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psnet.ahrq.gov/issue/assessing-medical-students-perceptions-patient-safety-medical-student-safety-attitudes-and
September 01, 2018 - Study
Assessing medical students' perceptions of patient safety: The Medical Student Safety Attitudes and Professionalism Survey.
Citation Text:
Liao JM, Etchegaray J, Williams T, et al. Assessing medical students' perceptions of patient safety: the medical student safety attitudes and…
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psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors
September 02, 2020 - Study
Surgical skill is predicted by the ability to detect errors.
Citation Text:
Bann S, Khan M, Datta V, et al. Surgical skill is predicted by the ability to detect errors. Am J Surg. 2005;189(4):412-5.
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psnet.ahrq.gov/issue/creating-spaces-intensive-care-safe-communication-video-reflexive-ethnographic-study
December 18, 2013 - Study
Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study.
Citation Text:
Hor S-Y, Iedema R, Manias E. Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. BMJ Qual Saf. 2014;23(12):1007-13. doi:10.1136…
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psnet.ahrq.gov/issue/communication-and-shared-understanding-between-parents-and-resident-physicians-night
May 08, 2017 - Study
Communication and shared understanding between parents and resident-physicians at night.
Citation Text:
Khan A, Rogers JE, Forster CS, et al. Communication and Shared Understanding Between Parents and Resident-Physicians at Night. Hosp Pediatr. 2016;6(6):319-29. doi:10.1542/hpeds.2…
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psnet.ahrq.gov/issue/empirically-derived-taxonomy-factors-affecting-physicians-willingness-disclose-medical-errors
February 15, 2011 - Review
An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors.
Citation Text:
Kaldjian LC, Jones EW, Rosenthal GE, et al. An empirically derived taxonomy of factors affecting physicians’ willingness to disclose medical errors. J Gen Inter…
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psnet.ahrq.gov/issue/ethics-empowering-patients-partners-healthcare-associated-infection-prevention
January 04, 2019 - Commentary
The ethics of empowering patients as partners in healthcare-associated infection prevention.
Citation Text:
Sharp D, Palmore T, Grady C. The ethics of empowering patients as partners in healthcare-associated infection prevention. Infect Control Hosp Epidemiol. 2014;35(3):307-9…
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psnet.ahrq.gov/issue/error-and-patient-safety-ethical-analysis-cases-occupational-and-physical-therapy-practice
July 14, 2010 - Commentary
Error and patient safety: ethical analysis of cases in occupational and physical therapy practice.
Citation Text:
Scheirton LS, Mu K, Lohman H, et al. Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Med Health Care Philos. 2…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/nmstateataglance.pdf
March 01, 2012 - New Mexico State at a Glance
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/costateataglance.pdf
March 01, 2012 - Colorado State at a Glance
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www.ahrq.gov/talkingquality/translate/scores/scoring.html
June 01, 2016 - Scoring Different Kinds of Health Care Quality Measures
The scores you present in your report depend in large part on the kind of measure(s) you are reporting. This page reviews the scoring issues you will face with a variety of measures.
Organization-Level “Yes or No”
The simplest kind of measure involves …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-vick-wolff.pdf
November 01, 2020 - A Mixed Methods Review of Person and Family Engagement in the context of Multiple Chronic Conditions
A Mixed Methods Review of Person and Family
Engagement in the context of Multiple Chronic
Conditions
Judith B. Vick, MD MPH
Jennifer L. Wolff, PhD
Johns Hopkins Bloomberg School of Public Health
Johns Hopkins Uni…
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table2.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Table 2. Key features of ideal consumer reporting systems from stakeholder interviews
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Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt8.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix C8: Fall Interventions Plan Sample
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Over…
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psnet.ahrq.gov/issue/saving-patient-ryan-can-advanced-electronic-medical-records-make-patient-care-safer
February 11, 2014 - Study
Saving Patient Ryan- can advanced electronic medical records make patient care safer?
Citation Text:
Saving Patient Ryan- can advanced electronic medical records make patient care safer? Hydari MZ, Telang R, Marella WM. Manage Sci. 2019;65:2041-2059.
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/qapi-leadership-rounding-guide-centers-for-medicare.pdf
June 02, 2025 - QAPI Leadership Rounding Guide
Disclaimer: Use of this tool is not mandated by CMS, nor does its completion ensure regulatory compliance.
Directions: Leadership rounding is a process where leaders (e.g., administrator, department heads, and nurse
managers) are out in the building with staff and residents, t…
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psnet.ahrq.gov/issue/how-organisations-contribute-improving-quality-healthcare
June 25, 2014 - Commentary
How organisations contribute to improving the quality of healthcare.
Citation Text:
Fulop NJ, Ramsay AIG. How organisations contribute to improving the quality of healthcare. BMJ. 2019;365:l1773. doi:10.1136/bmj.l1773.
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DOI Google Scholar Pub…
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psnet.ahrq.gov/issue/health-service-accreditation-predictor-clinical-and-organisational-performance-blinded-random
October 19, 2022 - Study
Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study.
Citation Text:
Braithwaite J, Greenfield D, Westbrook JI, et al. Health service accreditation as a predictor of clinical and organisational performance: a …
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www.ahrq.gov/news/newsroom/case-studies/202301.html
October 01, 2024 - Ohio Veterans’ Facility Relied on AHRQ Resource to Develop Diabetes Initiative
Search All Impact Case Studies
March 2023
The Dayton (Ohio) Veterans Affairs (VA) Medical Center facility has adopted AHRQ’s SHARE Approach as part of the U.S. Department of Veterans Affairs' national Hypoglycemic Safety Initia…
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psnet.ahrq.gov/issue/undermining-and-bullying-surgical-training-review-and-recommendations-association-surgeons
July 25, 2018 - Review
Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training.
Citation Text:
Wild JRL, Ferguson HJM, McDermott FD, et al. Undermining and bullying in surgical training: a review and recommendations by the Association of Sur…
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psnet.ahrq.gov/issue/understanding-link-between-burnout-and-sub-optimal-care-why-should-healthcare-education-be
August 03, 2022 - Review
Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence?
Citation Text:
Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in emp…