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psnet.ahrq.gov/issue/ismp-survey-iv-push-medication-practices
January 26, 2023 - Press Release/Announcement
ISMP Survey on IV Push Medication Practices.
Citation Text:
ISMP Survey on IV Push Medication Practices. Institute for Safe Medication Practices; ISMP.
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
January 26, 2023 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment® for Perioperative Settings.
Citation Text:
ISMP Medication Safety Self Assessment® for Perioperative Settings. Institute for Safe Medication Practices
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psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-patients-are-probably
May 27, 2020 - Commentary
Why accountability sharing in health care organizational cultures means patients are probably safer.
Citation Text:
Why accountability sharing in health care organizational cultures means patients are probably safer. Eng DM, Schweikart SJ. AMA J Ethics. 2020;22(9):e779-e783.
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-information-design-and-usability-toolkit
January 01, 2023 - Electronic Health Record Information Design and Usability Toolkit
Project Final Report ( PDF , 1.03 MB)
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Annual Summaries
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Project Details -
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psnet.ahrq.gov/issue/improving-patient-care-through-improved-caregiver-support
June 20, 2018 - Newspaper/Magazine Article
Improving patient care through improved caregiver support.
Citation Text:
Improving patient care through improved caregiver support. Headley M. Patient Saf Qual Healthc. August 21, 2017.
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psnet.ahrq.gov/issue/best-medical-care-us
June 27, 2018 - Newspaper/Magazine Article
The best medical care in the U.S.
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The best medical care in the U.S. Arnst C.
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psnet.ahrq.gov/issue/partnering-patients-and-families-enhance-safety-and-quality-mini-toolkit
September 12, 2018 - Toolkit
Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit.
Citation Text:
Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit. Bethesda, MD: Institute for Patient- and Family-Centered Care; 2011.
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psnet.ahrq.gov/issue/health-systems-and-hospitals-pursuit-high-reliability
October 23, 2019 - Newspaper/Magazine Article
Health systems and hospitals in pursuit of high reliability.
Citation Text:
Health systems and hospitals in pursuit of high reliability. Cheney C. HealthLeaders Media. April 17, 2019.
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psnet.ahrq.gov/issue/entire-upmc-transplant-team-missed-hepatitis-alert
March 06, 2005 - Newspaper/Magazine Article
Entire UPMC transplant team missed hepatitis alert.
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Entire UPMC transplant team missed hepatitis alert. Hamill SD.
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psnet.ahrq.gov/issue/how-could-happen
September 19, 2007 - Newspaper/Magazine Article
How could this happen?
Citation Text:
How could this happen? Westfall SS; Mascia K. People. October 5, 2009.
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www.ahrq.gov/topics/healthcare-associated-infections-hais.html
May 12, 2015 - Topic: Healthcare-Associated Infections (HAIs)
Healthcare-associated infections (HAIs) are among the leading threats to patient safety, affecting one out of every 31 hospital patients at any one time. Over a million HAIs occur across the U.S. health care system every year, leading to the loss of tens of thousands of …
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psnet.ahrq.gov/issue/without-ounce-empathy-their-stories-show-dangers-being-black-and-pregnant
September 22, 2021 - Newspaper/Magazine Article
Without an 'ounce of empathy': their stories show the dangers of being Black and pregnant.
Citation Text:
Without an 'ounce of empathy': their stories show the dangers of being Black and pregnant. Ramaswamy SV. Rockland/Westchester Journal News. September …
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psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling
November 16, 2022 - Newspaper/Magazine Article
Alarm fatigue hazards: the sirens are calling.
Citation Text:
Alarm fatigue hazards: the sirens are calling. Welch J.
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psnet.ahrq.gov/issue/medical-misdiagnoses-can-have-fatal-consequences
July 27, 2011 - Newspaper/Magazine Article
Medical misdiagnoses can have fatal consequences.
Citation Text:
Medical misdiagnoses can have fatal consequences. Olsen D. State Journal-Register. June 26, 2011.
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www.ahrq.gov/news/newsroom/case-studies/201502.html
March 01, 2015 - AHRQ-funded Health Literacy Tool Improves Care for COPD Patients in Spain
Search All Impact Case Studies
March 2015
Grupo Saned, a health care and pharmaceutical marketing company in Barcelona, Spain, used an AHRQ-funded health literacy scale— Short Assessment of Health Literacy for Spanish-speaking Adults …
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psnet.ahrq.gov/issue/genome-detectives-solve-hospitals-deadly-outbreak
August 22, 2012 - Newspaper/Magazine Article
Genome detectives solve a hospital's deadly outbreak.
Citation Text:
Genome detectives solve a hospital's deadly outbreak. Kolata G. New York Times. August 22, 2012.
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psnet.ahrq.gov/issue/hospital-medication-errors-commonplace
August 02, 2023 - Audiovisual
Hospital Medication Errors Commonplace.
Citation Text:
Hospital Medication Errors Commonplace. Berwick D; Lassman S; Bates D. National Public Radio. July 28, 2006.
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psnet.ahrq.gov/issue/dallas-ebola-case-shows-even-sound-plans-can-fail-spectacularly
September 30, 2009 - Newspaper/Magazine Article
Dallas Ebola case shows even sound plans can fail spectacularly.
Citation Text:
Dallas Ebola case shows even sound plans can fail spectacularly. Loftis RL. Dallas Morning News. October 5, 2014.
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psnet.ahrq.gov/issue/attacking-opioid-crisis-head-health-it
November 30, 2016 - Government Resource
Opioid Epidemic & Health IT
Citation Text:
Opioid Epidemic & Health IT Section 4. Health IT Playbook. Office of the National Coordinator for Health Information Technology.
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psnet.ahrq.gov/issue/lawyers-say-sorry-may-sink-you-court
December 04, 2016 - Commentary
Lawyers say 'sorry' may sink you in court.
Citation Text:
Butcher L. Lawyers say 'sorry' may sink you in court. Physician Exec. 2006;32(2):20-4.
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