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psnet.ahrq.gov/node/60347/psn-pdf
January 01, 2021 - Patient safety education 20 years after the Institute of
Medicine report: results from a cross-sectional national
survey.
May 20, 2020
Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report:
results from a cross-sectional national survey. J Patient Saf. 2021;17(…
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psnet.ahrq.gov/node/73698/psn-pdf
September 15, 2021 - Effect of a mobile app on prehospital medication errors
during simulated pediatric resuscitation: a randomized
clinical trial.
September 15, 2021
Siebert JN, Bloudeau L, Combescure C, et al. Effect of a mobile app on prehospital medication errors
during simulated pediatric resuscitation: a randomized clinical tria…
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psnet.ahrq.gov/node/47178/psn-pdf
July 10, 2018 - Defining, estimating, and communicating overdiagnosis
in cancer screening.
July 10, 2018
Davies L, Petitti DB, Martin L, et al. Defining, estimating, and communicating overdiagnosis in cancer
screening. Ann Intern Med. 2018;169(1):36-43. doi:10.7326/M18-0694.
https://psnet.ahrq.gov/issue/defining-estimating-and-co…
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psnet.ahrq.gov/node/35424/psn-pdf
April 09, 2013 - Clinical impact and frequency of anatomic pathology
errors in cancer diagnoses.
April 9, 2013
Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in
cancer diagnoses. Cancer. 2005;104(10):2205-13.
https://psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-p…
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psnet.ahrq.gov/node/42473/psn-pdf
August 13, 2013 - Surgical technology and operating-room safety failures: a
systematic review of quantitative studies.
August 13, 2013
Weerakkody RA, Cheshire NJ, Riga C, et al. Surgical technology and operating-room safety failures: a
systematic review of quantitative studies. BMJ Qual Saf. 2013;22(9):710-8. doi:10.1136/bmjqs-2012-…
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psnet.ahrq.gov/node/38489/psn-pdf
November 25, 2009 - Evaluation of the contributions of an electronic web-
based reporting system: enabling action.
November 25, 2009
Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based
reporting system: enabling action. J Patient Saf. 2009;52(1):9-15. doi:10.1097/PTS.0b013e318198dc8…
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psnet.ahrq.gov/node/43258/psn-pdf
May 01, 2015 - Interventions employed to improve intrahospital
handover: a systematic review.
May 1, 2015
Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a
systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309.
https://psnet.ahrq.gov/issue/interventions-…
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psnet.ahrq.gov/node/39581/psn-pdf
January 03, 2017 - An implementation strategy for a multicenter pediatric
rapid response system in Ontario.
January 3, 2017
Buist MD, Shearer W. Rapid Response Systems: A Mandatory System of Care or an Optional Extra for
Bedside Clinical Staff? The Joint Commission Journal on Quality and Patient Safety. 2016;36(6).
doi:10.1016/s1553…
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psnet.ahrq.gov/node/840484/psn-pdf
November 30, 2022 - Interdisciplinary collaboration across secondary and
primary care to improve medication safety in the elderly
(The IMMENSE study) - a randomized controlled trial.
November 30, 2022
Johansen JS, Halvorsen KH, Svendsen K, et al. Interdisciplinary collaboration across secondary and
primary care to improve medication …
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psnet.ahrq.gov/node/45802/psn-pdf
December 12, 2018 - Intravenous smart pump drug library compliance: a
descriptive study of 44 hospitals.
December 12, 2018
Giuliano KK, Su W-T, Degnan DD, et al. Intravenous Smart Pump Drug Library Compliance: A Descriptive
Study of 44 Hospitals. J Patient Saf. 2018;14(4):e76-e82. doi:10.1097/PTS.0000000000000383.
https://psnet.ahrq.…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-written-statement.pdf
June 02, 2025 - Intellectual Property Rights Statement
Intellectual Property Rights Statement
Re: Measure Number 0144: Children with Disabilities Algorithm (CWDA)
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
Quali…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
July 01, 2023 - Board Checklist
AHRQ Safety Program for Perinatal Care
Who should use this tool: Senior leaders
Checklist Items
Leader Responsible
Date Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safety and teamwork c…
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www.ahrq.gov/talkingquality/translate/compare/choose/top-performers.html
March 01, 2016 - Comparing Quality Scores to the Top 10 or 20 Percent
This approach is very similar to comparing each entity’s scores to the highest possible performance. Once again, you have to decide whether you will only consider the performance within your own community, or also consider performance from entities in other…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085writtenstatement.pdf
June 02, 2025 - 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 Excellence grant number U18 HS020498-01. AHRQ, in accordance to CHIPRA
42 U.S.C. Section 1139A(b), an…
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www.ahrq.gov/funding/index.html
Funding & Grants
Research Training & Education
AHRQ-sponsored training opportunities
AHRQ Grants by State
Searchable database of AHRQ Grants
…
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psnet.ahrq.gov/node/866310/psn-pdf
July 17, 2024 - A symptom-checker for adult patients visiting an
interdisciplinary emergency care center and the safety of
patient self-triage: real-life prospective evaluation.
July 17, 2024
Meer A, Rahm P, Schwendinger M, et al. A symptom-checker for adult patients visiting an interdisciplinary
emergency care center and the saf…
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psnet.ahrq.gov/node/45233/psn-pdf
September 07, 2016 - Program director perceptions of surgical resident training
and patient care under flexible duty hour requirements.
September 7, 2016
Saadat L, Dahlke AR, Rajaram R, et al. Program Director Perceptions of Surgical Resident Training and
Patient Care under Flexible Duty Hour Requirements. J Am Coll Surg. 2016;222(6):1…
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www.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
March 01, 2021 - AHRQ Quality and Safety Review System (QSRS)
Mission
AHRQ has developed and tested an improved patient safety surveillance system to replace the Medicare Patient Safety Monitoring System (MPSMS). The new system is known as the Quality and Safety Review System (QSRS). The QSRS relies on clinical information re…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/boardchecklist.doc
June 02, 2025 - Checklist Items
Leader Responsible
Date
Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safety and teamwork climate using valid measures.
3. Set expectation for unit-level culture assessment.
4. Require at least a 60 percent participation…
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www.ahrq.gov/hai/cusp/toolkit/board-checklist.html
December 01, 2012 - Board Checklist
CUSP Toolkit
Who should use this tool? Senior leaders.
Checklist items
Leader Responsible
Date Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safety and teamwork climate using valid measures.
…