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psnet.ahrq.gov/issue/qualitative-formative-evaluation-patient-centred-patient-safety-intervention-delivered
February 22, 2019 - Study
A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital volunteers.
Citation Text:
Louch G, O'Hara JK, Mohammed MA. A qualitative formative evaluation of a patient-centred patient safety intervention delivered in …
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psnet.ahrq.gov/issue/nurses-perceptions-error-communication-and-reporting-intensive-care-unit
February 20, 2008 - Study
Nurses' perceptions of error communication and reporting in the intensive care unit.
Citation Text:
Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48.…
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psnet.ahrq.gov/issue/association-clinical-knowledge-support-system-improved-patient-safety-reduced-complications
October 19, 2022 - Study
Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States.
Citation Text:
Bonis PA, Pickens GT, Rind DM, et al. Association of a clini…
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psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands
June 16, 2021 - Commentary
Patient safety and the problem of many hands.
Citation Text:
Dixon-Woods M, Pronovost P. Patient safety and the problem of many hands. BMJ Qual Saf. 2016;25(7):485-488. doi:10.1136/bmjqs-2016-005232.
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psnet.ahrq.gov/issue/use-lives-saved-measures-nurse-staffing-and-patient-safety-research-statistical
May 21, 2009 - Study
The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations.
Citation Text:
Diya L, Van den Heede K, Sermeus W, et al. The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations. Nurs R…
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psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service-comparison-two-population
February 16, 2011 - Study
Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013.
Citation Text:
Gray AM, Fenn P, Rickman N, et al. Changing experience of adverse medical events in the National Health Service: Comparison of two pop…
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psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety
September 18, 2009 - Study
Medicare payment for selected adverse events: building the business case for investing in patient safety.
Citation Text:
Zhan C, Friedman B, Mosso A, et al. Medicare payment for selected adverse events: building the business case for investing in patient safety. Health Aff (Millw…
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psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
August 24, 2022 - Study
Accuracy of infection reporting in US nursing home ratings.
Citation Text:
Chen Z, Gleason LJ, Konetzka RT, et al. Accuracy of infection reporting in US nursing home ratings. Health Serv Res. 2023;58(5):1109-1118. doi:10.1111/1475-6773.14195.
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psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
May 17, 2018 - Study
Success in hospital-acquired pressure ulcer prevention: a tale in two data sets.
Citation Text:
Smith S, Snyder A, McMahon LF, et al. Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. Health Aff (Millwood). 2018;37(11):1787-1796. doi:10.1377/hlthaff.2…
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www.ahrq.gov/news/newsroom/case-studies/201419.html
November 01, 2014 - Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety
Search All Impact Case Studies
November 2014
Peterson Regional Medical Center, a 125-bed rural hospital in Kerrville, TX, is using AHRQ's Comprehensive Unit-based Safety Program (CUSP) to eliminate central-line…
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psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
October 31, 2011 - Study
Extent of diagnostic agreement among medical referrals.
Citation Text:
Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747.
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psnet.ahrq.gov/issue/patient-harm-events-and-associated-cost-outcomes-reported-patient-safety-organization
July 18, 2017 - Study
Patient harm events and associated cost outcomes reported to a patient safety organization.
Citation Text:
Miller S, Stockwell DC. Patient harm events and associated cost outcomes reported to a patient safety organization. J Patient Saf. 2024;20(7):e92-e96. doi:10.1097/pts.00000000…
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psnet.ahrq.gov/issue/impact-health-information-technology-interventions-improve-medication-laboratory-monitoring
August 11, 2010 - Review
Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review.
Citation Text:
Fischer SH, Tjia J, Field T. Impact of health information technology interventions to improve medication laboratory moni…
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psnet.ahrq.gov/issue/are-online-patient-reviews-associated-health-care-outcomes-systematic-review-literature
September 16, 2020 - Review
Are online patient reviews associated with health care outcomes? A systematic review of the literature.
Citation Text:
Placona AM, Rathert C. Are online patient reviews associated with health care outcomes? A systematic review of the literature. Med Care Res Rev. 2022;79(1):3-16. …
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psnet.ahrq.gov/issue/assessing-resident-safety-culture-nursing-homes-using-nursing-home-survey-resident-safety
April 06, 2011 - Study
Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety.
Citation Text:
Castle NG, Wagner LM, Perera S, et al. Assessing Resident Safety Culture in Nursing Homes. J Patient Saf. 2010;64(2):59-67. doi:10.1097/pts.0b013e3181bc05fc.
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psnet.ahrq.gov/issue/can-patients-report-patient-safety-incidents-hospital-setting-systematic-review
December 21, 2016 - Review
Can patients report patient safety incidents in a hospital setting? A systematic review.
Citation Text:
Ward JK, Armitage G. Can patients report patient safety incidents in a hospital setting? A systematic review. BMJ Qual Saf. 2012;21(8):685-99. doi:10.1136/bmjqs-2011-000213.
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psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
October 16, 2019 - Study
Day of discharge does not impact hospital readmission after major cardiac surgery.
Citation Text:
Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.201…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh29-31.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 29 to 31
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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psnet.ahrq.gov/issue/testing-alertness-emergency-physicians-novel-quantitative-measure-alertness-and
September 01, 2016 - Study
Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care.
Citation Text:
Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel Quantitative Measure of Alertness and Imp…
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psnet.ahrq.gov/issue/employee-silence-health-care-charting-new-avenues-leadership-and-management
May 04, 2022 - Commentary
Employee silence in health care: charting new avenues for leadership and management.
Citation Text:
Montgomery A, Lainidi O, Johnson J, et al. Employee silence in health care: Charting new avenues for leadership and management. Health Care Manage Rev. 2023;48(1):52-60. doi:10.…