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4421. Longitudinal analysis of culture of patient safety survey results in surgical departments. | PSNet
      psnet.ahrq.gov/issue/longitudinal-analysis-culture-patient-safety-survey-results-surgical-departments
      October 12, 2022 - Study Longitudinal analysis of culture of patient safety survey results in surgical departments. Citation Text: Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in surgical departments. Front Health Serv. 2024;4:1419248. doi:10.33…

4422. Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/patient-reported-harm-following-cancellation-planned-surgery-danish-university-hospital-cross
      June 03, 2020 - Study Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study. Citation Text: Viftrup A, Laustsen S, Pahle ML, et al. Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-…

4423. The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations?. | PSNet
      psnet.ahrq.gov/issue/good-bad-and-ugly-what-do-we-really-do-when-we-identify-best-and-worst-organisations
      August 20, 2018 - Commentary The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations?. Citation Text: Abel GA, Agniel D, Elliott MN. The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations? BMJ Qual Saf. …

4424. Multidisciplinary approaches to reducing error and risk in a patient care setting. | PSNet
      psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting
      January 05, 2017 - Study Classic Multidisciplinary approaches to reducing error and risk in a patient care setting. Citation Text: Connor M, Ponte PR, Conway JB. Multidisciplinary approaches to reducing error and risk in a patient care setting. Crit Care Nurs Clin North Am. 2002…

4425. Cost–benefit analysis of a support program for nursing staff. | PSNet
      psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
      October 26, 2016 - Study Classic Cost–benefit analysis of a support program for nursing staff. Citation Text: Moran D, Wu AW, Connors C, et al. Cost-Benefit Analysis of a Support Program for Nursing Staff. J Patient Saf. 2020;16(4):e250-e254. doi:10.1097/pts.0000000000000376. Co…

4426. Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme. | PSNet
      psnet.ahrq.gov/issue/striving-high-reliability-healthcare-qualitative-study-implementation-hospital-safety
      July 10, 2019 - Study Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme. Citation Text: Rotteau L, Goldman J, Shojania KG, et al. Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safet…

4427. A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. | PSNet
      psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents
      August 23, 2023 - Study A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. Citation Text: Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety …

4428. Designing Digital Healthcare Technology to Support Cognitive Team Work in Pediatric Trauma Settings | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/designing-digital-healthcare-technology-support-cognitive-team
      January 01, 2023 - Designing Digital Healthcare Technology to Support Cognitive Team Work in Pediatric Trauma Settings Theme: Optimizing Care Delivery for Clinicians Subtheme: Optimizing Data Visualization to Improve Care Simple and informative graphic displays in emergency department trauma bays can streaml…

4429. Organizational learning: health care leaders need to design structures and processes that enhance collective learning. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
      November 18, 2020 - Commentary Organizational learning: health care leaders need to design structures and processes that enhance collective learning. Citation Text: Bohmer RM, Edmondson AC. Organizational learning in health care. Health Forum J. 2001;44(2):32-35. Copy Citation Format: Google…

4430. Development and evaluation of the Institute for Healthcare Improvement global trigger tool. | PSNet
      psnet.ahrq.gov/issue/development-and-evaluation-institute-healthcare-improvement-global-trigger-tool
      February 10, 2015 - Commentary Development and evaluation of the Institute for Healthcare Improvement global trigger tool. Citation Text: Classen DC, Lloyd RC, Provost LP, et al. Development and Evaluation of the Institute for Healthcare Improvement Global Trigger Tool. J Patient Saf. 2008;4(3). doi:10.10…

4431. HCUP Fast Stats Select Publications – HCUP Fast Stats Data Tools
      datatools.ahrq.gov/hcup-fast-stats/select-publications/
      January 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates Data Tools Home CAHPS HCUP …

4432. Monitor Patient Outcomes | The Academy
      integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes
      January 01, 2013 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

4433. Eliminating explicit and implicit biases in health care: evidence and research needs. | PSNet
      psnet.ahrq.gov/issue/eliminating-explicit-and-implicit-biases-health-care-evidence-and-research-needs
      May 11, 2016 - Review Eliminating explicit and implicit biases in health care: evidence and research needs. Citation Text: Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/…

4434. AHRQ Quality Indicators™ Prevention Quality Indicators (pdf file)
      qualityindicators.ahrq.gov/Downloads/Modules/PQI/V50/PQI_Brochure.pdf
      April 01, 2022 - AHRQ Quality Indicators™ Prevention Quality Indicators AHRQ Quality Indicators™ Prevention Quality Indicators Measures to help assess quality and access to health care in the community Prevention Quality Indicators— ■ …

4435. Radiologic safety events within a pediatric emergency medicine network. | PSNet
      psnet.ahrq.gov/issue/radiologic-safety-events-within-pediatric-emergency-medicine-network
      August 01, 2018 - Study Radiologic safety events within a pediatric emergency medicine network. Citation Text: Blumberg SM, Mahajan P, OʼConnell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684. Copy…

4436. Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). | PSNet
      psnet.ahrq.gov/issue/patient-safety-medical-imaging-joint-paper-european-society-radiology-esr-and-european
      September 30, 2010 - Commentary Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). Citation Text: Radiology ES of, Societies EF of R. Patient Safety in Medical Imaging: a joint paper of the European Society…

4437. Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison. | PSNet
      psnet.ahrq.gov/issue/implementing-48-h-ewtd-compliant-rota-junior-doctors-uk-does-not-compromise-patients-safety
      June 26, 2019 - Study Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison. Citation Text: Cappuccio FP, Bakewell A, Taggart FM, et al. Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not co…

4438. Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. | PSNet
      psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
      January 18, 2013 - Review Emerging Classic Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. Citation Text: Burke JR, Downey C, Almoudaris AM. Failure to rescue deteriorating patients: a systematic review of root causes and im…

4439. Persistent opioid use among pediatric patients after surgery. | PSNet
      psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-after-surgery
      January 29, 2020 - Study Classic Persistent opioid use among pediatric patients after surgery. Citation Text: Harbaugh CM, Lee JS, Hu HM, et al. Persistent Opioid Use Among Pediatric Patients After Surgery. Pediatrics. 2018;141(1):e20172439. doi:10.1542/peds.2017-2439. Copy Cita…

4440. Understanding CAHPS Surveys: A Primer for New Users - CAHPS 101 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/fry-administering.pdf
      June 02, 2025 - Understanding CAHPS Surveys: A Primer for New Users - CAHPS 101 CAHPS 101 Stephanie Fry Senior Study Director Westat 12 What is Patient Experience? Patient experience refers to what happened in a health care setting. It encompasses the range of interactions that patients have with the health care system, inc…