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psnet.ahrq.gov/node/43940/psn-pdf
February 25, 2015 - AHRQ Announces Interest in Research About the
Epidemiology of Patient Safety Risks and Harms in
Ambulatory Health Care Settings.
February 25, 2015
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. February 10, 2015.
Publication No. NOT-HS-15-006.
https://psnet.ahrq.gov/issue/ahrq…
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psnet.ahrq.gov/node/43947/psn-pdf
August 28, 2015 - AHRQ Health Services Research Projects: Making Health
Care Safer in Ambulatory Care Settings and Long Term
Care Facilities (R01).
August 28, 2015
US Department of Health and Human Services. August 25, 2015. PA-15-339.
https://psnet.ahrq.gov/issue/ahrq-health-services-research-projects-making-health-care-safer-ambu…
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psnet.ahrq.gov/node/42116/psn-pdf
March 20, 2013 - Rapid response systems as a patient safety strategy: a
systematic review.
March 20, 2013
Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic
review. Ann Intern Med. 2013;158(5 Pt 2):417-25. doi:10.7326/0003-4819-158-5-201303051-00009.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/34982/psn-pdf
July 14, 2010 - Development of the ICU safety reporting system.
July 14, 2010
Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32.
https://psnet.ahrq.gov/issue/development-icu-safety-reporting-system
This AHRQ-funded study describes the development of a Web-based, voluntary, and anonymous reporting
system. T…
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psnet.ahrq.gov/node/43456/psn-pdf
October 03, 2017 - Veterans' Access to Care through Choice, Accountability,
and Transparency Act of 2014.
October 3, 2017
HR 3230, 113th Congress: 2014.
https://psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act-
2014
The Veterans Affairs (VA) health system has both achieved success and str…
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psnet.ahrq.gov/node/37342/psn-pdf
December 23, 2012 - A past report from the
Commonwealth Fund discussed the framework for a high performance health system
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psnet.ahrq.gov/node/38241/psn-pdf
January 15, 2009 - The Commonwealth Fund also supported a similar
past report that used patient experiences to discuss
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - evidence that it actually was useful and worked—it was the Hospital Engagement Networks, which CMS funds
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psnet.ahrq.gov/node/60347/psn-pdf
January 01, 2021 - Patient safety education 20 years after the Institute of
Medicine report: results from a cross-sectional national
survey.
May 20, 2020
Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report:
results from a cross-sectional national survey. J Patient Saf. 2021;17(…
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psnet.ahrq.gov/node/837763/psn-pdf
August 03, 2022 - Implementation of hand hygiene in health-care facilities:
results from the WHO Hand Hygiene Self-Assessment
Framework global survey 2019.
August 3, 2022
de Kraker MEA, Tartari E, Tomczyk S, et al. Implementation of hand hygiene in health-care facilities:
results from the WHO Hand Hygiene Self-Assessment Framework …
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psnet.ahrq.gov/node/46749/psn-pdf
April 04, 2018 - Toolkit for Improving Perinatal Safety.
April 4, 2018
Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from
comprehensive unit-based safe…
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psnet.ahrq.gov/node/34995/psn-pdf
February 03, 2011 - The Research on Adverse Drug Events and Reports
(RADAR) project.
February 3, 2011
Bennett CL, Nebeker JR, Lyons A, et al. The Research on Adverse Drug Events and Reports (RADAR)
project. JAMA. 2005;293(17):2131-40.
https://psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project
This article su…
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psnet.ahrq.gov/node/47167/psn-pdf
May 30, 2018 - AHRQ Health Information Technology Division's 2017
Annual Report.
May 30, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-
EF.
https://psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
Health care has worked to enhance use…
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psnet.ahrq.gov/node/35154/psn-pdf
January 02, 2017 - Ambulatory care visits for treating adverse drug effects in
the United States, 1995-2001.
January 2, 2017
Zhan C, Arispe IE, Kelley E, et al. Ambulatory Care Visits for Treating Adverse Drug Effects in the United
States, 1995–2001. The Joint Commission Journal on Quality and Patient Safety. 2016;31(7).
doi:10.1016…
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psnet.ahrq.gov/node/34868/psn-pdf
February 03, 2011 - Role of computerized physician order entry systems in
facilitating medication errors.
February 3, 2011
Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating
medication errors. JAMA. 2005;293(10):1197-203.
https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
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psnet.ahrq.gov/node/43616/psn-pdf
October 29, 2014 - Preventing Healthcare-Associated Infections: Results and
Lessons Learned from AHRQ's HAI Program.
October 29, 2014
Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Infect Control Hosp Epidemiol. 2014;35(suppl 3):S1-
S141.
https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lesson…
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psnet.ahrq.gov/node/44125/psn-pdf
May 28, 2015 - AHRQ focuses on ambulatory patient safety.
May 28, 2015
Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6.
doi:10.1097/NCQ.0000000000000124.
https://psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety
AHRQ has generated funding and educational opportunities toward u…
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psnet.ahrq.gov/node/34780/psn-pdf
March 28, 2005 - Disseminating innovations in health care.
March 28, 2005
Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975.
doi:10.1001/jama.289.15.1969.
https://psnet.ahrq.gov/issue/disseminating-innovations-health-care
This commentary and review discusses the ability to adopt growing numbers of …
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psnet.ahrq.gov/node/46413/psn-pdf
February 22, 2018 - A comparison of error rates between intravenous push
methods: a prospective, multisite, observational study.
February 22, 2018
Hertig JB, Degnan DD, Scott CR, et al. A Comparison of Error Rates Between Intravenous Push Methods:
A Prospective, Multisite, Observational Study. J Patient Saf. 2018;14(1):60-65.
doi:10.…
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psnet.ahrq.gov/node/43092/psn-pdf
April 02, 2014 - Do you hear what I hear? Communication practices about
medications between physicians and clients with chronic
illness in Canada.
April 2, 2014
Sears K, Bishop A, MacKinnon NJ. J Particip Med. 2014;6:e2.
https://psnet.ahrq.gov/issue/do-you-hear-what-i-hear-communication-practices-about-medications-
between-physic…