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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab2.html
December 01, 2017 - Table 2: Project Population. Age Distribution by Project Site. Fiscal Year 2010.
ARRA Grants Initiative
Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for advancing delivery system research.
…
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psnet.ahrq.gov/node/45116/psn-pdf
February 15, 2017 - Postoperative adverse events inconsistently improved by
the World Health Organization surgical safety checklist: a
systematic literature review of 25 studies.
February 15, 2017
de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events inconsistently improved by the
World Health Organization surgical s…
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psnet.ahrq.gov/node/37940/psn-pdf
June 16, 2010 - Comparing patient-reported hospital adverse events with
medical record review: do patients know something that
hospitals do not?
June 16, 2010
Weissman JS, Schneider EC, Weingart SN, et al. Comparing patient-reported hospital adverse events with
medical record review: do patients know something that hospitals do n…
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psnet.ahrq.gov/node/43773/psn-pdf
May 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million
Fewer Patient Harms: Interim Update on 2013 Annual
Hospital-Acquired Condition Rate and Estimates of Cost
Savings and Deaths Averted From 2010 to 2013.
May 1, 2015
Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. …
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psnet.ahrq.gov/node/40675/psn-pdf
November 28, 2016 - Patients' and family members' views on how clinicians
enact and how they should enact incident disclosure: the
"100 patient stories" qualitative study.
November 28, 2016
Iedema R, Allen S, Britton K, et al. Patients' and family members' views on how clinicians enact and how
they should enact incident disclosure: t…
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psnet.ahrq.gov/node/45380/psn-pdf
November 11, 2016 - Innovative patient safety curriculum using iPad game
(PASSED) improved patient safety concepts in
undergraduate medical students.
November 11, 2016
Kow AWC, Ang BLS, Chong CS, et al. Innovative Patient Safety Curriculum Using iPAD Game (PASSED)
Improved Patient Safety Concepts in Undergraduate Medical Students. Wo…
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psnet.ahrq.gov/node/47226/psn-pdf
August 01, 2018 - Development of a standardized, citywide process for
managing smart-pump drug libraries.
August 1, 2018
Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing
smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900. doi:10.2146/ajhp170262.
https://psne…
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/followup.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Followup to the PSML Demonstration Projects
Previous Page Next Page
Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
Less…
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psnet.ahrq.gov/node/42606/psn-pdf
September 25, 2013 - Health economic evaluation of an infection prevention
and control program: are quality and patient safety
programs worth the investment?
September 25, 2013
Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control
program: are quality and patient safety programs worth the in…
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psnet.ahrq.gov/node/38229/psn-pdf
November 18, 2016 - SQUIRE 2.0 (Standards for QUality Improvement
Reporting Excellence): revised publication guidelines
from a detailed consensus process.
November 18, 2016
Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality Improvement Reporting
Excellence): revised publication guidelines from a detailed consensu…
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psnet.ahrq.gov/node/44959/psn-pdf
March 09, 2016 - Patient, physician, medical assistant, and office visit
factors associated with medication list agreement.
March 9, 2016
Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors
Associated With Medication List Agreement. J Patient Saf. 2016;12(1):18-24.
doi:10.1097/PTS.0…
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psnet.ahrq.gov/node/44711/psn-pdf
September 21, 2016 - The well-defined pediatric ICU: active surveillance using
nonmedical personnel to capture less serious safety
events.
September 21, 2016
White WA, Kennedy K, Belgum HS, et al. The Well-Defined Pediatric ICU: Active Surveillance Using
Nonmedical Personnel to Capture Less Serious Safety Events. Jt Comm J Qual Patien…
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www.ahrq.gov/hai/cusp/toolkit/ceo-snr-leader-chcklst.html
December 01, 2012 - CEO and Senior Leader Checklist
CUSP Toolkit
Checklists for senior leadership
Who should use this tool? Senior leaders.
Checklist items
Leader Responsible
Date Initiated
1. Ensure all current and new employees receive Science of Safety training.
2. Assign a senior executive …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/ceosnrleaderchcklst.docx
June 02, 2025 - CEO/Senior Leader Checklist
Who should use this tool? Senior leaders.
Checklist Items
Leader Responsible
Date
Initiated
1. Ensure all current and new employees receive Science of Safety training.
2. Assign a senior executive (Chief Executive Officer or another leader) as an active member of each
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psnet.ahrq.gov/node/45814/psn-pdf
March 22, 2017 - Emergency medical services responders' perceptions of
the effect of stress and anxiety on patient safety in the
out-of-hospital emergency care of children: a qualitative
study.
March 22, 2017
Guise J-M, Hansen M, O'Brien K, et al. Emergency medical services responders' perceptions of the effect
of stress and anxi…
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psnet.ahrq.gov/node/37908/psn-pdf
June 10, 2010 - Incidence and characteristics of potential and actual
retained foreign object events in surgical patients.
June 10, 2010
Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained
foreign object events in surgical patients. J Am Coll Surg. 2008;207(1):80-7.
doi:10.1016/…
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psnet.ahrq.gov/node/44506/psn-pdf
October 21, 2015 - A prospective controlled trial of an electronic hand
hygiene reminder system.
October 21, 2015
Ellison RT, Barysauskas CM, Rundensteiner EA, et al. A Prospective Controlled Trial of an Electronic Hand
Hygiene Reminder System. Open Forum Infect Dis. 2015;2(4):ofv121. doi:10.1093/ofid/ofv121.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/42118/psn-pdf
March 20, 2013 - Simulation exercises as a patient safety strategy: a
systematic review.
March 20, 2013
Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a
systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-201303051-
00010.
https://psnet.ahrq.go…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Board Checklist
AHRQ Safety Program for Perinatal Care
Board Checklist
Who should use this tool: Senior leaders
Checklist Items
Leader Responsible
Date Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safet…
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www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndtab2.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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