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psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
March 14, 2022 - Commentary
Building a culture of safety in ophthalmology.
Citation Text:
Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019.
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psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
November 16, 2022 - Commentary
Eliminating perioperative adverse events at Ascension Health.
Citation Text:
Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66.
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psnet.ahrq.gov/issue/human-factors-engineering-patient-safety
September 13, 2017 - Commentary
Human factors engineering in patient safety.
Citation Text:
Weinger MB, Gaba DM. Human factors engineering in patient safety. Anesthesiology. 2014;120(4):801-6. doi:10.1097/ALN.0000000000000144.
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psnet.ahrq.gov/issue/international-advocacy-education-and-safety
August 04, 2021 - Review
International advocacy for education and safety.
Citation Text:
McQueen KA, Malviya S, Gathuya ZN, et al. International advocacy for education and safety. Paediatr Anaesth. 2012;22(10):962-8. doi:10.1111/pan.12008.
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
December 01, 2017 - Designing a Scorecard for Sustainability: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Sustainability
Designing a Scorecard for Sustainability
Slide 2: Learning Objectives
After this session, you will be able to–
Assess objectively your unit’s curre…
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psnet.ahrq.gov/issue/health-information-technology-and-hospital-patient-safety-conceptual-model-guide-research
December 17, 2009 - Study
Health information technology and hospital patient safety: a conceptual model to guide research.
Citation Text:
Paez K, Roper RA, Andrews RM. Health information technology and hospital patient safety: a conceptual model to guide research. Jt Comm J Qual Patient Saf. 2013;39(9):41…
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psnet.ahrq.gov/issue/overuse-medical-imaging-and-its-radiation-exposure-whos-minding-our-children
August 04, 2021 - Commentary
Overuse of medical imaging and its radiation exposure: who’s minding our children?
Citation Text:
Schroeder AR, Duncan JR. Overuse of Medical Imaging and Its Radiation Exposure: Who's Minding Our Children? JAMA Pediatr. 2016;170(11):1037-1038. doi:10.1001/jamapediatrics.2016.2…
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psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-patient-outcomes-systematic-review
March 11, 2020 - Review
The relationship between patient safety culture and patient outcomes: a systematic review.
Citation Text:
DiCuccio MH. The Relationship Between Patient Safety Culture and Patient Outcomes: A Systematic Review. J Patient Saf. 2015;11(3):135-42. doi:10.1097/PTS.0000000000000058.
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psnet.ahrq.gov/issue/medical-errors-neurosurgery
February 14, 2018 - Review
Medical errors in neurosurgery.
Citation Text:
Rolston JD, Zygourakis CC, Han SJ, et al. Medical errors in neurosurgery. Surg Neurol Int. 2014;5(Suppl 10):S435-40. doi:10.4103/2152-7806.142777.
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psnet.ahrq.gov/issue/design-and-implementation-point-care-computerized-system-drug-therapy-stockholm-metropolitan
October 21, 2010 - Commentary
Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice.
Citation Text:
SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care…
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psnet.ahrq.gov/issue/reducing-medication-errors-using-applied-technology
January 07, 2011 - Commentary
Reducing medication errors by using applied technology.
Citation Text:
Caesar BR, Hutchinson B. Reducing medication errors by using applied technology. Nursing (Brux). 2006;36(8):24-25.
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psnet.ahrq.gov/issue/iv-medication-safety-software-implementation-multihospital-health-system
October 17, 2018 - Commentary
IV medication safety software implementation in a multihospital health system.
Citation Text:
Cassano AT. IV Medication Safety Software Implementation in a Multihospital Health System. Hosp Pharm. 2010;41(2):151-156. doi:10.1310/hpj4102-151.
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psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
August 30, 2023 - Commentary
The morbidity and mortality meeting: time for a different approach?
Citation Text:
Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-8. doi:10.1136/archdischild-2015-309536.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 17C: Medicaid-Only HCBS Participants
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators for…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 17B: Dually Eligible HCBS Participants
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators f…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 17D: Intellectual/Developmental Disabilities Subpopulation
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
…
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psnet.ahrq.gov/issue/new-legal-protections-reporting-patient-errors-under-patient-safety-and-quality-improvement
November 16, 2022 - Review
New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis.
Citation Text:
Howard J, Levy F, Mareiniss DP, et al. New legal protections for reporting patient errors under the Patient Sa…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 17A: National HCBS Population
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators for the HC…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 17G: HCBS Population Age 65+
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indicators for the HCB…
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psnet.ahrq.gov/issue/medication-reconciliation-developing-and-implementing-program
August 21, 2024 - Study
Medication reconciliation: developing and implementing a program.
Citation Text:
Schwarz M, Wyskiel R. Medication Reconciliation: Developing and Implementing a Program. Crit Care Nurs Clin North Am. 2007;18(4). doi:10.1016/j.ccell.2006.09.003.
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