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psnet.ahrq.gov/node/42502/psn-pdf
October 07, 2013 - Patient safety in the cardiac operating room: human
factors and teamwork: a scientific statement from the
American Heart Association.
October 7, 2013
Wahr JA, Prager RL, Abernathy JH, et al. Patient Safety in the Cardiac Operating Room: Human Factors
and Teamwork. Circulation. 2013;128(10):1139-1169. doi:10.1161/c…
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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/45437/psn-pdf
September 01, 2018 - Decreasing malpractice claims by reducing preventable
perinatal harm.
September 1, 2018
Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal
Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551.
https://psnet.ahrq.gov/issue/decreasing-malpr…
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psnet.ahrq.gov/node/44081/psn-pdf
April 22, 2015 - Accuracy of harm scores entered into an event reporting
system.
April 22, 2015
Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting
system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188.
https://psnet.ahrq.gov/issue/accuracy-harm-scores-entere…
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psnet.ahrq.gov/node/845631/psn-pdf
March 08, 2023 - Evaluation of policies limiting opioid exposure on opioid
prescribing and patient pain in opioid-naive patients
undergoing elective surgery in a large American health
system.
March 8, 2023
Rennert L, Howard KA, Walker KB, et al. Evaluation of policies limiting opioid exposure on opioid
prescribing and patient pai…
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psnet.ahrq.gov/node/867335/psn-pdf
December 11, 2024 - Comparing safety, performance and user perceptions of a
patient-specific indication-based prescribing tool with
current practice: a mixed methods randomised user
testing study.
December 11, 2024
Feather C, Clarke J, Appelbaum N, et al. Comparing safety, performance and user perceptions of a patient-
specific indi…
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psnet.ahrq.gov/node/72791/psn-pdf
March 03, 2021 - National and institutional trends in adverse events over
time: a systematic review and meta-analysis of
longitudinal retrospective patient record review studies.
March 3, 2021
Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a
systematic review and meta-analysis of…
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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/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-9.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.9. Lean Project Activities
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospit…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix E
Gap Analysis Report Template
The purpose of the Gap Analysis report is to call attention to common themes among the groups, as well as variations among the groups in their perceptions and degree of commitment to CANDOR principles. Findings should be used for target…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
July 01, 2023 - CEO/Senior Leader Checklist
AHRQ Safety Program for Perinatal Care
Who should use this tool: Senior leaders
Checklist Items
Leader Responsible
Date Initiated
1. Ensure all current and new employees receive Science of Safety training.
2. Assign a senior executive (C…
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www.ahrq.gov/talkingquality/translate/compare/choose/average.html
March 01, 2016 - Comparing Quality Scores to a State or National Average
Another strategy is to compare each entity’s performance to a group of providers larger than the one included in your report, typically either a State or National average. Many reports include both the “local” average as well as a State and/or National a…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section6.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Sustainability
Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices and Complications
Examples of P…
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www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Materials_Written-Statement.pdf
June 02, 2025 - Written Statement for BMI Assessment
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 Ce…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082written.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/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084written.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…