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psnet.ahrq.gov/issue/him-functions-healthcare-quality-and-patient-safety
July 05, 2017 - Commentary
HIM functions in healthcare quality and patient safety.
Citation Text:
Berretoni A, Bochantin F, Brown T, et al. HIM functions in healthcare quality and patient safety. J AHIMA. 2011;82(8):42-5.
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digital.ahrq.gov/ahrq-funded-projects/using-short-message-system-sms-improve-health-care-quality-and-outcomes-among/annual-summary/2010
January 01, 2010 - Using Short Message System (SMS) to Improve Health Care Quality and Outcomes Among HIV-Positive Men - 2010
Project Name
Using Short Message System (SMS) to Improve Health Care Quality and Outcomes Among HIV-Positive Men
Principal Investigator
Uhrig, Jennifer
Organization
RTI …
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psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration
November 29, 2017 - Commentary
The concept of shared mental models in healthcare collaboration.
Citation Text:
McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs. 2014;70(7):1479-88. doi:10.1111/jan.12307.
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psnet.ahrq.gov/issue/who-global-report-patient-safety
May 01, 2024 - Book/Report
WHO Global Report on Patient Safety.
Citation Text:
WHO Global Report on Patient Safety. Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
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psnet.ahrq.gov/issue/towards-framework-select-techniques-error-prediction-supporting-novice-users-healthcare
March 28, 2011 - Review
Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector.
Citation Text:
Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Appl Ergon. 2009;40(3):379-95…
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www.ahrq.gov/news/newsroom/case-studies/201605.html
May 01, 2016 - Blue Shield of California Foundation Uses AHRQ Guide to Reduce Hospital Readmissions
Search All Impact Case Studies
May 2016
AHRQ's Hospital Guide to Reducing Medicaid Readmissions was used by Blue Shield of California Foundation to apply evidence-based strategies that significantly cut hospital readmissi…
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psnet.ahrq.gov/issue/fixing-broken-bones-and-broken-homes-domestic-violence-patient-safety-issue
September 03, 2011 - Study
Fixing broken bones and broken homes: domestic violence as a patient safety issue.
Citation Text:
Cohn F, Rudman WJ. Fixing broken bones and broken homes: domestic violence as a patient safety issue. Jt Comm J Qual Saf. 2004;30(11):636-646.
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psnet.ahrq.gov/issue/acog-committee-opinion-531-improving-medication-safety
May 22, 2019 - Organizational Policy/Guidelines
ACOG Committee Opinion #531: improving medication safety.
Citation Text:
Improvement C on PS and Q. Committee opinion No. 531: improving medication safety. Obstet Gynecol. 2012;120(2 Pt 1):406-410. doi:10.1097/AOG.0b013e3182680478.
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psnet.ahrq.gov/issue/helping-patients-simplify-and-safely-use-complex-prescription-regimens
December 19, 2017 - Study
Helping patients simplify and safely use complex prescription regimens.
Citation Text:
Wolf MS, Curtis LM, Waite K, et al. Helping patients simplify and safely use complex prescription regimens. Arch Intern Med. 2011;171(4):300-5. doi:10.1001/archinternmed.2011.39.
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psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system
May 27, 2011 - Study
Pediatric safety incidents from an intensive care reporting system.
Citation Text:
Pediatric safety incidents from an intensive care reporting system. Skapik JL; Pronovost PJ; Miller MR; Thompson DA; Wu AW.
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psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
February 11, 2015 - Commentary
Impact of a successful speaking up program on health-care worker hand hygiene behavior.
Citation Text:
Impact of a successful speaking up program on health-care worker hand hygiene behavior. Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK.
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psnet.ahrq.gov/issue/examining-medication-errors-tertiary-hospital
May 27, 2011 - Commentary
Examining medication errors in a tertiary hospital.
Citation Text:
Maricle K, Whitehead L, Rhodes M. Examining medication errors in a tertiary hospital. J Nurs Care Qual. 2007;22(1):20-27.
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psnet.ahrq.gov/issue/considerative-checklist-ensure-safe-daily-patient-review
June 08, 2011 - Commentary
A considerative checklist to ensure safe daily patient review.
Citation Text:
Mohan N, Caldwell G. A Considerative Checklist to ensure safe daily patient review. Clin Teach. 2013;10(4):209-13. doi:10.1111/tct.12023.
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psnet.ahrq.gov/issue/improving-operating-room-safety
May 17, 2023 - Study
Improving operating room safety.
Citation Text:
Hurlbert SN, Garrett J. Improving operating room safety. Patient Saf Surg. 2009;3(1):25. doi:10.1186/1754-9493-3-25.
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psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york-city-health-and
October 19, 2022 - Study
Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation.
Citation Text:
Wale JB, Moon RR. Engaging patients and family members in patient safety--the experience of the New York City Health and Hospitals Corporation…
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psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
November 14, 2018 - Commentary
Recognizing and managing errors of cognitive underspecification.
Citation Text:
Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1.
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psnet.ahrq.gov/issue/can-you-prevent-adverse-drug-events-after-hospital-discharge
September 09, 2009 - Commentary
Can you prevent adverse drug events after hospital discharge?
Citation Text:
Forster AJ. Can you prevent adverse drug events after hospital discharge? CMAJ. 2006;174(7):921-2.
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psnet.ahrq.gov/issue/silent-epidemic-health-effects-illiteracy
January 12, 2011 - Commentary
The silent epidemic--the health effects of illiteracy.
Citation Text:
Marcus EN. The silent epidemic--the health effects of illiteracy. N Engl J Med. 2006;355(4):339-41.
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psnet.ahrq.gov/issue/patient-safety-part-i-patient-safety-and-dermatologist
June 07, 2008 - Review
Patient safety: Part I. Patient safety and the dermatologist.
Citation Text:
Elston DM, Taylor JS, Coldiron BM, et al. Patient safety. J Am Acad Dermatol. 2009;61(2):179-190. doi:10.1016/j.jaad.2009.04.056.
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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-medication-safety
January 19, 2011 - Commentary
Implementing AORN recommended practices for medication safety.
Citation Text:
Hicks RW, Wanzer LJ, Denholm B. Implementing AORN recommended practices for medication safety. AORN J. 2012;96(6):605-22. doi:10.1016/j.aorn.2012.09.012.
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