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psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies
November 27, 2018 - Toolkit
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies.
Citation Text:
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. Oakbrook, IL: Joint Commission Resources; January 2014.
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psnet.ahrq.gov/issue/distributing-cognition-icu-handoffs-conform-grices-maxims
May 09, 2015 - Image/Poster
Distributing Cognition: ICU Handoffs Conform to Grice's Maxims.
Citation Text:
Distributing Cognition: ICU Handoffs Conform to Grice's Maxims. Brandwijk M; Nemeth C; O'Conner M; Kahana M; Cook RI
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psnet.ahrq.gov/issue/accountability-patient-safety-and-policy-reform
March 29, 2007 - Book/Report
Accountability: Patient Safety and Policy Reform.
Citation Text:
Accountability: Patient Safety and Policy Reform. Sharpe VA, ed. Washington DC: Georgetown University Press; 2004. ISBN 9781589010239.
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psnet.ahrq.gov/issue/warning-missed-patient-safety-alerts-nhs
August 30, 2023 - Newspaper/Magazine Article
Warning of missed patient safety alerts in NHS.
Citation Text:
Warning of missed patient safety alerts in NHS. Hughes J. BBC News. August 12, 2010.
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www.ahrq.gov/ncepcr/care/chronic-tool/index.html
February 01, 2017 - Integrating Chronic Care and Business Strategies in the Safety Net Toolkit
A Toolkit for Primary Care Practices and Clinics
Improving care for the chronically ill is one of the most pressing health needs of our time. To help more safety net organizations implement the Chronic Care Model effectivel…
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psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety
October 23, 2019 - Multi-use Website
AHRQ Impact Case Studies: Patient Safety.
Citation Text:
AHRQ Impact Case Studies: Patient Safety. Agency for Healthcare Research and Quality. 2019-2023.
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psnet.ahrq.gov/issue/medical-simulations-identify-potential-problems-they-can-pose-real-threat
June 23, 2009 - Newspaper/Magazine Article
Medical simulations identify potential problems before they can pose a real threat.
Citation Text:
Medical simulations identify potential problems before they can pose a real threat. Kleefeld E.
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psnet.ahrq.gov/issue/wrong-body-part-wrong-patient-surgeries-continue-despite-new-procedures
May 19, 2010 - Newspaper/Magazine Article
Wrong body part, wrong patient surgeries continue despite new procedures.
Citation Text:
Wrong body part, wrong patient surgeries continue despite new procedures. Rojas-Burke J.
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www.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy3/index.html
December 01, 2017 - Strategy 3: Nurse Bedside Shift Report
Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient and Family Engagement in Hospital Qua…
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psnet.ahrq.gov/issue/lessons-americas-safest-hospitals
November 16, 2016 - Newspaper/Magazine Article
Lessons from America's safest hospitals.
Citation Text:
Lessons from America's safest hospitals. Howard B.
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www.ahrq.gov/news/newsroom/case-studies/201613.html
September 01, 2016 - Sudan Teaching Hospitals Use AHRQ’s Patient Safety Culture Survey and TeamSTEPPS
Search All Impact Case Studies
September 2016
Two hospitals in the northeast African country of Sudan—Omdurman Teaching Hospital and the National Ribat University Hospital—are using AHRQ tools to improve patient safety.
Omdur…
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psnet.ahrq.gov/issue/simulation-based-surgical-education
August 19, 2015 - Special or Theme Issue
Simulation-based Surgical Education.
Citation Text:
Simulation-based Surgical Education. Surgery. 2015;158:1395-1440.
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psnet.ahrq.gov/issue/rx-reality-clinicians-confront-medical-gaslighting
May 29, 2024 - Audiovisual
Rx for reality: clinicians confront medical gaslighting.
Citation Text:
Rx for reality: clinicians confront medical gaslighting. Booth G, ed. Anamnesis. MedPage Today. March 1, 2024.
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www.ahrq.gov/cahps/surveys-guidance/item-sets/hp/suppl-sdm-hp-child.html
December 01, 2018 - Supplemental Items for the CAHPS Health Plan Child Survey 5.0: Shared Decisionmaking
Population version: Child
Download these items: English (Word, 30 KB)
Users of the CAHPS ® Health Plan Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets,…
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psnet.ahrq.gov/issue/4th-ed-patient-safety-essentials-health-care
November 27, 2018 - Book/Report
Patient Safety Essentials for Health Care. 5th ed.
Citation Text:
Patient Safety Essentials for Health Care. 5th ed. Oakbrook Terrace, IL: Joint Commission Resources; 2009.
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psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety-enhancing-medication
January 16, 2025 - Book/Report
AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Medication Safety.
Citation Text:
Ahrq-Funded Patient Safety Project Highlights: Improving Patient Safety By Enhancing Medication Safety. Rockville, MD: Agency for Healthcare Research and Qua…
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psnet.ahrq.gov/issue/bbc-news-wrong-guy-revealed
August 05, 2020 - Newspaper/Magazine Article
BBC News 'wrong guy' is revealed.
Citation Text:
BBC News 'wrong guy' is revealed. BBC News.
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psnet.ahrq.gov/issue/drug-error-eskenazi-hospital-killed-prominent-cancer-researcher-heres-how-it-happened
September 09, 2015 - Newspaper/Magazine Article
Drug error at Eskenazi Hospital killed prominent cancer researcher. Here's how it happened.
Citation Text:
Drug error at Eskenazi Hospital killed prominent cancer researcher. Here's how it happened. Evans T. Indianapolis Star. October 30, 2020.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthsystem-key-drive-diagram.pdf
June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health System - Key Driver Diagram
Transcranial Doppler Screening for Children with Sickle Cell Anemia
Health System - Key Driver Diagram
Key Drivers
Strategies Global
Aim
To reduce the
incidence of
stroke in …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/jit-chg-cloth-iodophor.pdf
March 01, 2022 - Just in Time Training: Chlorhexidine Cloth Bathing or Showering Plus Nasal Iodophor
AHRQ Pub. No. 20(22)-0036
March 2022
Decolonization of Non-ICU Patients With Devices
Section 11-3 – Just in Time Training:
Chlorhexidine Cloth Bathing or Showering Plus Nasal Iodophor
What Is Targeted Decolonization?
Our …