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psnet.ahrq.gov/issue/perfect-possible
March 06, 2005 - Newspaper/Magazine Article
Perfect is possible.
Citation Text:
Perfect is possible. Berwick DM, Leape LL.
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psnet.ahrq.gov/issue/score-your-safety-culture
March 04, 2015 - Measurement Tool/Indicator
Score Your Safety Culture.
Citation Text:
Score Your Safety Culture. Reason J. Flight Safety Australia. 2001;5(1):40-41.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/risk
January 01, 2023 - Risk Assessment
Cause-and-Effect Diagram
Description
Cause-and-effect diagrams provide a visual means of conveying all suspected and possible causes and consequences of a specific problem.
Contingency Diagram
Description
The contingency diagram …
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www.ahrq.gov/prevention/partnership/partnertoolssa.html
June 01, 2018 - Suggested Activities
National Partnership Network
Connect With AHRQ—Engage Your Community
You can play an important role in the promotion and use of research tools from AHRQ. Getting involved is simple. Whether your organization serves patients, caregivers, clinicians, or policymakers, the Treatment Options…
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psnet.ahrq.gov/issue/medication-reconciliation-hospitalists
February 18, 2011 - Toolkit
Medication Reconciliation for Hospitalists.
Citation Text:
Medication Reconciliation for Hospitalists. Society of Hospital Medicine.
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psnet.ahrq.gov/issue/reprocessing-reusable-medical-devices
April 08, 2020 - Multi-use Website
Reprocessing of Reusable Medical Devices.
Citation Text:
Reprocessing of Reusable Medical Devices. US Food and Drug Administration.
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psnet.ahrq.gov/issue/why-king-harbor-must-die
July 29, 2009 - Newspaper/Magazine Article
Why King-Harbor must die.
Citation Text:
Why King-Harbor must die. Wachter RM.
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psnet.ahrq.gov/issue/assessing-nursing-quality-and-patient-safety
October 01, 2014 - Newspaper/Magazine Article
Assessing nursing quality and patient safety.
Citation Text:
Assessing nursing quality and patient safety. Clark C. HealthLeaders Media. June 2015;18:48-50.
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psnet.ahrq.gov/issue/front-line-defense-role-nurses-preventing-sentinel-events-third-edition
November 27, 2018 - Book/Report
Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. Third Edition.
Citation Text:
Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. Third Edition. Oakbrook, IL: Joint Commission Resources; 2018. ISBN: 9781635850611.
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psnet.ahrq.gov/issue/saying-sorry
October 20, 2021 - Fact Sheet/FAQs
Saying Sorry.
Citation Text:
Saying Sorry. London, England: NHS Resolution; 2018.
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June 12, 2…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0161_09-01-2009.pdf
January 01, 2009 - Effective Health Care
Topic Number(s): 0205
Document Completion Date: 2-5-10
1
Results of Topic Selection Process & Next Steps
Buteyko breathing will go forward for refinement as a systematic review. The scope of this topic,
including populations, interventions, comparators, and outcomes, w…
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psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
December 24, 2008 - Multi-use Website
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization (PSO).
Citation Text:
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization (PSO). Agency for Healthcare Quality and Research.
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psnet.ahrq.gov/issue/hospitals-combat-errors-hand
August 17, 2016 - Newspaper/Magazine Article
Hospitals combat errors at the 'hand-off.'
Citation Text:
Hospitals combat errors at the 'hand-off.' Landro L.
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psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done
July 18, 2018 - Newspaper/Magazine Article
Bridging the gap between work-as-imagined and work-as-done.
Citation Text:
Bridging the gap between work-as-imagined and work-as-done. Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83.
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psnet.ahrq.gov/issue/malnourishment-epidemic-plagues-hospitals-really
June 04, 2014 - Newspaper/Magazine Article
Malnourishment 'epidemic' plagues hospitals? Really?
Citation Text:
Malnourishment 'epidemic' plagues hospitals? Really? Clark C. HealthLeaders Media. September 18, 2014.
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psnet.ahrq.gov/issue/communicating-critical-test-results-0
November 19, 2014 - Toolkit
Communicating Critical Test Results.
Citation Text:
Communicating Critical Test Results. Burlington MA: Massachusetts Coalition for the Prevention of Medical Errors, MassPRO.
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psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery
December 24, 2008 - Multi-use Website
AHRQ Safety Program for Improving Surgical Care and Recovery.
Citation Text:
AHRQ Safety Program for Improving Surgical Care and Recovery. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
January 26, 2023 - Press Release/Announcement
ISMP survey on tall man (mixed case) lettering to reduce drug name confusion.
Citation Text:
ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/skin-tears-clinical-challenge
March 18, 2010 - Newspaper/Magazine Article
Skin tears: the clinical challenge.
Citation Text:
Skin tears: the clinical challenge. PA PSRS Patient Saf Advis 2006 Sep;3(3):1,5-10.
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digital.ahrq.gov/ahrq-funded-projects/delivery-preventive-services-primary-care
January 01, 2023 - Delivery of Preventive Services in Primary Care
Project Description
Publications
Project Details -
Completed
Grant Number
R21 HS014850
Funding Mechanism(s)
Health IT Grant
AHRQ Funded Amount
$439,500 funded jointly w…