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  1. Findings from the ISMP Medication Safety Self-Assessment for hospitals. | PSNet

    psnet.ahrq.gov/issue/findings-ismp-medication-safety-self-assessment-hospitals
    September 26, 2017 - Study Findings from the ISMP Medication Safety Self-Assessment for hospitals. Citation Text: Smetzer JL, Vaida AJ, Cohen MR, et al. Findings from the ISMP Medication Safety Self-Assessment for hospitals. Jt Comm J Qual Patient Saf. 2003;29(11):586-597. Copy Citation Format: …

  2. From good to better: toward a patient safety initiative in dentistry. | PSNet

    psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry
    September 06, 2017 - Commentary From good to better: toward a patient safety initiative in dentistry. Citation Text: Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am Dent Assoc. 2012;143(9):956-60. Copy Citation Format: Google Scho…

  3. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. | PSNet

    psnet.ahrq.gov/issue/review-bringing-patient-safety-forefront-through-structured-computerisation-during-clinical
    January 13, 2021 - Review Review: bringing patient safety to the forefront through structured computerisation during clinical handover. Citation Text: Matic J, Davidson PM, Salamonson Y. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. J Clin N…

  4. Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science. | PSNet

    psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes-implications-and-insights
    December 22, 2018 - Study Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science. Citation Text: Colón-Emeric CS, Ammarell N, Bailey D, et al. Patterns of medical and nursing staff communication in nursing homes: implications and insights fr…

  5. Tool: OR Briefing and Debriefing Audit Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
    December 01, 2017 - Tool: OR Briefing and Debriefing Audit Tool AHRQ Safety Program for Surgery Operating Room Briefing and Debriefing Audit Tool Introduction Problem Statement One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers unde…

  6. Drug Shortages: Root Causes and Potential Solutions. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-root-causes-and-potential-solutions
    January 13, 2021 - Book/Report Emerging Classic Drug Shortages: Root Causes and Potential Solutions. Citation Text: Drug Shortages: Root Causes and Potential Solutions. Drug Shortage Task Force. Silver Spring, MD: US Food and Drug Administration; 2020. Copy Citation …

  7. Disclosure of harmful medical error to patients: a review with recommendations for pathologists. | PSNet

    psnet.ahrq.gov/issue/disclosure-harmful-medical-error-patients-review-recommendations-pathologists
    September 21, 2022 - Review Disclosure of harmful medical error to patients: a review with recommendations for pathologists. Citation Text: Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/P…

  8. Appendix A: Members of the 2012 AHRQ Subcommittee to the National Advisory Council on Children's Health Quality Measures (SNAC) | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndapa.html
    December 01, 2012 - Appendix A: Members of the 2012 AHRQ Subcommittee to the National Advisory Council on Children's Health Quality Measures (SNAC) Recommendations to Improve Children's Health Care Quality Measures This background report describes the process used to identify, evaluate, and select children's health care quality …

  9. Health information technology and hospital patient safety: a conceptual model to guide research. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-and-hospital-patient-safety-conceptual-model-guide-research
    December 17, 2009 - Study Health information technology and hospital patient safety: a conceptual model to guide research. Citation Text: Paez K, Roper RA, Andrews RM. Health information technology and hospital patient safety: a conceptual model to guide research. Jt Comm J Qual Patient Saf. 2013;39(9):41…

  10. Measuring perinatal patient safety: review of current methods. | PSNet

    psnet.ahrq.gov/issue/measuring-perinatal-patient-safety-review-current-methods
    October 19, 2022 - Commentary Measuring perinatal patient safety: review of current methods. Citation Text: Simpson KR. Measuring perinatal patient safety: review of current methods. J Obstet Gynecol Neonatal Nurs. 2006;35(3):432-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  11. Three simple rules to improve medication safety. | PSNet

    psnet.ahrq.gov/issue/three-simple-rules-improve-medication-safety
    March 11, 2020 - Commentary Three simple rules to improve medication safety. Citation Text: Barba V. Three Simple Rules to Improve Medication Safety. J Patient Saf. 2016;12(3):171-2. doi:10.1097/PTS.0000000000000095. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  12. Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid: Table 1 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0237-table1.pdf
    June 17, 2014 - Reporting of CAHPS Data Regarding Availability of Specialist Care for Children on Medicaid: Table 1 Table 1: Evidence Supporting the Importance of Availability of Care for Children Needing Specialty Care Type of evidence Key findings Level of evidence (USPSTF ranking*) Citation(s) Clinical Gui…

  13. Consumer Decision Points: Using Online Reports to Gauge Quality of Physician Performance (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/patrick-mccabe.pdf
    June 02, 2025 - Consumer Decision Points: Using Online Reports to Gauge Quality of Physician Performance 1 Consumer Decision Points Using Online Reports to Gauge Quality of Physician Performance Patrick McCabe, GYMR Public Relations pmccabe@gymr.com mailto:pmccabe@gymr.com Aligning Forces for Quality • Robert Wood Johnson Fou…

  14. Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes. | PSNet

    psnet.ahrq.gov/issue/major-cultural-compatibility-complex-considerations-cross-cultural-dissemination-patient
    May 26, 2010 - Commentary Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes. Citation Text: Jeong H-J, Pham JC, Kim M, et al. Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programm…

  15. FMEA team performance in health care: a qualitative analysis of team member perceptions. | PSNet

    psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative-analysis-team-member-perceptions
    December 31, 2014 - Study FMEA team performance in health care: a qualitative analysis of team member perceptions. Citation Text: Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be. Copy Citation Format: DOI Go…

  16. The next phase of health care improvement: what can we learn from social movements? | PSNet

    psnet.ahrq.gov/issue/next-phase-health-care-improvement-what-can-we-learn-social-movements
    July 22, 2010 - Commentary The next phase of health care improvement: what can we learn from social movements? Citation Text: Bate P, Robert G, Bevan H. The next phase of healthcare improvement: what can we learn from social movements? Qual Saf Health Care. 2004;13(1):62-6. Copy Citation Format:…

  17. Table 4-4: Language Categories in Selected Collection Instruments | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4tab4-4.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Table 4-4: Language Categories in Selected Collection Instruments Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Revi…

  18. How to develop an effective obstetric checklist. | PSNet

    psnet.ahrq.gov/issue/how-develop-effective-obstetric-checklist
    November 16, 2022 - Review How to develop an effective obstetric checklist. Citation Text: Fausett B, Propst A, Van Doren K, et al. How to develop an effective obstetric checklist. Am J Obstet Gynecol. 2011;205(3):165-70. doi:10.1016/j.ajog.2011.06.003. Copy Citation Format: DOI Google Scholar…

  19. Electronic prescribing systems in pediatrics: the rationale and functionality requirements. | PSNet

    psnet.ahrq.gov/issue/electronic-prescribing-systems-pediatrics-rationale-and-functionality-requirements
    November 25, 2013 - Organizational Policy/Guidelines Electronic prescribing systems in pediatrics: the rationale and functionality requirements. Citation Text: Technology AA of PC on CI, Gerstle RS. Electronic prescribing systems in pediatrics: the rationale and functionality requirements. Pediatrics. 200…

  20. Practical application of high-reliability principles in healthcare to optimize quality and safety outcomes. | PSNet

    psnet.ahrq.gov/issue/practical-application-high-reliability-principles-healthcare-optimize-quality-and-safety
    August 14, 2024 - Commentary Practical application of high-reliability principles in healthcare to optimize quality and safety outcomes. Citation Text: Oster CA, Deakins S. Practical Application of High-Reliability Principles in Healthcare to Optimize Quality and Safety Outcomes. J Nurs Admin. 2017;48(1):…
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