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psnet.ahrq.gov/node/44154/psn-pdf
August 21, 2018 - Does employee safety matter for patients too? Employee
safety climate and patient safety culture in health care.
August 21, 2018
Mohr DC, Eaton JL, McPhaul KM, et al. Does employee safety matter for patients too? Employee safety
climate and patient safety culture in health care. J Patient Saf. 2018;14(3):181-185.
…
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psnet.ahrq.gov/node/47905/psn-pdf
April 03, 2019 - Ranking hospitals based on preventable hospital death
rates: a systematic review with implications for both
direct measurement and indirect measurement through
standardized mortality rates.
April 3, 2019
Manaseki-Holland S, Lilford RJ, Te AP, et al. Ranking Hospitals Based on Preventable Hospital Death
Rates: A S…
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psnet.ahrq.gov/node/41225/psn-pdf
March 29, 2012 - The impact of perioperative catastrophes on
anesthesiologists: results of a national survey.
March 29, 2012
Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists:
results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10.1213/ANE.0b013e318227524e.
https:/…
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psnet.ahrq.gov/node/43290/psn-pdf
June 25, 2014 - Unexpectedly long hospital stays as an indicator of risk of
unsafe care: an exploratory study.
June 25, 2014
Borghans I, Hekkert KD, Ouden L den, et al. Unexpectedly long hospital stays as an indicator of risk of
unsafe care: an exploratory study. BMJ Open. 2014;4(6):e004773. doi:10.1136/bmjopen-2013-004773.
https…
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psnet.ahrq.gov/node/37042/psn-pdf
March 04, 2011 - Do hospitals provide lower quality care on weekends?
March 4, 2011
Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612.
https://psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
Prior research has demonstrated that patients admitted to the hospita…
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psnet.ahrq.gov/node/41280/psn-pdf
December 31, 2014 - Intensive care unit nurses' information needs and
recommendations for integrated displays to improve
nurses' situation awareness.
December 31, 2014
Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for
integrated displays to improve nurses' situation awareness. J Am …
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psnet.ahrq.gov/node/43299/psn-pdf
December 23, 2016 - Preventing infection from the misuse of vials.
December 23, 2016
Preventing infection from the misuse of vials. Sentinel Event Alert. 2014;June 16(52):1-6.
https://psnet.ahrq.gov/issue/preventing-infection-misuse-vials
The Joint Commission has issued a sentinel event alert regarding infections caused by the misuse …
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psnet.ahrq.gov/node/60212/psn-pdf
January 29, 2021 - Patient Safety Recommendations for COVID-19 Epidemic
Outbreak: 3.0
January 29, 2021
La Regina M, Tanzini M, Venneri F, et al for the Italian Network for Health Safety. Dublin, Ireland:
International Society for Quality in Health Care; 2021.
https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epide…
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psnet.ahrq.gov/node/42223/psn-pdf
August 15, 2013 - Development of a checklist of safe discharge practices for
hospital patients.
August 15, 2013
Soong C, Daub S, Lee J, et al. Development of a checklist of safe discharge practices for hospital patients.
J Hosp Med. 2013;8(8):444-9. doi:10.1002/jhm.2032.
https://psnet.ahrq.gov/issue/development-checklist-safe-disch…
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psnet.ahrq.gov/node/837202/psn-pdf
May 25, 2022 - Reasons for bias in ambulance clinicians' assessments of
non-conveyed patients: a mixed-methods study.
May 25, 2022
Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non-
conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(1):79. doi:10.1186/s12873-022-
006…
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psnet.ahrq.gov/node/60339/psn-pdf
May 20, 2020 - We Want to Know-a mixed methods evaluation of a
comprehensive program designed to detect and address
patient-reported breakdowns in care.
May 20, 2020
Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a
comprehensive program designed to detect and address patient-reported brea…
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www.ahrq.gov/teamstepps-program/curriculum/implement/overview.html
May 01, 2023 - Key Implementation Phases and Activities
The figure below provides an overview of the key processes required for any successful implementation.
Pre-implementation activities begin by assessing readiness and considering the goals of your implementation and how they will be measured.
Active implementation …
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-d.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Appendix D. Poster on Indications for Urinary Catheters
Previous Page Next Page
Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementat…
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www.ahrq.gov/teamstepps-program/curriculum/intro/overview.html
July 01, 2023 - Section 1: Overview of Key Concepts and Tools
This section provides an overview of the key concepts in the Introduction. More extensive explanations and illustrations are provided in section 2 ; methods for teaching the introduction's concepts are in section 3 . Each of the four modules that follow also inclu…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-mats-written-statement.pdf
June 02, 2025 - Materials Written Statement
Submitted 2/27/14
This work was funded by the Agency for Healthcare Research and Quality (AHRQ) and the
Centers for Medicare & Medicaid Services (CMS) under the CHIPRA Pediatric Quality Measures
Program Centers of Ex…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-written-statement.pdf
February 12, 2014 - Written Statement
February 12, 2014
IP Rights Statement
Measure: Rate of Emergency Depar…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA116-Mats-Written-Statement.pdf
February 12, 2014 - Timely Temperatures for All Low Birthweight Neonates IP Rights Statement
February 12, 2014
IP Right…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-materials-written-statement.pdf
June 02, 2025 - Materials Written Statement
Submitted 2/27/14
This work was funded by the Agency for Healthcare Research and Quality (AHRQ) and the
Centers for Medicare & Medicaid Services (CMS) under the CHIPRA Pediatric Quality Measures
Program Cent…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-117-written-statement.pdf
February 12, 2014 - CHIPRA 117 Written Statement
February 12, 2014
IP Rights Statement
Measure: Timely temperatures upon…
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www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error Classification
Previous Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…