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psnet.ahrq.gov/issue/medical-error-second-victim-0
February 17, 2017 - Commentary
Medical error: the second victim.
Citation Text:
McCay L, Wu AW. Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148.
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psnet.ahrq.gov/issue/sepsis-recognizing-next-event
July 13, 2010 - Commentary
Sepsis: recognizing the next event.
Citation Text:
Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6. doi:10.1097/01.NURSE.0000434320.25397.53.
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psnet.ahrq.gov/issue/cultivate-discussions-psychologically-safe-workplace-part-1-and-part-ii
August 11, 2021 - Special or Theme Issue
Cultivate discussions in a psychologically safe workplace: part 1 and part II.
Citation Text:
Cultivate discussions in a psychologically safe workplace: part 1 and part II. ISMP Medication Safety Alert! Acute Care. July 11, 2024;29;(14):1-3; July 25, 2024;29(15):1-…
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psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent-public-health-challenge
May 04, 2016 - Book/Report
Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge.
Citation Text:
Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Washington, DC: United States Government Accountability O…
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digital.ahrq.gov/ahrq-funded-projects/improving-electronic-health-records-patient-education-materials/annual-summary/2012
January 01, 2012 - Improving Electronic Health Records Patient Education Materials - 2012
Project Name
Improving Electronic Health Records Patient Education Materials
Principal Investigator
Shoemaker, Sarah
Organization
Abt Associates, Inc.
Funding Mechanism
National Resource Center T…
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psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture
May 02, 2018 - Newspaper/Magazine Article
Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture.
Citation Text:
Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. ISMP Medication Safety Alert! …
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psnet.ahrq.gov/issue/corporate-responsibility-and-health-care-quality-resource-health-care-boards-directors
October 29, 2008 - Book/Report
Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors.
Citation Text:
Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. Callender AN, Hastings DA, Hemsley MC, et al. Washington DC: …
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psnet.ahrq.gov/issue/patient-safety-clinical-research-articles
June 01, 2022 - Commentary
Patient safety in clinical research articles.
Citation Text:
Vintzileos AM, Finamore PS, Sicuranza GB, et al. Patient safety in clinical research articles. Int J Gynaecol Obstet. 2013;123(2):93-5. doi:10.1016/j.ijgo.2013.05.006.
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psnet.ahrq.gov/issue/risk-society-and-system-failure
November 29, 2023 - Commentary
Risk, society and system failure.
Citation Text:
Scalliet P. Risk, society and system failure. Radiotherapy and Oncology. 2006;80(3). doi:10.1016/j.radonc.2006.07.003.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts3.html
December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Handouts: Overview of On-Time (continued)
Menu of Implementation Strategies
Pressure Ulcer Prevention Menu of Implementation Strategies
Existing
New
On-Time Nutrition Risk Reports
1. Care Plan…
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hcup-us.ahrq.gov/reports/factsandfigures/2007/citation.jsp
January 01, 2007 - HCUP Facts and Figures 2007: Statistics on Hospital-Based Care in the United States
An official website of the Department of Health & Human Services
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Careers
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hcup-us.ahrq.gov/figures/figure5_re_rpt.jsp
July 01, 2016 - Figure 5: Sample Georgia Minority Health Report Card: Barrow County
An official website of the Department of Health & Human Services
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Careers
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Espano…
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn7.jsp
August 01, 2014 - Deliverables for Participating Hospitals.
An official website of the Department of Health & Human Services
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Careers
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Espanol
FAQs
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psnet.ahrq.gov/issue/patient-safety-8
October 18, 2017 - Special or Theme Issue
Patient Safety.
Citation Text:
Bagian JP. Health care and patient safety: The failure of traditional approaches - how human factors and ergonomics can and MUST help. Human Factors and Ergonomics in Manufacturing & Service Industries. 2011;22(1). doi:10.1002/hfm.2…
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psnet.ahrq.gov/issue/emergency-lights-and-sirens-ambulances-may-do-more-harm-good
February 15, 2023 - Newspaper/Magazine Article
Emergency lights and sirens on ambulances may do more harm than good.
Citation Text:
Emergency lights and sirens on ambulances may do more harm than good. Renault M. Stat. July 7, 2023.
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psnet.ahrq.gov/issue/canadian-incident-analysis-framework
December 04, 2016 - Book/Report
Canadian Incident Analysis Framework.
Citation Text:
Canadian Incident Analysis Framework. Incident Analysis Collaborating Parties. Edmonton, AB: Canadian Patient Safety Institute; 2012. ISBN: 9781926541440.
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psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
September 11, 2019 - Newspaper/Magazine Article
Partnering with families and patient advocates: another line of defense in adverse event surveillance.
Citation Text:
Partnering with families and patient advocates: another line of defense in adverse event surveillance. ISMP Medication Safety Alert! Acute Care…
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hcup-us.ahrq.gov/reports/factsandfigures/2009/TOC_2009.jsp
January 01, 2009 - HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009
An official website of the Department of Health & Human Services
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-612-09-03-2013.pdf
January 01, 2013 - TND-612-09-03-2013
Topic Number(s): 0520
Document Completion Date: 02-06-2013
1
Results of Topic Selection Process & Next Steps
The topic, Interventions to Transition Children with Special Health Care Needs (CSHCN) from Pediatric
to Adult Care, is not feasible for a full systematic review due…
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www.ahrq.gov/news/newsroom/case-studies/201605.html
May 01, 2016 - Blue Shield of California Foundation Uses AHRQ Guide to Reduce Hospital Readmissions
Search All Impact Case Studies
May 2016
AHRQ's Hospital Guide to Reducing Medicaid Readmissions was used by Blue Shield of California Foundation to apply evidence-based strategies that significantly cut hospital readmissi…