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psnet.ahrq.gov/node/46720/psn-pdf
January 23, 2019 - Persistent opioid use among pediatric patients after
surgery.
January 23, 2019
Harbaugh CM, Lee JS, Hu HM, et al. Persistent Opioid Use Among Pediatric Patients After Surgery.
Pediatrics. 2018;141(1):e20172439. doi:10.1542/peds.2017-2439.
https://psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-…
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psnet.ahrq.gov/node/72784/psn-pdf
February 24, 2021 - Advancing diagnostic safety research: results of a
systematic research priority setting exercise.
February 24, 2021
Zwaan L, El-Kareh R, Meyer AND, et al. Advancing diagnostic safety research: results of a systematic
research priority setting exercise. J Gen Intern Med. 2021;36(10):2943-2951. doi:10.1007/s11606-020…
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psnet.ahrq.gov/node/44743/psn-pdf
December 22, 2017 - Patients' and providers' perceptions of the preventability
of hospital readmission: a prospective, observational
study in four European countries.
December 22, 2017
van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of
hospital readmission: a prospective, observ…
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psnet.ahrq.gov/node/42051/psn-pdf
October 08, 2013 - A closer look at associations between hospital leadership
walkrounds and patient safety climate and risk reduction:
a cross-sectional study.
October 8, 2013
Schwendimann R, Milne J, Frush K, et al. A closer look at associations between hospital leadership
walkrounds and patient safety climate and risk reduction: a…
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psnet.ahrq.gov/node/46652/psn-pdf
July 14, 2018 - The effects of crew resource management on teamwork
and safety climate at Veterans Health Administration
facilities.
July 14, 2018
Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and
safety climate at Veterans Health Administration facilities. J Healthc Risk Manag. 2018;…
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psnet.ahrq.gov/node/73140/psn-pdf
April 14, 2021 - Association between primary care physician diagnostic
knowledge and death, hospitalisation and emergency
department visits following an outpatient visit at risk for
diagnostic error: a retrospective cohort study using
medicare claims.
April 14, 2021
Gray BM, Vandergrift JL, McCoy RG, et al. Association between pr…
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psnet.ahrq.gov/node/74075/psn-pdf
November 17, 2021 - CDC guideline for opioid prescribing associated with
reduced dispensing to certain patients with chronic pain.
November 17, 2021
Townsend T, Cerdá M, Bohnert AS, et al. CDC guideline for opioid prescribing associated with reduced
dispensing to certain patients with chronic pain. Health Aff (Millwood). 2021;40(11):1…
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psnet.ahrq.gov/node/60523/psn-pdf
May 27, 2020 - "We're not ready, but I don't think you're ever ready."
Clinician perspectives on implementation of crisis
standards of care.
May 27, 2020
Chuang E, Cuartas PA, Powell T, et al. "We're not ready, but I don't think you're ever ready." Clinician
perspectives on implementation of crisis standards of care. AJOB Empir …
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psnet.ahrq.gov/node/42474/psn-pdf
September 19, 2015 - A new, evidence-based estimate of patient harms
associated with hospital care.
September 19, 2015
James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf.
2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69.
https://psnet.ahrq.gov/issue/new-evidence-based-estimate-pat…
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psnet.ahrq.gov/node/38454/psn-pdf
January 02, 2017 - Comparing process- and outcome-oriented approaches to
voluntary incident reporting in two hospitals.
January 2, 2017
Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to
voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf. 2009;35(3):139-45.
https://psn…
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psnet.ahrq.gov/node/44646/psn-pdf
November 11, 2015 - The hidden costs of reconciling surgical sponge counts.
November 11, 2015
Steelman VM, Schaapveld AG, Perkhounkova Y, et al. The Hidden Costs of Reconciling Surgical Sponge
Counts. AORN J. 2015;102(5):498-506. doi:10.1016/j.aorn.2015.09.002.
https://psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-coun…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-overview-survey.pdf
June 02, 2025 - Introducing the Child HCAHPS® Survey Database webcast-Toomey-1
OVERVIEW OF THE
CHILD HCAHPS SURVEY
Sara Toomey, MD, MPhil, MPH, MSc
Chief Safety and Quality Officer, SVP
Chief Experience Officer
Director/PI, Center of Excellence for Pediatric Quality Measurement
Boston Children’s Hospital
Child HCAHPS Survey I…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T4-Implementation_Planning_Sample_Agenda_final.docx
October 01, 2016 - Tool 4. Implementation Planning Sample Agenda
Agenda for Antimicrobial Stewardship Planning
Date:
Time:
Participant’s Name
Discipline
Initials a
a Initials or signatures are only necessary if requested by State Survey Agency staff.
Nursing Home
Ant…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T4-Implementation_Planning_Sample_Agenda_final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Implement, Monitor, & Sustain a Program
Toolkit 1. Start an Antimicrobial Stewardship Program
Tool 4. Implementation Planning Sample Agenda
Agenda for Antimicrobial Stewardship Planning
Date: __________________________________
Time: _________________________…
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www.ahrq.gov/sops/events/webinars/sops-primer.121520.html
December 01, 2023 - Understanding SOPS® Surveys: A Quick Primer for New Users (Webcast)
December 15, 2020
Summary
Speakers and Presentation Slides
Recording
Summary
This AHRQ webcast provided an overview of the Surveys on Patient Safety Culture™ (SOPS®) Surveys. Speakers described the SOPS program, surveys, supplemen…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/01-sops-hospital-survey-workplace-item-set-webcast-intro.pdf
May 23, 2024 - SOPS State Hospital Association Webcast - Introduction
Using AHRQ’s SOPS®
Hospital Survey and Workplace Safety Item Set:
Experiences from a State Hospital Association
Webcast
May 23, 2024
3:30-4:30 PM ET
Webcast Technical Info
• Audio issues
• Poor Connection
• Use Q&A to submit questions
• Event Website: h…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-discussion-guide.docx
September 01, 2022 - Acute Bronchitis – Discussion Guide
During a regularly scheduled staff meeting, the stewardship leader(s) is encouraged to ask all clinical staff which of the components of the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care related to acute bronchitis have been reviewed. It is recommended that all clinical…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-discussion-guide.docx
September 01, 2022 - Streptococcal Pharyngitis – Discussion Guide
Streptococcal Pharyngitis
Streptococcal Pharyngitis: Discussion Guide
During a regularly scheduled staff meeting, the stewardship leader(s) is encouraged to ask all clinical staff which of …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/assessment.docx
May 01, 2017 - HRQ Safety Program for Perinatal Care: Labor and Delivery Unit Staff Safety Assessment
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Staff Safety Assessment
Purpose: To tap into the knowledge and experiences of labor and delivery (L&D) providers and other clinical and nonclinical staff (e.g., healt…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/skills-answer-key.docx
March 01, 2017 - AHRQ Safety Program for
Long-Term Care: HAIs/CAUTI
Training Module 1—Skills Questions Answer Key
The How-To’s of Hand Hygiene
1. How long should you rub your hands with soap when you are hand washing?
a. At least 5 seconds
b. At least 15 seconds
c. At least 30 seconds
d. At least 60 seconds
2. How long should you …