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psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january
November 18, 2020 - Newspaper/Magazine Article
Nowhere is safe: record number of patients contracted Covid in the hospital in January.
Citation Text:
Nowhere is safe: record number of patients contracted Covid in the hospital in January. Levy R, Vestal AJ. Politico. February 19, 2022.
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psnet.ahrq.gov/issue/business-case-patient-safety
September 28, 2010 - Review
The business case for patient safety.
Citation Text:
Hwang RW, Herndon JH. The business case for patient safety. Clin Orthop Relat Res. 2007;457:21-34.
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psnet.ahrq.gov/issue/pediatric-quality-and-safety
August 01, 2018 - Newsletter/Journal
Pediatric Quality and Safety.
Citation Text:
Pediatric Quality and Safety. Brilli RJ, McClead RE Jr, eds. Alphen aan den Rijn, The Netherlands: Wolters Kluwer. ISSN: 2472-0054.
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psnet.ahrq.gov/issue/bar-coding-patient-safety
February 12, 2020 - Commentary
Bar coding for patient safety.
Citation Text:
Wright AA, Katz IT. Bar coding for patient safety. N Engl J Med. 2005;353(4):329-31.
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www.ahrq.gov/nursing-home/materials/prevention/observational-audits.html
July 01, 2021 - Auditing Strategies to Improve Infection Prevention Processes in Nursing Homes
Nursing homes can conduct observational audits to support increased compliance with infection prevention practices, including hand hygiene and use of personal protective equipment.
Observational Audits
Observational audits occur …
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psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions
February 06, 2014 - Study
Checklists improve experts' diagnostic decisions.
Citation Text:
Sibbald M, de Bruin A, van Merrienboer JJG. Checklists improve experts' diagnostic decisions. Med Educ. 2013;47(3):301-8. doi:10.1111/medu.12080.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool3_hosp_inv.docx
June 02, 2025 - Tool 3: Hospital Inventory
Tool 3: Hospital Inventory Tool
Purpose
Readmission reduction efforts at your hospital have likely proliferated over the past several years, and many of these efforts may have developed in isolation from each other. The purpose of this tool is to prompt a comprehensive inventory of all r…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/material-guide.html
June 01, 2017 - Material Use Guide - Sustainability Module
Overview
Definition of Sustainability and its Importance in Quality Improvement
Slides 4-8
Linking Sustainability and Spread
Slides 9-10
Planning Early for Sustainability
Slides 11-12
Barriers and Solutions to Sustain…
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psnet.ahrq.gov/issue/implementation-patient-safety-rounds-childrens-hospital
October 19, 2022 - Commentary
Implementation of patient safety rounds in a children's hospital.
Citation Text:
Yee PL, Edwards ML, Dixon JL, et al. Implementation of patient safety rounds in a children's hospital. Nurs Adm Q. 2009;33(1):48-53. doi:10.1097/01.NAQ.0000343348.93537.41.
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psnet.ahrq.gov/issue/british-nurse-was-found-guilty-killing-seven-babies-did-she-do-it
July 28, 2021 - Newspaper/Magazine Article
British nurse was found guilty of killing seven babies. Did she do it?
Citation Text:
British nurse was found guilty of killing seven babies. Did she do it? Aviv R. New Yorker. May 20, 2024.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-actions.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Actions Based on Survey Results
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Table of Contents
Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
In…
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psnet.ahrq.gov/issue/understanding-human-factors-patient-safety-when-prescribing
June 15, 2022 - Newspaper/Magazine Article
Understanding human factors in patient safety when prescribing.
Citation Text:
Coon R, Holden K. Understanding human factors in patient safety when prescribing. Pharmaceutical Journal. September 2024;313(7989).
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psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety
July 14, 2010 - Commentary
Lessons from the war on cancer: the need for basic research on safety.
Citation Text:
Lessons from the war on cancer: the need for basic research on safety. Cook RI. J Patient Saf. 2005.1(1):7-8
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psnet.ahrq.gov/issue/some-health-workers-suffering-addiction-steal-drugs-meant-patients
October 28, 2020 - Audiovisual
Some health workers suffering from addiction steal drugs meant for patients.
Citation Text:
Some health workers suffering from addiction steal drugs meant for patients. Mann B. All Things Considered. National Public Radio. October 5, 2020.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/sustainability-workplan.docx
January 01, 2017 - AHRQ Safety Program for Mechanically Ventilated Patients
Annual Sustainability Work Plan
Caring for Mechanically Ventilated Patients
Year ______________ Hospital Name ________________________________________ Unit ___________________________
This Sustainability Plan template is designed to help you sustain your eff…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state2.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
2. Methods
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Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
References
Appe…
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psnet.ahrq.gov/issue/safety-climate-health-care-organizations-multidimensional-approach
October 14, 2009 - Study
Safety climate in health care organizations: a multidimensional approach.
Citation Text:
Safety climate in health care organizations: a multidimensional approach. Katz-Navon T; Naveh E; Stern Z. Academy of Management Journal. 2005;48(6):1075-1089.
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psnet.ahrq.gov/issue/patient-safety-planting-seed
February 09, 2011 - Commentary
Patient safety: planting the seed.
Citation Text:
Poe SS. Patient safety: planting the seed. J Nurs Care Qual. 2005;20(3):198-202.
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psnet.ahrq.gov/issue/returning-roots-culture-review-and-re-conceptualisation-safety-culture
December 16, 2020 - Review
Returning to the roots of culture: a review and re-conceptualisation of safety culture.
Citation Text:
Edwards JRD, Davey J, Armstrong K. Returning to the roots of culture: A review and re-conceptualisation of safety culture. Saf Sci. 2013;55. doi:10.1016/j.ssci.2013.01.004.
Co…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B8: Unsafe Behavior Worksheet
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview …