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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/valuewebcast-sorrarev.pdf
February 01, 2018 - Value and Efficiency Supplemental Items for Hospitals and Medical Offices - SORRA
Value & Efficiency Survey Item
Development and Pilot Test Results
Joann Sorra, PhD
Project Director
User Network for Surveys on Patient Safety
Culture™ (SOPS™)
Westat, Rockville, MD
11
AHRQ Surveys on Patient Safety Culture
Surve…
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hcup-us.ahrq.gov/reports/race/annotatedslidesforR_E_report2.jsp
May 01, 2016 - State Documentation of Racial and Ethnic Health Disparities to Inform Strategic Action
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Conta…
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digital.ahrq.gov/ahrq-funded-projects/intervention-inc-interactive-nutrition-comics-urban-minority-youth
January 01, 2023 - Intervention INC: Interactive Nutrition Comics for Urban Minority Youth
Project Final Report ( PDF , 1.49 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent th…
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psnet.ahrq.gov/node/42645/psn-pdf
October 09, 2013 - Eliminating CAUTI: Interim Data Report: A National
Patient Safety Imperative.
October 9, 2013
Rockville, MD: Agency for Healthcare Research and Quality; July 2013. AHRQ Publication No. 13-0071-
EF.
https://psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative
This report pr…
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psnet.ahrq.gov/node/46817/psn-pdf
October 13, 2018 - Diagnosing crime and diagnosing disease—part 1 and
part 2.
October 13, 2018
Lockhart JJ, Satya-Murti S. Diagnosing Crime and Diagnosing Disease: Bias Reduction Strategies in the
Forensic and Clinical Sciences. J Forensic Sci. 2017;62(6):1534-1541. doi:10.1111/1556-4029.13453.
https://psnet.ahrq.gov/issue/diagnosin…
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psnet.ahrq.gov/node/46836/psn-pdf
February 21, 2018 - Drone delivery of medications: review of the landscape
and legal considerations.
February 21, 2018
Lin CA, Shah K, Mauntel LCC, et al. Drone delivery of medications: Review of the landscape and legal
considerations. Am J Health Syst Pharm. 2018;75(3):153-158. doi:10.2146/ajhp170196.
https://psnet.ahrq.gov/issue/dr…
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psnet.ahrq.gov/node/43979/psn-pdf
April 29, 2015 - The Report of the Morecambe Bay Investigation.
April 29, 2015
Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306.
https://psnet.ahrq.gov/issue/report-morecambe-bay-investigation
Sharing information about large-scale investigations into failures can provide insights on factors that
contribute to…
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psnet.ahrq.gov/node/45382/psn-pdf
January 23, 2017 - The impact of major intraoperative adverse events on
hospital readmissions.
January 23, 2017
Nandan AR, Bohnen JD, Chang DC, et al. The impact of major intraoperative adverse events on hospital
readmissions. Am J Surg. 2017;213(1):10-17. doi:10.1016/j.amjsurg.2016.03.018.
https://psnet.ahrq.gov/issue/impact-major-…
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psnet.ahrq.gov/node/41434/psn-pdf
June 06, 2012 - ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing—2010.
June 6, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing--2010. Am J Health Syst Pharm. 2011;68(8):669-88.
doi:10.2146/ajhp…
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psnet.ahrq.gov/node/45785/psn-pdf
September 29, 2017 - Traditions of research into interruptions in healthcare: a
conceptual review.
September 29, 2017
McCurdie T, Sanderson P, Aitken LM. Traditions of research into interruptions in healthcare: A conceptual
review. Int J Nurs Stud. 2017;66:23-36. doi:10.1016/j.ijnurstu.2016.11.005.
https://psnet.ahrq.gov/issue/traditi…
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psnet.ahrq.gov/node/844793/psn-pdf
September 11, 2019 - PC standards for maternal safety.
September 11, 2019
The Joint Commission. R3 Report. August 21, 2019;24:1-6.
https://psnet.ahrq.gov/issue/pc-standards-maternal-safety
Maternal safety in the United States is gaining momentum as a system-level patient safety concern. This
report reviews the new Joint Commission Pro…
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psnet.ahrq.gov/node/72552/psn-pdf
December 09, 2020 - Hospital-acquired SARS-CoV-2 infection: lessons for
public health.
December 9, 2020
Richterman A, Meyerowitz EA, Cevik M. Hospital-acquired SARS-CoV-2 infection: lessons for public
health. JAMA. 2020;324(21):2155. doi:10.1001/jama.2020.21399.
https://psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infection-less…
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psnet.ahrq.gov/node/45281/psn-pdf
September 01, 2016 - Screen flashes and pop-up reminders: 'alert fatigue'
spreads through medicine.
September 1, 2016
Luthra S. Kaiser Health News. June 15, 2016.
https://psnet.ahrq.gov/issue/screen-flashes-and-pop-reminders-alert-fatigue-spreads-through-medicine
Alert fatigue is known to contribute to medical error. This news article…
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psnet.ahrq.gov/node/60768/psn-pdf
August 05, 2020 - Missed and delayed diagnoses of non-COVID conditions--
collateral harm from a pandemic.
August 5, 2020
Carr S. Missed and delayed diagnoses of non-COVID conditions- collateral harm from a pandemic.
ImproveDx. 2020;7(4):1-5.
https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-h…
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psnet.ahrq.gov/node/44160/psn-pdf
November 06, 2015 - Development of an "infusion pump safety score".
November 6, 2015
Carlson R, Johnson B, Ensign RH. Development of an "infusion pump safety score". Am J Health Syst
Pharm. 2015;72(10):777-9. doi:10.2146/ajhp140421.
https://psnet.ahrq.gov/issue/development-infusion-pump-safety-score
Although infusion pumps improve th…
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psnet.ahrq.gov/node/48091/psn-pdf
June 26, 2019 - Deprescribing Guidelines: Special Section on Symposium
Results.
June 26, 2019
Res Social Adm Pharm. 2019;15(6):780-810.
https://psnet.ahrq.gov/issue/deprescribing-guidelines-special-section-symposium-results
Appropriate deprescribing can reduce the risks associated with polypharmacy, overuse, and accidental
overd…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
November 01, 2021 - Long-term Care Resources
Toolkits, recommendations, and other resources for long-term care facilities to improve quality, reduce errors, and increase patient safety.
Sign up: Long-Term Care Email updates
Comparative Effectiveness Reviews
Comparative effectiveness reviews about long-term care
Evidence …
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psnet.ahrq.gov/node/74219/psn-pdf
January 01, 2022 - Race as a social construct in psychiatry research and
practice.
December 22, 2021
Bryant BE, Jordan A, Clark US. Race as a social construct in psychiatry research and practice. JAMA
Psych. 2022;79(2):93-94. doi:10.1001/jamapsychiatry.2021.2877.
https://psnet.ahrq.gov/issue/race-social-construct-psychiatry-research…
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www.uspreventiveservicestaskforce.org/uspstf/document/screening-for-hiv-in-pregnant-women-evidence-summary/human-immunodeficiency-virus-hiv-infection-screening-2013
November 15, 2012 - antiretroviral therapy evaluated in randomized trials were not as effective as full-course regimens, but they reduced … Clinical health outcomes include reduced premature death and disability for women and children, and reduced
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/progestogens-preterm-birth_executive.pdf
September 01, 2012 - The largest RCT among
women with prior preterm birth (n=611) did not find
reduced risk of preterm birth