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psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
October 21, 2016 - Government Resource
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention.
Citation Text:
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Federal Register. Washington, DC: Office of Disease…
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psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying
December 27, 2018 - Newspaper/Magazine Article
Are national efforts to reduce drug name confusion paying off?
Citation Text:
Are national efforts to reduce drug name confusion paying off? ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6.
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psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
June 29, 2016 - Book/Report
How to Identify and Address Unsafe Conditions Associated With Health IT.
Citation Text:
How to Identify and Address Unsafe Conditions Associated With Health IT. Wallace C, Zimmer KP, Possanza L, Giannini R, Solomon R. Washington, DC: Office of the National Coordinator for…
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psnet.ahrq.gov/issue/error-disclosure-pathology-and-laboratory-medicine-review-literature
July 28, 2021 - Review
Error disclosure in pathology and laboratory medicine: a review of the literature.
Citation Text:
Perkins IU. Error Disclosure in Pathology and Laboratory Medicine: A Review of the Literature. AMA J Ethics. 2016;18(8):809-16. doi:10.1001/journalofethics.2016.18.8.nlit1-1608.
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psnet.ahrq.gov/issue/nursing-management-medication-errors
November 02, 2022 - Study
Nursing management of medication errors.
Citation Text:
Luk LA, Ng WIM, Ko KKS, et al. Nursing management of medication errors. Nurs Ethics. 2008;15(1):28-39.
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psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and-improve
July 22, 2024 - Meeting/Conference Proceedings
Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety.
Citation Text:
Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety. Agency for Healthcare Research a…
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psnet.ahrq.gov/issue/role-medical-liability-reform-federal-health-care-reform
May 20, 2015 - Commentary
The role of medical liability reform in federal health care reform.
Citation Text:
Mello MM, Brennan TA. The role of medical liability reform in federal health care reform. N Engl J Med. 2009;361(1):1-3. doi:10.1056/NEJMp0903765.
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psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
March 23, 2012 - Book/Report
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care.
Citation Text:
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Washington DC: National Quality Forum; 2010.
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psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
April 21, 2021 - Newspaper/Magazine Article
Fatal mistakes: why do ten-fold medication errors in children keep happening?
Citation Text:
Fatal mistakes: why do ten-fold medication errors in children keep happening? Parry C. The Pharmaceutical Journal. April 22 2021.
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psnet.ahrq.gov/issue/workforce-and-patient-safety
February 21, 2024 - Book/Report
Workforce and Patient Safety.
Citation Text:
Workforce and Patient Safety. Dorset, UK: Health Services Safety Investigations Body; 2024.
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www.ahrq.gov/news/newsroom/case-studies/201605.html
May 01, 2016 - Blue Shield of California Foundation Uses AHRQ Guide to Reduce Hospital Readmissions
Search All Impact Case Studies
May 2016
AHRQ's Hospital Guide to Reducing Medicaid Readmissions was used by Blue Shield of California Foundation to apply evidence-based strategies that significantly cut hospital readmissi…
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psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environment
June 09, 2021 - Commentary
Implementing No Interruption Zones in the perioperative environment.
Citation Text:
Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-540. doi:10.1016/j.aorn.2016.09.018.
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psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
October 23, 2024 - Commentary
Guideline implementation: prevention of retained surgical items.
Citation Text:
Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005.
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psnet.ahrq.gov/issue/fixing-broken-bones-and-broken-homes-domestic-violence-patient-safety-issue
September 03, 2011 - Study
Fixing broken bones and broken homes: domestic violence as a patient safety issue.
Citation Text:
Cohn F, Rudman WJ. Fixing broken bones and broken homes: domestic violence as a patient safety issue. Jt Comm J Qual Saf. 2004;30(11):636-646.
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psnet.ahrq.gov/issue/disclosing-medical-errors-views-united-states-and-united-kingdom
September 23, 2020 - Commentary
Disclosing medical errors: views from the United States and the United Kingdom.
Citation Text:
Thornton JA, Harrison MJ. Letter: Duration of action of AH8165. Br J Anaesth. 1975;47(9):1033.
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psnet.ahrq.gov/issue/how-collective-design-triumphed-over-competition-fight-against-hais
February 05, 2019 - Book/Report
How Collective Design Triumphed Over Competition in the Fight Against HAIs.
Citation Text:
How Collective Design Triumphed Over Competition in the Fight Against HAIs. Wilson T. St Louis, MO; Facilities Guidelines Institute; 2020.
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psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-project-safe-falls
May 05, 2014 - Commentary
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
Citation Text:
Apold J, Quigley PA. Minnesota Hospital Association Statewide Project: SAFE from FALLS. J Nurs Care Qual. 2012;27(4):299-306. doi:10.1097/NCQ.0b013e3182599d1b.
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www.ahrq.gov/news/blog/ahrqviews/2024-academyhealth-meeting.html
July 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
Feeling Energized After Another Successful AcademyHealth Annual Research Meeting
JUL
12
2024
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
I have been contemplating the 2024 AcademyHealth Annual…
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psnet.ahrq.gov/issue/wrong-site-surgery-1
September 02, 2020 - Commentary
Wrong-site surgery.
Citation Text:
Engelhardt KE, Barnard C, Bilimoria KY. Wrong-Site Surgery. JAMA. 2017;318(20):2033-2034. doi:10.1001/jama.2017.17177.
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psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
February 11, 2015 - Commentary
Impact of a successful speaking up program on health-care worker hand hygiene behavior.
Citation Text:
Impact of a successful speaking up program on health-care worker hand hygiene behavior. Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK.
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