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psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
April 20, 2022 - Newspaper/Magazine Article
Start the year off right by addressing these top 10 medication safety concerns from 2021.
Citation Text:
Start the year off right by addressing these top 10 medication safety concerns from 2021. ISMP Medication Safety Alert! Acute care edition. January 27, 2022…
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psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
June 01, 2022 - Newspaper/Magazine Article
Survey shows room for improvement with three new best practices for hospitals.
Citation Text:
Survey shows room for improvement with three new best practices for hospitals. ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.
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psnet.ahrq.gov/issue/integrating-simulation-surgery-teaching-tool-and-credentialing-standard
July 02, 2008 - Commentary
Integrating simulation in surgery as a teaching tool and credentialing standard.
Citation Text:
Rehrig ST, Powers K, Jones DB. Integrating simulation in surgery as a teaching tool and credentialing standard. J Gastrointest Surg. 2008;12(2):222-33.
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psnet.ahrq.gov/issue/lewis-blackman-patient-safety-award
April 28, 2021 - Award Announcement
Lewis Blackman Patient Safety Award.
Citation Text:
Lewis Blackman Patient Safety Award. Chicago, IL: American College of Graduate Medical Education.
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psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
June 01, 2016 - Newspaper/Magazine Article
Safety for all: integrated design for inpatient units.
Citation Text:
Safety for all: integrated design for inpatient units. Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28.
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psnet.ahrq.gov/issue/guidelines-practice-prevention-unintentionally-retained-surgical-items
August 03, 2022 - Commentary
Guidelines in Practice: prevention of unintentionally retained surgical items.
Citation Text:
Cochran K. Guidelines in Practice: prevention of unintentionally retained surgical items. AORN J. 2022;116(5):427-440. doi:10.1002/aorn.13804.
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psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools
February 28, 2011 - Commentary
Instrument count sheets and set reviews as patient safety tools.
Citation Text:
Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588-592. doi:10.1016/j.aorn.2016.10.007.
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psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-workarounds-and-errors
May 31, 2017 - Newspaper/Magazine Article
Maximize benefits of IV workflow management systems by addressing workarounds and errors.
Citation Text:
Maximize benefits of IV workflow management systems by addressing workarounds and errors. ISMP Medication Safety Alert! Acute care edition. September 7, 20…
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psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
June 11, 2014 - Review
Concept analysis: wrong-site surgery.
Citation Text:
Watson DS. Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
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psnet.ahrq.gov/issue/revitalizing-established-rapid-response-team
September 23, 2020 - Commentary
Revitalizing an established rapid response team.
Citation Text:
Genardi ME, Cronin SN, Thomas LD. Revitalizing an established rapid response team. Dimens Crit Care Nurs. 2008;27(3):104-9. doi:10.1097/01.DCC.0000286837.95720.8c.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025375-zhou-final-report-2022.pdf
January 01, 2022 - providers to review and update inaccurate, incomplete, or contradictory allergy entries
with the goal of enhancing
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/co-statesum.pdf
July 01, 2015 - awarded 10 grants
that supported efforts in 18 States to identify effective,
replicable strategies for enhancing
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www.ahrq.gov/topics/patient-safety-learning-labs.html
Topic: Patient Safety Learning Labs
Patient safety learning laboratories (PSLLs) take a systems engineering approach to allow researchers and practitioners to evaluate clinical processes and enhance work and information flow to improve patient safety. The learning laboratories use cross-disciplinary teams to address …
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digital.ahrq.gov/funding-mechanism/maintain-and-expand-healthcare-cost-and-utilization-project-hcup-2006-2011
January 01, 2011 - Maintain and Expand the Healthcare Cost and Utilization Project (HCUP) 2006 - 2011
Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims Data
Description
This project designed the Adding Clinical Data Toolkit to help statewide data org…
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psnet.ahrq.gov/node/41443/psn-pdf
July 11, 2012 - Human factors, nursing and patient safety.
July 11, 2012
Nurs Stand. Apr-May 2012;26.
https://psnet.ahrq.gov/issue/human-factors-nursing-and-patient-safety
This series explores how nurses can use human factors to enhance safety in their daily practice.
https://psnet.ahrq.gov/issue/human-factors-nursing-and-patient…
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psnet.ahrq.gov/node/35993/psn-pdf
June 07, 2006 - Video games can help cut surgical errors.
June 7, 2006
Baertlein L.
https://psnet.ahrq.gov/issue/video-games-can-help-cut-surgical-errors
This article reports on a study that found that playing video games before surgery enhanced surgical
dexterity and minimized errors.
https://psnet.ahrq.gov/issue/video-games-ca…
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www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
January 01, 2025 - Final Progress Report: Application of Machine Learning to Enhance e-Triggers to Detect and Learn from Diagnostic Safety Events
Application of Machine Learning to Enhance e-Triggers to Detect
and Learn from Diagnostic Safety Events
Principal Investigator: Hardeep Singh
Team Members: Andrew J. Zimolzak, MD, MMSc1, D…
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www.ahrq.gov/topics/clinical-decision-support-cds.html
Topic: Clinical Decision Support (CDS)
Clinical decision support (CDS) provides clinicians, staff, patients, or other individuals with knowledge and person-specific information, intelligently filtered or presented at appropriate times, to enhance health and healthcare.
AH…
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psnet.ahrq.gov/node/36453/psn-pdf
March 02, 2010 - Patient Safety Papers.
March 2, 2010
Healthc Q. 2006;9 Spec No:1-140.
https://psnet.ahrq.gov/issue/patient-safety-papers-0
This special issue describes projects and research in Canadian health care that are supporting
improvements in patient safety.
https://psnet.ahrq.gov/issue/patient-safety-papers-0
https://psn…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/liver-cancer_disposition-comments.pdf
October 23, 2014 - Disposition of Comments Report for Imaging Techniques for the Diagnosis and Staging of Hepatocellular Carcinoma
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Imaging Techniques for the Diagnosis and Staging of Hepatocellular
Carcinoma
Draft review available for…