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AHRQ: Agency for Healthcare Research and Quality

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  1. Medication Errors: The Nursing Experience. | PSNet

    psnet.ahrq.gov/issue/medication-errors-nursing-experience
    May 26, 2011 - Book/Report Classic Medication Errors: The Nursing Experience. Citation Text: Medication Errors: The Nursing Experience. Wolf ZR. Albany NY: Delmar Publishers; 1994. ISBN: 9780827362628. Copy Citation Save Save to your library Print…

  2. Teamwork and communication in surgical teams: implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/teamwork-and-communication-surgical-teams-implications-patient-safety
    March 25, 2020 - Study Teamwork and communication in surgical teams: implications for patient safety. Citation Text: Teamwork and communication in surgical teams: implications for patient safety. Mills P; Neily J; Dunn E. Copy Citation Save Save to your library Print…

  3. Illinois Hospitals Use AHRQ's Patient Safety Culture Survey to Improve Quality | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/cquips0804.html
    October 01, 2014 - Illinois Hospitals Use AHRQ's Patient Safety Culture Survey to Improve Quality Search All Impact Case Studies August 2008 A tool developed by AHRQ provided both a benchmark and a measure of progress for a major quality improvement initiative at Evanston Northwestern Healthcare (ENH). The tool—the Hospital …

  4. Medicare study finds teaching hospitals have higher risk of complications; findings disputed. | PSNet

    psnet.ahrq.gov/issue/medicare-study-finds-teaching-hospitals-have-higher-risk-complications-findings-disputed
    June 01, 2016 - Newspaper/Magazine Article Medicare study finds teaching hospitals have higher risk of complications; findings disputed. Citation Text: Medicare study finds teaching hospitals have higher risk of complications; findings disputed. Rau J. Washington Post. February 12, 2012:A03. Cop…

  5. The Case for Investing in Patient Safety in Canada. | PSNet

    psnet.ahrq.gov/issue/case-investing-patient-safety-canada
    October 05, 2021 - Book/Report The Case for Investing in Patient Safety in Canada. Citation Text: The Case for Investing in Patient Safety in Canada. RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017. Copy Citation Save Save to your library Print Download …

  6. Global State of Patient Safety 2023. | PSNet

    psnet.ahrq.gov/issue/global-state-patient-safety-2023
    April 06, 2016 - Book/Report Global State of Patient Safety 2023. Citation Text: Global State of Patient Safety 2023. Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023. Copy Citation Save Save to your library Print Download PDF Sh…

  7. Becoming a High Reliability Organization. | PSNet

    psnet.ahrq.gov/issue/becoming-high-reliability-organization
    May 04, 2015 - Special or Theme Issue Becoming a High Reliability Organization. Citation Text: Becoming a High Reliability Organization. VHA Forum. Summer 2020;1-12. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  8. PQMP Asthma ED Visit Quality Metric Key Driver Diagram (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-ed-kdd.pdf
    March 10, 2021 - PQMP Asthma ED Visit Quality Metric Key Driver Diagram PQMP Asthma ED Visit Quality Metric Key Driver Diagram Authors: Keith Robinson, MD, FAAP; Christine Pellegrino, MS; Judy Shaw, EdD, MPH, RN, FAAP Updated 3/10/2021 SMART Aim: Key Drivers Secondary Drivers Examples of Interventions Reduce the # of ED visits/…

  9. Studying organisational cultures and their effects on safety. | PSNet

    psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
    April 20, 2014 - Commentary Studying organisational cultures and their effects on safety. Citation Text: Hopkins A. Studying organisational cultures and their effects on safety. Saf Sci. 2006;44(10). doi:10.1016/j.ssci.2006.05.005. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  10. The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. | PSNet

    psnet.ahrq.gov/issue/high-cost-low-morale-clinical-laboratory-how-workplace-environment-impacts-patient-safety
    March 06, 2005 - Newspaper/Magazine Article The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. Citation Text: The high cost of low morale in the clinical laboratory: how workplace environment impacts patient safety. Barker T; Noguez J. Copy Citatio…

  11. The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.  | PSNet

    psnet.ahrq.gov/issue/cost-errors-medicares-new-policy-could-cost-average-hospital-23772-study
    March 28, 2012 - Newspaper/Magazine Article The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.  Citation Text: The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.  Wilson L. Copy Citation Save Save to…

  12. Guidelines for Adult IV Push Medications. | PSNet

    psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications
    April 01, 2015 - Book/Report Guidelines for Adult IV Push Medications. Citation Text: Guidelines for Adult IV Push Medications. Horsham, PA: The Institute for Safe Medication Practices; July 2015. Copy Citation Save Save to your library Print Download PDF Share …

  13. Is your hospital really as safe as you think? Our updated hospital safety score can help you find out. | PSNet

    psnet.ahrq.gov/issue/your-hospital-really-safe-you-think-our-updated-hospital-safety-score-can-help-you-find-out
    November 23, 2016 - Newspaper/Magazine Article Is your hospital really as safe as you think? Our updated hospital safety score can help you find out. Citation Text: Is your hospital really as safe as you think? Our updated hospital safety score can help you find out. Consumer Reports. March 27, 2014. Copy…

  14. Products | The Academy

    integrationacademy.ahrq.gov/products
    June 01, 2022 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  15. AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/ambulatory/index.html
    June 01, 2025 - AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care Ambulatory Surgery Center (ASC) Survey on Patient Safety Culture is a staff-administered survey that helps ambulatory surgery centers assess how their staff perceive various aspects of safety culture. CAHPS ® Clinician & Group Survey was de…

  16. Perioperative/Operative | Digital Healthcare Research

    digital.ahrq.gov/care-setting/perioperativeoperative
    January 01, 2023 - Perioperative/Operative EnhanCed HandOffs (ECHO) Description This research will develop and evaluate a machine learning-augmented and telemedicine-augmented sociotechnical intervention for postoperative handoffs to reduce the risks of patient complications and improve patien…

  17. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. | PSNet

    psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
    October 02, 2013 - Toolkit Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Citation Text: Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for H…

  18. A Framework for Safe, Reliable, and Effective Care. | PSNet

    psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care
    January 27, 2016 - Book/Report A Framework for Safe, Reliable, and Effective Care. Citation Text: A Framework for Safe, Reliable, and Effective Care. Frankel A, Haraden C, Federico F, Lenoci-Edwards J. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017. Copy Citation…

  19. Infection Control in the Intensive Care Unit. | PSNet

    psnet.ahrq.gov/issue/infection-control-intensive-care-unit
    May 27, 2011 - Special or Theme Issue Infection Control in the Intensive Care Unit. Citation Text: Infection Control in the Intensive Care Unit. Crit Care Med. 2010;38:S265-S404.   Copy Citation Save Save to your library Print Download PDF Share …

  20. Adverse Health Care Events Reporting System: What Have We Learned? | PSNet

    psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
    February 28, 2015 - Book/Report Adverse Health Care Events Reporting System: What Have We Learned? Citation Text: Adverse Health Care Events Reporting System: What Have We Learned? St. Paul, MN: Minnesota Department of Health; January 2009. Copy Citation Save Save to your library …
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