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psnet.ahrq.gov/issue/pain-management-and-prescription-opioid-related-harms-exploring-state-evidence-proceedings
July 05, 2008 - Meeting/Conference Proceedings
Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief.
Citation Text:
Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Works…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/136-ss-premortem-tool.docx
April 01, 2025 - Comprehensive Unit-based Safety Program (CUSP) Premortem Project Assessment
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Projects often fail, and many factors may contribute to this failure. Understanding potential implementation barriers and challenges before launching a …
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psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue
March 18, 2020 - Newspaper/Magazine Article
The role of racism as a core patient safety issue.
Citation Text:
Feeley D, Torres T. The role of racism as a core patient safety issue. Healthcare Executive. 2020;35(1):58-61.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
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psnet.ahrq.gov/issue/standardized-competencies-parenteral-nutrition-administration-aspen-model
June 12, 2018 - Organizational Policy/Guidelines
Standardized Competencies for Parenteral Nutrition Administration: the ASPEN Model.
Citation Text:
Guenter P, Worthington P, Ayers P, et al. Standardized Competencies for Parenteral Nutrition Administration: The ASPEN Model. Nutr Clin Pract. 2018;33(2):29…
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psnet.ahrq.gov/issue/lost-art-history-and-physical
May 08, 2013 - Commentary
The lost art of the history and physical.
Citation Text:
Natt B, Szerlip HM. The lost art of the history and physical. Am J Med Sci. 2014;348(5):423-5. doi:10.1097/MAJ.0000000000000326.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…
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psnet.ahrq.gov/issue/risks-related-patient-bed-safety
July 19, 2023 - Commentary
Risks related to patient bed safety.
Citation Text:
Sharkey JE, Van Leuven K, Radovich P. Risks related to patient bed safety. J Nurs Care Qual. 2012;27(4):346-51. doi:10.1097/NCQ.0b013e318264744b.
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psnet.ahrq.gov/issue/do-medication-samples-jeopardize-patient-safety
November 16, 2022 - Study
Do medication samples jeopardize patient safety?
Citation Text:
Franks AS, Ray S' M, Wallace LS, et al. Do medication samples jeopardize patient safety? Ann Pharmacother. 2009;43(1):51-6. doi:10.1345/aph.1L362.
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DOI Google Scholar PubMed BibTeX …
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psnet.ahrq.gov/issue/objective-impact-clinical-peer-review-hospital-quality-and-safety
April 13, 2017 - Study
The objective impact of clinical peer review on hospital quality and safety.
Citation Text:
Edwards MT. The objective impact of clinical peer review on hospital quality and safety. Am J Med Qual. 2011;26(2):110-9. doi:10.1177/1062860610380732.
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…
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading
to Multiple Complications and Operations
September 25, 2024
Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications
and Operations. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - Code Status vs. Care Status
December 23, 2020
Krisman RK, Spero H. Code Status vs. Care Status. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/code-status-vs-care-status
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for
Continuing Medical Education (AC…
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-3.html
July 01, 2019 - Case Example #3: Fairview Health Services
This report is based on research conducted by Abt Associates in partnership with the MacColl Center for Health Care Innovation and Bailit Health Purchasing, Cambridge, MA, under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3a.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Chapter 3: Defining Categorization Needs for Race and Ethnicity Data
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
R…
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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolkit3.html
April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention
III. Intervention Steps and Tools
Previous Page Next Page
Table of Contents
Tracking and Improving Screening for Colorectal Cancer Intervention
I. Introduction
II. Background
III. Intervention Steps and Tools
IV. References …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Reige.pdf
March 01, 2004 - A Patient Safety Program & Research Evaluation of U.S. Navy Pharmacy Refill Clinics
213
A Patient Safety Program &
Research Evaluation of U.S. Navy
Pharmacy Refill Clinics
Valerie J. Riege
Abstract
Historically, pharmacists have been safety consultants for patients with minor
illnesses and have assisted…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
March 01, 2004 - Development and Implementation of The University of Texas Close Call Reporting System
149
Development and Implementation
of The University of Texas
Close Call Reporting System
Sharon K. Martin, Jason M. Etchegaray, Debora Simmons,
W. Thomas Belt, Kelly Clark
Abstract
This report describes the development…
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psnet.ahrq.gov/web-mm/nothing-called-small-surgery
February 01, 2023 - Nothing Called Small Surgery
Citation Text:
Manske C. Nothing Called Small Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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cds.ahrq.gov/sites/default/files/workgroups/211/dec-2016-cholesterol-wg-notes.docx
January 01, 2016 - Cholesterol Management Work Group
Meeting Summary
Date
12/09/16
Time
2:00 – 4:00 PM EST
AGENDA
· Welcome and Introductions
· CDS Connect Project Overview
· CDS Cholesterol Management Work Group Overview and Planning
· CDS Cholesterol Management Environmental Scan Findings and Artifacts
· CDS Cho…
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psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - Becoming a Patient Safety Organization
July 1, 2011
Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/becoming-patient-safety-organization
Perspective
While I was the first employee of the California Hospital Patient Safety Organization (CHPSO), its story
…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/case.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes
Case Studies
These case studies follow three nursing home facilities that implemented the On-Time Pressure Ulcer Prevention Program.
Select for more AHRQ Impact Case Studies .
Contents
New York Nursing Facility Sees 56 Percent Drop in Pressure Ulcers with AHRQ-Fu…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides3.html
October 01, 2017 - Module 3: Best Practices in Pressure Injury Prevention
Slide Presentation
Slide 1: Best Practices in Pressure Injury Prevention
ADD Hospital Name
Module 3
Slide 2: Best Practices
Best practices are those care processes—based on literature and expert opinion—that represent the best ways we curren…