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psnet.ahrq.gov/node/72725/psn-pdf
February 10, 2021 - Understanding the peer, manager, and system influence
on patient safety.
February 10, 2021
Forbes TH, Wynn J, Anderson T, et al. Understanding the peer, manager, and system influence on patient
safety. Nurs Manage. 2020;51(12):36-42. doi:10.1097/01.numa.0000721828.72471.4a.
https://psnet.ahrq.gov/issue/understandi…
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psnet.ahrq.gov/node/45997/psn-pdf
April 19, 2017 - Learning through experience: influence of formal and
informal training on medical error disclosure skills in
residents.
April 19, 2017
Wong BM, Coffey M, Nousiainen MT, et al. Learning through experience: influence of formal and informal
training on medical error disclosure skills in residents. J Grad Med Educ. 20…
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psnet.ahrq.gov/node/861284/psn-pdf
January 24, 2024 - Relationships among psychological safety, the principles
of high reliability, and safety reporting intentions in
pediatric nursing.
January 24, 2024
Pfeifer L, Vessey J, Cazzell M, et al. Relationships among psychological safety, the principles of high
reliability, and safety reporting intentions in pediatric nurs…
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psnet.ahrq.gov/node/44633/psn-pdf
November 11, 2015 - Reductions in sepsis mortality and costs after design and
implementation of a nurse-based early recognition and
response program.
November 11, 2015
Jones SL, Ashton CM, Kiehne L, et al. Reductions in sepsis mortality and costs after design and
implementation of a nurse-based early recognition and response program.…
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psnet.ahrq.gov/node/844042/psn-pdf
February 08, 2023 - ‘Ladder’-based safety culture assessments inversely
predict safety outcomes.
February 8, 2023
Boskeljon?Horst L, Sillem S, Dekker SWA. ‘Ladder’?based safety culture assessments inversely predict
safety outcomes. J Contingencies Crisis Manag. 2022;31(3):372-391. doi:10.1111/1468-5973.12445.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/50656/psn-pdf
November 13, 2019 - Whistleblowing over patient safety and care quality: a
review of the literature.
November 13, 2019
Blenkinsopp J, Snowden N, Mannion R, et al. Whistleblowing over patient safety and care quality: a review
of the literature. J Health Org Manag. 2019;33(6):737-756. doi:10.1108/JHOM-12-2018-0363.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/34861/psn-pdf
November 11, 2015 - When things go wrong: how health care organizations
deal with major failures.
November 11, 2015
Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures.
Health Aff (Millwood). 2004;23(3):103-11.
https://psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizati…
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psnet.ahrq.gov/node/42092/psn-pdf
March 06, 2013 - Relationships of multitasking, physicians' strain, and
performance: an observational study in ward physicians.
March 6, 2013
Weigl M, Müller A, Sevdalis N, et al. Relationships of multitasking, physicians' strain, and performance: an
observational study in ward physicians. J Patient Saf. 2013;9(1):18-23.
doi:10.10…
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psnet.ahrq.gov/node/60735/psn-pdf
July 29, 2020 - Accuracy of emergency department clinical findings for
diagnosis of coronavirus disease 2019.
July 29, 2020
Peyrony O, Marbeuf-Gueye C, Truong V, et al. Accuracy of emergency department clinical findings for
diagnosis of coronavirus disease 2019. Ann Emerg Med. 2020;76(4):405-412.
doi:10.1016/j.annemergmed.2020.05…
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psnet.ahrq.gov/node/764400/psn-pdf
March 02, 2022 - A mixed methods evaluation of medication reconciliation
in the primary care setting.
March 2, 2022
Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation
in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journal.pone.0260882.
https://psnet.ahr…
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psnet.ahrq.gov/node/73284/psn-pdf
May 19, 2021 - Safety participation at the direct care level: results of a
patient questionnaire.
May 19, 2021
Duhn L, Gumapac N, Medves J. Safety participation at the direct care level: results of a patient
questionnaire. Patient Exp J. 2021;8(1):59-68. doi:10.35680/2372-0247.1506.
https://psnet.ahrq.gov/issue/safety-participat…
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psnet.ahrq.gov/node/72606/psn-pdf
December 23, 2020 - Best Practices in Developing Proprietary Names for
Human Prescription Drug Products Guidance for Industry.
December 23, 2020
Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for
Drug Evaluation and Research; December 2020.
https://psnet.ahrq.gov/issue/best-practices-d…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015354-rachman-final-report-2007.pdf
January 01, 2007 - • Provide monthly dashboard reporting on clinical indicators for Health Disparities
Collaboratives
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hcup-us.ahrq.gov/reports/statbriefs/sb114.jsp
May 01, 2011 - Variables for Revisit Analyses
American Hospital Association (AHA) Linkage Files
AHRQ Quality Indicators
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Y5p8ZXy2ydg_VZMUfxbJ-6
April 25, 2017 - The USPSTF found inadequate evidence on the effectiveness
of risk prediction tools (eg, clinical indicators
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www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
January 01, 2024 - Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement
Improving the Safety of Primary Care by Measuring Adverse Events and Improvement
Principal Investigator:
Donald A. Kennerly, MD, PhD
Study Team:
Kenneth Bruce Bayley, PhD
Ashley Collinsworth, MPH
Teri Cowlin…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapv.html
April 01, 2018 - Electronic surveillance of antibiotic exposure and coded discharge diagnoses as indicators of postoperative … Administrative coding data, compared with CDC/NHSN criteria, are poor indicators of health care-associated
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www.ahrq.gov/hai/cusp/clabsi-final/index.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Executive Summary
Report Organization
Program Implementation
Program Impact
What We Learned: Five Key Lessons
Lessons on…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/implmatls.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Falls Prevention Self-Assessment Worksheet
Purpose
The Self-Assessment Worksheet is a worksheet designed to help staff review how they currently identify residents who have experienced a change in falls risk, how they determine if new clinica…
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/MaskedStats_NIS_2015_Core_Weighted.PDF
January 01, 2015 - please refer to the section on Description of Data Elements.
For more information about the coding of HCUP data elements,
HCUP Weighted Summary Statistics Report: NIS 2015 Core File
22:59 Wednesday, November 8, 2017 1
Means of Continuous Data Elements
please refer to the section on Description of Data Elements.
For…