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psnet.ahrq.gov/node/44946/psn-pdf
February 01, 2017 - Quality gaps identified through mortality review.
February 1, 2017
Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual
Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735.
https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
Inpatien…
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psnet.ahrq.gov/node/39838/psn-pdf
September 15, 2010 - A multicenter trial of aviation-style training for surgical
teams.
September 15, 2010
Catchpole K, Dale TJ, Hirst G, et al. A multicenter trial of aviation-style training for surgical teams. J Patient
Saf. 2010;6(3):180-6. doi:10.1097/PTS.0b013e3181f100ea.
https://psnet.ahrq.gov/issue/multicenter-trial-aviation-st…
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psnet.ahrq.gov/node/42660/psn-pdf
October 16, 2013 - Practice indicators of suboptimal care and avoidable
adverse events: a content analysis of a national qualifying
examination.
October 16, 2013
Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse
events: a content analysis of a national qualifying examination. Acad…
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psnet.ahrq.gov/node/38904/psn-pdf
September 02, 2009 - Litigation related to inadequate anaesthesia: an analysis
of claims against the NHS in England 1995-2007.
September 2, 2009
Mihai R, Scott SD, Cook TM. Litigation related to inadequate anaesthesia: an analysis of claims against the
NHS in England 1995-2007. Anaesthesia. 2009;64(8):829-35. doi:10.1111/j.1365-2044.20…
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psnet.ahrq.gov/node/45970/psn-pdf
March 22, 2017 - A learning health care system using computer-aided
diagnosis.
March 22, 2017
Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet
Res. 2017;19(3):e54. doi:10.2196/jmir.6663.
https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis
Although…
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psnet.ahrq.gov/node/44227/psn-pdf
November 19, 2018 - A scholarly pathway in quality improvement and patient
safety.
November 19, 2018
Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med.
2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772.
https://psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety…
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psnet.ahrq.gov/node/42661/psn-pdf
October 16, 2013 - Utility and assessment of non-technical skills for rapid
response systems and medical emergency teams.
October 16, 2013
Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and
medical emergency teams. Intern Med J. 2013;43(9):962-9. doi:10.1111/imj.12172.
https://psne…
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/allergies.html
September 01, 2022 - Best Practices in the Management of Patients With Antibiotic Allergies
After viewing or presenting this presentation, viewers will be able to—
Explain the importance of clarifying antibiotic allergies before prescribing antibiotics.
Recognize types of reactions to antibiotics commonly prescribed in the …
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/useful.html
July 01, 2018 - AHRQ Program Management Tools
Child Health Care Quality Toolbox
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
National Guideline Clearinghouse™
The National Guideline Clearinghouse™ taken down on July 16, 2018, because federal funding t…
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psnet.ahrq.gov/node/43061/psn-pdf
September 01, 2016 - Appropriateness of commercially available and partially
customized medication dosing alerts among pediatric
patients.
September 1, 2016
Stultz JS, Nahata MC. Appropriateness of commercially available and partially customized medication
dosing alerts among pediatric patients. J Am Med Inform Assoc. 2014;21(e1):e35-…
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psnet.ahrq.gov/node/836763/psn-pdf
March 16, 2022 - Maternity Pre-arrival Instructions by 999 Call Handlers.
March 16, 2022
Farnborough, UK: Healthcare Safety Investigation Branch; February 2022.
https://psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers
Pre-hospital emergency care can be vulnerable to timing, information, and task failures th…
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psnet.ahrq.gov/node/34646/psn-pdf
July 01, 2015 - The attributes of medical event reporting systems.
July 1, 2015
Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems:
experience with a prototype medical event-reporting system for transfusion medicine. Arch Pathol Lab Med.
1998;122(3):231-8.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/839814/psn-pdf
January 01, 2023 - Influencing a culture of quality and safety through
huddles.
November 9, 2022
McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles.
J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642.
https://psnet.ahrq.gov/issue/influencing-culture-quality-a…
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psnet.ahrq.gov/node/37275/psn-pdf
December 23, 2011 - Developing indicators of inpatient adverse drug events
through nonlinear analysis using administrative data.
December 23, 2011
Nebeker JR, Yarnold PR, Soltysik RC, et al. Developing indicators of inpatient adverse drug events through
nonlinear analysis using administrative data. Med Care. 2007;45(10 Supl 2):S81-8.
…
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psnet.ahrq.gov/node/37098/psn-pdf
October 04, 2011 - How residents think and make medical decisions:
implications for education and patient safety.
October 4, 2011
Young JS, Smith RL, Guerlain S, et al. How residents think and make medical decisions: implications for
education and patient safety. Am Surg. 2007;73(6):548-553; discussion 553-4.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/40237/psn-pdf
February 23, 2011 - The impact of the medical emergency team on the
resuscitation practice of critical care nurses.
February 23, 2011
Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation
practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. doi:10.1136/bmjqs.2008.029876.
ht…
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www.ahrq.gov/cpi/about/nac/pcortf-snac/pincus.html
November 01, 2022 - Subcommittee Member: Harold A. Pincus
Harold A. Pincus, M.D.
Professor and Vice Chair
Department of Psychiatry
Co-Director
Irving Institute for Clinical and Translational Research
Columbia University
Harold A. Pincus, M.D., is professor and vice chair of the Department of Psychiatry and co-director of …
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psnet.ahrq.gov/node/44058/psn-pdf
July 03, 2016 - Metric units and the preferred dosing of orally
administered liquid medications.
July 3, 2016
Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi:10.1542/peds.2015-
0072.
https://psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
Accident…
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psnet.ahrq.gov/node/866823/psn-pdf
September 25, 2024 - Understanding human factors in patient safety when
prescribing.
September 25, 2024
Coon R, Holden K. Understanding human factors in patient safety when prescribing. Pharmaceutical
Journal. September 2024;313(7989).
https://psnet.ahrq.gov/issue/understanding-human-factors-patient-safety-when-prescribing
Prescripti…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-agenda-062723.pdf
June 27, 2023 - Addressing Violence in the Workplace Agenda: NAA Webinar June 2023
National Action Alliance to Advance Patient Safety
Summer Webinar Series Agenda
Addressing Violence in the Workplace
Tuesday, June 27, 2023
2:00 – 3:00 PM ET
Questions We are Running On:
1. What do we know about violence in the workplace an…