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psnet.ahrq.gov/issue/risk-management-pearls-disclosure-adverse-events
July 05, 2017 - Book/Report
Risk Management Pearls on Disclosure of Adverse Events.
Citation Text:
Risk Management Pearls on Disclosure of Adverse Events. Amori GH. Chicago, IL: American Society for Healthcare Risk Management; 2006.
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psnet.ahrq.gov/issue/safety-quality-and-informatics-leadership-program
May 01, 2015 - Course Material/Curriculum
Safety Quality and Informatics Leadership Program.
Citation Text:
Safety Quality and Informatics Leadership Program. Harvard Medical School, Boston, MA
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psnet.ahrq.gov/issue/hospitals-find-confession-good-bottom-line
November 23, 2016 - Newspaper/Magazine Article
Hospitals find confession good for the bottom line.
Citation Text:
Hospitals find confession good for the bottom line. Greene J.
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psnet.ahrq.gov/issue/leadership-and-vision-culture-safety
May 27, 2021 - Commentary
Leadership and vision for a culture of safety.
Citation Text:
Leadership and vision for a culture of safety. Gandhi TK. NEJM Catalyst. February 8, 2018.
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psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety
February 21, 2018 - Commentary
Achieving zero inequity: lessons learned from patient safety.
Citation Text:
Achieving zero inequity: lessons learned from patient safety. Gandhi TK. NEJM Catalyst. May 27, 2021.
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psnet.ahrq.gov/issue/nam-scholars-diagnostic-excellence-program
April 28, 2021 - Press Release/Announcement
NAM Scholars in Diagnostic Excellence program.
Citation Text:
NAM Scholars in Diagnostic Excellence program. National Academy of Medicine and the Council of Medical Specialty Societies.
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psnet.ahrq.gov/issue/medical-errors-disclosure-and-apology
January 04, 2017 - Newspaper/Magazine Article
Medical errors disclosure and apology.
Citation Text:
Medical errors disclosure and apology. Weiss PM; Koch S.
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psnet.ahrq.gov/issue/how-your-hospital-can-make-you-sick
September 09, 2015 - Newspaper/Magazine Article
How your hospital can make you sick.
Citation Text:
How your hospital can make you sick. Consumer Reports. July 29, 2015.
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psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
June 10, 2018 - Newspaper/Magazine Article
That’s the way we do things around here!
Citation Text:
That’s the way we do things around here! ISMP Medication Safety Alert! Acute care edition. February 24, 2011;16:1-2.
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psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
April 29, 2020 - Audiovisual
COVID-19 leads to increased need for dialysis machines.
Citation Text:
COVID-19 leads to increased need for dialysis machines. Mosley T. Here & Now. Boston Public Radio. April 27, 2020.
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psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition
March 20, 2013 - Multi-use Website
National Patient Safety Board Advocacy Coalition.
Citation Text:
National Patient Safety Board Advocacy Coalition. EQT Plaza, 625 Liberty Ave, Ste. 2500, Pittsburgh, PA 15222.
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psnet.ahrq.gov/issue/cause-concern-drug-shortages-disrupt-operations-tax-hospitalists-treatment-patterns
March 27, 2005 - Newspaper/Magazine Article
Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.
Citation Text:
Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns. Collins TR. The Hospitalist. July 2011.
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psnet.ahrq.gov/issue/after-harm-medical-error-and-ethics-forgiveness
July 24, 2019 - Book/Report
After Harm: Medical Error and the Ethics of Forgiveness.
Citation Text:
After Harm: Medical Error and the Ethics of Forgiveness. Berlinger N. Baltimore, MD: The Johns Hopkins University Press; 2005. ISBN 9780801881671.
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psnet.ahrq.gov/issue/disclosure-what-works-now-and-what-can-work-even-better-part-3-3
January 13, 2016 - Book/Report
Disclosure: what works now and what can work even better (part 3 of 3).
Citation Text:
Disclosure: what works now and what can work even better (part 3 of 3). Chicago, IL: American Society of Healthcare Risk Management;
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psnet.ahrq.gov/node/49496/psn-pdf
December 01, 2005 - Discharged Blindly
December 1, 2005
Iezzoni LI. Discharged Blindly. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/discharged-blindly
The Case
An elderly blind man developed a deep vein thrombosis during his hospital stay. At discharge, he was to
receive enoxaparin (Lovenox) for self-administration at home…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-procedure-final508.pdf
June 02, 2025 - Procedure To Create a Medicine List
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Procedure To Create
a Medicine List
Introduction
The strategy to Create a Safe Medicine List Together engages patients and families to actively
participate with you in developing…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Implementation Steps and Timeline
The goal of On-Time is that a facility staff will incorporate the On-Time reports into day-to-day prevention activities and ensure multidisciplinary input into clinical intervention decisions. The Implementatio…
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www.ahrq.gov/news/newsletters/e-newsletter/918.html
June 01, 2024 - Emergency Departments Don’t Coordinate How They Collect, Use Social Needs Information
Issue Number
918
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
June 25, 2024
AHRQ Stats Access more data on this topic in the associated statistical brief , plus addition…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-sample-process.pdf
June 02, 2025 - Medication Management: Sample Process for Medication Management Strategy
Sample Process for
Medication Management Strategy
Introduction
The Medication Management strategy is an effort to engage patients and families to actively
participate with you in developing a complete and accurate medication list from which …
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meps.ahrq.gov/data_files/publications/st78/stat78.shtml
May 01, 2005 - STATISTICAL BRIEF #78:
Children's Usual Source of Care: United States, 2002
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