-
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/39083/psn-pdf
April 01, 2010 - Emergency physician perceptions of patient safety risks.
April 1, 2010
Sklar DP, Crandall CS, Zola T, et al. Emergency physician perceptions of patient safety risks. Ann Emerg
Med. 2010;55(4):336-40. doi:10.1016/j.annemergmed.2009.08.020.
https://psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-r…
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psnet.ahrq.gov/node/46700/psn-pdf
November 19, 2018 - Promising practices for improving hospital patient safety
culture.
November 19, 2018
Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J
Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.001.
https://psnet.ahrq.gov/issue/promising-practices-improving-ho…
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psnet.ahrq.gov/node/38206/psn-pdf
January 15, 2009 - The medical emergency team system and not-for-
resuscitation orders: results from the MERIT Study.
January 15, 2009
Chen J, Flabouris A, Bellomo R, et al. The Medical Emergency Team System and not-for-resuscitation
orders: results from the MERIT study. Resuscitation. 2008;79(3):391-7.
doi:10.1016/j.resuscitation.2…
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psnet.ahrq.gov/node/37945/psn-pdf
July 26, 2010 - A survey of hospital quality improvement activities.
July 26, 2010
Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care
Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285.
https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
The Instit…
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psnet.ahrq.gov/node/36907/psn-pdf
September 14, 2012 - Serious Reportable Events in Healthcare—2011 Update.
September 14, 2012
Washington DC: National Quality Forum; December 2011.
https://psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
The National Quality Forum originally defined 27 health care "never events"—patient safety events that
pose ser…
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psnet.ahrq.gov/node/36105/psn-pdf
May 27, 2011 - Computerized provider order entry implementation: no
association with increased mortality rates in an intensive
care unit.
May 27, 2011
Del Beccaro MA, Jeffries HE, Eisenberg MA, et al. Computerized provider order entry implementation: no
association with increased mortality rates in an intensive care unit. Pediat…
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psnet.ahrq.gov/node/36530/psn-pdf
January 07, 2011 - Impact of extended-duration shifts on medical errors,
adverse events, and attentional failures.
January 7, 2011
Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events,
and attentional failures. PLoS Med. 2006;3(12):e487.
https://psnet.ahrq.gov/issue/impact-extended-…
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psnet.ahrq.gov/node/45715/psn-pdf
November 01, 2017 - Feasibility and added value of Executive WalkRounds in
long term care organizations in the Netherlands.
November 1, 2017
van Dusseldorp L, de Waal GH-, Hamers H, et al. Feasibility and Added Value of Executive WalkRounds in
Long Term Care Organizations in the Netherlands. Jt Comm J Qual Patient Saf. 2016;42(12):545…
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psnet.ahrq.gov/node/50384/psn-pdf
September 25, 2019 - Safety and communication in the operating room: a safety
questionnaire after the implementation of a blood-borne
pathogen exposure checkpoint in the surgical safety
checklist preprocedure time-out.
September 25, 2019
Kane P, Marley R, Daney B, et al. Safety and Communication in the Operating Room: A Safety
Questi…
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psnet.ahrq.gov/node/38090/psn-pdf
February 18, 2011 - Older patients' perceptions of "unnecessary" tests and
referrals: a national survey of Medicare beneficiaries.
February 18, 2011
Herndon B, Schwartz LM, Woloshin S, et al. Older patients perceptions of "unnecessary" tests and
referrals: a national survey of Medicare beneficiaries. J Gen Intern Med. 2008;23(10):1547…
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psnet.ahrq.gov/node/38603/psn-pdf
September 29, 2009 - The association between transfer of emergency
department boarders to inpatient hallways and
mortality: a 4-year experience.
September 29, 2009
Viccellio A, Santora C, Singer AJ, et al. The association between transfer of emergency department
boarders to inpatient hallways and mortality: a 4-year experience. Ann Em…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/caren-ginsberg-slides-6-11.pdf
June 02, 2025 - Ambulatory Surgery Center SOPS: What You Need to Know Webcast
Overview of AHRQ’s Patient Safety
Priorities
Caren Ginsberg, PhD
Director, SOPS and CAHPS Division
Center for Quality Improvement and Patient Safety, AHRQ
6
https://www.ahrq.gov/sops
AHRQ’s Core Competencies
• Research: Invest in research and evid…
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-d.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Appendix D. Poster on Indications for Urinary Catheters
Previous Page Next Page
Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementat…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/texas-implementation-science-tex-research-network.html
January 01, 2012 - Texas Implementation Science (Tex-IS) Research Network
Status:
Active
Registered Date:
January 1, 2012
PBRN Acronym:
Tex-IS RN
PBRN Type:
Other
PBRN Type Other:
Interprofessional Translational Science Research Network
Network Category:
Affiliate
City:
San An…
-
www.ahrq.gov/ncepcr/communities/pbrn/registry/ohio-valley-node-clinical-trials-network.html
March 27, 2015 - The Ohio Valley Node of the Clinical Trials Network
Status:
Active
Registered Date:
March 27, 2015
PBRN Acronym:
OVN
PBRN Type:
Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties)
PBRN Type Other:
Addiction-focus…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-table-4.pdf
May 24, 2016 - CHIPRA 212 Table 4
Table 4: Evidence Supporting ICS at Discharge from an Emergency Department
TYPE OF
EVIDENCE
KEY FINDINGS LEVEL OF
EVIDENCE
(USPSTF
RANKING*)
CITATION(S)
Clinical
guidelines
Consider initiating ICS therapy for patients
who did not use an ICS prior to the
hospital admission. If the d…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/become-an-advisor.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Am I Ready to Become an Advisor?
AHRQ Safety Program for Perinatal Care
Am I Ready to Become an Advisor?
Are you thinking about becoming a patient and family advisor? Review the checklist below and check those statements with which you agree. If there are statements with which y…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/evidence-based-decisions-dentistry-practice-based-research-network.html
January 12, 2012 - Evidence-Based Decisions in Dentistry Practice-Based Research Network
Status:
Inactive
Registered Date:
January 12, 2012
PBRN Acronym:
EBD-PBRN
PBRN Type:
Other
PBRN Type Other:
Dentistry & Integrative Medicine
Network Category:
Affiliate
City:
Los Angel…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Appendix D. Clinical-Community Relationships Measures Instruments
Previous Page Next Page
Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinical-Community Relationships…