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psnet.ahrq.gov/issue/safe-handover-safe-patients
December 21, 2022 - Book/Report
Safe Handover: Safe Patients.
Citation Text:
Safe Handover: Safe Patients. Kingston, ACT: Australian Medical Association; 2006.
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psnet.ahrq.gov/issue/2008-recommendations-pre-anesthesia-checkout-procedures
April 22, 2020 - Organizational Policy/Guidelines
2008 Recommendations for Pre-Anesthesia Checkout Procedures.
Citation Text:
2008 Recommendations for Pre-Anesthesia Checkout Procedures. ASA Committee on Equipment and Facilities. Park Ridge, IL: American Society of Anesthesiologists; 2008.
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psnet.ahrq.gov/issue/deep-dive-safe-ambulatory-care-strategies-patient-safety-risk-reduction
August 07, 2019 - Book/Report
Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction.
Citation Text:
Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction. Plymouth Meeting, PA: ECRI Institute; 2019.
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psnet.ahrq.gov/issue/beyond-error-qualitative-study-human-factors-serious-adverse-events
December 18, 2024 - Study
Beyond error: a qualitative study of human factors in serious adverse events.
Citation Text:
Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583.
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psnet.ahrq.gov/issue/getting-beyond-blame-your-practice
March 17, 2021 - Newspaper/Magazine Article
Getting beyond blame in your practice.
Citation Text:
Pawar M. Getting beyond blame in your practice. Family Practice Management. 2007;14(5):30-34.
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psnet.ahrq.gov/issue/blame-culture-and-defensive-medicine
January 20, 2021 - Study
Blame culture and defensive medicine.
Citation Text:
Catino M. Blame culture and defensive medicine. Cognition, Technology & Work. 2009;11(4). doi:10.1007/s10111-009-0130-y.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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psnet.ahrq.gov/issue/are-new-safety-paradigms-only-about-safety-and-sufficient-ensure-it-overview-and-critical
October 26, 2022 - Commentary
Are the new safety paradigms (only) about safety and sufficient to ensure it? An overview and critical commentary.
Citation Text:
Karanikas N, Zerguine H. Are the new safety paradigms (only) about safety and sufficient to ensure it? An overview and critical commentary. Safety …
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psnet.ahrq.gov/issue/abstracts-7th-annual-international-meeting-simulation-healthcare
August 01, 2018 - Special or Theme Issue
Abstracts of the 7th Annual International Meeting on Simulation in Healthcare.
Citation Text:
Abstracts of the 7th Annual International Meeting on Simulation in Healthcare. Simul Healthc. 2007;1(suppl 1):34-138.
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psnet.ahrq.gov/issue/nurses-role-detecting-deterioration-ward-patients-systematic-literature-review
March 27, 2018 - Review
Nurses' role in detecting deterioration in ward patients: systematic literature review.
Citation Text:
Nurses' role in detecting deterioration in ward patients: systematic literature review. Odell M; Victor C; Oliver D.
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psnet.ahrq.gov/issue/american-geriatrics-society-ags-policy-brief-covid-19-and-nursing-homes
October 12, 2022 - Organizational Policy/Guidelines
American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes.
Citation Text:
American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes. Am Geriatr Soc. 2020;68(5):908-911. doi:10.1111/jgs.16477.
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www.ahrq.gov/talkingquality/resources/writing/guidelines.html
September 01, 2019 - Guidelines and Other Resources To Fine-tune Your Writing
Guidelines for writing, checklists, and tip sheets give you a systematic way to help make sure you are doing all you can to produce clear, compelling text.
The guidelines and checklist tools listed below focus on writing in plain language. These tools w…
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www.ahrq.gov/hai/tools/ambulatory-care/cap-toolkit/index.html
January 01, 2018 - Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit
The Community-Acquired Pneumonia (CAP) Patient Safety Clinical Decision Support Implementation Toolkit is a resource to help clinicians and clinical informaticians in primary care and other ambulatory settings implement and adopt the …
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psnet.ahrq.gov/issue/diagnostic-error-medicine-0
November 28, 2018 - Special or Theme Issue
Diagnostic Error in Medicine.
Citation Text:
Diagnostic Error in Medicine. Singh H, ed. BMJ Qual Saf. 2013;22(suppl 2):ii1-ii72.
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www.ahrq.gov/news/newsroom/press-releases/nac-meeting-july12.html
July 01, 2023 - AHRQ National Advisory Council to Meet Virtually on July 12 with 5 New Members
Press Release Date: July 6, 2023
The National Advisory Council (NAC) for the Agency for Healthcare Research and Quality (AHRQ) has added five new members who will convene with the Council for their next meeting on Wednesday, July 12, 1…
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psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-4th-january-2001
September 10, 2014 - Book/Report
External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.
Citation Text:
External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. Toft B. London, UK; Crown C…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-bayliss.pdf
June 02, 2025 - Models of High Value Care for Persons with Multiple Chronic Conditions: Slide Presentation
Models of High Value Care for Persons with
Multiple Chronic Conditions
Elizabeth A. Bayliss, MD, MSPH
Institute for Health Research, Kaiser Permanente Colorado
Lucy A. Savitz, PhD, MBA
Center for Health Research, Kaiser Perm…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/fallspxmanapb19.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B19: Handout for Inservice #1, Why Falls Happen, Spanish
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introdu…
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psnet.ahrq.gov/issue/front-line-ownership-generating-cure-mindset-patient-safety
November 10, 2010 - Special or Theme Issue
Front-Line Ownership: Generating a Cure Mindset for Patient Safety.
Citation Text:
Front-Line Ownership: Generating a Cure Mindset for Patient Safety. Kitts J, ed. Healthcare Papers. 2013;13:1-82.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthsystem-key-drive-diagram.pdf
June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health System - Key Driver Diagram
Transcranial Doppler Screening for Children with Sickle Cell Anemia
Health System - Key Driver Diagram
Key Drivers
Strategies Global
Aim
To reduce the
incidence of
stroke in …
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www.ahrq.gov/news/newsroom/case-studies/ktcquips68.html
October 01, 2014 - Hawaii Evaluates Medicaid Patients' Managed Care Experiences With AHRQ CAHPS
Search All Impact Case Studies
August 2011
The Hawaii Department of Human Services uses the Consumer Assessment of Healthcare Providers and Systems (CAHPS®)—a standardized survey tool developed through a partnership with AHRQ and t…