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  1. psnet.ahrq.gov/issue/systemic-failures-health-care-oversight
    July 05, 2006 - Commentary Systemic failures in health care oversight. Citation Text: Systemic failures in health care oversight. Campbell JL. Ga L Rev. 2024;58(2):737-802. Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…
  2. psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care
    March 29, 2006 - Book/Report Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. Citation Text: Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021.  Copy Citation …
  3. psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
    December 01, 2010 - Commentary Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Citation Text: Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. Copy…
  4. digital.ahrq.gov/health-care-theme/medication
    January 01, 2023 - Medication Sponsored Health IT and Evidence-Based Prescribing Among Medical Residents Description This project evaluated SMARxT, web-based education modules designed to teach resident physicians how to effectively navigate and counteract pharmaceutical-sponsored messaging with…
  5. psnet.ahrq.gov/issue/unleash-power-patients-make-care-safer-around-world-essay-helen-haskell
    January 08, 2020 - Commentary Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. Citation Text: Haskell H. Unleash the power of patients to make care safer around the world: an essay by Helen Haskell. BMJ. 2019;366:l5565. doi:10.1136/bmj.l5565. Copy Citation …
  6. psnet.ahrq.gov/issue/reinforcing-value-and-roles-nurses-diagnostic-safety-pragmatic-recommendations-nurse-leaders
    August 17, 2022 - Book/Report Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. Citation Text: Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. Tran AK, Calabr…
  7. psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing
    May 28, 2015 - Commentary Educational opportunities with postevent debriefing. Citation Text: Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA. 2014;312(22):2333-4. doi:10.1001/jama.2014.15741. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
  8. psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors
    July 10, 2017 - Commentary Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Citation Text: Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br J Radiol. 2007;80(953):297-301. Copy Citation Format:…
  9. psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
    January 23, 2019 - Newspaper/Magazine Article Independent double checks: worth the effort if used judiciously and properly. Citation Text: Independent double checks: worth the effort if used judiciously and properly. ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7. Copy Citation …
  10. psnet.ahrq.gov/issue/national-imperative-improve-nursing-home-quality-honoring-our-commitment-residents-families
    November 15, 2022 - Book/Report The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff. Citation Text: The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff. National Academies of Science…
  11. psnet.ahrq.gov/issue/medicare-and-medicaid-programs-hospital-and-critical-access-hospital-cah-changes-promote
    August 28, 2024 - Regulation Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. Citation Text: Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote…
  12. psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
    November 30, 2016 - Newspaper/Magazine Article Preventing errors when preparing and administering medications via enteral feeding tubes. Citation Text: Preventing errors when preparing and administering medications via enteral feeding tubes. ISMP Medication Safety Alert! Acute care edition. November 17, 202…
  13. psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
    March 27, 2018 - Newspaper/Magazine Article Perioperative medication errors: uncovering risk from behind the drapes. Citation Text: Perioperative medication errors: uncovering risk from behind the drapes. Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. Copy Citation …
  14. digital.ahrq.gov/ahrq-funded-projects/health-information-technology-enablement-quality-measurement-health-information
    January 01, 2023 - Health Information Technology Enablement of Quality Measurement: Health Information Technology Expert Panel Project Description Annual Summaries Publications Project Details - Completed Contract Number 290-07-10017-3 Funding Mec…
  15. psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus
    December 24, 2008 - Toolkit Toolkit for Preventing CLABSI and CAUTI in ICUs. Citation Text: Toolkit for Preventing CLABSI and CAUTI in ICUs. Rockville, MD: Agency for Healthcare Research and Quality; April 2022. Copy Citation Save Save to your library Print Download PDF …
  16. psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition
    April 30, 2008 - Toolkit AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Citation Text: AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication No. 15-0023-EF. Copy Citation …
  17. psnet.ahrq.gov/issue/national-report-findings-2016-issue-brief-no-2-patient-safety
    November 18, 2020 - Book/Report National Report of Findings 2016: Issue Brief No. 2: Patient Safety. Citation Text: National Report of Findings 2016: Issue Brief No. 2: Patient Safety. Clinical Learning Environment Review. Chicago, IL: Accreditation Council for Graduate Medical Education; 2016. Copy Citat…
  18. psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
    September 11, 2019 - Newspaper/Magazine Article Partnering with families and patient advocates: another line of defense in adverse event surveillance. Citation Text: Partnering with families and patient advocates: another line of defense in adverse event surveillance. ISMP Medication Safety Alert! Acute Care…
  19. digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-implementation-continuum-care-rural-iowa/annual-summary/2008
    January 01, 2008 - Electronic Health Record Implementation for Continuum of Care in Rural Iowa - 2008 Project Name Electronic Health Record Implementation for Continuum of Care in Rural Iowa Principal Investigator O'Brien, John Organization Hancock County Health Services Funding Mechani…
  20. psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and-nurse-burnout
    October 11, 2023 - Review The effect of nurse staffing patterns on medical errors and nurse burnout.  Citation Text: Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN J. 2008;87(6):1191-204. doi:10.1016/j.aorn.2008.01.022. Copy Citation Format: DOI G…