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psnet.ahrq.gov/issue/safer-clinical-systems-evaluation-findings
March 03, 2025 - Book/Report
Safer Clinical Systems: Evaluation Findings.
Citation Text:
Safer Clinical Systems: Evaluation Findings. Dixon-Woods M, Martin G, Tarrant C, et al. London, UK: Health Foundation; December 2014.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0004_03-11-2008.pdf
January 01, 2008 - Effective Health Care
Topic Numbers: 0060
Document Completion Date: 1-12-10
1
Results of Topic Selection Process & Next Steps
Noninvasive positive pressure ventilation (NPPV) for acute respiratory failure will go forward for
refinement as a systematic review. The scope of this topic, includ…
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psnet.ahrq.gov/issue/eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity-pregnant-and
December 23, 2016 - Sentinel Event Alerts
Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients.
Citation Text:
Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. Sentinel Event Alert. January…
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psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
June 27, 2018 - Book/Report
Measuring the Success of the Regional Medication Safety Program for Hospitals.
Citation Text:
Measuring the Success of the Regional Medication Safety Program for Hospitals. Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
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psnet.ahrq.gov/issue/disrespectful-behavior-healthcarehave-we-made-any-progress-last-decade
March 15, 2022 - Newspaper/Magazine Article
Disrespectful behavior in healthcare...have we made any progress in the last decade?
Citation Text:
Disrespectful behavior in healthcare...have we made any progress in the last decade? ISMP Medication Safety Alert! Acute Care Edition. June 27, 2013.
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psnet.ahrq.gov/issue/2018-john-m-eisenberg-patient-safety-and-quality-awards
March 20, 2019 - Special or Theme Issue
2018 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2018 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2019;45(7):461-486.
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psnet.ahrq.gov/issue/keeping-children-and-young-people-mental-health-needs-safe-design-paediatric-ward
February 21, 2024 - Book/Report
Keeping Children and Young People with Mental Health Needs Safe: the Design of the Paediatric Ward.
Citation Text:
Keeping Children and Young People with Mental Health Needs Safe: the Design of the Paediatric Ward. Dorset, UK: Health Services Safety Investigations Body; May 2…
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psnet.ahrq.gov/issue/negligence-and-ais-human-users
November 16, 2022 - Commentary
Negligence and AI's human users.
Citation Text:
Negligence and AI's human users. Selbst AD. Boston U Law Rev. 2020;100:1315-1376.
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psnet.ahrq.gov/issue/opioid-crisis-can-improving-diagnosis-help-solve-problem
February 25, 2019 - Newspaper/Magazine Article
The opioid crisis: can improving diagnosis help solve the problem?
Citation Text:
The opioid crisis: can improving diagnosis help solve the problem? Carr S. ImproveDx. April 2017;4:1-4.
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psnet.ahrq.gov/issue/plague-year-mistakes-and-struggles-behind-americas-covid-19-tragedy
September 04, 2013 - Newspaper/Magazine Article
The plague year. The mistakes and the struggles behind America’s coronavirus tragedy.
Citation Text:
The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. Wright L. New Yorker. January 4, 2021;96(463):20-59.
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psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-care
November 18, 2011 - Book/Report
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition.
Citation Text:
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute…
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psnet.ahrq.gov/issue/medical-liability-new-ideals-making-system-work-better-patients
May 18, 2011 - Congressional Testimony
Medical Liability: New Ideals for Making the System Work Better for Patients.
Citation Text:
Medical Liability: New Ideals for Making the System Work Better for Patients. Hearing before Senate Committee on Health Education Labor and Pensions (June 22, 2006).
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www.ahrq.gov/news/newsroom/case-studies/201602.html
April 01, 2016 - Novant Health Uses AHRQ Tool to Assess and Improve Patient Communications
Search All Impact Case Studies
April 2016
Winston-Salem, N.C.-based Novant Health, the nation's fifth largest medical group, used AHRQ's Patient Education Materials Assessment Tool (PEMAT) to rework its patient education materials a…
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psnet.ahrq.gov/issue/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023
August 09, 2024 - Legislation/Regulation
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023.
Citation Text:
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023. 118th Cong (2023-2024).
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psnet.ahrq.gov/issue/screen-flashes-and-pop-reminders-alert-fatigue-spreads-through-medicine
August 05, 2015 - Newspaper/Magazine Article
Screen flashes and pop-up reminders: 'alert fatigue' spreads through medicine.
Citation Text:
Screen flashes and pop-up reminders: 'alert fatigue' spreads through medicine. Luthra S. Kaiser Health News. June 15, 2016.
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psnet.ahrq.gov/issue/surgeons-must-tell-patients-double-booked-surgeries-new-guidelines-say
March 24, 2016 - Newspaper/Magazine Article
Surgeons must tell patients of double-booked surgeries, new guidelines say.
Citation Text:
Surgeons must tell patients of double-booked surgeries, new guidelines say. Abelson J, Staltzman J. Boston Globe. April 13, 2016.
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psnet.ahrq.gov/issue/california-pharmacies-are-making-millions-mistakes-theyre-fighting-keep-secret
October 14, 2020 - Newspaper/Magazine Article
California pharmacies are making millions of mistakes. They’re fighting to keep that secret.
Citation Text:
California pharmacies are making millions of mistakes. They’re fighting to keep that secret. Peterson M. Los Angeles Times. September 5, 2023.
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psnet.ahrq.gov/issue/dont-abandon-second-victims-medical-errors
September 26, 2017 - Commentary
Don't abandon the "second victims" of medical errors.
Citation Text:
Smetzer JL. Don't abandon the "second victims" of medical errors. Nursing (Brux). 2012;42(2):54-8. doi:10.1097/01.NURSE.0000410310.38734.e0.
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psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records
August 12, 2020 - Book/Report
Effective Reporting Could Improve Safe Use of Electronic Health Records.
Citation Text:
Effective Reporting Could Improve Safe Use of Electronic Health Records. Philadelphia, PA: Pew Charitable Trusts; March 2020.
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psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm
September 09, 2015 - Book/Report
The Report of the Short Life Working Group on Reducing Medication-related Harm.
Citation Text:
The Report of the Short Life Working Group on Reducing Medication-related Harm. Department of Health and Social Care. London, England: Crown Publishing; February 2018.
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