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psnet.ahrq.gov/issue/survey-shows-recession-has-weakened-patient-safety-net
June 10, 2018 - Newspaper/Magazine Article
Survey shows recession has weakened patient safety net.
Citation Text:
Survey shows recession has weakened patient safety net. ISMP Medication Safety Alert! Acute care edition! January 14, 2010;15:1-4.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apc.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
Appendix C. Interview Guide
Previous Page
Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
Referenc…
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www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndtab1.html
December 01, 2012 - Recommendations to Improve Children's Health Care Quality Measures
Background Report on the 2012 Process
This background report describes the process used to identify, evaluate, and select children's health care quality measures to be recommended for addition to the initial core set of 24 measures released by…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-8x11-UTI.pdf
June 01, 2021 - Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents
For Residents With a
Urinary Catheter or if
Nonverbal
One or more of the following
without another recognized cause:
� Fever (>100°F or a…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-SOPS_101_Webcast-GRAY-Overview.pdf
June 02, 2025 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Gray (Overview)
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
What is Patient Safety Culture?
13
AHRQ Surveys on Patient Safety Culture
• Surveys …
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh59-61.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 59 to 61
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh13.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 13. Accuracy of algorithm at each participating hospital
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh18.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 18. Counts of identified organisms by procedure
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
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psnet.ahrq.gov/issue/correlates-medication-error-hospitals
August 24, 2022 - Book/Report
Correlates of Medication Error in Hospitals.
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Correlates Of Medication Error In Hospitals.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh35-37.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 35 to 37
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh12.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 12. Data for Algorithm
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administrati…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh38-40.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 38 to 40
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh44-46.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 44 to 46
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
November 01, 2023 - Newspaper/Magazine Article
Unreadable barcodes and multiple barcodes on packages can lead to errors.
Citation Text:
Unreadable barcodes and multiple barcodes on packages can lead to errors. ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3.
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psnet.ahrq.gov/issue/exploring-role-patients-promoting-safety-policy-practice
March 13, 2024 - Commentary
Exploring the role of patients in promoting safety: policy to practice.
Citation Text:
Holme A. Exploring the role of patients in promoting safety: policy to practice. Br J Nurs. 2009;18(22):1392-5.
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psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
July 17, 2024 - Toolkit
TeamSTEPPS for Diagnosis Improvement.
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TeamSTEPPS for Diagnosis Improvement.
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psnet.ahrq.gov/issue/mitigating-bias-ai-point-care
March 08, 2023 - Newspaper/Magazine Article
Mitigating bias in AI at the point of care.
Citation Text:
Mitigating bias in AI at the point of care. Decamp M, Lindvall C. Science. 2023;381(6654):150-152.
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psnet.ahrq.gov/issue/patients-beware-731-nurses-reveal-what-watch-out-hospital
November 24, 2021 - Newspaper/Magazine Article
Patients, beware: 731 nurses reveal what to watch out for in the hospital.
Citation Text:
Patients, beware: 731 nurses reveal what to watch out for in the hospital. Consumer Reports. 2009 Sep;74(9):18-23.
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre-measure.html
May 01, 2023 - Teaching Pre-Implementation Measurement
Present Slide 12, “Measurement.” Use this slide to introduce the topic of measurement and note that it is key to all organizational improvement initiatives.
In discussing Slide 13, “Define a Measurable Goal or Problem You Plan To Address,” it’s important to stress t…
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psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-errors-continue
June 28, 2017 - Newspaper/Magazine Article
Despite technology, verbal orders persist, read back is not widespread, and errors continue.
Citation Text:
Despite technology, verbal orders persist, read back is not widespread, and errors continue. ISMP Medication Safety Alert! Acute Care Edition. May 18, 20…