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psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version-03-beta
September 06, 2011 - Measurement Tool/Indicator
Common Formats for Event Reporting.
Citation Text:
Common Formats for Event Reporting. National Quality Forum.
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psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
February 06, 2019 - Fact Sheet/FAQs
10 Medication Safety Tips for Hospitalized Patients.
Citation Text:
10 Medication Safety Tips for Hospitalized Patients. Horsham, PA: Institute for Safe Medication Practices; 2019.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/kepner-tregoe-matrix
January 01, 2023 - Kepner-Tregoe Matrix
Also Known As
Is-Is Not Matrix
Kepner and Tregoe Method
Description
A Kepner-Tregoe matrix is used to find causes of a problem. It isolates the who, what, when, where, and how aspects of an event, keeping the focus on the elements that have an impact on the event and…
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psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
September 02, 2014 - Book/Report
Fluorouracil Incident Root Cause Analysis Report.
Citation Text:
Fluorouracil Incident Root Cause Analysis Report. Toronto, CA: Institute for Safe Medication Practices Canada; May 2007.
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psnet.ahrq.gov/issue/association-professionals-infection-control-and-epidemiology
November 06, 2013 - Multi-use Website
Association for Professionals in Infection Control and Epidemiology.
Citation Text:
Association for Professionals in Infection Control and Epidemiology. 1400 Crystal Drive, Suite 900, Arlington, VA 22202. 202-789-1890 info@apic.org
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psnet.ahrq.gov/issue/small-patients-big-consequences-medical-errors
February 09, 2011 - Newspaper/Magazine Article
Small patients, big consequences in medical errors.
Citation Text:
Small patients, big consequences in medical errors. Tarkan L. New York Times. September 14, 2008;Health section:7.
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psnet.ahrq.gov/issue/stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission
June 21, 2023 - Newspaper/Magazine Article
Stop using these adult bed rails, warns the Consumer Product Safety Commission.
Citation Text:
Stop using these adult bed rails, warns the Consumer Product Safety Commission. Treisman R. National Public Radio. June 6, 2022
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psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest
April 06, 2022 - Multi-use Website
Center for Innovations in Quality, Effectiveness and Safety. IQuESt!
Citation Text:
Center for Innovations in Quality, Effectiveness and Safety. IQuESt! Houston, TX: Baylor College of Medicine.
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digital.ahrq.gov/ahrq-funded-projects/bar-coding-patient-safety-northern-michigan
January 01, 2023 - Bar Coding for Patient Safety in Northern Michigan
Project Description
Other Resources
Project Details -
Completed
Grant Number
UC1 HS014878
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQI…
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digital.ahrq.gov/ahrq-funded-projects/advancing-health-services-through-system-modeling-research/annual-summary/2012
January 01, 2012 - Advancing Health Services through Systems Modeling Research - 2012
Project Name
Advancing Health Services through System Modeling Research
Funding Mechanism
Interagency Agreement
Contract Number
12-689F-12
Project Period
July 2012 – June 2016
AHRQ Funding Amount
$1,…
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digital.ahrq.gov/funding-mechanism/department-health-and-human-services-program-support-center-psc
January 01, 2023 - Department of Health and Human Services Program Support Center (PSC)
Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems.
Citation
Radley DC, Wasserman MR, Olsho LEW, et al. Reduction in medication errors in hospitals due to…
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digital.ahrq.gov/ahrq-funded-projects/patient-safety-metadata
January 01, 2023 - Patient Safety Metadata
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-08-10005
Funding Mechanism(s)
United States Health Information Knowledgebase: A Metadata Registry
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psnet.ahrq.gov/issue/healthcare-cost-and-utilization-project-hcup
December 24, 2008 - Database/Directory
Healthcare Cost and Utilization Project (HCUP).
Citation Text:
Healthcare Cost and Utilization Project (HCUP). Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/national-diabetes-inpatient-audit-2017
January 27, 2016 - Book/Report
National Diabetes Inpatient Audit -- Harms.
Citation Text:
National Diabetes Inpatient Audit -- Harms. Leeds, UK: Health and Social Care Information Centre.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/gantt-chart
January 01, 2023 - Gantt Chart
Also Known As
Activity Chart
Milestones Chart
Project Bar Chart
Description
A Gantt chart is used to outline the plan for and show the progress of a project. It has the format of a bar chart and depicts the various subdivided phases or tasks that must be completed for a pro…
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psnet.ahrq.gov/issue/deep-dive-safe-ambulatory-care-strategies-patient-safety-risk-reduction
August 07, 2019 - Book/Report
Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction.
Citation Text:
Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction. Plymouth Meeting, PA: ECRI Institute; 2019.
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psnet.ahrq.gov/issue/introducing-ahrq-ambulatory-surgery-center-survey-patient-safety-culture
October 06, 2016 - Meeting/Conference Proceedings
Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Citation Text:
Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Agency for Healthcare Research and Quality. July 15, 2015.
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psnet.ahrq.gov/issue/advancing-patient-safety-decade-evidence-design-and-implementation
May 07, 2014 - Government Resource
Advancing Patient Safety: A Decade of Evidence, Design, and Implementation.
Citation Text:
Advancing Patient Safety: A Decade of Evidence, Design, and Implementation. Rockville, MD; Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No. 09…
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psnet.ahrq.gov/issue/reading-signals-maternity-and-neonatal-services-east-kent-report-independent-investigation
February 19, 2020 - Book/Report
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation.
Citation Text:
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. Kirkup B. Department of Healt…
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psnet.ahrq.gov/issue/invisible-gorilla-and-other-ways-our-intuitions-deceive-us
June 10, 2015 - Book/Report
The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us.
Citation Text:
The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us. Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659.
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