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psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines
January 20, 2021 - Commentary
Kaiser Permanente's innovation on the front lines.
Citation Text:
McCreary L. Kaiser Permanente's innovation on the front lines. Harv Bus Rev. 2010;88(9):92, 94-7, 126.
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psnet.ahrq.gov/issue/noise-distraction-interruption-and-safety-hazard
February 01, 2014 - Commentary
Noise: a distraction, interruption, and safety hazard.
Citation Text:
Beyea SC. Noise: a distraction, interruption, and safety hazard. AORN J. 2007;86(2):281-5.
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psnet.ahrq.gov/issue/distractions-interruptions-and-patient-safety
February 01, 2014 - Commentary
Distractions, interruptions, and patient safety.
Citation Text:
Beyea SC. Distractions, interruptions, and patient safety. AORN J. 2007;86(1):109-12.
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psnet.ahrq.gov/issue/jcahos-national-patient-safety-goals-2006
December 17, 2008 - Commentary
JCAHO's National Patient Safety Goals 2006.
Citation Text:
Catalano K. JCAHO'S National Patient Safety Goals 2006. J Perianesth Nurs. 2006;21(1):6-11.
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psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2004
April 27, 2011 - Book/Report
Adverse Drug Events in US Hospitals, 2004.
Citation Text:
Adverse Drug Events in US Hospitals, 2004. Elixhauser A, Owens P. HCUP Statistical Brief #29. Rockville, MD: Agency for Healthcare Research and Quality; April 2007.
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psnet.ahrq.gov/issue/va-pauses-16b-oracle-cerner-ehr-deployments-indefinitely-address-error-ridden-early-rollout
September 14, 2022 - Newspaper/Magazine Article
VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout.
Citation Text:
VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. Muoio D. Fierce Healthcare. April 21, 2023.
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psnet.ahrq.gov/issue/designing-patient-safety-developing-methods-integrate-patient-safety-concerns-design-process
December 14, 2010 - Book/Report
Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process.
Citation Text:
Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process. Joseph A, Quan X, Taylor E, Jelen M. Co…
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psnet.ahrq.gov/issue/utah-tenth-anniversary-2001-2011-patient-safety-report-identifying-opportunities-improvement
March 17, 2011 - Book/Report
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement.
Citation Text:
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. Salt Lake City, UT: Utah Department of Health, HealthIn…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/cerner-q-a-final-deck.pdf
June 02, 2025 - Cerner Q&A Session
K a t h y L e e B i s h o p , P T, D P T, C C S ,
F N A P
G u r u P a t e l
Chat Function
2
HOW TO ASK
QUESTIONS
To ask a question or make a comment
open the chat box
Set the TO: field to Everyone so
that we can all see your question
Try the chat function now by
sending a short g…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-worksheet.pdf
June 02, 2025 - TeamSTEPPS Situation Monitoring Facilitator Worksheet
…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-SOPS_101_Webcast-GRAY-Overview.pdf
June 02, 2025 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Gray (Overview)
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
What is Patient Safety Culture?
13
AHRQ Surveys on Patient Safety Culture
• Surveys …
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www.ahrq.gov/news/newsroom/case-studies/201807.html
November 01, 2018 - California Hospital Reduced Infections, Improved Diabetes Care with AHRQ Safety Program
Search All Impact Case Studies
November 2018
Tri-City Medical Center, a 388-bed hospital in Oceanside, California, reduced central line-associated bloodstream infections (CLABSIs) by 33 percent and improved the on-time d…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T3-Not_all_Infections_need_antibiotics-_final.pdf
May 01, 2014 - How to enter Data Manually Into an Antibiogram Template
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
Not All “Infections” Need Antibiotics!
What is the UTI SBAR form? What does it include?
• The Suspected Urinary Tract Infection
(UTI) Situation, Background,
Ass…
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool18.html
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Previous Page Next Page
Table of Contents
Community Connections: Linking Primary Care Pati…
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psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention-0
November 24, 2021 - Commentary
'Inattentional blindness': what captures your attention?
Citation Text:
Grissinger M. 'Inattentional blindness': what captures your attention? P.T. 2012;37(10):542-555.
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www.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
December 01, 2023 - Reviewing the Team's Performance: Debrief
Research has shown that teams that effectively debrief their own performance can improve their teamwork in real time. 1 , 2 , 3 , 4 Although it is often difficult to find time for such reviews in healthcare, TeamSTEPPS advocates for after-action reviews; TeamSTEPPS ch…
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psnet.ahrq.gov/issue/patient-safety-nursing-practice-0
June 23, 2009 - Commentary
Patient safety in nursing practice.
Citation Text:
Farquhar M, Sharp BAC, Clancy CM. Patient safety in nursing practice. AORN J. 2007;86(3):455-7.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/hiv-sexually-transmitted-diseases-behavioral-counseling-1996
January 01, 1996 - testing, in high-risk populations (men who have sex with men, IDUs, or persons with STDs) and condom promotion … a 1950 study 83 other recent studies reported no significant effect of counseling. 84 , 85 Condom promotion … Condom promotion, sexually transmitted disease[s] treatment, and declining incidence of HIV-1 infection … Does the promotion of condoms increase teen sexual activity? … Healthy People 2000: national health promotion and disease prevention objectives. pp. 479–510. 105.
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effectivehealthcare.ahrq.gov/sites/default/files/ebc-webinar-slides.pdf
June 01, 2014 - the
diagram
pointing
to
the
right,
containing
the
phrase:
Marketing/Promotion … Dissemin-‐
aAon
Early
2013
Marketing/Promotion
Source:
www.effectivehealthcare.ahrq.gov
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - policies and practices;
Lack of access to international board-certified lactation consultants (IBCLCs);
Promotion … Pediatricians' practices and attitudes regarding breastfeeding
promotion.