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psnet.ahrq.gov/node/37413/psn-pdf
November 14, 2011 - Patient Safety Tools: Improving Safety at the Point of
Care.
November 14, 2011
https://psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
Produced in conjunction with its Partnerships in Implementing Patient Safety (PIPS) grant program,
AHRQ has released 17 freely available toolkits to help ho…
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psnet.ahrq.gov/node/42814/psn-pdf
February 06, 2014 - Twelve tips on engaging learners in checking health care
decisions.
February 6, 2014
Sibbald M, de Bruin A, van Merrienboer JJG. Twelve tips on engaging learners in checking health care
decisions. Med Teach. 2014;36(2):111-5. doi:10.3109/0142159X.2013.847910.
https://psnet.ahrq.gov/issue/twelve-tips-engaging-learn…
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psnet.ahrq.gov/node/41634/psn-pdf
January 31, 2013 - Disclosure of harmful medical errors in out-of-hospital
care.
January 31, 2013
Lu DW, Guenther E, Wesley AK, et al. Disclosure of harmful medical errors in out-of-hospital care. Ann
Emerg Med. 2013;61(2):215-21. doi:10.1016/j.annemergmed.2012.07.004.
https://psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-o…
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psnet.ahrq.gov/node/46463/psn-pdf
October 04, 2017 - Effectively leading for quality.
October 4, 2017
Lachman P, Nicklin W. Effectively leading for quality. Healthc Manage Forum. 2017;30(5):233-236.
doi:10.1177/0840470417706705.
https://psnet.ahrq.gov/issue/effectively-leading-quality
Hospital boards and executives can help drive safety improvement. This commentary …
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psnet.ahrq.gov/node/837985/psn-pdf
August 31, 2022 - Inequity and Iatrogenic Harm.
August 31, 2022
AMA J Ethics. 2022;24(8):e715-e816.
https://psnet.ahrq.gov/issue/inequity-and-iatrogenic-harm
Health inequity is recent expansion in the patient safety canon. This special issue examines poor access,
quality of care, and health status as contributors to patient harm. A…
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psnet.ahrq.gov/node/40756/psn-pdf
September 07, 2011 - How reliable is your hospital? A qualitative framework for
analysing reliability levels.
September 7, 2011
Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability
levels. BMJ Qual Saf. 2011;20(9):785-790.
https://psnet.ahrq.gov/issue/how-reliable-your-hospital-qualit…
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psnet.ahrq.gov/node/39025/psn-pdf
October 14, 2009 - Implementing patient safety initiatives in rural hospitals.
October 14, 2009
Klingner J, Moscovice I, Tupper JB, et al. Implementing Patient Safety Initiatives in Rural Hospitals. J Rural
Health. 2009;25(4):352-357. doi:10.1111/j.1748-0361.2009.00243.x.
https://psnet.ahrq.gov/issue/implementing-patient-safety-initi…
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psnet.ahrq.gov/node/41992/psn-pdf
May 23, 2013 - Errors as allies: error management training in health
professions education.
May 23, 2013
King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions
education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945.
https://psnet.ahrq.gov/issue/errors-allies-error-managem…
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psnet.ahrq.gov/node/43838/psn-pdf
September 12, 2016 - The US has a drug shortage—and people are dying.
September 12, 2016
Koba M.
https://psnet.ahrq.gov/issue/us-has-drug-shortage-and-people-are-dying
National drug shortages are a persisting and serious patient safety issue in the United States. Reporting on
the drug shortage problem, this magazine article explores u…
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psnet.ahrq.gov/node/39739/psn-pdf
August 04, 2010 - A model for developing high-reliability teams.
August 4, 2010
Riley W, Davis SE, Miller KK, et al. A model for developing high-reliability teams. J Nurs Manag.
2010;18(5):556-63. doi:10.1111/j.1365-2834.2010.01121.x.
https://psnet.ahrq.gov/issue/model-developing-high-reliability-teams
Providing background on high …
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psnet.ahrq.gov/node/45079/psn-pdf
May 03, 2016 - A piece of my mind. Mentorship malpractice.
May 3, 2016
Chopra V, Edelson DP, Saint S. A PIECE OF MY MIND. Mentorship Malpractice. JAMA.
2016;315(14):1453-4. doi:10.1001/jama.2015.18884.
https://psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice
Mentors can serve as coaches to help improve student performan…
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psnet.ahrq.gov/node/43017/psn-pdf
June 12, 2019 - Saying Sorry.
June 12, 2019
London, England: NHS Resolution; 2018.
https://psnet.ahrq.gov/issue/saying-sorry
Although victims of adverse events have clearly expressed their preferences for full error disclosure, most
physicians remain uncomfortable with disclosing and apologizing for errors. This leaflet offers in…
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psnet.ahrq.gov/node/33888/psn-pdf
January 06, 2025 - ISMP Cheers Awards.
January 6, 2025
Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/ismp-cheers-awards
The Institute for Safe Medication Practices sponsors the annual Cheers Awards to recognize both
individuals and institutions for their commitment to medication safety. The 2024 awards recogn…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/AreYouUsingTeachBack.pdf
June 02, 2025 - Are You Using Teach-Back?
Are You Using Teach-Back?
To help us understand how our practice is doing in implementing and using teach-back, please
answer this short set of questi…
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www.ahrq.gov/nursing-home/resources/booster-access.html
July 01, 2022 - Booster Shot Access for Residents and Staff: Vaccine Toolkit for Long-Term Care Settings
Resource: Booster Shot Access for Residents and Staff: Vaccine Toolkit for Long-Term Care Settings
This LeadingAge toolkit was developed to help long-term care settings (including home- and community-based services orga…
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www.ahrq.gov/nursing-home/resources/training-user-guide.html
June 01, 2022 - COVID-19 Training for Nursing Homes: User Guide and Kudos Kit
Resource: COVID-19 Training for Nursing Homes: User Guide and Kudos Kit
This resource is intended for nursing home staff to put the latest information regarding infection control, COVID-19 preparedness, resident-centered care, vaccine distributi…
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www.uspreventiveservicestaskforce.org/uspstf/document/draft-evidence-review/vitamin-d-calcium-combined-supplementation-primary-prevention-falls-fractures-communitydwelling-adults
December 17, 2024 - Share to Facebook
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Draft Evidence Review
Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Falls and Fractures in Community-Dwelling Adults: Preventive Medic…
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digital.ahrq.gov/health-it-tools-and-resources/patient-generated-health-data-i-patient-reported-outcomes/epros-in-clinical-care
January 01, 2023 - ePROs in Clinical Care
The ePROs in Clinical Care is a new toolkit funded by AHRQ’s Digital Healthcare Research Program designed to help healthcare systems govern, integrate, and report electronic patient-reported outcomes (ePROs) data for clinical care delivery. The ePROs in C…
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www.ahrq.gov/hai/tools/enhanced-recovery/choosing.html
June 01, 2023 - Choosing a Service Line
Tools and Resources To Help Hospitals Choose an ISCR Program
The Improving Surgical Care and Recovery (ISCR) program has enhanced recovery pathways for colorectal, gynecologic, hip and knee replacement, hip fracture, and emergency general surgery (appendectomy, cholecystectomy, and maj…
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www.ahrq.gov/patient-safety/resources/mednet-guide/index.html
November 01, 2014 - Implementing a State-Level Quality Improvement Collaborative
A Resource Guide From the Medicaid Network for Evidence-based Treatment (MEDNET)
This Resource Guide is designed to help State agencies and policymakers, as well as other stakeholders, implement a State-level quality improvement collabor…