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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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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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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/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/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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www.ahrq.gov/cpi/about/nac/snac-pronovost.html
December 01, 2021 - SNAC Member: Peter Pronovost, M.D., Ph.D.
Chief Quality and Clinical Transformation Officer, University Hospitals
Professor, Department of Anesthesiology and Critical Care Medicine, School of Medicine and School of Nursing
Case Western Reserve University
Peter Pronovost, M.D., Ph.D., is a patient safety cha…
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psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
June 09, 2021 - Book/Report
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings.
Citation Text:
Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Farnborough, UK: Healthcare Safety Investigation Branch; June 2021.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/047-ss-faqs-staff-safety-side-effects.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Preoperative Decolonization
Staff – Frequently Asked Questions:
Safety and Side Effects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
The products we are recommending for surgical site infection (SSI) preven…
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psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop
May 19, 2021 - Meeting/Conference Proceedings
Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop.
Citation Text:
Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. National Academies of Sciences, Engineering, and Medicine. June 7-8, 2021.
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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.
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psnet.ahrq.gov/issue/obstacles-research-effects-interruptions-healthcare
April 19, 2017 - Commentary
Obstacles to research on the effects of interruptions in healthcare.
Citation Text:
Grundgeiger T, Dekker SWA, Sanderson P, et al. Obstacles to research on the effects of interruptions in healthcare. BMJ Qual Saf. 2016;25(6):392-5. doi:10.1136/bmjqs-2015-004083.
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psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safety-investigation
May 03, 2023 - Newspaper/Magazine Article
Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB).
Citation Text:
Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). ISMP M…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-245-fullreport.pdf
December 01, 2019 - Enhancing treatment outcome of patients at risk of
treatment failure: Meta-analytic and mega-analytic
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
May 01, 2017 - Debriefing
Say:
When you are considering incorporating a debriefing into your common practice or enhancing
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-child-adolesc-mental-health-grand-rounds.pptx
May 22, 2025 - AHRQ Slide Template-Widescreen
AHRQ Evidence-based Practice Center (EPC) Program
Grand Rounds Series
Topic: Child and Adolescent Mental Health
Welcome and thank you for joining!
May 22, 2025
Funding & Disclaimer
Funding: This meeting series was convened by the Scientific Resource Center under contract to the Agency…
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cdsic.ahrq.gov/sites/default/files/2024-07/OY1_FINAL%20TPC%20Patient%20Perspectives%20Generative%20AI.pdf
January 01, 2024 - Trust and Patient-Centeredness Workgroup: Patient and Caregiver Perspectives on Generative Artificial Intelligence in Patient-Centered Clinical Decision Support
Trust and Patient-
Centeredness Workgroup:
Patient and Caregiver
Perspectives on Generative
Artificial Intelligence in
Patient-Centered Clinical
Decisio…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/SampleVHIandhospitalcontractforAHRQstudy.jsp
May 01, 2011 - Series
ICD-10-CM/PCS Resources
Database Reports
Additional Topics and Archives
Topical Reports
Enhancing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/facilitator-notes.docx
March 01, 2017 - SLIDE 19
SAY:
Clear communication is vital when enhancing resident-and family-centered care.
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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - Discharging Our Responsibility
Citation Text:
Fonarow GC. Discharging Our Responsibility. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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