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www.ahrq.gov/patient-safety/reports/advances/preface.html
July 01, 2022 - Advances in Patient Safety
Preface
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Table of Contents
Advances in Patient Safety
Acknowledgments
Preface
Peer Reviewers for Volume 1. Research Findings
Peer Reviewers for Volume 2. Concepts and Methodology
Peer Reviewers for Volume 3. Implementation Issues
Peer Rev…
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psnet.ahrq.gov/issue/medicare-releases-patient-safety-ratings-hospitals
July 19, 2017 - Newspaper/Magazine Article
Medicare releases patient safety ratings for hospitals.
Citation Text:
Medicare releases patient safety ratings for hospitals. Rau J. Kaiser Health News. October 17, 2011.
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psnet.ahrq.gov/issue/risk-management-pearls-medication-safety-part-i-and-part-ii
September 30, 2015 - Book/Report
Risk Management Pearls for Medication Safety: Part I and Part II.
Citation Text:
Risk Management Pearls for Medication Safety: Part I and Part II. Chicago, IL: American Society for Healthcare Risk Management; 2014.
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psnet.ahrq.gov/issue/surgery-safer-teaching-hospital
September 28, 2016 - Newspaper/Magazine Article
Is surgery safer at a teaching hospital?
Citation Text:
Is surgery safer at a teaching hospital? Webster H. US News & World Report. October 27, 2014.
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psnet.ahrq.gov/issue/thirty-safe-practices-better-health-care
December 24, 2008 - Government Resource
Thirty Safe Practices for Better Health Care.
Citation Text:
Thirty Safe Practices for Better Health Care. AHRQ; Agency for Healthcare Research and Quality; NQF; National Quality Forum
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www.ahrq.gov/ncepcr/care/chronic-tool/index.html
February 01, 2017 - Integrating Chronic Care and Business Strategies in the Safety Net Toolkit
A Toolkit for Primary Care Practices and Clinics
Improving care for the chronically ill is one of the most pressing health needs of our time. To help more safety net organizations implement the Chronic Care Model effectivel…
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www.ahrq.gov/news/newsroom/case-studies/cquips0605.html
October 01, 2014 - AHRQ's Patient Safety Culture Survey Targets Improvement at Cincinnati Children's Hospital
Search All Impact Case Studies
February 2006
During 2005, Cincinnati Children's Hospital Medical Center began using AHRQ's Hospital Survey on Patient Safety Culture . Jane Dresselhaus, RN, MSN, the hospital's Senior …
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psnet.ahrq.gov/issue/rethinking-hospital-restraints
May 04, 2011 - Newspaper/Magazine Article
Rethinking hospital restraints.
Citation Text:
Rethinking hospital restraints. Parikh R. The Atlantic. August 18, 2014.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses1.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
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Table of Contents
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
The Theory of Distributed Cognition
Nu…
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psnet.ahrq.gov/issue/johns-hopkins-receives-10-million-open-patient-safety-institute
August 06, 2014 - Newspaper/Magazine Article
Johns Hopkins receives $10 million to open patient safety institute.
Citation Text:
Johns Hopkins receives $10 million to open patient safety institute. Cohn M. Baltimore Sun. May 27, 2011:A1.
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psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies
November 27, 2018 - Toolkit
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies.
Citation Text:
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. Oakbrook, IL: Joint Commission Resources; January 2014.
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psnet.ahrq.gov/issue/daisy-award-extraordinary-nurses-patient-safety
June 28, 2018 - Award Announcement
DAISY Award for Extraordinary Nurses in Patient Safety.
Citation Text:
DAISY Award for Extraordinary Nurses in Patient Safety. The Daisy Foundation and Institute for Healthcare Improvement.
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psnet.ahrq.gov/issue/difficulty-identifying-alzheimers-makes-misdiagnosis-easy
January 30, 2019 - Newspaper/Magazine Article
Difficulty identifying Alzheimer's makes misdiagnosis easy.
Citation Text:
Difficulty identifying Alzheimer's makes misdiagnosis easy. Ackerman T. Houston Chronicle. November 23, 2012.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions1.html
June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
Introduction
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Table of Contents
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
Introduction
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/About_the_Guide_508.docx
June 02, 2025 - Information to Help Hospitals Get Started
About the Guide to Patient and Family Engagement
Strategy 1: Working with Patients & Families as Advisors
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Information to Help Hospitals Get Started
O Guide to Patient and Family Engagement :: 1
Guide to Patient and Family Engagement
The G…
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www.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
December 01, 2017 - Strategy 3: Nurse Bedside Shift Report
Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient and Family Engagement in Hospital Qua…
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psnet.ahrq.gov/issue/parkland-knee-surgery-done-doctor-training-leads-amputation-questions
August 11, 2010 - Newspaper/Magazine Article
Parkland knee surgery done by doctor in training leads to amputation, questions.
Citation Text:
Parkland knee surgery done by doctor in training leads to amputation, questions. Egerton B. Dallas Morning News. November 14, 2010;A01.
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psnet.ahrq.gov/issue/informed-patient-institute
July 14, 2010 - Multi-use Website
Informed Patient Institute.
Citation Text:
Informed Patient Institute. Annapolis, MD.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-section-6.pdf
January 01, 2006 - Tables 7-10
Table 7: Ratio of All MRI to All CT Scans within 30 days of Evaluation for Atraumatic Headache among Eligible
Children in Seven States – MAX data
State
Ratio Components
2006
2007
2008
2009
2010
Colorado
Numerator: # MRI 129 149 191 216 231
Denominator: # CT 369 450 46…
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psnet.ahrq.gov/issue/maryland-hospitals-arent-reporting-all-errors-and-complications-experts-say
June 14, 2011 - Newspaper/Magazine Article
Maryland hospitals aren't reporting all errors and complications, experts say.
Citation Text:
Maryland hospitals aren't reporting all errors and complications, experts say. Cohn M.
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