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www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
January 01, 2024 - Final Progress Report: Verbal Order Policies, Occurrence, and Perceptions
Verbal Order Policies, Occurrence, and Perceptions
Douglas S. Wakefield, PhD
Principal Investigator
Center for Health Care Quality
University of Missouri
Bonnie Wakefield, RN, PhD
Co-Investigator
Associate Research Professor
Sinclair…
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psnet.ahrq.gov/node/38667/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MC. Hosp Pharm. 2009;44(5):374-378.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-35
This monthly selection of medication error reports includes examples of drug name confusion,
communication failures, and insulin pen misuse.
https://…
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effectivehealthcare.ahrq.gov/sites/default/files/sharp_panel_1.pdf
January 01, 2010 - Sharp_p1
Slide 1: Web 2.0 Applications
and Strategies
for Marketing
and Dissemination
of AHRQ Translation Products
Adam
D. Sharp, M.D.
Chief Medical
Officer
Sermo.com
Slide 2: Untitled
Image of the home page of the Sermo.com
Web site
Source:
Eisenberg
Center Conference
Series
2010, T…
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psnet.ahrq.gov/node/41363/psn-pdf
June 19, 2012 - Checklists, safety, my culture and me.
June 19, 2012
Raghunathan K. Checklists, safety, my culture and me. BMJ Qual Saf. 2012;21(7):617-20.
doi:10.1136/bmjqs-2011-000608.
https://psnet.ahrq.gov/issue/checklists-safety-my-culture-and-me
This commentary discusses how culture affects team communication in health care…
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www.ahrq.gov/topics/provider-pharmacist.html
Topic: Provider: Pharmacist
List of AHRQ content related to pharmacists and other pharmacy providers.
Advancing Pharmacy Health Literacy Practices Through Quality Improvement
AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients
…
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psnet.ahrq.gov/node/35330/psn-pdf
April 04, 2021 - "Talk About Your Medicines" Month.
April 4, 2021
BeMedWise Program at NeedyMeds, Gloucester, MA.
https://psnet.ahrq.gov/issue/talk-about-your-medicines-month
This Web site provides information and tools that support an educational campaign to encourage high-
quality communication about medication use. The annual o…
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psnet.ahrq.gov/node/42073/psn-pdf
June 12, 2019 - Acting on Concerns: Your Professional Responsibility.
June 12, 2019
Shale S; The Royal College of Surgeons of England. London, UK: RCSENG Communications; 2013.
https://psnet.ahrq.gov/issue/acting-concerns-your-professional-responsibility
This report details how clinicians can speak up and discuss concerns that may …
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psnet.ahrq.gov/node/39906/psn-pdf
July 08, 2013 - Safe Site Invasive Procedure—Non-Operating Room.
July 8, 2013
Institute for Clinical Systems Improvement.
https://psnet.ahrq.gov/issue/safe-site-invasive-procedure-non-operating-room
This protocol is designed to protect against wrong-site incidents in ambulatory care and to improve team
communication and patient e…
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psnet.ahrq.gov/node/40737/psn-pdf
January 12, 2012 - Time out for patient safety.
January 12, 2012
Meginniss A, Damian F, Falvo F. Time out for patient safety. J Emerg Nurs. 2012;38(1):51-53.
doi:10.1016/j.jen.2011.04.007.
https://psnet.ahrq.gov/issue/time-out-patient-safety
This commentary describes time-outs and explores how they can improve patient safety through…
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psnet.ahrq.gov/node/39809/psn-pdf
September 01, 2010 - Medical Errors and Safety Systems.
September 1, 2010
Pearlman MD, ed. Clin Obstet Gynecol. 2010;53(3):471-585.
https://psnet.ahrq.gov/issue/medical-errors-and-safety-systems
This special issue provides articles that discuss leadership roles, human factors, risk management, and
data collection concepts that …
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psnet.ahrq.gov/node/40888/psn-pdf
February 28, 2018 - Soaring to Success: Taking Crew Resource Management
from the Cockpit to the Nursing Unit.
February 28, 2018
Sculli GL, Sine DM. Danvers, MA: HCPro, Inc; 2011. ISBN: 9781601467836.
https://psnet.ahrq.gov/issue/soaring-success-taking-crew-resource-management-cockpit-nursing-unit
This book describes how to apply avia…
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psnet.ahrq.gov/node/35509/psn-pdf
January 17, 2025 - Patient Safety Awareness Week.
January 17, 2025
Institute for Healthcare Improvement.
https://psnet.ahrq.gov/issue/patient-safety-awareness-week
This website provides resources for promoting patient safety during Patient Safety Awareness Week,
including a webinar archive, selected readings and communication strate…
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psnet.ahrq.gov/node/36824/psn-pdf
October 03, 2017 - Department of Defense (DoD) Patient Safety Program.
October 3, 2017
US Department of Defense; DOD
https://psnet.ahrq.gov/issue/department-defense-dod-patient-safety-program
This Web site includes information on several initiatives within the US Military Health System to support its
culture of safety and reduce med…
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digital.ahrq.gov/organization/parkview-hospital-inc
January 01, 2023 - Parkview Hospital, Inc.
Peer PLUS: A Client-Centered Digital Intervention for Addressing the Needs of Individuals with Substance Use Disorder
Description
This research will culminate in a randomized controlled trial of the Peer PLUS (People Leveraging Urgent Support) mobile ap…
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digital.ahrq.gov/location/usa-fort-wayne
January 01, 2023 - USA, IN, Fort Wayne
Peer PLUS: A Client-Centered Digital Intervention for Addressing the Needs of Individuals with Substance Use Disorder
Description
This research will culminate in a randomized controlled trial of the Peer PLUS (People Leveraging Urgent Support) mobile app an…
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digital.ahrq.gov/organization/harvard-th-chan-school-public-health
January 01, 2023 - Harvard T.H. Chan School of Public Health
Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery
Description
This research will develop and evaluate the Perioperative Optimization of Senior Health (myPOSH) m…
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digital.ahrq.gov/principal-investigator/toscos-tammy-r
January 01, 2023 - Toscos, Tammy R
Peer PLUS: A Client-Centered Digital Intervention for Addressing the Needs of Individuals with Substance Use Disorder
Description
This research will culminate in a randomized controlled trial of the Peer PLUS (People Leveraging Urgent Support) mobile app and co…
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digital.ahrq.gov/principal-investigator/mclaughlin-kevin
January 01, 2023 - McLaughlin, Kevin
Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain
Description
This research examines whether remote therapeutic monitoring can improve ph…
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digital.ahrq.gov/organization/suny-downstate-medical-center
January 01, 2023 - SUNY Downstate Medical Center
Evaluating and Enhancing Health Information Technology for COVID-19 Response Workflow in a Specialized COVID-19 Hospital in a Medically Underserved Community
Description
This research will study how a safety-net hospital responds to a pandemic, sp…
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digital.ahrq.gov/location/usa-ny-brooklyn
January 01, 2023 - USA, NY, Brooklyn
Evaluating and Enhancing Health Information Technology for COVID-19 Response Workflow in a Specialized COVID-19 Hospital in a Medically Underserved Community
Description
This research will study how a safety-net hospital responds to a pandemic, specifically C…