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hcup-us.ahrq.gov/reports/factsandfigures/figures/2006/2006_3_1b.jsp
January 01, 2006 - Exhibit 3.1 Most Frequent All-listed Procedures
Number of Stays with the Most Frequent All-listed Maternal and Newborn Procedures, 1997-2006
Discharges in Thousands
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
Repair of obstetric laceration
1,137
1,145
1,175 …
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psnet.ahrq.gov/node/850343/psn-pdf
December 12, 2023 - Challenge Competition: Impact of Patient Safety Tools.
December 12, 2023
Rockville, MD: Agency for Healthcare Research and Quality; 2023.
https://psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
The Agency for Healthcare Research and Quality (AHRQ) offers many practical tools and resource…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide201.html
October 01, 2014 - 201. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Children and Adolescents
Recommendation: Clinicians should ask pediatric and adolescent patients about tobacco use and provide a strong message regarding the impor…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide30.html
October 01, 2014 - 30. Adolescent Smokers (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Children and Adolescents:
Recommendation: Clinicians should ask pediatric and adolescent patients about tobacco use and provide a strong message regarding the importance of t…
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psnet.ahrq.gov/node/34870/psn-pdf
April 18, 2016 - Unintended medication discrepancies at the time of
hospital admission.
April 18, 2016
Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital
admission. Arch Intern Med. 2005;165(4):424-9.
https://psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospita…
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psnet.ahrq.gov/node/44955/psn-pdf
May 21, 2016 - Accuracy of the Safer Dx Instrument to identify diagnostic
errors in primary care.
May 21, 2016
Al-Mutairi A, Meyer AND, Thomas EJ, et al. Accuracy of the Safer Dx Instrument to Identify Diagnostic
Errors in Primary Care. J Gen Intern Care. 2016;31(6):602-608. doi:10.1007/s11606-016-3601-x.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/40188/psn-pdf
February 02, 2011 - Decreasing mislabeled laboratory specimens using
barcode technology and bedside printers.
February 2, 2011
Brown JE, Smith N, Sherfy BR. Decreasing mislabeled laboratory specimens using barcode technology
and bedside printers. J Nurs Care Qual. 2011;26(1):13-21. doi:10.1097/NCQ.0b013e3181e4e6dd.
https://psnet.ahrq…
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psnet.ahrq.gov/node/43820/psn-pdf
February 18, 2015 - Care of the clinician after an adverse event.
February 18, 2015
Pratt SD, Jachna BR. Care of the clinician after an adverse event. Int J Obstet Anesth. 2014;24(1):54-63.
doi:10.1016/j.ijoa.2014.10.001.
https://psnet.ahrq.gov/issue/care-clinician-after-adverse-event
Spotlighting the emotional impact adverse events …
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psnet.ahrq.gov/node/46076/psn-pdf
September 24, 2017 - The evolving story of overlapping surgery.
September 24, 2017
Mello MM, Livingston EH. The Evolving Story of Overlapping Surgery. JAMA. 2017;318(3):233-234.
doi:10.1001/jama.2017.8061.
https://psnet.ahrq.gov/issue/evolving-story-overlapping-surgery
Scheduling overlapping procedures is perceived as risky, despite l…
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psnet.ahrq.gov/node/45970/psn-pdf
March 22, 2017 - A learning health care system using computer-aided
diagnosis.
March 22, 2017
Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet
Res. 2017;19(3):e54. doi:10.2196/jmir.6663.
https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis
Although…
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www.ahrq.gov/nursing-home/resources/invest-in-trust.html
June 01, 2021 - Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs
Resource: Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs (PDF, 883.4 KB)
Invest in Trust: A Guide for Building COVID-19 Vaccine Trust Among Cert…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-SOPS_101_Webcast_2020-Intro.pdf
January 01, 2020 - Understanding SOPS Surveys: A Primer for New users - Intro
Understanding SOPS Surveys:
A Quick Primer for New Users
Webcast
December 15, 2020
1:00-1:30 PM ET
Need Help?
• No sound from computer speakers?
• Trouble with your connection or
slides not moving?
► Log out and log back in
• Other problems?
► U…
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psnet.ahrq.gov/node/46534/psn-pdf
January 31, 2018 - Safety considerations in learning new procedures: a
survey of surgeons.
January 31, 2018
Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of
surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058.
https://psnet.ahrq.gov/issue/safety-considerations-learni…
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psnet.ahrq.gov/node/836763/psn-pdf
March 16, 2022 - Maternity Pre-arrival Instructions by 999 Call Handlers.
March 16, 2022
Farnborough, UK: Healthcare Safety Investigation Branch; February 2022.
https://psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers
Pre-hospital emergency care can be vulnerable to timing, information, and task failures th…
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psnet.ahrq.gov/node/37067/psn-pdf
October 03, 2011 - Using an interactive voice response system to improve
patient safety following hospital discharge.
October 3, 2011
Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following
hospital discharge. J Eval Clin Pract. 2007;13(3):346-51.
https://psnet.ahrq.gov/issue/using-…
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psnet.ahrq.gov/node/39234/psn-pdf
January 20, 2010 - Track, trigger and teamwork: communication of
deterioration in acute medical and surgical wards.
January 20, 2010
Donohue LA, Endacott R. Track, trigger and teamwork: communication of deterioration in acute medical
and surgical wards. Intensive Crit Care Nurs. 2010;26(1):10-7. doi:10.1016/j.iccn.2009.10.006.
https…
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psnet.ahrq.gov/node/37689/psn-pdf
April 16, 2008 - Resident uncertainty in clinical decision making and
impact on patient care: a qualitative study.
April 16, 2008
Farnan JM, Johnson JK, Meltzer DO, et al. Resident uncertainty in clinical decision making and impact on
patient care: a qualitative study. Qual Saf Health Care. 2008;17(2):122-6. doi:10.1136/qshc.2007.0…
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psnet.ahrq.gov/node/45387/psn-pdf
August 15, 2016 - Preventing medication errors.
August 15, 2016
Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10.
doi:10.1016/j.gerinurse.2016.06.005.
https://psnet.ahrq.gov/issue/preventing-medication-errors
Nursing home patients are particularly vulnerable to medication errors. This commentar…
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psnet.ahrq.gov/node/34005/psn-pdf
August 17, 2017 - Medically Induced Trauma Support Services (MITSS).
August 17, 2017
Tobin WN. Patient Safety Quality Healthcare. May/June 2013.
https://psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
Medically Induced Trauma Support Services (MITSS), Inc. was a nonprofit organization that supported,
educated, …
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digital.ahrq.gov/principal-investigator/sharifi-mahnoos-h
January 01, 2023 - Sharifi, Mahnoos H.
Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review.
Citation
Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in electronic health record syste…