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psnet.ahrq.gov/node/45536/psn-pdf
October 05, 2016 - Clinician-identified problems and solutions for delayed
diagnosis in primary care: a PRIORITIZE study.
October 5, 2016
Car LT, Papachristou N, Bull A, et al. Clinician-identified problems and solutions for delayed diagnosis in
primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):131. doi:10.1186/s12875-016-0…
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psnet.ahrq.gov/node/41455/psn-pdf
June 13, 2012 - Medication errors during medical emergencies in a large,
tertiary care, academic medical center.
June 13, 2012
Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large,
tertiary care, academic medical center. Resuscitation. 2012;83(4):482-7.
doi:10.1016/j.resuscitation.2011…
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psnet.ahrq.gov/node/37622/psn-pdf
May 26, 2011 - Effect of computer order entry on prevention of serious
medication errors in hospitalized children.
May 26, 2011
Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious
medication errors in hospitalized children. Pediatrics. 2008;121(3):e421-e427. doi:10.1542/peds.2007-
022…
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www.ahrq.gov/sops/events/webinars/best-practices-012424.html
February 01, 2024 - Best Practices for Administering SOPS® Surveys (Webcast)
January 24, 2024
Summary Speakers and Presentation Slides Recording About the Surveys on Patient Safety Culture Summary This webcast detailed best practices for using the Surveys on Patient Safety Culture® (SOPS®). Speakers discussed the SOPS Surveys an…
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psnet.ahrq.gov/node/46323/psn-pdf
October 29, 2017 - Use of unit-based interventions to improve the quality of
care for hospitalized medical patients: a national survey.
October 29, 2017
O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of
Care for Hospitalized Medical Patients: A National Survey. Jt Comm J Qual Patie…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-bestpractices-web-sopssurveys-ginsberg.pdf
June 02, 2025 - Best Practices for Web-based SOPS Surveys - Ginsberg Slides
Why Survey Methods Research is
Important to AHRQ
Caren Ginsberg, PhD
Director, SOPS and CAHPS Division
Center for Quality Improvement and Patient Safety, AHRQ
6
AHRQ’s Survey Research Methods
• AHRQ is a research and science-based agency of the
US D…
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psnet.ahrq.gov/node/38354/psn-pdf
September 24, 2010 - Barriers to emergency departments' adherence to four
medication safety–related Joint Commission National
Patient Safety Goals.
September 24, 2010
Juarez A, Gacki-Smith J, Bauer MR, et al. Barriers to emergency departments' adherence to four
medication safety-related Joint Commission National Patient Safety Goals. …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects-spanish.docx
June 02, 2025 - Programa de seguridad de la AHRQ para cuidados a largo plazo: HAI/CAUTI
Kit de herramientas de seguridad para cuidados a largo plazo
Aprender de los defectos
Objetivo: Identificar los tipos de sistemas que contribuyeron al defecto (un suceso o una situación que usted no desea que se repita) y planificar los pasos…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb21.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B21: Facts and Flow Chart
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
Ch…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/fax.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B3: Fax Alert
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
Chapter 2. Fal…
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psnet.ahrq.gov/node/37910/psn-pdf
February 28, 2011 - Public reporting of antibiotic timing in patients with
pneumonia: lessons from a flawed performance measure.
February 28, 2011
Wachter R, Flanders S, Fee C, et al. Public reporting of antibiotic timing in patients with pneumonia:
lessons from a flawed performance measure. Ann Intern Med. 2008;149(1):29-32.
https:/…
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psnet.ahrq.gov/node/45319/psn-pdf
September 01, 2018 - Special Issue: Progress at the Intersection of Patient
Safety and Medical Liability.
September 1, 2018
Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395-2648.
https://psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability
Medical liability refor…
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psnet.ahrq.gov/node/42150/psn-pdf
July 03, 2014 - Effects of the 2011 duty hour reforms on interns and their
patients: a prospective longitudinal cohort study.
July 3, 2014
Sen S, Kranzler HR, Didwania AK, et al. Effects of the 2011 duty hour reforms on interns and their patients:
a prospective longitudinal cohort study. JAMA Intern Med. 2013;173(8):657-62; discus…
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psnet.ahrq.gov/node/47330/psn-pdf
September 19, 2018 - Patient and consumer safety risks when using
conversational assistants for medical information: an
observational study of Siri, Alexa, and Google Assistant.
September 19, 2018
Bickmore TW, Trinh H, Olafsson S, et al. Patient and consumer safety risks when using conversational
assistants for medical information: an…
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psnet.ahrq.gov/node/43729/psn-pdf
November 21, 2017 - Medical harm: patient perceptions and follow-up actions.
November 21, 2017
Lyu HG, Cooper M, Mayer-Blackwell B, et al. Medical Harm: Patient Perceptions and Follow-up Actions. J
Patient Saf. 2017;13(4):199-201. doi:10.1097/PTS.0000000000000136.
https://psnet.ahrq.gov/issue/medical-harm-patient-perceptions-and-follo…
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psnet.ahrq.gov/node/46185/psn-pdf
August 20, 2018 - Incidence and trends of sepsis in US hospitals using
clinical vs claims data, 2009--2014.
August 20, 2018
Rhee C, Dantes RB, Epstein L, et al. Incidence and Trends of Sepsis in US Hospitals Using Clinical vs
Claims Data, 2009-2014. JAMA. 2017;318(13):1241-1249. doi:10.1001/jama.2017.13836.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/47058/psn-pdf
August 20, 2018 - The first U.S. study on nurses' evidence-based practice
competencies indicates major deficits that threaten
healthcare quality, safety, and patient outcomes.
August 20, 2018
Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice
Competencies Indicates Major Deficit…
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psnet.ahrq.gov/node/44766/psn-pdf
January 23, 2017 - Why do we still page each other? Examining the
frequency, types and senders of pages in academic
medical services.
January 23, 2017
Carlile N, Rhatigan JJ, Bates DW. Why do we still page each other? Examining the frequency, types and
senders of pages in academic medical services. BMJ Qual Saf. 2017;26(1):24-29. do…
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psnet.ahrq.gov/node/42530/psn-pdf
December 30, 2014 - What attributes of patients affect their involvement in
safety? A key opinion leaders' perspective.
December 30, 2014
Buetow S, Davis R, Callaghan K, et al. What attributes of patients affect their involvement in safety? A key
opinion leaders' perspective. BMJ Open. 2013;3(8):e003104. doi:10.1136/bmjopen-2013-00310…
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psnet.ahrq.gov/issue/center-medical-simulation
January 17, 2024 - Course Material/Curriculum
Center for Medical Simulation.
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March 27, 2005
The Center for Medical Simulation (CMS) is a not-for-prof…