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www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndtab2.html
December 01, 2012 - Recommendations to Improve Children's Health Care Quality Measures
Background Report on the 2012 Process
This background report describes the process used to identify, evaluate, and select children's health care quality measures to be recommended for addition to the initial core set of 24 measures released by…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-written-statement.pdf
June 02, 2025 - Intellectual Property Rights Statement
Intellectual Property Rights Statement
A Schuster, M.D., Ph.D., Principal Investigator
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Re: :\leasure Number 0143: Global Asses,,ment of Pediatric Patient Safety (GA PPS)
Trigger Tool
This work was funded by the Agency for Healthcare Research and Quality (A…
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psnet.ahrq.gov/node/865531/psn-pdf
April 10, 2024 - Implicit bias and patient care: mitigating bias, preventing
harm.
April 10, 2024
Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm.
MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343.
https://psnet.ahrq.gov/innovation/implicit-bias-and-patient-c…
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psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
May 26, 2021 - Study
Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients.
Citation Text:
Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthe…
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psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care
December 09, 2020 - Study
A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period.
Citation Text:
Kaufmnan J, Twite M, Barrett C, et al. A handoff protocol from the cardiovascular operating room to cardiac I…
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psnet.ahrq.gov/issue/parent-perceptions-childrens-hospital-safety-climate
December 22, 2018 - Study
Parent perceptions of children's hospital safety climate.
Citation Text:
Cox E, Carayon P, Hansen KW, et al. Parent perceptions of children's hospital safety climate. BMJ Qual Saf. 2013;22(8):664-71. doi:10.1136/bmjqs-2012-001727.
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psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-international-survey
February 26, 2020 - Study
Patient safety in emergency departments: a problem for health care systems? An international survey.
Citation Text:
Petrino R, Tuunainen E, Bruzzone G, et al. Patient safety in emergency departments: a problem for health care systems? An international survey. Eur J Emerg Med. 2023;…
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psnet.ahrq.gov/issue/medication-dosage-calculation-among-nursing-students-does-digital-technology-make-difference
October 12, 2022 - Review
Medication dosage calculation among nursing students: does digital technology make a difference? A literature review.
Citation Text:
Stake-Nilsson K, Almstedt M, Fransson G, et al. Medication dosage calculation among nursing students: does digital technology make a difference? A …
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psnet.ahrq.gov/issue/tall-man-lettering-and-potential-prescription-errors-time-series-analysis-42-childrens
January 12, 2012 - Study
Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years.
Citation Text:
Zhong W, Feinstein JA, Patel NS, et al. Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hosp…
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psnet.ahrq.gov/issue/multisite-study-interprofessional-teamwork-and-collaboration-general-medical-services
November 15, 2023 - Study
A multisite study of interprofessional teamwork and collaboration on general medical services.
Citation Text:
O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and collaboration on general medical services. Jt Comm J Qual Patient Saf. 202…
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psnet.ahrq.gov/issue/defining-and-enhancing-collaboration-between-community-pharmacists-and-primary-care-providers
July 07, 2021 - Review
Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety.
Citation Text:
White A, Fulda KG, Blythe R, et al. Defining and enhancing collaboration between community pharmacists and primary care providers to improve m…
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psnet.ahrq.gov/issue/exploring-association-between-organizational-culture-and-large-scale-adverse-events-evidence
August 18, 2021 - Study
Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration.
Citation Text:
George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and Large-Scale Adverse Events: Ev…
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psnet.ahrq.gov/issue/prevalence-and-impact-potentially-inappropriate-prescribing-among-older-persons-primary-care
July 24, 2019 - Review
Emerging Classic
The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis.
Citation Text:
Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropri…
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psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
July 08, 2008 - Study
Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study.
Citation Text:
Lapointe-Shaw L, Bell CM, Austin PC, et al. Community pharmacy medication review, death and re-admission after hospital discharge: a propen…
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psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-systems
October 04, 2011 - Study
Classic
The long road to patient safety: a status report on patient safety systems.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65.
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psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
March 02, 2022 - Study
Classic
Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery.
Citation Text:
Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperati…
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psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
December 21, 2016 - Study
Classic
A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting.
Citation Text:
Burlison JD, Quillivan RR, Kath LM, et al. A Multilevel Analysis of U.S. Hospital Patient Safety Culture Relat…
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psnet.ahrq.gov/issue/development-just-culture-assessment-tool-measuring-perceptions-health-care-professionals
January 12, 2022 - Study
Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals.
Citation Text:
Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the perceptions of health-care professionals i…
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psnet.ahrq.gov/issue/effects-second-victim-phenomenon-work-related-outcomes-connecting-self-reported-caregiver
September 19, 2016 - Study
The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism.
Citation Text:
Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related Outcomes:…
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psnet.ahrq.gov/issue/triad-vii-do-prehospital-providers-understand-physician-orders-life-sustaining-treatment
September 15, 2021 - Study
TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents?
Citation Text:
Mirarchi FL, Cammarata C, Zerkle SW, et al. TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents? J Patient Saf…