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psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role
August 10, 2010 - Study
"It's the difference between life and death": the views of professional medical interpreters on their role in the delivery of safe care to patients with limited English proficiency.
Citation Text:
Wu MS, Rawal S. "It's the difference between life and death": The views of profession…
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psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
April 16, 2014 - Commentary
Introducing the safety score audit for staff member and patient safety.
Citation Text:
Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006.
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psnet.ahrq.gov/issue/tools-primary-care-patient-safety-narrative-review
July 20, 2016 - Review
Tools for primary care patient safety: a narrative review.
Citation Text:
Spencer R, Campbell S. Tools for primary care patient safety: a narrative review. BMC Fam Pract. 2014;15:166. doi:10.1186/1471-2296-15-166.
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psnet.ahrq.gov/issue/checklists-assessment-and-certification-clinical-procedural-skills-omit-essential
June 07, 2023 - Review
Checklists for assessment and certification of clinical procedural skills omit essential competencies: a systematic review.
Citation Text:
McKinley RK, Strand J, Ward L, et al. Checklists for assessment and certification of clinical procedural skills omit essential competencies: …
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psnet.ahrq.gov/issue/henry-ford-health-system-no-harm-campaign-comprehensive-model-reduce-harm-and-save-lives
May 11, 2019 - Commentary
The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives.
Citation Text:
Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The Henry Ford Health System No Harm Campaign: a comprehensive mo…
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psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals
June 06, 2018 - Review
Nurses' use of computerized clinical guidelines to improve patient safety in hospitals.
Citation Text:
Hovde B, Jensen KH, Alexander GL, et al. Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. West J Nurs Res. 2015;37(7):877-98. doi:10.1177/0…
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psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management
May 29, 2024 - Study
Briefing and debriefing in the operating room using fighter pilot crew resource management.
Citation Text:
McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76.
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psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
October 07, 2013 - Review
Team-based care: the changing face of cardiothoracic surgery.
Citation Text:
Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003.
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psnet.ahrq.gov/issue/perceived-adverse-patient-outcomes-correlated-nurses-workload-medical-and-surgical-wards
February 01, 2013 - Study
Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait.
Citation Text:
Al-Kandari F, Thomas D. Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected ho…
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psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies
March 15, 2016 - Review
The effect of bedrails on falls and injury: a systematic review of clinical studies.
Citation Text:
Healey F, Oliver D, Milne A, et al. The effect of bedrails on falls and injury: a systematic review of clinical studies. Age Ageing. 2008;37(4):368-78. doi:10.1093/ageing/afn112. …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary4.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Improving service systems for youth with serious emotional disorders and their families
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Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Gr…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-bestpractices-web-sopssurveys-yount.pdf
June 02, 2025 - Best Practices for Web-based SOPS Surveys - Yount Slides
Fielding Your Survey
Naomi Yount, Ph.D.
Westat
41
Promoting the Survey
• Publicize on flyers or posters
• Send emails with a letter of support from leadership
• Post information on your intranet
• Discuss at staff meetings
42
Information to Inclu…
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psnet.ahrq.gov/issue/quality-improvement-through-implementation-discharge-order-reconciliation
September 23, 2020 - Commentary
Quality improvement through implementation of discharge order reconciliation.
Citation Text:
Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050. …
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psnet.ahrq.gov/issue/patient-safety-dentistry-state-play-revealed-national-database-errors
August 29, 2018 - Study
Patient safety in dentistry—state of play as revealed by a national database of errors.
Citation Text:
Thusu S, Panesar S, Bedi R. Patient safety in dentistry - state of play as revealed by a national database of errors. Br Dent J. 2012;213(3):E3. doi:10.1038/sj.bdj.2012.669.
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psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation
June 07, 2023 - Commentary
Evolution of a rapid response system from voluntary to mandatory activation.
Citation Text:
Jones CM, Bleyer AJ, Petree B. Evolution of a rapid response system from voluntary to mandatory activation. Jt Comm J Qual Patient Saf. 2010;36(6):266-70, 241.
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psnet.ahrq.gov/issue/mental-models-basic-concept-human-factors-design-infection-prevention
April 26, 2017 - Commentary
Mental models: a basic concept for human factors design in infection prevention.
Citation Text:
Sax H, Clack L. Mental models: a basic concept for human factors design in infection prevention. J Hosp Infect. 2015;89(4):335-9. doi:10.1016/j.jhin.2014.12.008.
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psnet.ahrq.gov/issue/consumer-perceptions-safety-hospitals
June 15, 2011 - Study
Consumer perceptions of safety in hospitals.
Citation Text:
Evans S, Berry JG, Smith B, et al. Consumer perceptions of safety in hospitals. BMC Public Health. 2006;6:41.
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psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
June 28, 2017 - Study
Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making.
Citation Text:
Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9.
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psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric
September 28, 2010 - Study
Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit.
Citation Text:
Grant MJC, Larsen GY. Clinical Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric Intensive Care U…
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psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
September 23, 2020 - Study
Risk factors for i.v. compounding errors when using an automated workflow management system.
Citation Text:
Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…