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  1. psnet.ahrq.gov/issue/strategies-increase-reporting-near-misses-and-adverse-events
    September 30, 2012 - Commentary Strategies to increase reporting of near misses and adverse events. Citation Text: Conerly C. Strategies to increase reporting of near misses and adverse events. J Nurs Care Qual. 2007;22(2):102-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…
  2. psnet.ahrq.gov/issue/emergency-department-image-interpretation-accuracy-influence-immediate-reporting-radiology
    November 09, 2022 - Study Emergency department image interpretation accuracy: the influence of immediate reporting by radiology. Citation Text: Snaith B, Hardy M. Emergency department image interpretation accuracy: The influence of immediate reporting by radiology. Int Emerg Nurs. 2014;22(2):63-8. doi:10.10…
  3. www.ahrq.gov/es/programs/index.html?page=2
    Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More CAHPS The CAHPS program aims to advance our scientific …
  4. psnet.ahrq.gov/issue/missed-steps-preanesthetic-set
    June 26, 2019 - Study Missed steps in the preanesthetic set-up. Citation Text: DeMaria S, Blasius K, Neustein SM. Missed steps in the preanesthetic set-up. Anesth Analg. 2011;113(1):84-8. doi:10.1213/ANE.0b013e318219645e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …
  5. psnet.ahrq.gov/issue/words-drug-highest-frequency-dispensing-errors
    March 04, 2015 - Commentary Words: the "drug" with the highest frequency of dispensing errors. Citation Text: Lamba S. Words: the "drug" with the highest frequency of dispensing errors. Acad Emerg Med. 2011;18(1):93-5. doi:10.1111/j.1553-2712.2010.00965.x. Copy Citation Format: DOI Google…
  6. psnet.ahrq.gov/issue/essay-political-logic-regulatory-error
    July 10, 2017 - Commentary Essay: the political logic of regulatory error. Citation Text: Carpenter D, Ting MM. Essay: the political logic of regulatory error. Nat Rev Drug Discov. 2005;4(10):819-23. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  7. psnet.ahrq.gov/issue/ozis-and-politics-safety-using-ict-create-regionally-accessible-patient-medication-record
    February 04, 2009 - Commentary OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Citation Text: Stoop AP, Bal R, Berg M. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Int J Med Inform. 2007;76 S…
  8. psnet.ahrq.gov/issue/medication-reconciliation-rural-trauma-population
    April 24, 2018 - Study Medication reconciliation in a rural trauma population. Citation Text: Miller L, Miller S, Balon J, et al. Medication reconciliation in a rural trauma population. Ann Emerg Med. 2008;52(5):483-91. doi:10.1016/j.annemergmed.2008.03.021. Copy Citation Format: DOI Goog…
  9. www.ahrq.gov/hai/cauti-tools/impl-guide/index.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overview Frameworks for Change and Improvement Technical…
  10. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
    January 01, 2015 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D. 5 AHRQ’s Surveys on Patient Safety Culture™ (SOPS®) Program Caren Ginsberg, Ph.D. Center for Quality Improvement and Patient Safety, AHRQ 6 Agency for Healthcare Research and Quality • AHRQ is: ► A research and sci…
  11. www.ahrq.gov/news/blog/ahrqviews/academy-health-2022-meeting.html
    May 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders AcademyHealth’s Annual Research Meeting: An Opportunity to Connect, Engage, and Inspire MAY 31 2022 By Robert Otto Valdez, Ph.D., M.H.S.A. R. Valdez, Ph.D., M.H.S.A. Health services researchers have AcademyHealth’s Annu…
  12. www.ahrq.gov/sites/default/files/wysiwyg/nqsleverfactsheet.pdf
    May 01, 2014 - National Quality Strategy: Using Levers to Achieve Improved Health and Health Care National Quality Strategy: Using Levers to Achieve Improved Health and Health Care About the National Quality Strategy The National Quality Strategy is the first-ever national effort backed by legislation to align public- and privat…
  13. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-tech-specs.pdf
    June 02, 2025 - CHIPRA 236: Technical Specifications Rate of participating child psychiatrists, neurodevelopmental pediatricians, and developmental-behavioral pediatricians who have seen ≥1 enrolled child, aged <18 years, for an outpatient visit during the measurement year. A higher rate indicates better performance, as…
  14. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-m.html
    May 01, 2017 - Appendix M. Endoscopy Infographic - Implementation Guide Preventing Infections in Endoscopic Procedures More than 20 million gastrointestinal (GI) endoscopic procedures are performed annually in the United States. While rare, patients have acquired infections from these procedures due to: Poor…
  15. www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving.html
    June 01, 2018 - Chartbook on Healthy Living Healthy Living Previous Page Next Page Table of Contents Chartbook on Healthy Living Acknowledgments Healthy Living Summary Healthy Living Measures Maternal and Child Health Care Maternal and Child Health Care: Effectiveness Measures Maternal and Child Hea…
  16. www.ahrq.gov/news/newsroom/case-studies/cquips0609.html
    October 01, 2014 - AHRQ's Patient Safety Culture Survey Used to Set Baselines for Improvements at Chicago Hospital Search All Impact Case Studies May 2006 In December 2004, Northwestern Memorial Hospital in Chicago administered AHRQ's Hospital Survey on Patient Safety Culture to establish a baseline for assessment of cultur…
  17. psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
    January 14, 2011 - Study The value of inking breast cores to reduce specimen mix-up. Citation Text: Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…
  18. psnet.ahrq.gov/issue/paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
    February 18, 2009 - Study Paramedic intubation errors: isolated events or symptoms of larger problems? Citation Text: Wang HE, Lave J, Sirio CA, et al. Paramedic intubation errors: isolated events or symptoms of larger problems? Health Aff (Millwood). 2006;25(2):501-9. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/variation-emergency-medical-services-workplace-safety-culture
    December 07, 2011 - Study Variation in emergency medical services workplace safety culture. Citation Text: Patterson PD, Huang DT, Fairbanks RJ, et al. Variation in Emergency Medical Services Workplace Safety Culture. Prehospital Emergency Care. 2010;14(4). doi:10.3109/10903127.2010.497900. Copy Citation…
  20. psnet.ahrq.gov/issue/patient-safety-and-quality-care
    April 01, 2020 - Commentary Patient safety and quality care. Citation Text: Nelson K. Patient safety and quality care. Clin Dermatol. 2014;32(4):542-4. doi:10.1016/j.clindermatol.2013.12.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …