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psnet.ahrq.gov/issue/criminalization-mistakes-nursing
June 13, 2011 - Commentary
The criminalization of mistakes in nursing.
Citation Text:
Philipsen NC. The Criminalization of Mistakes in Nursing. J Nurs Pract. 2011;7(9):719-726. doi:10.1016/j.nurpra.2011.07.004.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/talking-points-iodophor.docx
March 01, 2022 - Talking Points (Patients) on Nasal Iodophor
Decolonization of
Non-ICU Patients With Devices
Section 14-10 – Talking Points for Nasal Iodophor
Patients may have questions regarding nasal iodophor. Below are some suggested responses to common patient questions.
REMEMBER: Your enthusiasm and encouragement will be the …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/talking-points-mupirocin.docx
March 01, 2022 - Talking Points (Patients) on Nasal Mupirocin
Decolonization of
Non-ICU Patients With Devices
Section 14-9 – Talking Points for Nasal Mupirocin
Patients may have questions or comments regarding nasal mupirocin. Below are some suggested responses to common patient questions.
REMEMBER: Your enthusiasm and encouragemen…
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psnet.ahrq.gov/issue/balancing-just-culture-regulatory-standards
December 13, 2023 - Commentary
Balancing just culture with regulatory standards.
Citation Text:
Gorzeman J. Balancing Just Culture with regulatory standards. Nurs Adm Q. 2008;32(4):308-11. doi:10.1097/01.NAQ.0000336728.72501.c6.
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psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-district-health-boards-200607
March 05, 2008 - Book/Report
Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07.
Citation Text:
Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07. National Health Epidemiology and Quality Assurance Advisory Committee. Wellington, Ne…
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psnet.ahrq.gov/issue/anatomy-medical-error-preventing-harm-people-based-patient-safety
March 10, 2021 - Book/Report
The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety.
Citation Text:
The Anatomy of Medical Error: Preventing Harm with People-Based Patient Safety. Geller ES, Johnson D. Virginia Beach, VA: Costal Training Technologies Corporation; 2007. ISBN: 9…
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psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
March 17, 2011 - Book/Report
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England
Citation Text:
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Cousins D. Croydon, UK: Accidents again…
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psnet.ahrq.gov/issue/doctors-were-alarmed-would-i-have-my-children-have-surgery-here
February 19, 2020 - Newspaper/Magazine Article
Doctors were alarmed: would I have my children have surgery here?
Citation Text:
Doctors were alarmed: would I have my children have surgery here? Gabler E. New York Times. May 31, 2019.
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www.ahrq.gov/cahps/surveys-guidance/item-sets/cancer/suppl-shared-decision-making-items.html
March 01, 2017 - Supplemental Items for the CAHPS Cancer Care Survey: Shared Decision Making
Population version: Adult
Download these items: English ( Word [28.6 KB])
Users of the CAHPS ® Cancer Care Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/…
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psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators
February 22, 2023 - Book/Report
Patient Safety Culture Report: Focusing on Indicators.
Citation Text:
Patient Safety Culture Report: Focusing on Indicators. Utrecht, Netherlands: European Network for Patient Safety; 2010.
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psnet.ahrq.gov/issue/indiana-medical-error-reporting-system-final-report-2015
July 15, 2009 - Multi-use Website
Indiana Medical Error Reporting System.
Citation Text:
Indiana Medical Error Reporting System. Indianapolis, IN: Indiana State Department of Health.
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www.ahrq.gov/cahps/surveys-guidance/surgical/about/Development-of-the-CAHPS-Surgical-Care-Survey.html
February 01, 2018 - Development of the CAHPS Surgical Care Survey
The development of the Surgical Care Survey was sponsored by the American College of Surgeons (ACS) and the Surgical Quality Alliance (SQA), which was created by ACS in 2005 to coordinate and unify over twenty surgical and anesthesia specialty societies. Developing …
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psnet.ahrq.gov/issue/keeping-patients-track-preventative-care-during-pandemic
April 11, 2018 - Newspaper/Magazine Article
Keeping patients on track with preventative care during pandemic.
Citation Text:
Keeping patients on track with preventative care during pandemic. Quick Safety. March 2021;58:1-2.
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www.ahrq.gov/cahps/news-and-events/events/20140603_QI/webcast_06_03_14_qi.html
July 01, 2018 - Public Reporting of Patients' Comments with Quality Measures: How Can We Make It Work? (Webcast)
June 3, 2014
Summary
Speakers and PowerPoint Slides
Recording
Transcript
Related Material
Summary
This Webcast focused on the collection of patient comments and their use in public reports that are…
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psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
June 01, 2022 - Newspaper/Magazine Article
Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's.
Citation Text:
Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. Clark C. MedPage Today. June 2, 2022
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www.ahrq.gov/news/newsroom/case-studies/cquips0804.html
October 01, 2014 - Illinois Hospitals Use AHRQ's Patient Safety Culture Survey to Improve Quality
Search All Impact Case Studies
August 2008
A tool developed by AHRQ provided both a benchmark and a measure of progress for a major quality improvement initiative at Evanston Northwestern Healthcare (ENH). The tool—the Hospital …
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psnet.ahrq.gov/issue/half-hospitals-conn-del-hit-medicares-safety-penalties
December 12, 2018 - Newspaper/Magazine Article
Half of hospitals in Conn., Del. hit by Medicare's safety penalties.
Citation Text:
Half of hospitals in Conn., Del. hit by Medicare's safety penalties. Rau J. Kaiser Health News. January 5, 2018.
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psnet.ahrq.gov/issue/ismp-medication-safety-intensive
February 05, 2025 - International Meeting/Conference
ISMP Medication Safety Intensive.
Citation Text:
ISMP Medication Safety Intensive. Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern).
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psnet.ahrq.gov/issue/medication-errors-nursing-experience
May 26, 2011 - Book/Report
Classic
Medication Errors: The Nursing Experience.
Citation Text:
Medication Errors: The Nursing Experience. Wolf ZR. Albany NY: Delmar Publishers; 1994. ISBN: 9780827362628.
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psnet.ahrq.gov/issue/wrong-site-surgery
March 13, 2013 - Commentary
Wrong site surgery.
Citation Text:
Fraser SG, Adams W. Wrong site surgery. Br J Ophthalmol. 2006;90(7):814-6.
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