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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - Medication Overdose
Citation Text:
Kaushal R. Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - Telehealth and Patient Safety.
December 14, 2022
O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/telehealth-and-patient-safety
Background
In recent years, telehealth, or the delivery of healthcare over a distance using telecommunications
techno…
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www.ahrq.gov/funding/training-grants/hsrguide/hsrguide1.html
October 01, 2014 - An Organizational Guide to Building Health Services Research Capacity
Step 1: Assessing Your Organization's Needs and Capabilities
Previous Page Next Page
Table of Contents
An Organizational Guide to Building Health Services Research Capacity
Introduction
Step 1: Assessing Your Organization's Ne…
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psnet.ahrq.gov/node/49751/psn-pdf
January 01, 2016 - New Patient Mistakenly Checked in as Another
January 1, 2016
Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
The Case
A 55-year-old man, presented to a primary care physician's office for an initial vis…
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/data_collection.jsp
February 01, 2025 - Clinical Content Enhancement Toolkit
An official website of the Department of Health & Human Services
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Careers
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psnet.ahrq.gov/web-mm/which-end-which
February 09, 2011 - Which End Is Which?
Citation Text:
Campbell AR. Which End Is Which?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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digital.ahrq.gov/ahrq-funded-projects/portals-inpatient-care-evaluating-usability-use-and-patient-experience/citation/improving
January 01, 2023 - Improving acceptance of inpatient portals: patients' and care team members' perspectives.
Citation
McAlearney AS, Gaughan A, MacEwan SR, Fareed N, Huerta TR. Improving acceptance of inpatient portals: patients' and care team members' perspectives. Telemed J E Health. 2019 May 13. doi: 10.1089/tmj.2019…
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psnet.ahrq.gov/node/34128/psn-pdf
December 23, 2016 - Patient controlled analgesia by proxy.
December 23, 2016
Patient controlled analgesia by proxy. Sentinel Event Alert. 2004;33(33):1-2.
https://psnet.ahrq.gov/issue/patient-controlled-analgesia-proxy
Patient-controlled analgesia (PCA) is a recognized method of controlling pain when administered by
credentialed prac…
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psnet.ahrq.gov/node/837813/psn-pdf
January 21, 2021 - Recognizing Excellence in Diagnosis.
January 21, 2021
The Leapfrog Group.
https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis
Examination of diagnostic failure and identification of reduction strategies require multidisciplinary expertise
to be successful. This collaborative initiative will initially dev…
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psnet.ahrq.gov/node/40311/psn-pdf
March 23, 2011 - The association of shift-level nurse staffing with adverse
patient events.
March 23, 2011
Patrician PA, Loan L, McCarthy MC, et al. The association of shift-level nurse staffing with adverse patient
events. J Nurs Adm. 2011;41(2):64-70. doi:10.1097/NNA.0b013e31820594bf.
https://psnet.ahrq.gov/issue/association-shi…
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psnet.ahrq.gov/node/38171/psn-pdf
June 29, 2009 - An educational and audit tool to reduce prescribing error
in intensive care.
June 29, 2009
Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in
intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242.
https://psnet.ahrq.gov/issue/educationa…
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psnet.ahrq.gov/node/39078/psn-pdf
May 21, 2014 - Assessing Patient Safety Practices and Outcomes in the
U.S. Health Care System.
May 21, 2014
Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN:
9780833047748.
https://psnet.ahrq.gov/issue/assessing-patient-safety-practices-and-outcomes-us-health-care-system
This publication re…
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psnet.ahrq.gov/node/46708/psn-pdf
February 08, 2023 - FDA/ISMP Safe Medication Management Fellowship
Program.
February 8, 2023
Food and Drug Administration, Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program
This fellowship program provides clinicians with learning opportunities at the Institute…
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psnet.ahrq.gov/node/40951/psn-pdf
December 21, 2014 - Quality and safety in medical care: what does the future
hold?
December 21, 2014
Liang BA, Mackey T. Quality and safety in medical care: what does the future hold? Arch Pathol Lab Med.
2011;135(11):1425-31. doi:10.5858/arpa.2011-0154-OA.
https://psnet.ahrq.gov/issue/quality-and-safety-medical-care-what-does-future…
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psnet.ahrq.gov/node/846766/psn-pdf
March 29, 2023 - The prisoner.
March 29, 2023
Kent S. NJ.com. March 12, 2023.
https://psnet.ahrq.gov/issue/prisoner
Heuristics, uncertainty, and bias are contributors to diagnostic error, overuse, and treatment delay. This
story describes the care experience of an adolescent patient whose rare immune system condition was
initiall…
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psnet.ahrq.gov/node/34601/psn-pdf
January 26, 2009 - Strategies and tips for maximizing failure mode and effect
analysis in your organization.
January 26, 2009
Chicago, IL: American Society of Healthcare Risk Management; 2002.
https://psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-
organization
The implementation and appli…
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psnet.ahrq.gov/node/35291/psn-pdf
April 21, 2010 - Use of complex adaptive systems metaphor to achieve
professional and organizational change.
April 21, 2010
Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational
change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.03510.x.
https://psnet.ahrq.gov/issue/use-co…
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psnet.ahrq.gov/node/42216/psn-pdf
June 28, 2013 - Simulation for ward processes of surgical care.
June 28, 2013
Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg.
2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013.
https://psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
This commentary describes one hospital…
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digital.ahrq.gov/ahrq-funded-projects/developing-design-principles-integrate-patient-reported-outcomes-pros-clinical/citation/heuristic
January 01, 2023 - Using heuristic evaluation to enhance the visual display of a provider dashboard for patient-reported outcomes.
Citation
Lerouge C, Hasselquist MB, Kellogg L, et al. Using heuristic evaluation to enhance the visual display of a provider dashboard for patient-reported outcomes. eGEMS 2017 Apr;5(2).
…
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psnet.ahrq.gov/node/39384/psn-pdf
March 24, 2010 - Keeping safety a priority in home care and hospice: one
agency's journey.
March 24, 2010
Mullin LV. Keeping safety a priority in home care and hospice: one agency's journey. Home Healthc Nurse.
2010;28(2):63-70. doi:10.1097/NHH.0b013e3181cb5939.
https://psnet.ahrq.gov/issue/keeping-safety-priority-home-care-and-ho…