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psnet.ahrq.gov/issue/2010-john-m-eisenberg-patient-safety-and-quality-award-recipients
May 28, 2014 - Press Release/Announcement
2010 John M. Eisenberg Patient Safety and Quality Award Recipients.
Citation Text:
2010 John M. Eisenberg Patient Safety and Quality Award Recipients. Joint Commission. January 12, 2011.
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psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs
March 04, 2010 - Book/Report
Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS.
Citation Text:
Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. London UK: Patient Safety Learning: 2022.
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www.ahrq.gov/research/findings/final-reports/stpra/index.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
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Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA Development
Chapter 3. Risk-Informed Int…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication2.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
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Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. …
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psnet.ahrq.gov/issue/health-care-industry-needs-be-more-honest-about-medical-errors
February 06, 2019 - Newspaper/Magazine Article
The health care industry needs to be more honest about medical errors.
Citation Text:
The health care industry needs to be more honest about medical errors. Sutcliffe K. Time Magazine. November 5, 2019.
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psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse
February 17, 2021 - Newspaper/Magazine Article
Ensuring critical instruments and devices are appropriate for reuse.
Citation Text:
Ensuring critical instruments and devices are appropriate for reuse. Quick Safety. February 14, 2022;(64):1-3.
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psnet.ahrq.gov/issue/state-science-safe-medication-administration
June 22, 2009 - Special or Theme Issue
The State of the Science on Safe Medication Administration.
Citation Text:
The State of the Science on Safe Medication Administration. Am J Nurs. 2005;105;(supp 5):2-55.
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psnet.ahrq.gov/issue/radiology-reporting-where-does-radiologists-duty-end
April 03, 2005 - Commentary
Radiology reporting—where does the radiologist's duty end?
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Radiology reporting—where does the radiologist's duty end? Garvey CJ; Connolly S.
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psnet.ahrq.gov/issue/farewell-cancer-never-was
April 12, 2011 - Commentary
Farewell to a cancer that never was.
Citation Text:
Lyon J. Farewell to a Cancer That Never Was. JAMA. 2017;317(18):1824-1825. doi:10.1001/jama.2017.3969.
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psnet.ahrq.gov/issue/2020-john-m-eisenberg-patient-safety-and-quality-awards
August 12, 2020 - Award Recipient
The 2020 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
The 2020 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2021;47(8):463-488.
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psnet.ahrq.gov/issue/managing-risk-point-care-preventing-errors
February 06, 2018 - Newspaper/Magazine Article
Managing risk at the point-of-care: preventing errors.
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Managing risk at the point-of-care: preventing errors. Njoroge S; Nichols JH.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-ed-kdd.pdf
March 10, 2021 - PQMP Asthma ED Visit Quality Metric Key Driver Diagram
PQMP Asthma ED Visit Quality Metric Key Driver Diagram
Authors: Keith Robinson, MD, FAAP; Christine Pellegrino, MS; Judy Shaw, EdD, MPH, RN, FAAP Updated 3/10/2021
SMART Aim:
Key Drivers Secondary Drivers Examples of Interventions
Reduce the # of ED
visits/…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/cousins_introslides.pdf
October 29, 2013 - Using the AHRQ Pharmacy Survey on Patient Safety Culture
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Using the AHRQ Pharmacy
Survey on Patient Safety Culture
Webinar
October 29, 2013
2:00 – 3:00 pm ET
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Join us by phone: (855) 442-5743
Conference ID #: 64446262
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psnet.ahrq.gov/issue/study-clinicians-copy-and-paste-about-half-text-ehr-progress-notes
July 13, 2022 - Newspaper/Magazine Article
Study: clinicians copy and paste about half of text in EHR progress notes.
Citation Text:
Study: clinicians copy and paste about half of text in EHR progress notes. Landi H. Healthcare Innovation. October 2, 2017.
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex518.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-18. Measure 18: Rate of patients that were ready to improve a targeted behavior
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Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinica…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex516.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-16. Measure 16: CHERL referrals to community resources
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Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinical-Community Relationships …
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-9.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Figure 9: Tips for Conducting a Patient Medication Interview
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Intro…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex514.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-14. Measure 14: Patients referred to a community health educator referral liaison (CHERL)
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Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was th…
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psnet.ahrq.gov/issue/impact-professionalism-safe-surgical-care
January 23, 2017 - Commentary
The impact of professionalism on safe surgical care.
Citation Text:
Whittemore A, Surgery NES for V. The impact of professionalism on safe surgical care. J Vasc Surg. 2007;45(2):415-9.
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex517.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-17. Measure 17: Referral rate for intensive counseling from a community program
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Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinical…