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psnet.ahrq.gov/issue/nurses-and-doctors-sick-covid-feel-pressured-get-back-work
October 20, 2021 - Newspaper/Magazine Article
Nurses and doctors sick with COVID feel pressured to get back to work.
Citation Text:
Huetteman E. Nurses and doctors sick with COVID feel pressured to get back to work. Kaiser Health News. 2020;August 12.
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psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct
November 21, 2021 - Study
Hospital autopsy: endangered or extinct?
Citation Text:
Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601-604. doi:10.1136/jclinpath-2014-202700.
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psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
October 05, 2022 - Commentary
Patient safety in palliative care at the end of life from the perspective of complex thinking.
Citation Text:
Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Patient safety in palliative care at the end of life from the perspective of complex thinking. Healthcare (Base…
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psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case
December 07, 2022 - Study
Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students.
Citation Text:
Covin Y, Longo P, Wick N, et al. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentatio…
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psnet.ahrq.gov/issue/chemotherapeutic-errors-hospitalised-cancer-patients-attributable-damage-and-extra-costs
May 04, 2012 - Study
Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs.
Citation Text:
Ranchon F, Salles G, Späth H-M, et al. Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. BMC Cancer. 2011;11:478. doi:10.1186/1…
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psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery
August 02, 2015 - Study
Classic
Variation in hospital mortality associated with inpatient surgery.
Citation Text:
Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa090304…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/2_Linda_Sparks_slides_24-36.pdf
October 08, 2013 - Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement
Using the 12-Month
CG-CAHPS Survey
for Service
Improvement
October 8, 2013
Dean Clinic
A member of SSM Healthcare
Dean is one of the largest integrated healthcare delivery
systems in the country.
Established in 1904 and headqu…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T8-Sample_Antibiogram_Phase_2.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 2
Sample Antibiogram
Nursing Home Name/Clinical Laboratory Name
Antibiogram for dd/mm/yyyy to dd/mm/yyyy
Gram Negative
Gram Positive
Antibiotic Tested
Escherichia coli
Klebsiella pneumoniae
Proteus mirabilis
Pseudomonas aeruginosa
Staphylococcus aureus
Non…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-a-cpqsc-hospitals.pdf
June 02, 2025 - Section 6-A, CPQSC Participating Hospitals
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-a-cpqsc-participating-hospitals.pdf
June 02, 2025 - Section 6-A, CPQSC Participating Hospitals
…
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psnet.ahrq.gov/issue/strategies-learning-failure
September 25, 2024 - Commentary
Classic
Strategies for learning from failure.
Citation Text:
Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/index.html
May 01, 2018 - Chartbook for Hispanic Health Care
Next Page
Table of Contents
Chartbook for Hispanic Health Care
Acknowledgments
Health Care For Hispanics
National Quality Strategy Priorities: Patient Safety
National Quality Strategy Priority: Healthy Living
Part 1: Overviews of the Report and the Hispanic…
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psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
April 24, 2018 - Review
The patient is in: patient involvement strategies for diagnostic error mitigation.
Citation Text:
McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-a-participating-hospitals.pdf
June 02, 2025 - CPQSC Participating Hospitals
…
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www.ahrq.gov/news/newsroom/case-studies/202501.html
January 01, 2025 - Henry Ford Hospital Unit Lowers C. diff Infections by 90 Percent Using AHRQ Safety Program
Search All Impact Case Studies
January 2025
Using AHRQ’s Comprehensive Unit-based Safety Program (CUSP ), Henry Ford Hospital in Detroit reduced the incidence of Clostridioides difficile (C. diff) infections in its…
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psnet.ahrq.gov/submit-case-landing
March 25, 2025 - Breadcrumb
Home
Training and Education
WebM&M: Case Studies
WebM&M Case Submission
PSNet is looking for interesting, provocative cases that illustrate key issues in patient safety such as medication errors, diagnostic errors, and adverse events that either had the potential …
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psnet.ahrq.gov/issue/enhancing-pediatric-safety-using-simulation-assess-radiology-resident-preparedness
July 08, 2009 - Study
Enhancing pediatric safety: using simulation to assess radiology resident preparedness for anaphylaxis from intravenous contrast media.
Citation Text:
Gaca AM, Frush DP, Hohenhaus SM, et al. Enhancing pediatric safety: using simulation to assess radiology resident preparedness for …
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digital.ahrq.gov/sites/default/files/docs/survey/measuring-clinical-quality-provider.pdf
June 16, 2021 - Using Data for Measuring Clinical Quality: Provider Attitudes and Experience
Using Data for Measuring Clinical Quality: Provider Attitudes and Experience
New York City Department of Health and Mental Hygiene, New York NY
This is an interview guide designed to be conducted with physicians in an ambulatory
setting. …
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psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-centers-disease
December 21, 2022 - Press Release/Announcement
Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention.
Citation Text:
Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control …
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psnet.ahrq.gov/issue/diagnostic-time-out-improve-differential-diagnosis-pediatric-abdominal-pain
February 10, 2021 - Study
A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain.
Citation Text:
Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-…