acquired Condition Rate and
Estimates of Cost Savings and Deaths Averted From 2010
to 2013.
June 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; October 2015. AHRQ Publication No.16-
0006-EF.
https://psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-est…
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psnet.ahrq.gov/node/841147/psn-pdf
December 07, 2022 - Patient safety measurement tools used in nursing homes:
a systematic literature review.
December 7, 2022
Kim K-A, Lee J, Kim D, et al. Patient safety measurement tools used in nursing homes: a systematic
literature review. BMC Health Serv Res. 2022;22(1):1376. doi:10.1186/s12913-022-08814-5.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/860382/psn-pdf
January 10, 2024 - Changes in hospital adverse events and patient outcomes
associated with private equity acquisition.
January 10, 2024
Kannan S, Bruch JD, Song Z. Changes in hospital adverse events and patient outcomes associated with
private equity acquisition. JAMA. 2023;330(24):2365-2375. doi:10.1001/jama.2023.23147.
https://psn…
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psnet.ahrq.gov/node/37063/psn-pdf
January 02, 2017 - Housestaff and medical student attitudes toward medical
errors and adverse events.
January 2, 2017
Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors
and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501.
https://psnet.ahrq.gov/issue/housestaff-and…