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psnet.ahrq.gov/issue/hospital-better-responses-those-beeping-alarms
August 17, 2016 - Newspaper/Magazine Article
At the hospital, better responses to those beeping alarms.
Citation Text:
At the hospital, better responses to those beeping alarms. Landro L. Wall Street Journal. January 4, 2016.
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psnet.ahrq.gov/issue/electronic-medicine-can-send-you-test-results-quickly-what-if-theyre-scary
March 13, 2013 - Newspaper/Magazine Article
Electronic medicine can send you test results quickly. But what if they're scary?
Citation Text:
Electronic medicine can send you test results quickly. But what if they're scary? Boodman SG. Washington Post. March 26, 2018.
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psnet.ahrq.gov/issue/rise-patient-safety-organizations
September 29, 2017 - Newspaper/Magazine Article
The rise of patient safety organizations.
Citation Text:
The rise of patient safety organizations. Ivill DS, Kearbey AH. New York Law J. November 2, 2009.
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psnet.ahrq.gov/issue/opioid-crisis-can-improving-diagnosis-help-solve-problem
February 25, 2019 - Newspaper/Magazine Article
The opioid crisis: can improving diagnosis help solve the problem?
Citation Text:
The opioid crisis: can improving diagnosis help solve the problem? Carr S. ImproveDx. April 2017;4:1-4.
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psnet.ahrq.gov/issue/diagnostic-strategy-covid-19-pandemic-bench-bedside-blueprint-policymakers
April 17, 2025 - Meeting/Conference Proceedings
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers.
Citation Text:
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint for Policymakers. Armstrong Institute for Patient Safety and Quality…
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psnet.ahrq.gov/issue/your-patient-ready-go-home
November 08, 2023 - Newspaper/Magazine Article
Is your patient ready to go home?
Citation Text:
Hoenig LJ. Is your patient ready to go home? Medical economics. 2006;83(11):45-6.
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psnet.ahrq.gov/issue/when-i-follow-i-dont-give
May 15, 2024 - Newspaper/Magazine Article
When I follow up, I don't give up.
Citation Text:
Roy PJ. When I follow up, I don't give up. Medical economics. 2006;83(15):68-9.
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psnet.ahrq.gov/issue/selecting-quality-and-resource-use-measures-decision-guide-community-quality-collaboratives
November 17, 2010 - Government Resource
Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives.
Citation Text:
Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. Romano PS, Hussey P, Ritley D. Rockville, MD:…
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psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records
August 12, 2020 - Book/Report
Effective Reporting Could Improve Safe Use of Electronic Health Records.
Citation Text:
Effective Reporting Could Improve Safe Use of Electronic Health Records. Philadelphia, PA: Pew Charitable Trusts; March 2020.
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psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
January 30, 2003 - Book/Report
Classic
Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans.
Citation Text:
Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. Gibson R, Singh JP. Was…
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psnet.ahrq.gov/issue/err-human-need-trauma-support-too
December 21, 2018 - Commentary
To err is human; the need for trauma support is, too.
Citation Text:
To err is human; the need for trauma support is, too. Kenney LK, van Pelt RA. Patient Safety Quality Healthcare. January/February 2005.
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psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis
December 17, 2008 - Grant Recipient
Request for proposals for clinical quality measures to improve diagnosis.
Citation Text:
Request for proposals for clinical quality measures to improve diagnosis. Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.
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psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays
May 15, 2024 - Special or Theme Issue
Understanding And Addressing Pre-Hospital Diagnostic Delays.
Citation Text:
Understanding And Addressing Pre-Hospital Diagnostic Delays. Health Affairs Forefront; May-September 2023.
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psnet.ahrq.gov/issue/implementing-rapid-response-team
June 30, 2011 - Commentary
Implementing a rapid response team.
Citation Text:
Durkin SE. Implementing a rapid response team. Am J Nurs. 2006;106(10):50-53.
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psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
June 01, 2022 - Newspaper/Magazine Article
Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's.
Citation Text:
Anesthesiologist group says hospitals can prevent fatal errors like Vanderbilt's. Clark C. MedPage Today. June 2, 2022
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety
November 27, 2018 - Book/Report
Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety.
Citation Text:
Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety. Oakbrook Terrace, IL: Joint Commission.
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www.ahrq.gov/news/newsroom/case-studies/201807.html
November 01, 2018 - California Hospital Reduced Infections, Improved Diabetes Care with AHRQ Safety Program
Search All Impact Case Studies
November 2018
Tri-City Medical Center, a 388-bed hospital in Oceanside, California, reduced central line-associated bloodstream infections (CLABSIs) by 33 percent and improved the on-time d…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
June 02, 2025 - Observing Patient Care Rounds
Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentinel events. Communication among disciplines can be improved if viewed through the eyes of an objective observer.
What are obser…
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psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
July 13, 2022 - Book/Report
Nebraska Coalition for Patient Safety Annual Report.
Citation Text:
Nebraska Coalition for Patient Safety Annual Report. Omaha, NE: Nebraska Coalition for Patient Safety; 2022.
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psnet.ahrq.gov/issue/reducing-risk-designing-safer-shame-free-health-care-environment
September 29, 2017 - Book/Report
Reducing the Risk by Designing a Safer, Shame-free Health Care Environment.
Citation Text:
Reducing the Risk by Designing a Safer, Shame-free Health Care Environment. Abrams MA, Hung LL, Kashuba AB, et al. Chicago, IL: American Medical Association; 2007.
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