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psnet.ahrq.gov/node/42260/psn-pdf
August 13, 2013 - Toward the modelling of safety violations in healthcare
systems.
August 13, 2013
Catchpole K. Toward the modelling of safety violations in healthcare systems. BMJ Qual Saf.
2013;22(9):705-9. doi:10.1136/bmjqs-2012-001604.
https://psnet.ahrq.gov/issue/toward-modelling-safety-violations-healthcare-systems
This comm…
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psnet.ahrq.gov/node/41831/psn-pdf
December 31, 2012 - The economics of health care quality and medical errors.
December 31, 2012
Andel C, Davidow SL, Hollander M, et al. The economics of health care quality and medical errors. J Health
Care Finance. 2012;39(1):39-50.
https://psnet.ahrq.gov/issue/economics-health-care-quality-and-medical-errors
Discussing the financia…
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psnet.ahrq.gov/node/36938/psn-pdf
June 30, 2011 - The cost of pneumonia after acute stroke.
June 30, 2011
Katzan IL, Dawson NV, Thomas CL, et al. The cost of pneumonia after acute stroke. Neurology.
2007;68(22). doi:10.1212/01.wnl.0000263187.08969.45.
https://psnet.ahrq.gov/issue/cost-pneumonia-after-acute-stroke
Neglecting measures to prevent pneumonia after str…
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psnet.ahrq.gov/node/40033/psn-pdf
September 29, 2017 - Health Literacy Research: Current Status and Future
Directions.
September 29, 2017
Paasche-Orlow MK, Wilson EAH, McCormack L, eds. J Health Comm. 2010;15(suppl 2):1-225.
https://psnet.ahrq.gov/issue/health-literacy-research-current-status-and-future-directions
This special issue presents findings from a 2009 confe…
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psnet.ahrq.gov/node/40870/psn-pdf
October 19, 2011 - The Richard and Hinda Rosenthal Lecture 2011: New
Frontiers in Patient Safety.
October 19, 2011
Institute of Medicine. Washington, DC: The National Academies Press; 2011. ISBN: 9780309218030.
https://psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety
This lecture features Ka…
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psnet.ahrq.gov/node/42737/psn-pdf
November 20, 2019 - HANYS' Report on Report Cards.
November 20, 2019
Rensselaer, NY: Healthcare Association of New York State; November 2019.
https://psnet.ahrq.gov/issue/hanys-report-report-cards
This publication assessed 12 widely disseminated hospital report cards by criteria including transparency of
methodology, evidence-based m…
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psnet.ahrq.gov/node/38338/psn-pdf
January 14, 2009 - Implementation of patient safety rounds in a children's
hospital.
January 14, 2009
Yee PL, Edwards ML, Dixon JL, et al. Implementation of patient safety rounds in a children's hospital. Nurs
Adm Q. 2009;33(1):48-53. doi:10.1097/01.NAQ.0000343348.93537.41.
https://psnet.ahrq.gov/issue/implementation-patient-safety-…
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psnet.ahrq.gov/node/38382/psn-pdf
September 26, 2016 - Interruptions and blood transfusion checks: lessons from
the simulated operating room.
September 26, 2016
Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the
simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0b013e31818e841a.
https://psne…
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psnet.ahrq.gov/node/36845/psn-pdf
August 29, 2011 - Near miss audit in obstetrics.
August 29, 2011
Penney G, Brace V. Near miss audit in obstetrics. Curr Opin Obstet Gynecol. 2007;19(2):145-150.
https://psnet.ahrq.gov/issue/near-miss-audit-obstetrics
Reviewing studies about maternal morbidity, the authors discuss the various measurement
approaches used to identify …
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psnet.ahrq.gov/node/41716/psn-pdf
September 26, 2012 - International advocacy for education and safety.
September 26, 2012
McQueen KA, Malviya S, Gathuya ZN, et al. International advocacy for education and safety. Paediatr
Anaesth. 2012;22(10):962-8. doi:10.1111/pan.12008.
https://psnet.ahrq.gov/issue/international-advocacy-education-and-safety
Describing challenges t…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023952-chrischilles-final-report-2018.pdf
January 01, 2018 - Measuring adherence to practice guidelines for the management
of hypertension: an evaluation of the
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary27/healthy-diet-and-physical-activity-counseling-for-cvd-prevention-in-adults-2012
December 15, 2010 - Measuring dietary intake in nursing research. Can J Nurs Res. 2007;39:146-65.
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digital.ahrq.gov/sites/default/files/docs/lessons-covid19-qas-07012021.pdf
July 01, 2021 - AHRQ National Web Conference on Opportunities for Digital Healthcare: Lessons Learned from the COVID-19 Pandemic - Q&As
AHRQ National Web Conference on Opportunities for Digital Heal…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/glucocorticoid-injections_clinician.pdf
June 01, 2016 - A Randomized Trial of Epidural Glucocorticoid Injections for Spinal Stenosis: A Brief Summary of Findings for Clinicians
A Randomized Trial of Epidural Glucocorticoid
Injections for Spinal Stenosis: A Brief Summary
of Findings for Clinicians
KEY CLINICAL ISSUE
What are the relative effectiveness and adverse effect…
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/RealTimeLOINCTranslationPoster.pdf
July 01, 2009 - 72x48 Poster Template
Real Needs for a Real Time LOINC® Translation Application:
Advancing Interoperability On-The-Fly
Christopher Sullivan, PhD, Bahia Diefenbach, PhD, Pamela Banning, BS
Florida Center for Health Information and Policy Analysis / Florida AHCA, Tallahassee FL, 3M Terminology Consulting Services, Mur…
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www.ahrq.gov/faqs/index.html?page=5
June 12, 2025 - Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
June 02, 2025 - How To Implement the Pressure Injury Prevention Program in Your Organization
How To Implement the
Pressure Injury Prevention Program in Your Organization
ADD Hospital Name here
Module 4
What We Have Done Thus Far
Up to this point, you have:
Looked at your organization’s readiness to improve pressure injury preventi…
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www.ahrq.gov/ncepcr/tools/confid-report/refs.html
March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
References
Previous Page Next Page
Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Part One: Physician Feedback Report Fundamentals …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/theresa-famolaro-slides-12-45.pdf
July 22, 2019 - Ambulatory Surgery Center SOPS: What You Need to Know Webcast
The SOPS Ambulatory Surgery Center
Survey
Theresa Famolaro, MPS, MS, MBA
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
https://www.ahrq.gov/sops
Development of the ASC SOPS
• ASC SOPS was develop…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-SOPS_101_Webcast-FAMOLARO.pdf
January 01, 2020 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Famolaro
The SOPS Databases
Theresa Famolaro, MPS, MS, MBA
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
23
SOPS Databases
Hospital
630
Hospitals
Nursing
Home
191
Nursing Homes
Medical
Office…