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psnet.ahrq.gov/node/867340/psn-pdf
December 11, 2024 - Multiple points of system failure underpin continuous
subcutaneous infusion safety incidents in palliative care:
a mixed methods analysis.
December 11, 2024
Brown AJ, Yardley S, Bowers B, et al. Multiple points of system failure underpin continuous subcutaneous
infusion safety incidents in palliative care: a mixed…
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psnet.ahrq.gov/node/50935/psn-pdf
February 26, 2020 - Moving from knowledge to action: improving safety and
quality of care for patients with limited English
proficiency.
February 26, 2020
Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care
for patients with limited English proficiency. Clin Pediatr (Phila). 2020;59…
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psnet.ahrq.gov/node/837067/psn-pdf
May 11, 2022 - Responding to safe care: healthcare staff experiences
caring for a child with intellectual disability in hospital.
Implications for practice and training.
May 11, 2022
Ong N, Long JC, Weise J, et al. Responding to safe care: healthcare staff experiences caring for a child
with intellectual disability in hospital. …
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psnet.ahrq.gov/node/73662/psn-pdf
September 01, 2021 - Trauma Resuscitation Using in situ Simulation Team
Training (TRUST) study: latent safety threat evaluation
using framework analysis and video review.
September 1, 2021
Petrosoniak A, Fan M, Hicks CM, et al. Trauma Resuscitation Using in situ Simulation Team Training
(TRUST) study: latent safety threat evaluation u…
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psnet.ahrq.gov/node/848359/psn-pdf
May 03, 2023 - Medical line entanglement: the unspoken patient safety
hazard of medical devices.
May 3, 2023
Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of
medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000.
https://psnet.ahrq.gov/issue/medical-line-enta…
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psnet.ahrq.gov/node/46583/psn-pdf
December 18, 2017 - Safer paediatric surgical teams: a 5-year evaluation of
crew resource management implementation and
outcomes.
December 18, 2017
Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of
crew resource management implementation and outcomes. Int J Health Care Qual. 2017…
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psnet.ahrq.gov/node/45327/psn-pdf
September 27, 2016 - A concept analysis of undergraduate nursing students
speaking up for patient safety in the patient care
environment.
September 27, 2016
Fagan A, Parker V, Jackson D. A concept analysis of undergraduate nursing students speaking up for
patient safety in the patient care environment. J Adv Nurs. 2016;72(10):2346-235…
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psnet.ahrq.gov/node/60194/psn-pdf
April 01, 2020 - Do you know what doses are being programmed in the
OR? Make it an expectation to use smart infusion pumps
with DERS.
April 1, 2020
Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion
pumps with DERS. ISMP Medication Safety Alert! Acute care edition!. 25(5):1-5.
http…
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psnet.ahrq.gov/node/74692/psn-pdf
January 26, 2022 - Changes made to orders placed by overnight admitting
residents on teaching rounds the next day.
January 26, 2022
Chiel L, Freiman E, Yarahuan J, et al. Changes made to orders placed by overnight admitting residents on
teaching rounds the next day. Hosp Pediatr. 2021;12(1):e35-e38. doi:10.1542/hpeds.2021-005823.
ht…
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psnet.ahrq.gov/node/47127/psn-pdf
June 05, 2018 - Incorporating medication indications into the prescribing
process.
June 5, 2018
Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J
Health-syst Pharm. 2018;75(11):774-783. doi:10.2146/ajhp170346.
https://psnet.ahrq.gov/issue/incorporating-medication-indications-…
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psnet.ahrq.gov/node/861771/psn-pdf
January 31, 2024 - The impact of nursing practice environments on patient
safety culture in primary health care: a scoping review.
January 31, 2024
Pereira SC de A, Ribeiro OMPL, Fassarella CS, et al. The impact of nursing practice environments on
patient safety culture in primary health care: a scoping review. BJGP Open. 2024;8(1):B…
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psnet.ahrq.gov/node/35324/psn-pdf
February 03, 2011 - Neurobehavioral performance of residents after heavy
night call vs after alcohol ingestion.
February 3, 2011
Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs
After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.1025.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/39233/psn-pdf
August 02, 2013 - Rapid response teams: a systematic review and meta-
analysis.
August 2, 2013
Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis.
Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424.
https://psnet.ahrq.gov/issue/rapid-response-teams-systematic-review…
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psnet.ahrq.gov/node/46672/psn-pdf
January 30, 2018 - Elevated mortality among weekend hospital admissions is
not associated with adoption of seven day clinical
standards.
January 30, 2018
Meacock R, Sutton M. Elevated mortality among weekend hospital admissions is not associated with
adoption of seven day clinical standards. Emerg Med J. 2018;35(2):108-113. doi:10.1…
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psnet.ahrq.gov/node/837975/psn-pdf
August 31, 2022 - Analyzing and discussing human factors affecting
surgical patient safety using innovative technology:
creating a safer operating culture.
August 31, 2022
van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors
affecting surgical patient safety using innovative technology: cre…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2-case-mix-mode-adjustments-webcast-bakdash.pdf
June 02, 2025 - The Rationale for Case Mix and Mode Adjustments - Bakdash
AHRQ’S CAHPS PROGRAM
Consumer Assessment of Healthcare Providers and
Systems
Jonathan Bakdash, Ph.D.
Social Science Analyst,
Center for Quality Improvement & Patient Safety, AHRQ
Agency for Healthcare Research and Quality
(AHRQ)
AHRQ is:
► A researc…
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digital.ahrq.gov/principal-investigator/pratap-jayant
January 01, 2023 - Pratap, Jayant
Mining patient-specific and contextual data with machine learning technologies to predict cancellation of children's surgery.
Citation
Liu L, Ni Y, Zhang N, Nick Pratap J. Mining patient-specific and contextual data with machine learning technologies to predict …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-101-infographic.pdf
February 01, 2019 - Understanding CAHPS® Surveys: A Primer for New Users Infographic
Understanding CAHPS® Surveys:
A Primer for New Users
A Webcast on January 8, 2019
CAHPS: Consumer Assessment of Healthcare Providers and Systems
The CAHPS Program
Goal of AHRQ's CAHPS program: Advancing knowledge, measurement, and
improvement of pat…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/depression-childhood-protocol.pdf
August 06, 2018 - AACAP = American Academy of Child and Adolescent Psychiatry; AAP = American Academy of Pediatrics; CBT … Pediatrics. 2007
Nov;120(5):e1313-26. doi: 10.1542/peds.2006-1395. PMID: 17974724. … Pediatrics.
2018 Feb 26. doi: 10.1542/peds.2017-4082. PMID: 29483201.
42. … Pediatrics. 2018 Feb 26. doi: 10.1542/peds.2017-4081. PMID:
29483200.
43.
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/food-insecurity-screening
March 11, 2025 - Pediatrics . 2008;121(1):65-72. doi:10.1542/peds.2006-3717 9. Ryu JH, Bartfeld JS. … Pediatrics . 2010;126(1):e26-e32. doi:10.1542/peds.2009-3146 25. … AAP indicates American Academy of Pediatrics; HFSS, Household Food Security Survey; HVS, Hunger Vital