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psnet.ahrq.gov/issue/better-surgeons-notes-performance
February 06, 2018 - Book/Report
Better: A Surgeon's Notes on Performance.
Citation Text:
Better: A Surgeon's Notes on Performance. Gawande A. New York, NY: Metropolitan; 2007.
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psnet.ahrq.gov/issue/who-draft-guidelines-adverse-event-reporting-and-learning-systems
October 21, 2010 - Organizational Policy/Guidelines
WHO Draft Guidelines for Adverse Event Reporting and Learning Systems.
Citation Text:
WHO Draft Guidelines for Adverse Event Reporting and Learning Systems. World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2005.
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psnet.ahrq.gov/issue/why-doctors-hate-their-computers
March 29, 2010 - Newspaper/Magazine Article
Why doctors hate their computers.
Citation Text:
Why doctors hate their computers. Gawande A. New Yorker. November 12, 2018.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/h-FnuqpAKFeMyTDcr_m9tS
Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: Clinical Summary
Figure. Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: Clinical Summary
Population Adults aged 50 to 59 y with a
≥10% 10-y CVD risk
Adults aged 60 to 69 y with a …
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psnet.ahrq.gov/issue/safetyleadersorg
August 31, 2011 - Multi-use Website
Safetyleaders.org
Citation Text:
Safetyleaders.org Texas Medical Institute of Technology
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psnet.ahrq.gov/issue/dont-come-back-hospitals-say
August 17, 2016 - Newspaper/Magazine Article
Don't come back, hospitals say.
Citation Text:
Don't come back, hospitals say. Landro L.
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psnet.ahrq.gov/issue/us-has-drug-shortage-and-people-are-dying
March 06, 2005 - Newspaper/Magazine Article
The US has a drug shortage—and people are dying.
Citation Text:
The US has a drug shortage—and people are dying. Koba M.
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psnet.ahrq.gov/issue/va-interprofessional-fellowship-program-patient-safety
May 24, 2017 - Press Release/Announcement
VA Interprofessional Fellowship Program in Patient Safety.
Citation Text:
VA Interprofessional Fellowship Program in Patient Safety. National Center for Patient Safety.
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psnet.ahrq.gov/issue/medication-assessment-one-determinant-falls-risk
July 24, 2013 - Newspaper/Magazine Article
Medication assessment: one determinant of falls risk.
Citation Text:
Medication assessment: one determinant of falls risk. PA-PSRS Patient Saf Advis. March 2008;5:16-18.
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psnet.ahrq.gov/issue/bid-better-care-surgery-warranty
August 05, 2008 - Newspaper/Magazine Article
In bid for better care, surgery with a warranty.
Citation Text:
In bid for better care, surgery with a warranty. Abelson R.
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psnet.ahrq.gov/issue/will-false-diagnosis-cost-minnesota-girl-her-life
October 24, 2012 - Newspaper/Magazine Article
Will false diagnosis cost Minnesota girl her life?
Citation Text:
Will false diagnosis cost Minnesota girl her life? Simons A. Star Tribune. January 4, 2012:1A.
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psnet.ahrq.gov/issue/excellent-review-scheme-critical-incidents-insufficient-revalidation
May 18, 2022 - Commentary
Excellent review scheme for critical incidents but insufficient for revalidation.
Citation Text:
Lakhani M. Excellent review scheme for critical incidents but insufficient for revalidation. BMJ. 2005;330(7500):1143.
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psnet.ahrq.gov/issue/men-its-parkinsons-women-its-hysteria
March 03, 2021 - Newspaper/Magazine Article
In men, it's Parkinson's. In women, it's hysteria.
Citation Text:
In men, it's Parkinson's. In women, it's hysteria. Armstrong D. ProPublica. August 23, 2019.
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psnet.ahrq.gov/issue/safety-nicu-preventing-medical-errors
November 11, 2015 - Meeting/Conference Proceedings
Safety in the NICU: preventing medical errors.
Citation Text:
Safety in the NICU: preventing medical errors. Stokowski LA. Medscape Nurses. 2007.
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
August 01, 2024 - Making Healthcare Safer III
A Critical Analysis of Existing and Emerging Patient Safety Practices
Despite sustained national attention and notable successful interventions in recent years, patient safety remains a significant problem in the United States. Harms such as adverse drug events, health…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheet.pdf
June 02, 2025 - AHRQ Pediatric Quality Indicators Prioritization Worksheet
AHRQ Quality Indicators Toolkit
Prepared by RAND and UHC for AHRQ Tool C.1
Volume of
Cases at
Risk
Cost of Single
Event
Total Cost
Cost To
Implement
Penalities and
Incentives
Proxies for Cost
Strategic
Alignment
External
Mandates
Public
Per…
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www.ahrq.gov/cahps/cahps-database/hcbs-database/participate.html
December 01, 2024 - Participating in the CAHPS Home and Community-Based Services Survey Database
All Medicaid agencies and managed care entities that administer this survey are invited to submit their results to the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey Database. This page explains the requirements and the st…
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psnet.ahrq.gov/issue/use-color-coded-patient-wristbands-creates-unnecessary-risk
November 28, 2018 - Government Resource
Use of color-coded patient wristbands creates unnecessary risk.
Citation Text:
Use of color-coded patient wristbands creates unnecessary risk. PA PSRS Patient Saf Advis 2005 Dec 2;(Suppl. 2):1-4.
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psnet.ahrq.gov/issue/medication-errors-when-pharmacy-closed
April 16, 2018 - Newspaper/Magazine Article
Medication errors: when pharmacy is closed.
Citation Text:
Medication errors: when pharmacy is closed. PA-PSRS Patient Saf Advis. March 2012;9:11-17.
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psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely
March 18, 2010 - Newspaper/Magazine Article
Sterile water should not be given "freely."
Citation Text:
Sterile water should not be given "freely." PA-PSRS Patient Saf Advis. June 2008;5:53-56.
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