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psnet.ahrq.gov/issue/considering-insulin-pens-routine-hospital-use-consider
May 03, 2023 - Newspaper/Magazine Article
Considering insulin pens for routine hospital use? Consider this...
Citation Text:
Considering insulin pens for routine hospital use? Consider this... ISMP Medication Safety Alert! Acute Care Edition. May 8, 2008;13:1-3.
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psnet.ahrq.gov/issue/nursing-care-quality-nqf
September 06, 2011 - Multi-use Website
Nursing Care Quality at NQF.
Citation Text:
Nursing Care Quality at NQF. National Quality Forum
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psnet.ahrq.gov/issue/positive-working-relationships-matter-better-nurse-and-patient-outcomes
September 27, 2017 - Special or Theme Issue
Positive Working Relationships Matter for Better Nurse and Patient Outcomes.
Citation Text:
Positive Working Relationships Matter for Better Nurse and Patient Outcomes. Spence Laschinger HK, ed. J Nurs Manag. 2010;18(8):875-1086
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psnet.ahrq.gov/issue/diagnostic-error-acute-care
December 15, 2010 - Newspaper/Magazine Article
Diagnostic error in acute care.
Citation Text:
Diagnostic error in acute care. PA-PSRS Patient Saf Advis. September 2010;7:76-86.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0119_06-17-2009.pdf
January 01, 2009 - Effective Health Care
Topic Number: 0160
Document Completion Date: 1-12-10
1
Results of Topic Selection Process & Next Steps
Pharmacologic therapy versus medical foods and nondietary approaches for the treatment of
phenylketonuria (PKU) will go forward for refinement as a systematic review. …
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digital.ahrq.gov/ahrq-funded-projects/regional-approach-thqit-rural-settings
January 01, 2023 - Regional Approach for THQIT in Rural Settings
Project Description
Other Resources
Project Details -
Completed
Grant Number
P20 HS015457
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - …
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psnet.ahrq.gov/issue/patient-safety-canada-update
December 04, 2019 - Book/Report
Patient Safety in Canada: An Update.
Citation Text:
Patient Safety in Canada: An Update. Ottawa, ON: Canadian Institute for Health Information; August 14, 2007.
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psnet.ahrq.gov/issue/medication-errors-associated-documented-allergies
March 18, 2010 - Government Resource
Medication errors associated with documented allergies.
Citation Text:
Medication errors associated with documented allergies. PA-PSRS Patient Saf Advis. September 2008;5:75-80.
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psnet.ahrq.gov/issue/safety-competencies-framework
October 25, 2017 - Multi-use Website
The Safety Competencies Framework.
Citation Text:
The Safety Competencies Framework. Ottawa, ON: Canadian Patient Safety Institute; 2020.
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psnet.ahrq.gov/issue/learning-invited-reviews
May 29, 2019 - Book/Report
Learning From Invited Reviews.
Citation Text:
Learning From Invited Reviews. London, UK: Royal College of Surgeons of England; 2019.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/hrccdocumentationhandout_0.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and
Emergency Department Visits: Electronic Reports
High-Risk Change in Condition and Documentation Elements
Documentation Element
CHF/Chest
Pain/MI
Pneumonia/
Bronchitis
Mental
Status
Change UTI
Sepsis/Fever/
Infection Dehy…
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psnet.ahrq.gov/node/39389/psn-pdf
January 03, 2017 - Shaping systems for better behavioral choices: lessons
learned from a fatal medication error.
January 3, 2017
Smetzer JL, Baker C, Byrne FD, et al. Shaping systems for better behavioral choices: lessons learned from
a fatal medication error. Jt Comm J Qual Patient Saf. 2010;36(4):152-163.
https://psnet.ahrq.gov/is…
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www.ahrq.gov/funding/training-grants/grants/active/t32/T32-harv2.html
October 01, 2014 - Harvard University (postdoctoral pediatric), Boston
Institutional Training Programs
AHRQ funds 18 institutions which recruit and train predoctoral and/or postdoctoral health services researchers. Details on characteristics of the Harvard University program and its self-identified areas of research interest ar…
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psnet.ahrq.gov/issue/prevention-perioperative-medication-errors
March 22, 2023 - Review
Prevention of perioperative medication errors.
Citation Text:
Prevention of perioperative medication errors. Nanji K. UpToDate. March 7, 2023.
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psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care
December 24, 2008 - Grant Recipient
Patient Safety Tools: Improving Safety at the Point of Care.
Citation Text:
Patient Safety Tools: Improving Safety at the Point of Care. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/hospital-harm-project
December 04, 2019 - Toolkit
Hospital Harm Project.
Citation Text:
Hospital Harm Project. Canadian Institute for Health Information, Health Excellence Canada.
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psnet.ahrq.gov/issue/adverse-events-expecting-too-much-nurses-and-too-little-nursing-research
December 01, 2010 - Special or Theme Issue
Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research.
Citation Text:
Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research. Jordan S, ed. J Nurs Manag. 2011;19(3):287-417.
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psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
August 14, 2018 - Multi-use Website
Collaborative for Accountability and Improvement.
Citation Text:
Collaborative for Accountability and Improvement. University of Washington.
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psnet.ahrq.gov/issue/diagnostic-excellence-video-series
May 30, 2008 - Audiovisual Presentation
Diagnostic Excellence Video Series
Citation Text:
Diagnostic Excellence Video Series Oakland, CA: Kaiser Permanente; 2020.
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digital.ahrq.gov/ahrq-funded-projects/improving-electronic-health-records-patient-education-materials/annual-summary/2010
January 01, 2010 - Improving Electronic Health Records Patient Education Materials - 2010
Project Name
Improving Electronic Health Records Patient Education Materials
Principal Investigator
Shoemaker, Sarah
Organization
Abt Associates, Inc.
Contract Number
290-09-00012I-4
Projec…