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psnet.ahrq.gov/issue/findings-and-lessons-improving-quality-through-clinician-use-health-it-grant-initiative
November 21, 2016 - Government Resource
Findings and Lessons From the Improving Quality Through Clinician Use of Health IT Grant Initiative.
Citation Text:
Findings and Lessons From the Improving Quality Through Clinician Use of Health IT Grant Initiative. Rockville, MD: Agency for Healthcare Research…
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psnet.ahrq.gov/issue/patient-safety-and-quality
January 19, 2022 - Special or Theme Issue
Patient Safety and Quality.
Citation Text:
Patient Safety and Quality. Lyndon A, Simpson KR, Bakewell-Sachs S, eds. J Perinat Neonat Nurs. 2010;24(1):1-89.
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psnet.ahrq.gov/issue/serious-reportable-events-massachusetts
May 03, 2023 - Book/Report
Serious Reportable Events in Massachusetts.
Citation Text:
Serious Reportable Events in Massachusetts. Fillo KT, Saunders K. Bureau of Health Care Safety and Quality, Department of Public Health. Boston, MA: Commonwealth of Massachusetts; 2023.
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psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond
December 09, 2020 - Book/Report
Solutions from Professional Regulation and Beyond.
Citation Text:
Solutions from Professional Regulation and Beyond. Safer Care for All. London, England: Professional Standards Authority for Health and Social Care; 2022.
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digital.ahrq.gov/ahrq-funded-projects/medication-management-closed-computerized-loop
January 01, 2023 - Medication Management: A Closed Computerized Loop
Project Description
Other Resources
Project Details -
Completed
Grant Number
UC1 HS015231
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT…
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psnet.ahrq.gov/issue/agency-information-collection-activities-assessing-impact-national-implementation-teamstepps
July 03, 2013 - Press Release/Announcement
Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request.
Citation Text:
Agency information collection activities: Assessing the Impact of the National Implementation …
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psnet.ahrq.gov/issue/piecing-together-medication-administration
April 02, 2009 - Newspaper/Magazine Article
Piecing together medication administration.
Citation Text:
Piecing together medication administration. Anderson HJ. Health Data Management. May 1, 2009;17:22.
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psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
March 10, 2021 - Book/Report
Safe Practices for Drug Allergies—Using CDS and Health IT.
Citation Text:
Safe Practices for Drug Allergies—Using CDS and Health IT. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019.
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psnet.ahrq.gov/issue/chemotherapy-error-practical-approaches-increasing-patient-safety
August 04, 2021 - Commentary
Chemotherapy error: practical approaches to increasing patient safety.
Citation Text:
Harris TJ, Northfelt DW. Chemotherapy Error. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000215340.80935.d0.
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psnet.ahrq.gov/issue/algorithm-detects-sepsis-cut-deaths-nearly-20-percent
October 12, 2022 - Newspaper/Magazine Article
Algorithm that detects sepsis cut deaths by nearly 20 percent.
Citation Text:
Algorithm that detects sepsis cut deaths by nearly 20 percent. Bushwick S. Scientific American. August 1, 2022.
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psnet.ahrq.gov/issue/disruptive-clinician-behavior-persistent-threat-patient-safety
August 23, 2007 - Commentary
Disruptive clinician behavior: a persistent threat to patient safety.
Citation Text:
Disruptive clinician behavior: a persistent threat to patient safety. Porto G; Lauve R. Patient Safety Quality Healthcare. July / August 2006.
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psnet.ahrq.gov/issue/repair-project
March 27, 2005 - Multi-use Website
The REPAIR Project.
Citation Text:
The REPAIR Project. University of California San Francisco, San Francisco, CA.
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psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety
February 13, 2019 - Newspaper/Magazine Article
Raising the index of suspicion: red flags that represent credible threats to patient safety.
Citation Text:
Raising the index of suspicion: red flags that represent credible threats to patient safety. ISMP Medication Safety Alert! Acute Care Edition. July 26, 2…
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psnet.ahrq.gov/issue/texas-health-presbyterian-hospital-ebola-crisis-perfect-storm-human-errors-system-failures
February 23, 2018 - Book/Report
The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness.
Citation Text:
The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. Anderso…
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psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
April 24, 2013 - Book/Report
Freedom to Speak Up: A Review of Whistleblowing in the NHS.
Citation Text:
Freedom to Speak Up: A Review of Whistleblowing in the NHS. Francis R. London, UK: Department of Health; February 2015.
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psnet.ahrq.gov/issue/getting-board-board-what-your-board-needs-know-about-quality-and-safety-third-edition
February 28, 2018 - Book/Report
Getting the Board on Board: What Your Board Needs to Know About Quality and Safety, Third Edition.
Citation Text:
Getting the Board on Board: What Your Board Needs to Know About Quality and Safety, Third Edition. Oak Brook, IL; Joint Commission; 2016. ISBN: 9781599409412.
C…
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psnet.ahrq.gov/issue/why-current-breast-pathology-practices-must-be-evaluated
February 23, 2018 - Book/Report
Why Current Breast Pathology Practices Must Be Evaluated.
Citation Text:
Why Current Breast Pathology Practices Must Be Evaluated. Dallas, TX: Susan G Komen Breast Cancer Foundation; 2006.
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psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it
March 09, 2016 - Book/Report
Meltdown: Why Our Systems Fail and What We Can Do About It.
Citation Text:
Meltdown: Why Our Systems Fail and What We Can Do About It. Clearfield C, Tilcsik A. New York, NY: Penguin Press; 2018. ISBN: 978-0735222632.
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psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection
July 19, 2010 - Newspaper/Magazine Article
Before mea culpa, Children’s was confident its air systems weren’t source of infection
Citation Text:
Before mea culpa, Children’s was confident its air systems weren’t source of infection Gilbert D, Gutman D. Seattle Times. November 26, 2019.
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psnet.ahrq.gov/issue/health-care-comes-home-human-factors
June 08, 2011 - Book/Report
Health Care Comes Home: The Human Factors.
Citation Text:
Health Care Comes Home: The Human Factors. Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research Council; 2011. ISBN: 9780309212366.
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