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psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety
August 02, 2015 - Commentary
Briefings, checklists, geese, and surgical safety.
Citation Text:
Karl R. Briefings, checklists, geese, and surgical safety. Ann Surg Oncol. 2010;17(1):8-11. doi:10.1245/s10434-009-0794-9.
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psnet.ahrq.gov/issue/identity-crisis-examination-costs-and-benefits-unique-patient-identifier-us-health-care
May 21, 2014 - Book/Report
Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System.
Citation Text:
Identity Crisis: An Examination of the Costs and Benefits of a Unique Patient Identifier for the US Health Care System. Hillestad R, Bigelow …
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psnet.ahrq.gov/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation-report-1
May 21, 2014 - Book/Report
Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1.
Citation Text:
Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. Santa Monica, CA: RAND Corporation; 2005. ISBN 0833037870.
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2010
November 23, 2016 - Book/Report
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010.
Citation Text:
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. Oakbrook Terrace, IL: The Joint Commission; September 2010.
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psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
September 13, 2016 - Book/Report
Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process.
Citation Text:
Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. St. Paul, MN: Society to Improve Diagnosis …
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psnet.ahrq.gov/issue/web-based-tool-comprehensive-unit-based-safety-program-cusp
January 02, 2017 - Commentary
A web-based tool for the Comprehensive Unit-based Safety Program (CUSP).
Citation Text:
Pronovost P, King J, Holzmueller CG, et al. A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). Jt Comm J Qual Patient Saf. 2006;32(3):119-29.
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psnet.ahrq.gov/issue/identification-and-prevention-common-adverse-drug-events-intensive-care-unit
December 16, 2020 - Special or Theme Issue
Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit.
Citation Text:
Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(s…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/fig1.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Figure 1. Numeric Scoring for Evaluation Criteria
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Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introducti…
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psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
April 17, 2024 - Newspaper/Magazine Article
Total systems safety supports practitioners in partnering with families to protect patients.
Citation Text:
Total systems safety supports practitioners in partnering with families to protect patients. ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4.
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psnet.ahrq.gov/issue/establishing-culture-patient-safety-role-education
August 23, 2017 - Commentary
Establishing a culture for patient safety - the role of education.
Citation Text:
Milligan FJ. Establishing a culture for patient safety - the role of education. Nurse Educ Today. 2007;27(2):95-102.
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psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
May 25, 2016 - Commentary
Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety.
Citation Text:
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…
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psnet.ahrq.gov/issue/point-care-testing-medical-error-and-patient-safety-2007-assessment
February 01, 2017 - Review
Point-of-care testing, medical error, and patient safety: a 2007 assessment.
Citation Text:
Ehrmeyer SS, Laessig RH. Point-of-care testing, medical error, and patient safety: a 2007 assessment. Clin Chem Lab Med. 2007;45(6):766-73.
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psnet.ahrq.gov/issue/embedding-quality-and-safety-otolaryngology-head-and-neck-surgery-education
August 11, 2010 - Commentary
Embedding quality and safety in otolaryngology–head and neck surgery education.
Citation Text:
McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/019459…
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www.ahrq.gov/cahps/surveys-guidance/end-of-life/index.html
May 01, 2025 - CAHPS End-of-Life Care Survey
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) End-of-Life Care Survey assesses healthcare experiences in the last month of life, including care experiences across a range of care providers and settings, such as at a doctor’s office or clinic, in a hospital or…
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www.ahrq.gov/news/blog/ahrqviews/2024-academyhealth-meeting.html
July 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
Feeling Energized After Another Successful AcademyHealth Annual Research Meeting
JUL
12
2024
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
I have been contemplating the 2024 AcademyHealth Annual…
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psnet.ahrq.gov/issue/improving-patient-safety-and-communication-through-care-rounds-pediatric-oncology-outpatient
January 14, 2011 - Commentary
Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic.
Citation Text:
Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. J Nurs Care Qual. 2007;22…
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psnet.ahrq.gov/issue/make-no-mistake-about-it-chain-pharmacies-are-finding-innovative-ways-combat-medication
May 20, 2020 - Newspaper/Magazine Article
Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors.
Citation Text:
Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. Levy S. Drug Topics. July 9, 2007
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www.ahrq.gov/talkingquality/plan/manage.html
November 01, 2018 - How Will You Manage a Health Care Quality Reporting Project?
Managing a quality reporting project requires forethought, patience, and creativity. While detailed advice on how to manage this kind of effort is beyond the scope of TalkingQuality, this page offers some basic guidance to help you keep your project…
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www.ahrq.gov/ncepcr/tools/confid-report/intro.html
February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Introduction
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Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Part One: Physician Feedback Report Fundamental…
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www.ahrq.gov/patient-safety/resources/simulation-issue-brief4.html
July 01, 2024 - Simulation To Improve Patient Safety: Getting Started
Use Simulation To Adopt and Adapt Best Practices
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Table of Contents
Simulation To Improve Patient Safety: Getting Started
Introduction
Leverage Patient Safety Infrastructure
Use Simulation To Adopt and Adapt Best Prac…