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psnet.ahrq.gov/node/39083/psn-pdf
April 01, 2010 - Emergency physician perceptions of patient safety risks.
April 1, 2010
Sklar DP, Crandall CS, Zola T, et al. Emergency physician perceptions of patient safety risks. Ann Emerg
Med. 2010;55(4):336-40. doi:10.1016/j.annemergmed.2009.08.020.
https://psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-r…
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psnet.ahrq.gov/node/44694/psn-pdf
November 10, 2016 - America's Hospitals: Improving Quality and Safety—The
Joint Commission's Annual Report 2015.
November 10, 2016
Oakbrook Terrace, IL: The Joint Commission; November 2015.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2015
The annual report from The Jo…
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psnet.ahrq.gov/node/45870/psn-pdf
March 25, 2017 - Improving communication with primary care physicians at
the time of hospital discharge.
March 25, 2017
Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the
Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. doi:10.1016/j.jcjq.2016.11.005.
htt…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA116-Mats-Written-Statement.pdf
February 12, 2014 - Timely Temperatures for All Low Birthweight Neonates IP Rights Statement
February 12, 2014
IP Right…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-4.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.4. Description of Hospitals Studied in Lakeview Healthcare
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Hea…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-written-statement.pdf
February 12, 2014 - Written Statement
February 12, 2014
IP Rights Statement
Measure: Rate of Emergency Depar…
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psnet.ahrq.gov/node/41884/psn-pdf
December 21, 2014 - Supratherapeutic dosing of acetaminophen among
hospitalized patients.
December 21, 2014
Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized
patients. Arch Intern Med. 2012;172(22):1721-8.
https://psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospit…
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psnet.ahrq.gov/node/39056/psn-pdf
April 04, 2011 - Rate of undesirable events at beginning of academic year:
retrospective cohort study.
April 4, 2011
Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective
cohort study. BMJ. 2009;339:b3974. doi:10.1136/bmj.b3974.
https://psnet.ahrq.gov/issue/rate-undesirable-eve…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-146-written-statement.pdf
June 02, 2025 - Written Statement
Intellectual Property Rights Statement
Re: Measure Number 0146: Adolescent Assessment of Preparation for Transition
(ADAPT) to Adult-Focused Health Care
This work was funded by the Agency for Healthcare Research and Quality (AHRQ) and
the Centers for Medicare & Medicaid Services (CMS) under th…
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psnet.ahrq.gov/node/46679/psn-pdf
December 22, 2018 - Are parents who feel the need to watch over their
children's care better patient safety partners?
December 22, 2018
Cox E, Hansen K, Rajamanickam VP, et al. Are Parents Who Feel the Need to Watch Over Their
Children's Care Better Patient Safety Partners? Hosp Pediatr. 2017;7(12):716-722.
doi:10.1542/hpeds.2017-003…
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psnet.ahrq.gov/node/867335/psn-pdf
December 11, 2024 - Comparing safety, performance and user perceptions of a
patient-specific indication-based prescribing tool with
current practice: a mixed methods randomised user
testing study.
December 11, 2024
Feather C, Clarke J, Appelbaum N, et al. Comparing safety, performance and user perceptions of a patient-
specific indi…
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psnet.ahrq.gov/node/60212/psn-pdf
January 29, 2021 - Patient Safety Recommendations for COVID-19 Epidemic
Outbreak: 3.0
January 29, 2021
La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland:
International Society for Quality in Health Care; 2021.
https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epide…
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psnet.ahrq.gov/issue/bringing-patient-safety-technology-bedside
May 27, 2011 - Newspaper/Magazine Article
Bringing patient safety technology to the bedside.
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August 24, 2005
This case study presents a Louisia…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016129-bergner-final-report-2009.pdf
January 01, 2009 - 29% 30% 21%
Divide Wellness Center 8% 3% 2%
Kaiser 1% 7% 2%
Tribal Health 5% 4% 7%
Cameron Park Pediatrics … 23% 25% 35%
Divide Wellness Center 1% 3% 3%
Kaiser 0% 2% 1%
Tribal Health 3% 5% 7%
Cameron Park Pediatrics
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www.ahrq.gov/sops/bibliography/index.html?page=2
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
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January 01, 2025 - SOPS Bibliography
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April 27, 2022 - Saline Flush Leads to Acute Paralysis of an Awake
Patient: Risks of Improper Medication Labeling in an
Operating Room
April 27, 2022
Kriss RS. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication
Labeling in an Operating Room. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-m…
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/impact/ahrq-works.pdf
April 01, 2017 - AHRQ Works: Building Bridges Between Research and Practice
Accelerating learning and innovation in health care
delivery is what AHRQ does—every day. AHRQ tools take
the “what” and translate it into the “how” by providing
research-backed, practical tools that doctors and nurses
can use to improve care.
This doc…
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www.ahrq.gov/news/newsletters/e-newsletter/954.html
April 01, 2025 - Addressing Unhealthy Alcohol Use: Resources From AHRQ
Issue Number
954
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
April 22, 2025
AHRQ Stats: Average Annual Spending on Adult Opioid Prescriptions Between 2021 and 2022, average annual total outpatient pres…
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www.ahrq.gov/faqs/index.html
July 10, 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…