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  1. psnet.ahrq.gov/issue/cardiac-arrest-during-anesthesia
    January 19, 2011 - Review Cardiac arrest during anesthesia. Citation Text: Zuercher M, Ummenhofer W. Cardiac arrest during anesthesia. Curr Opin Crit Care. 2008;14(3):269-74. doi:10.1097/MCC.0b013e3282f948cd. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
  2. psnet.ahrq.gov/issue/patient-safety-front-and-center
    November 20, 2024 - Newspaper/Magazine Article Patient safety front and center. Citation Text: Terry K. Patient safety front and center. National forces converge, strategies emerge to push the movement forward. Hospitals & health networks. 2011;85(7):38-40, 42. Copy Citation Format: Google Sch…
  3. psnet.ahrq.gov/issue/trends-adverse-events-over-time-why-are-we-not-improving
    October 02, 2019 - Commentary Trends in adverse events over time: why are we not improving? Citation Text: Shojania KG, Thomas EJ. Trends in adverse events over time: why are we not improving? BMJ Qual Saf. 2013;22(4):273-7. doi:10.1136/bmjqs-2013-001935. Copy Citation Format: DOI Google Sc…
  4. psnet.ahrq.gov/issue/hand-communication-requisite-perioperative-patient-safety
    October 19, 2022 - Commentary Hand-off communication: a requisite for perioperative patient safety. Citation Text: Amato-Vealey EJ, Barba MP, Vealey RJ. Hand-off communication: a requisite for perioperative patient safety. AORN J. 2008;88(5):763-770; quiz 771-4. Copy Citation Format: Googl…
  5. psnet.ahrq.gov/issue/when-i-saydiagnostic-error
    January 26, 2022 - Commentary When I say…diagnostic error. Citation Text: Hautz WE. When I say… diagnostic error. Med Educ. 2018. doi:10.1111/medu.13602. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation…
  6. psnet.ahrq.gov/issue/review-article-influence-psychology-and-human-factors-education-anesthesiology
    January 13, 2010 - Review Review article: the influence of psychology and human factors on education in anesthesiology. Citation Text: Glavin R, Flin R. Review article: the influence of psychology and human factors on education in anesthesiology. Can J Anaesth. 2012;59(2):151-8. doi:10.1007/s12630-011-96…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_3_Application_508.docx
    June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 3) Patient and Family Advisor Application Form Name (First and Last): Street Address: City: State: ZIP Code: Home phone: Cell phone: Email address: Preferred contact (circle one): Home phone Cell phone Email The following questions will help u…
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_3_Application_508.pdf
    June 02, 2025 - Strategy 1: Working with Patients & Families as Advisors (Tool 3) Guide to Patient and Family Engagement :: 1 Patient and Family Advisor Application Form Name (First and Last): ______________________________________________________________________________________________________________ Street Address: __…
  9. psnet.ahrq.gov/issue/can-high-tech-save-your-life
    August 07, 2024 - Newspaper/Magazine Article Wired hospitals: can high tech save your life? Citation Text: Fischman J. Wired hospitals: can high tech save your life? U.S. news & world report. 2005;139(4):44-5, 49-50, 52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…
  10. psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
    July 19, 2018 - Newspaper/Magazine Article High reliability: excellent care every time. Citation Text: Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
  11. www.ahrq.gov/cahps/surveys-guidance/helpful-resources/analysis/index.html
    July 01, 2025 - Analyzing CAHPS Survey Data Users of CAHPS surveys may take a few different approaches to analyzing their data to generate results that can be reported to healthcare providers, administrators, and consumers. The CAHPS team supports users in conducting their analyses of the closed-ended surveys by developing and…
  12. www.ahrq.gov/news/newsroom/case-studies/201802.html
    August 01, 2018 - Connecticut Hospital Reduces Pressure Injuries Using AHRQ Toolkit Search All Impact Case Studies May 2018 Saint Francis Hospital and Medical Center, a 617-bed hospital in Hartford, CT, reduced hospital-acquired pressure injuries by more than 60 percent using an AHRQ toolkit. Preventing Pressure Ulcers in H…
  13. psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals
    December 09, 2009 - Fact Sheet/FAQs Classic 10 Patient Safety Tips for Hospitals. Citation Text: 10 Patient Safety Tips for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10-M008. Copy Citation Save …
  14. psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd-edition
    May 06, 2016 - Book/Report Classic Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition. Citation Text: Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition. Spath PL, ed. San Francisco, CA: Jo…
  15. psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
    November 10, 2017 - Book/Report Classic Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. Citation Text: Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. Dekker S. Boca Raton, FL: CRC Press; 2017. ISBN: 978147…
  16. www.ahrq.gov/diagnostic-safety/research/index.html
    November 01, 2024 - Research on Diagnostic Safety and Quality Since 2007, AHRQ has invested in research to discover findings that advance the knowledge of diagnostic safety and to develop practical tools and resources to improve diagnostic safety. AHRQ funds research to better understand how diagnostic errors happen and what can b…
  17. psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
    March 03, 2021 - Commentary Classic Leading change: why transformation efforts fail. Citation Text: Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Copy Citation Save Save to your library …
  18. psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicine-lessons-future-insights-past
    April 27, 2022 - Review Patient safety and acute care medicine: lessons for the future, insights from the past. Citation Text: Brindley PG. Patient safety and acute care medicine: lessons for the future, insights from the past. Crit Care. 2010;14(2):217. doi:10.1186/cc8858. Copy Citation Format: …
  19. digital.ahrq.gov/principal-investigator/gisondi-michael
    January 01, 2024 - Gisondi, Michael A. 2023 Society for Academic Emergency Medicine consensus conference on precision emergency medicine: Development of a policy-relevant, patient-centered research agenda. Citation Strehlow M, Gisondi MA, Caretta-Weyer H, Ankel F, Brackett A, Brar P, Chan TM, Ga…
  20. psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-blue-through-daily-operations
    October 09, 2013 - Book/Report High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. Citation Text: High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. van Stralen D, Byrum SL, Inozu B. Nor…