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psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and-finance
January 23, 2019 - Toolkit
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance.
Citation Text:
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. Institute for Healthcare Improvement, National Patient Safety Foundation. C…
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psnet.ahrq.gov/issue/common-program-requirements-learning-and-working-environment-duty-hours
November 18, 2020 - Multi-use Website
Common Program Requirements. The Learning and Working Environment (Duty Hours).
Citation Text:
Common Program Requirements. The Learning and Working Environment (Duty Hours). Accreditation Council for Graduate Medical Education.
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psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us
November 15, 2011 - Fact Sheet/FAQs
The Uneven Burden of Maternal Mortality in the U.S.
Citation Text:
The Uneven Burden of Maternal Mortality in the U.S. NIHCM Foundation. Washington DC: National Institute for Health Care Management. August 2, 2022.
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psnet.ahrq.gov/issue/woman-works-end-black-maternal-health-crisis-after-daughter-dies-after-giving-birth
May 27, 2020 - Newspaper/Magazine Article
Woman works to end Black maternal health crisis after daughter dies after giving birth.
Citation Text:
Woman works to end Black maternal health crisis after daughter dies after giving birth. Kindelan K. ABC News. April 14, 2022.
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psnet.ahrq.gov/issue/harm-caused-delays-transferring-patients-right-place-care
March 01, 2023 - Book/Report
Harm Caused by Delays in Transferring Patients to the Right Place of Care.
Citation Text:
Harm Caused by Delays in Transferring Patients to the Right Place of Care. Farnborough, UK: Healthcare Safety Investigation Branch; August 2023.
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psnet.ahrq.gov/issue/advances-patient-safety-research-implementation
December 24, 2008 - Government Resource
Classic
Advances in Patient Safety: From Research to Implementation.
Citation Text:
Advances in Patient Safety: From Research to Implementation. Henriksen K, Battles JB, Marks ES, et al, eds. Rockville, MD: Agency for Healthcare Research and …
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psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health
July 27, 2011 - Book/Report
The Future of Nursing: Leading Change, Advancing Health.
Citation Text:
The Future of Nursing: Leading Change, Advancing Health. Institute of Medicine. Washington, DC: The National Academies Press: 2011.
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psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
March 10, 2021 - Commentary
Pharmacy mixes up prescriptions.
Citation Text:
Brushwood DB. Pharmacy error leads to fatal medication mix-up. Pharmacy Today. 2017;23(12):42. doi:10.1016/j.ptdy.2017.11.012.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook
March 23, 2012 - Book/Report
Advancing Anticoagulation Stewardship: A Playbook.
Citation Text:
Advancing Anticoagulation Stewardship: A Playbook. Washington DC; National Quality Forum and Anticoagulation Forum; 2022.
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psnet.ahrq.gov/issue/follow-ismp-guidelines-safeguard-design-and-use-automated-dispensing-cabinets-adcs
May 07, 2018 - Newspaper/Magazine Article
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs).
Citation Text:
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). ISMP Medication Safety Alert! Acute Care Edition. Febr…
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psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
February 28, 2015 - Book/Report
Adverse Health Events in Minnesota: Annual Reports.
Citation Text:
Adverse Health Events in Minnesota: Annual Reports. St Paul, MN: Minnesota Department of Health.
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psnet.ahrq.gov/issue/medicare-says-it-wont-cover-hospital-errors
November 28, 2016 - Newspaper/Magazine Article
Medicare says it won't cover hospital errors.
Citation Text:
Medicare says it won't cover hospital errors. Pear R. New York Times. August 19, 2007.
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psnet.ahrq.gov/issue/final-report-ockenden-review
January 13, 2021 - Book/Report
Final Report of the Ockenden Review.
Citation Text:
Final Report of the Ockenden Review. London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294.
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - with physicians and nurses together and that regular multiprofessional case discussions with adequate documentation
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psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
January 01, 2022 - cause of postoperative sepsis; this understanding has prompted new wound
care protocols requiring documentation
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - cause of postoperative sepsis; this
understanding has prompted new wound care protocols requiring documentation
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psnet.ahrq.gov/node/49792/psn-pdf
May 01, 2017 - diagnostic errors included
problems with the history or physical examination, failure to review previous documentation
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - Lost in Transitions of Care: Managing an Opioid-
Dependent Patient with Frequent Hospitalizations
September 29, 2021
Tan F, Johl K, Kotova M. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent
Hospitalizations. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/lost-transitions-care…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.356_slideshow.ppt
September 01, 2015 - PowerPoint Presentation
Spotlight
Abdominal Pain in Early Pregnancy
This presentation is based on the September 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Charlie C. Kilpatrick, MD, Associate Professor of Obstetrics and Gynecology, Baylor …
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psnet.ahrq.gov/node/867004/psn-pdf
October 30, 2024 - Critical Radiology Alert Process
October 30, 2024
https://psnet.ahrq.gov/innovation/critical-radiology-alert-process
Summary
Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of
unrelated abnormal findings and provides a companion follow-up process, with the goal o…