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psnet.ahrq.gov/issue/technical-patient-safety-solutions-medicines-reconciliation-admission-adults-hospital
October 27, 2021 - Organizational Policy/Guidelines
Technical patient safety solutions for medicines reconciliation on admission of adults to hospital.
Citation Text:
Technical patient safety solutions for medicines reconciliation on admission of adults to hospital. Manchester, UK: National Institute…
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www.ahrq.gov/news/newsroom/case-studies/202102.html
September 01, 2021 - AHRQ Quality Indicators Toolkit Strengthens Nursing Coursework at University of Phoenix
Search All Impact Case Studies
September 2021
The University of Phoenix's graduate nursing program uses AHRQ's Quality Indicators (QI) Toolkit as a learning tool to help students better understand the quality improveme…
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psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
January 23, 2019 - Newspaper/Magazine Article
ADC survey shows some improvements, but unnecessary risks still exist.
Citation Text:
ADC survey shows some improvements, but unnecessary risks still exist. ISMP Medication Safety Alert! Acute care edition. January 17, 2008.
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psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition
July 22, 2015 - Special or Theme Issue
Resident Projects for Improvement.
Citation Text:
Resident Projects for Improvement. Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of New Mexico; May 2013.
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psnet.ahrq.gov/issue/burnout-nursing-causes-management-and-future-directions
June 30, 2010 - Special or Theme Issue
Burnout in Nursing: Causes, Management, and Future Directions.
Citation Text:
Burnout in Nursing: Causes, Management, and Future Directions. Zangaro GA, Dulko D, Sullivan D, eds. Nurs Clin North Am. 2022;57(1):1-170.
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psnet.ahrq.gov/issue/quality-improvement-series
July 05, 2013 - Special or Theme Issue
Quality Improvement Series.
Citation Text:
Quality Improvement Series. British Medical Journal. 2022.
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psnet.ahrq.gov/issue/step-programme-engaging-all-staff-patient-safety
April 02, 2014 - Commentary
The STEP-up programme: engaging all staff in patient safety.
Citation Text:
The STEP-up programme: engaging all staff in patient safety. Hamblin-Brown DJ; Ingram J.
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psnet.ahrq.gov/issue/fire-safety-operating-room
July 18, 2024 - Review
Fire safety in the operating room.
Citation Text:
Fire safety in the operating room. Ehrenwerth J. UptoDate. November 18, 2024.
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psnet.ahrq.gov/issue/patient-safety-and-managing-risk-nursing
March 27, 2017 - Book/Report
Patient Safety and Managing Risk in Nursing.
Citation Text:
Patient Safety and Managing Risk in Nursing. Fisher MA, Scott M. London, UK: Sage Publishing; 2013. ISBN: 9781446266878.
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn16.pdf
June 21, 2014 - Phase 1 Pharmacy Data Collection
1
‘Using Clinical Enhanced Claims Data to Guide Treatment of Acute Heart Failure’ Project
Phase 1 Pharmacy Data Collection
The purpose of phase 1 is to establish the data specifications and formats as well as operational
protocols for the collection of pharmacy data …
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
May 06, 2015 - Toolkit
Improving Diagnosis in Medicine Change Package.
Citation Text:
Improving Diagnosis in Medicine Change Package. Chicago, IL: Health Research & Educational Trust; 2018.
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psnet.ahrq.gov/issue/cognitive-autopsy-root-cause-analysis-medical-decision-making
December 18, 2019 - Book/Report
The Cognitive Autopsy: A Root Cause Analysis of Medical Decision Making.
Citation Text:
The Cognitive Autopsy: A Root Cause Analysis of Medical Decision Making. Croskerry P. New York, NY: Oxford University Press; 2020. ISBN: 9780190088743.
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psnet.ahrq.gov/issue/star-diagnostic-journey-assessing-patient-perspectives
November 28, 2018 - Newspaper/Magazine Article
The star of the diagnostic journey: assessing patient perspectives.
Citation Text:
The star of the diagnostic journey: assessing patient perspectives. Gipson K. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):39-45.
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psnet.ahrq.gov/issue/government-response-investigation-death-elizabeth-dixon
February 19, 2020 - Book/Report
Government Response to the Investigation into the Death of Elizabeth Dixon.
Citation Text:
Government Response to the Investigation into the Death of Elizabeth Dixon. Department of Health and Social Care. London, England: Crown Copyright; 2023
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0496_12-30-2011.pdf
January 01, 2011 - Effective Health Care
Topic Number: 0404
Document Completion Date: 08-27-12
1
Prevention of Contrast-Induced Nephropathy
Nomination Summary Document
Results of Topic Selection Process & Next Steps
Prevention of contrast-induced nephropathy will go forward for refinement as a systematic revi…
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www.ahrq.gov/topics/healthcare-associated-infections-hais.html
May 12, 2015 - Topic: Healthcare-Associated Infections (HAIs)
Healthcare-associated infections (HAIs) are among the leading threats to patient safety, affecting one out of every 31 hospital patients at any one time. Over a million HAIs occur across the U.S. health care system every year, leading to the loss of tens of thousands of …
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psnet.ahrq.gov/issue/shining-glaring-light-surgery-technology-records-every-move-aims-improve-safety
January 29, 2020 - Newspaper/Magazine Article
Shining a glaring light on surgery: technology that records every move aims to improve safety.
Citation Text:
Shining a glaring light on surgery: technology that records every move aims to improve safety. Freyer FJ. Boston Globe. January 13, 2024.
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psnet.ahrq.gov/issue/making-care-safer
December 18, 2008 - Book/Report
Making Care Safer.
Citation Text:
Making Care Safer. Agency for Healthcare Research and Quality. Priorities in Focus. March 2016.
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psnet.ahrq.gov/issue/medication-management-detailed-use-case
June 29, 2016 - Book/Report
Medication Management: Detailed Use Case.
Citation Text:
Medication Management: Detailed Use Case. Washington, DC: Office of the National Coordinator for Health Information Technology, US Department of Health and Human Services; 2007.
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psnet.ahrq.gov/issue/medical-detective-story-why-doctors-make-diagnostic-errors
October 23, 2018 - Newspaper/Magazine Article
A medical detective story: why doctors make diagnostic errors.
Citation Text:
A medical detective story: why doctors make diagnostic errors. Landro L. Wall Street Journal. September 26, 2015.
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