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psnet.ahrq.gov/node/837345/psn-pdf
June 08, 2022 - A checklist to address implicit bias in healthcare settings
during the COVID-19 pandemic: The PLACE Strategy.
June 8, 2022
Galiatsatos P, O'Conor KJ, Wilson C, et al. A checklist to address implicit bias in healthcare settings during
the COVID-19 pandemic: The PLACE Strategy. Health Secur. 2022;20(3):261-263.
doi:…
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psnet.ahrq.gov/node/854633/psn-pdf
October 18, 2023 - A survey of pharmacists' perception of the work
environment and patient safety in community pharmacies
during the COVID-19 pandemic.
October 18, 2023
Ljungberg Persson C, Nordén Hägg A, Södergård B. A survey of pharmacists' perception of the work
environment and patient safety in community pharmacies during the CO…
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psnet.ahrq.gov/node/866070/psn-pdf
June 05, 2024 - Large language models for preventing medication
direction errors in online pharmacies.
June 5, 2024
Pais C, Liu J, Voigt R, et al. Large language models for preventing medication direction errors in online
pharmacies. Nat Med. 2024;30(6):1574-1582. doi:10.1038/s41591-024-02933-8.
https://psnet.ahrq.gov/issue/large…
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psnet.ahrq.gov/node/60210/psn-pdf
April 08, 2020 - Patient safety and staff competence in managing
challenging behavior based on feedback from former
psychiatric patients.
April 8, 2020
Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior
based on feedback from former psychiatric patients. Perspect Psychiatr Ca…
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psnet.ahrq.gov/node/37226/psn-pdf
December 15, 2011 - Adverse drug events in pediatric outpatients.
December 15, 2011
Kaushal R, Goldmann DA, Keohane C, et al. Adverse drug events in pediatric outpatients. Ambul Pediatr.
2007;7(5):383-9.
https://psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients
The incidence of adverse drug events (ADEs) among children h…
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psnet.ahrq.gov/node/867381/psn-pdf
December 18, 2024 - Promoting medication safety for older adults upon
hospital discharge: guiding principles for a medication
discharge plan.
December 18, 2024
Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge:
guiding principles for a medication discharge plan. Br J Clin Pharm…
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psnet.ahrq.gov/node/48079/psn-pdf
June 12, 2019 - Evaluating the implementation and impact of a pharmacy
technician-supported medicines administration service
designed to reduce omitted doses in hospitals: a
qualitative study.
June 12, 2019
Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a pharmacy
technician-supported medi…
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psnet.ahrq.gov/node/41068/psn-pdf
September 29, 2017 - A review of verbal order policies in acute care hospitals.
September 29, 2017
Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt
Comm J Qual Patient Saf. 2012;38(1):24-33.
https://psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals
Verbal …
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psnet.ahrq.gov/node/74719/psn-pdf
February 02, 2022 - Failure to rescue following emergency surgery: a FRAM
analysis of the management of the deteriorating patient.
February 2, 2022
Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the
management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…
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psnet.ahrq.gov/node/837316/psn-pdf
June 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient
Safety Culture (SOPS) Diagnostic Safety Supplemental
Items.
June 1, 2022
Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; April
2022. AHRQ Publication No. 22-0027.
https://psnet.ahrq.gov/issue/2022-updated-results-a…
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psnet.ahrq.gov/node/47692/psn-pdf
May 29, 2019 - Classifying safety events related to diagnostic imaging
from a safety reporting system using a human factors
framework.
May 29, 2019
Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety
Reporting System Using a Human Factors Framework. J Am Coll Radiol. 2019;16(3):…
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psnet.ahrq.gov/node/862601/psn-pdf
February 14, 2024 - Why simulation matters: a systematic review on medical
errors occurring during simulated health care.
February 14, 2024
Bokka L, Ciuffo F, Clapper TC. Why simulation matters: a systematic review on medical errors occurring
during simulated health care. J Patient Saf. 2024;20(2):110-118. doi:10.1097/pts.000000000000…
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psnet.ahrq.gov/node/74054/psn-pdf
November 10, 2021 - Supervision, interprofessional collaboration, and patient
safety in intensive care units during the COVID-19
pandemic.
November 10, 2021
Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety
in intensive care units during the COVID-19 pandemic. ATS Sch. 2021;2(3):…
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psnet.ahrq.gov/node/866106/psn-pdf
June 12, 2024 - Artificial intelligence and healthcare: a journey through
history, present innovations, and future possibilities.
June 12, 2024
Hirani R, Noruzi K, Khuram H, et al. Artificial intelligence and healthcare: a journey through history, present
innovations, and future possibilities. Life (Basel). 2024;14(5):557. doi:10.…
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psnet.ahrq.gov/node/42954/psn-pdf
December 04, 2016 - "Please describe from your point of view a typical case of
an error in palliative care": qualitative data from an
exploratory cross-sectional survey study among palliative
care professionals.
December 4, 2016
Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a typical case of an error in pal…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/01-pt-narratives-support-px-strategy-intro.pdf
December 10, 2024 - How Patient Narratives Can Support Your Patient Experience Strategy (Webcast) - Introduction
How Patient Narratives Can Support Your
Patient Experience Strategy
A Webinar Presented by the AHRQ CAHPS User Network
Tuesday, December 10, 2024
1:00 – 2:00 pm ET
Webcast Technical Info
• Audio issues
• Poor connecti…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-rr-webcast-011124-intro.pdf
June 02, 2025 - CAHPS Program: Improving Response Rates and Representativeness - Introduction
AHRQ’s CAHPS Program: Improving Response Rates
and Representativeness—An Overview of Web-First
and Other Strategies
A Webcast Presented by the AHRQ CAHPS User Network
Thursday, January 11
1:00 – 2:00 pm ET
Webcast Technical Info
• A…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.pdf
May 01, 2014 - Sample Vignettes
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 3
Sample Procedures1
[NURSING HOME NAME]
[DATE]
Purpose and Scope
This procedure covers the use of an antibio…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/best-practices-survey-administration-webcast-intro.pdf
January 24, 2024 - Best Practices for Administering SOPS® Surveys Users (Webcast): Introduction
Best Practices for Administering
SOPS® Surveys
Webcast
January 24, 2024
1:00-2:00 PM ET
Webcast Technical Info
• Audio issues
• Poor Connection
• Use Q&A to submit questions
• Event Website: https://events.westat.com/sops
► Downlo…
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psnet.ahrq.gov/node/843079/psn-pdf
January 25, 2023 - Electronic health record use issues and diagnostic error:
a scoping review and framework.
January 25, 2023
Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping
review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/pts.0000000000001081.
https://psn…