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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklists-improving-patient-safety
May 29, 2019 - Commentary
Effectiveness of surgical safety checklists in improving patient safety.
Citation Text:
Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02.
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psnet.ahrq.gov/issue/error-training-missing-link-surgical-education
December 21, 2014 - Review
Error training: missing link in surgical education.
Citation Text:
DaRosa DA, Pugh CM. Error training: missing link in surgical education. Surgery. 2012;151(2):139-45. doi:10.1016/j.surg.2011.08.008.
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psnet.ahrq.gov/issue/single-patient-rooms-safe-patient-centered-hospitals
April 01, 2016 - Commentary
Single-patient rooms for safe patient-centered hospitals.
Citation Text:
Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8). doi:10.1001/jama.300.8.954.
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psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge
April 10, 2013 - Commentary
Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge.
Citation Text:
Schnall R, Stone PW, Currie L, et al. Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. J Nurs Scholarsh. 2008…
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psnet.ahrq.gov/issue/results-survey-medical-error-reporting-systems-korean-hospitals
May 08, 2017 - Study
Results of a survey on medical error reporting systems in Korean hospitals.
Citation Text:
KIM J, Bates DW. Results of a survey on medical error reporting systems in Korean hospitals. Int J Med Inform. 2005;75(2). doi:10.1016/j.ijmedinf.2005.06.005.
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psnet.ahrq.gov/issue/reducing-methicillin-resistant-staphylococcus-aureus-mrsa-infections
January 03, 2018 - Commentary
Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.
Citation Text:
Griffin F. 5 Million Lives Campaign. Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections. Jt Comm J Qual Patient Saf. 2007;33(12):726-31.
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psnet.ahrq.gov/issue/patient-safety-perceptions-survey-iowa-physicians-pharmacists-and-nurses
February 01, 2012 - Study
Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses.
Citation Text:
Durbin J, Hansen MM, Sinkowitz-Cochran R, et al. Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses. Am J Infect Control. 2006;34(1):25-30.
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psnet.ahrq.gov/issue/using-standardized-or-checklists-and-creating-extended-time-out-checklists
February 15, 2011 - Commentary
Using standardized OR checklists and creating extended time-out checklists.
Citation Text:
Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007.
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psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
October 19, 2022 - Multi-use Website
LeDeR - Learning from Lives and Deaths.
Citation Text:
LeDeR - Learning from Lives and Deaths. Norah Frye Centre for Disability Studies; Bristol, England.
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psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
September 20, 2012 - Commentary
Changing the medical malpractice system to align with what we know about patient safety and quality improvement.
Citation Text:
Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-rybowski.pdf
January 01, 2017 - CAHPS Elicitation Protocol Webcast
Implementation of the
CAHPS Elicitation Protocol
Lise Rybowski
The Severyn Group
www.ahrq.gov/cahps
Two Options for Administration
• As part of the Clinician & Group Survey
• To take advantage of the sampling frame for the survey
• To facilitate linking of narrative respons…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 17C: Medicaid-Only HCBS Participants
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators for…
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psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway
November 06, 2015 - Review
The role of documents and documentation in communication failure across the perioperative pathway. A literature review.
Citation Text:
Braaf S, Manias E, Riley R. The role of documents and documentation in communication failure across the perioperative pathway. A literature revi…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 17B: Dually Eligible HCBS Participants
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators f…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 17D: Intellectual/Developmental Disabilities Subpopulation
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 17A: National HCBS Population
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators for the HC…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 17G: HCBS Population Age 65+
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators for the HCB…
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psnet.ahrq.gov/issue/it-vulnerabilities-highlighted-errors-malfunctions-veterans-medical-centers
January 31, 2024 - Commentary
IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers.
Citation Text:
Kuehn BM. IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA. 2009;301(9):919. doi:10.1001/jama.2009.239.
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psnet.ahrq.gov/issue/information-technology-cannot-guarantee-patient-safety
March 14, 2022 - Commentary
Information technology cannot guarantee patient safety.
Citation Text:
de Wildt SN, Verzijden R, van den Anker JN, et al. Information technology cannot guarantee patient safety. BMJ. 2007;334(7598):851-2.
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psnet.ahrq.gov/issue/rating-medical-emergency-teamwork-performance-development-team-emergency-assessment-measure
January 13, 2010 - Study
Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM).
Citation Text:
Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM). Resuscitation. …