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psnet.ahrq.gov/issue/are-hospitals-med-safety-standard-slump
November 21, 2018 - Newspaper/Magazine Article
Are hospitals in a med safety standard slump?
Citation Text:
Are hospitals in a med safety standard slump? Wild D. Pharmacy Practice News. September 8, 2014.
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psnet.ahrq.gov/issue/shared-mdis-can-cross-contamination-be-avoided
May 03, 2023 - Newspaper/Magazine Article
Shared MDIs: can cross-contamination be avoided?
Citation Text:
Shared MDIs: can cross-contamination be avoided? ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.
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psnet.ahrq.gov/issue/why-admitting-mistakes-can-help-doctors-and-patients
September 13, 2023 - Audiovisual Presentation
Why admitting to mistakes can help doctors (and patients).
Citation Text:
Why admitting to mistakes can help doctors (and patients). McDonald T. TEDxSanDiego. September 23, 2023.
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digital.ahrq.gov/emerging-lessons
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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digital.ahrq.gov/events/national-web-conference-health-it-enabled-quality-measurement
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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digital.ahrq.gov/icd
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/recommendedinfectionprev-components.pdf
June 02, 2025 - Recommended Infection Prevention Components of Quality Assessment and Performance Improvement
Recommended Infection Prevention Components of Quality Assessment
and Performance Improvement
The facility quality assessment and performance improvement program should implement ongoing and effective
processes to …
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psnet.ahrq.gov/issue/medication-management-detailed-use-case
June 29, 2016 - Book/Report
Medication Management: Detailed Use Case.
Citation Text:
Medication Management: Detailed Use Case. Washington, DC: Office of the National Coordinator for Health Information Technology, US Department of Health and Human Services; 2007.
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meps.ahrq.gov/mepsweb/about_meps/workshops_events.jsp%09
Medical Expenditure Panel Survey Workshops and Events
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psnet.ahrq.gov/issue/patients-taking-their-own-medications-while-hospital
March 14, 2012 - Newspaper/Magazine Article
Patients taking their own medications while in the hospital.
Citation Text:
Patients taking their own medications while in the hospital. PA-PSRS Patient Saf Advis. June 2012;9:50-57.
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psnet.ahrq.gov/issue/center-health-care-human-factors
July 09, 2019 - Multi-use Website
Center for Health Care Human Factors.
Citation Text:
Center for Health Care Human Factors. Armstrong Institute for Patient Safety and Quality.
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psnet.ahrq.gov/issue/clues-better-health-care-old-malpractice-lawsuits
August 17, 2016 - Newspaper/Magazine Article
Clues to better health care from old malpractice lawsuits.
Citation Text:
Clues to better health care from old malpractice lawsuits. Landro L.
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psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
September 30, 2015 - Newspaper/Magazine Article
'Alarm fatigue’ a factor in 2nd death.
Citation Text:
'Alarm fatigue’ a factor in 2nd death. Kowalczyk L. Boston Globe. September 21, 2011.
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psnet.ahrq.gov/issue/battling-obstetric-malpractice-crisis-improving-patient-safety-part-2
July 12, 2018 - Commentary
Battling the obstetric malpractice crisis: improving patient safety, part 2.
Citation Text:
Battling the obstetric malpractice crisis: improving patient safety, part 2. Bernstein PS.
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psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality-and-safety
March 09, 2016 - Special or Theme Issue
Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and Safety.
Citation Text:
Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and Safety. Healthc Pap. 2017;17:1-61.
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psnet.ahrq.gov/issue/limiting-resident-physicians-work-hours-save-lives
May 04, 2011 - Newspaper/Magazine Article
Limiting resident physicians' work hours to save lives.
Citation Text:
Limiting resident physicians' work hours to save lives. Leape L, Haskell H. Los Angeles Times. July 1, 2011.
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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting
March 14, 2023 - Newspaper/Magazine Article
Pump up the volume—tips for increasing error reporting.
Citation Text:
Pump up the volume—tips for increasing error reporting. ISMP Medication Safety Alert! Acute Care Edition. February 9, 2006;11:1-2,4.
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psnet.ahrq.gov/issue/escape-fire-designs-future-health-care
May 26, 2010 - Book/Report
Escape Fire: Designs for the Future of Health Care.
Citation Text:
Escape Fire: Designs for the Future of Health Care. Berwick DM. San Francisco, CA: John Wiley & Sons; 2004.
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psnet.ahrq.gov/issue/vanderbilt-center-patient-and-professional-advocacy
March 02, 2022 - Multi-use Website
Vanderbilt Center for Patient and Professional Advocacy.
Citation Text:
Vanderbilt Center for Patient and Professional Advocacy. 2135 Blakemore Ave, Nashville, TN 37212. Phone: (615) 343-4500
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d5_combo_gapanalysis.pdf
June 02, 2025 - Gap Analysis
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.5
Gap Analysis
What is the purpose of this tool? The purpose of the gap analysis is to provide project teams
with a format in which to do the following:
• Compare the best practices with the p…