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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.
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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.
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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.
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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.
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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.
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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…
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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…
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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: __…
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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.
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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.
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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…
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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…
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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.
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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…
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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…
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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…
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psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
March 03, 2021 - Commentary
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Leading change: why transformation efforts fail.
Citation Text:
Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
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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.
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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…
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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…