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psnet.ahrq.gov/issue/variation-printed-handoff-documents-results-and-recommendations-multicenter-needs-assessment
June 25, 2014 - Study
Variation in printed handoff documents: results and recommendations from a multicenter needs assessment.
Citation Text:
Rosenbluth G, Bale JF, Starmer AJ, et al. Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment. J Hosp Med. 201…
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psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic-errors-hospital
September 16, 2020 - Study
Classic
Malpractice claims related to diagnostic errors in the hospital.
Citation Text:
Gupta A, Snyder A, Kachalia A, et al. Malpractice claims related to diagnostic errors in the hospital. BMJ Qual Saf. 2017;27(1):53-60. doi:10.1136/bmjqs-2017-006774.
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psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns
January 19, 2022 - Study
Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey.
Citation Text:
Zhong J, Simpson KR, Spetz J, et al. Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRN…
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www.ahrq.gov/cahps/consumer-reporting/guidelines/design/index.html
October 01, 2018 - Designing a CAHPS Report
Based on testing with consumers and research into effective communications, the CAHPS Team offers the following recommendations to reporters of survey results:
Group survey questions on a similar topic to simplify and condense the reporting of survey results.
Offer summary compari…
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psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room
November 21, 2011 - Study
Incorrect surgical procedures within and outside of the operating room.
Citation Text:
Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/PJJXJEVA9oaAwep5x3ZvRn
August 01, 2024 - Summary of USPSTF Final Recommendation: Screening and Supplementation for Iron Deficiency and Iron Deficiency Anemia During Pregnancy
Clinicians
Summary of USPSTF Final Recommendation
Screening and Supplementation for Iron Deficiency and Iron Deficiency
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www.ahrq.gov/research/publications/pubcomguide/pcguide3.html
March 01, 2025 - Publishing and Communications Guidelines
Section 3: Branding Design Element Specifications
Previous Page Next Page
Table of Contents
Publishing and Communications Guidelines
Section 1: Product Development
Audio and Video Products
Appendix 1-A. Release Forms
Appendix 1-B. Trademarks
Appendi…
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www.ahrq.gov/es/tools/index.html
December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
May 26, 2021 - Study
Classic
The $17.1 billion problem: the annual cost of measurable medical errors.
Citation Text:
Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hl…
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psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating
October 23, 2019 - Study
Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being.
Citation Text:
Loke DE, Green KA, Wessling EG, et al. Clinicians' insights on emergency department boarding: an explanatory mixed methods stud…
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psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event
April 10, 2019 - Review
Supporting involved health care professionals (second victims) following an adverse health event: a literature review.
Citation Text:
Seys D, Scott SD, Wu AW, et al. Supporting involved health care professionals (second victims) following an adverse health event: a literature revi…
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psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
February 15, 2011 - Study
Classic
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Citation Text:
Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…
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psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
June 16, 2011 - Study
Classic
An intervention to decrease catheter-related bloodstream infections in the ICU.
Citation Text:
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(2…
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psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic
November 07, 2012 - Review
Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review.
Citation Text:
Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf.…
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psnet.ahrq.gov/issue/lifetime-prevalence-and-correlates-patient-perceived-medical-errors-experienced-us-ambulatory
June 09, 2021 - Study
Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study.
Citation Text:
Sundwall DN, Munger MA, Tak CR, et al. Lifetime prevalence and correlates of patient-perceived medical errors experienced in t…
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psnet.ahrq.gov/issue/engaging-hospital-patients-medication-reconciliation-process-using-tablet-computers
January 07, 2015 - Study
Engaging hospital patients in the medication reconciliation process using tablet computers.
Citation Text:
Prey JE, Polubriaginof F, Grossman L, et al. Engaging hospital patients in the medication reconciliation process using tablet computers. J Am Med Inform Assoc. 2018;25(11):146…
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psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm
March 28, 2011 - Study
Medication discrepancies in resident sign-outs and their potential to harm.
Citation Text:
Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5.
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psnet.ahrq.gov/issue/2019-novel-coronavirus-covid-19-pandemic-built-environment-considerations-reduce-transmission
January 12, 2022 - Commentary
2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission.
Citation Text:
Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. mSystems. 2020;5(2):e0024…
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psnet.ahrq.gov/issue/impact-work-schedules-senior-resident-physicians-patient-and-resident-physician-safety
May 25, 2022 - Study
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.
Citation Text:
Barger LK, Weaver MD, Sullivan JP, et al. Impact of work schedules of senior resident physicians on patient and resident physician s…
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psnet.ahrq.gov/issue/inadequate-hand-communication
April 02, 2015 - Sentinel Event Alerts
Inadequate hand-off communication.
Citation Text:
Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6.
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