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psnet.ahrq.gov/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patients
January 12, 2022 - Commentary
Bundaberg and beyond: duty to disclose adverse events to patients.
Citation Text:
Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/conclusions.html
October 01, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Conclusions and Implications
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Table of Contents
Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Executive Summary
Introduction
Methods
Overview o…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-acronyms.pdf
June 02, 2025 - Acronyms and Terms
Acronyms and Terms
The following acronyms and terms are used throughout the Six Building Blocks How-To-Implement
Toolkit.
• 42 CFR: 42 Code of Federal Regulations Part 2 regulations have been put in place to protect
patient confidentiality related to treatment for substance use di…
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www.ahrq.gov/ncepcr/reports/grants-transform/conclusions-and-implications.html
March 01, 2017 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Conclusions and Implications
Previous Page Next Page
Table of Contents
Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Executive Summary
Introduction
Methods
Overview o…
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psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture
October 23, 2019 - Webinar
Introducing the New SOPS Hospital Survey 2.0.
Citation Text:
Introducing the New SOPS Hospital Survey 2.0. Agency for Healthcare Research and Quality. October 30, 2019.
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psnet.ahrq.gov/issue/teaching-smart-people-learn
September 05, 2012 - Study
Classic
Teaching smart people how to learn.
Citation Text:
Teaching smart people how to learn. Argyris C. Harvard Business Review. 1991:69(May-June):99+.
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psnet.ahrq.gov/issue/ripped-apart-medical-misdiagnosis-and-malpractice
August 25, 2021 - Audiovisual Presentation
Ripped apart: medical misdiagnosis and malpractice.
Citation Text:
Ripped apart: medical misdiagnosis and malpractice. Kast S, Gerr M, Black D, et al. “On the Record.” WYPR. August 3, 2021
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psnet.ahrq.gov/issue/isnt-my-information-impact-accurate-identity-management-patient-safety
January 29, 2020 - Newspaper/Magazine Article
This isn't my information! The impact of accurate identity management on patient safety.
Citation Text:
Garcia R. This isn't my information! The impact of accurate identity management on patient safety. Health management technology. 2013;34(3):10-1.
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psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge
February 07, 2024 - Commentary
Medicines-related harm in the elderly post-hospital discharge.
Citation Text:
Medicines-related harm in the elderly post-hospital discharge. Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34.
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psnet.ahrq.gov/issue/precipice-quality-health-care-role-toxicologist-enhancing-patient-and-medication-safety
April 13, 2022 - Meeting/Conference Proceedings
At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety.
Citation Text:
At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. J Med Toxicol.…
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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/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
January 27, 2021 - Newspaper/Magazine Article
Pump up the volume: tips for increasing error reporting and decreasing patient harm.
Citation Text:
Pump up the volume: tips for increasing error reporting and decreasing patient harm. ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5…
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psnet.ahrq.gov/issue/safety-strategies-academic-radiation-oncology-department-and-recommendations-action
January 16, 2013 - Commentary
Safety strategies in an academic radiation oncology department and recommendations for action.
Citation Text:
Terezakis SA, Pronovost P, Harris K, et al. Safety strategies in an academic radiation oncology department and recommendations for action. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and-medication-administration
January 18, 2011 - Commentary
Improving process while changing practice: FMEA and medication administration.
Citation Text:
Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2). doi:10.1097/01.numa.0000310533.54708.38.
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psnet.ahrq.gov/issue/focus-computerized-provider-order-entry
March 11, 2020 - Special or Theme Issue
Focus on Computerized Provider Order Entry.
Citation Text:
Focus on Computerized Provider Order Entry. J Am Med Inform Assoc. 2007 Jan-Feb;14(1):25-75
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psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
April 21, 2021 - Newspaper/Magazine Article
Fatal mistakes: why do ten-fold medication errors in children keep happening?
Citation Text:
Fatal mistakes: why do ten-fold medication errors in children keep happening? Parry C. The Pharmaceutical Journal. April 22 2021.
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psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition
May 13, 2009 - Book/Report
Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition.
Citation Text:
Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 978…
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psnet.ahrq.gov/issue/speaking-reduce-noise-or
July 26, 2023 - Commentary
Speaking up to reduce noise in the OR.
Citation Text:
Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019.
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psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence
November 23, 2005 - Book/Report
Prescription Drug Monitoring Programs: Evolution and Evidence.
Citation Text:
Prescription Drug Monitoring Programs: Evolution and Evidence. Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017.
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psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
April 28, 2021 - Special or Theme Issue
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations
Citation Text:
Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations …