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  1. www.ahrq.gov/news/newsroom/case-studies/cquips0901.html
    October 01, 2014 - New York City Uses AHRQ Patient Safety Culture Survey to Reduce Patient Harm Search All Impact Case Studies November 2008 The New York City Health and Hospitals Corporation (HHC) has integrated the use of AHRQ's Hospital Survey on Patient Safety Culture as a core component of its corporate-wide patient sa…
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/3_julie_susi.pdf
    April 01, 2014 - Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices Mercy Hospital Fore River Campus Portland, Maine 23 Breast Care Specialists of Maine A two-surgeon practice, we take pride in offering timely, accurate consultation and treatment for benign and malignant …
  3. www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi2.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention Methods Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention Executive Summary Introduction & Objectives Methods Data Collection and …
  4. psnet.ahrq.gov/issue/computer-assisted-bar-coding-system-significantly-reduces-clinical-laboratory-specimen
    July 29, 2020 - Study Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. Citation Text: Hayden RT, Patterson DJ, Jay DW, et al. Computer-assisted bar-coding system significantly reduces clinical laboratory spec…
  5. psnet.ahrq.gov/issue/relevance-agency-healthcare-research-and-quality-patient-safety-indicators-childrens
    July 14, 2010 - Study Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Citation Text: Sedman A, Harris M, Schulz K, et al. Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Pedi…
  6. psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies
    March 15, 2016 - Review The effect of bedrails on falls and injury: a systematic review of clinical studies. Citation Text: Healey F, Oliver D, Milne A, et al. The effect of bedrails on falls and injury: a systematic review of clinical studies. Age Ageing. 2008;37(4):368-78. doi:10.1093/ageing/afn112. …
  7. psnet.ahrq.gov/issue/building-community-engagement-approach-patient-safety-improvement
    April 01, 2010 - Commentary Building a community engagement approach for patient safety improvement. Citation Text: Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044. Copy Citation Format:…
  8. psnet.ahrq.gov/issue/improved-operating-room-teamwork-safety-prep-rural-community-hospitals-experience
    September 05, 2009 - Study Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. Citation Text: Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00…
  9. psnet.ahrq.gov/issue/limited-health-literacy-barrier-medication-reconciliation-ambulatory-care
    March 24, 2010 - Study Limited health literacy is a barrier to medication reconciliation in ambulatory care. Citation Text: Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6. Copy Citatio…
  10. psnet.ahrq.gov/issue/impact-interruptions-medication-errors-hospitals-observational-study-nurses
    November 15, 2017 - Study The impact of interruptions on medication errors in hospitals: an observational study of nurses. Citation Text: Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507.…
  11. psnet.ahrq.gov/issue/cognitive-aids-management-clinical-emergencies-systematic-review
    January 12, 2022 - Review Cognitive aids in the management of clinical emergencies: a systematic review. Citation Text: Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939. Copy Cita…
  12. psnet.ahrq.gov/issue/building-ambulatory-safety-program-academic-health-system
    April 22, 2016 - Commentary Building an ambulatory safety program at an academic health system. Citation Text: Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. Copy Citation Forma…
  13. psnet.ahrq.gov/issue/health-care-worker-perspectives-their-motivation-reduce-health-care-associated-infections
    June 02, 2019 - Study Health care worker perspectives of their motivation to reduce health care–associated infections. Citation Text: McClung L, Obasi C, Knobloch MJ, et al. Health care worker perspectives of their motivation to reduce health care-associated infections. Am J Infect Control. 2017;45(10):…
  14. psnet.ahrq.gov/issue/higher-rates-misdiagnosis-pediatric-patients-versus-adults-hospitalized-imported-malaria
    March 14, 2022 - Study Higher rates of misdiagnosis in pediatric patients versus adults hospitalized with imported malaria. Citation Text: Goldman-Yassen AE, Mony VK, Arguin PM, et al. Higher Rates of Misdiagnosis in Pediatric Patients Versus Adults Hospitalized With Imported Malaria. Pediatr Emerg Care.…
  15. psnet.ahrq.gov/issue/application-who-surgical-safety-checklist-outside-operating-theatre-medicine-can-learn
    March 17, 2021 - Study Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Citation Text: Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Clin …
  16. psnet.ahrq.gov/issue/complexity-diversity-and-science-primary-care-teams
    November 18, 2016 - Review Emerging Classic The complexity, diversity, and science of primary care teams. Citation Text: Fiscella K, McDaniel SH. The complexity, diversity, and science of primary care teams. Amer Psychol. 2018;73(4):451-467. doi:10.1037/amp0000244. Copy Citation …
  17. psnet.ahrq.gov/issue/are-quality-improvement-collaboratives-effective-systematic-review
    August 02, 2015 - Review Are quality improvement collaboratives effective? A systematic review. Citation Text: Wells S, Tamir O, Gray J, et al. Are quality improvement collaboratives effective? A systematic review. BMJ Qual Saf. 2018;27(3):226-240. doi:10.1136/bmjqs-2017-006926. Copy Citation Format…
  18. psnet.ahrq.gov/issue/safety-culture-patient-safety-and-quality-care-outcomes-literature-review
    October 24, 2018 - Review Safety culture, patient safety, and quality of care outcomes: a literature review. Citation Text: Lee SE, Scott LD, Dahinten S, et al. Safety Culture, Patient Safety, and Quality of Care Outcomes: A Literature Review. West J Nurs Res. 2019;41(2):279-304. doi:10.1177/01939459177474…
  19. psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
    March 13, 2024 - Review Complications: acknowledging, managing, and coping with human error. Citation Text: Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28. Copy Citation Format: DO…
  20. psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality
    October 14, 2020 - Commentary The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. Citation Text: Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Imp…