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psnet.ahrq.gov/issue/dermatology-faces-reckoning-lack-darker-skin-textbooks-and-journals-harms-care-patients-color
February 14, 2024 - Newspaper/Magazine Article
Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color.
Citation Text:
Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. McFarling UL. Stat.…
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psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare
June 27, 2018 - Book/Report
Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare.
Citation Text:
Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN: 9781260440928.
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psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms-quality-measures
November 23, 2015 - Book/Report
2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report.
Citation Text:
2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. Baltimore, MD: US Department of Health …
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psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
July 21, 2010 - Study
Airway carts: a systems-based approach to airway safety.
Citation Text:
Kane BG, Bond WF, Worrilow CC, et al. Airway Carts. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000242995.09037.07.
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psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
September 20, 2023 - Newspaper/Magazine Article
Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law.
Citation Text:
Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Surana K. Pro Publica. M…
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psnet.ahrq.gov/issue/overview-progress-patient-safety
September 28, 2010 - Review
Overview of progress on patient safety.
Citation Text:
Pronovost P, Holzmueller CG, Ennen CS, et al. Overview of progress in patient safety. Am J Obstet Gynecol. 2011;204(1):5-10. doi:10.1016/j.ajog.2010.11.001.
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psnet.ahrq.gov/issue/blind-spots-science-safety
February 24, 2021 - Commentary
Blind spots in the science of safety.
Citation Text:
Bosk CL, Pedersen KZ. Blind spots in the science of safety. Lancet. 2019;393(10175):978-979. doi:10.1016/S0140-6736(19)30441-6.
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psnet.ahrq.gov/issue/identification-and-prevention-common-adverse-drug-events-intensive-care-unit
December 16, 2020 - Special or Theme Issue
Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit.
Citation Text:
Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(s…
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psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
January 08, 2020 - Grant Announcement
Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18).
Citation Text:
Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). Rockville, MD: Agency for Healthcare Research and Quality; Septembe…
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psnet.ahrq.gov/issue/cusp-method
October 23, 2019 - Toolkit
The CUSP Method
Citation Text:
The CUSP Method.
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psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines
May 24, 2017 - Commentary
Alarm management: promoting safety and establishing guidelines.
Citation Text:
Criscitelli T. Alarm Management: Promoting Safety and Establishing Guidelines. AORN J. 2016;103(5):518-21. doi:10.1016/j.aorn.2016.03.008.
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digital.ahrq.gov/funding-mechanism/improving-quality-care-and-patient-outcomes-during-care-transitions-r01
January 01, 2023 - Improving Quality of Care and Patient Outcomes During Care Transitions (R01)
Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery
Description
This research will develop and evaluate the Perioperative Optim…
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psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and
March 09, 2016 - Newspaper/Magazine Article
Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2.
Citation Text:
Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. ISMP Medicat…
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psnet.ahrq.gov/issue/mix-ups-between-influenza-flu-vaccine-and-covid-19-vaccines
October 21, 2020 - Newspaper/Magazine Article
Mix-ups between the influenza (Flu) vaccine and COVID-19 vaccines.
Citation Text:
Mix-ups between the influenza (Flu) vaccine and COVID-19 vaccines. ISMP Medication Safety Alert! Acute care edition. October 7, 2021;26(20):1-4.
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesSelker2010.pdf
January 01, 2010 - Emergency Medical Service Responders Use Health IT to Improve Cardiac Care
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psnet.ahrq.gov/issue/impact-teamwork-missed-nursing-care
September 27, 2017 - Study
The impact of teamwork on missed nursing care.
Citation Text:
Kalisch BJ, Lee KH. The impact of teamwork on missed nursing care. Nurs Outlook. 2010;58(5):233-41. doi:10.1016/j.outlook.2010.06.004.
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psnet.ahrq.gov/issue/errors-omission-missed-nursing-care
September 27, 2017 - Review
Errors of omission: missed nursing care.
Citation Text:
Kalisch BJ, Xie B. Errors of Omission: Missed Nursing Care. West J Nurs Res. 2014;36(7):875-890. doi:10.1177/0193945914531859.
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psnet.ahrq.gov/issue/overcoming-barriers-patient-safety
September 24, 2016 - Commentary
Overcoming barriers to patient safety.
Citation Text:
Kalisch BJ, Aebersold M. Overcoming barriers to patient safety. Nurs Econ. 2006;24(3):143-8, 155, 123; quiz 149.
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digital.ahrq.gov/type-care/internal-medicine
January 01, 2023 - Internal Medicine
Real-Time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions
Description
This research will use digital health tools leveraging patient-reported outcomes and data from electronic health records to engage individuals with multiple…
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digital.ahrq.gov/snomed-ct
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…