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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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www.ahrq.gov/nursing-home/resources/front-line-clinicians.html
May 01, 2022 - Nursing Home Series for Front Line Clinicians and Staff
Resource: Nursing Home Series for Front Line Clinicians and Staff
This podcast is the first in a series of Centers for Medicare & Medicaid Services-sponsored podcasts for frontline nursing home staff. Dr. Shari Ling, Deputy Chief Medical Office for th…
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www.ahrq.gov/nursing-home/resources/preventing-novel-mdros.html
May 01, 2022 - Preventing the Spread of Novel or Targeted Multidrug-resistant Organisms (MDROs) in Nursing Homes through Enhanced Barrier Precautions
Resource: Preventing the Spread of Novel or Targeted Multidrug-resistant Organisms (MDROs) in Nursing Homes through Enhanced Barrier Precautions
This webinar describes a new…
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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/41331/psn-pdf
October 03, 2017 - Leading a highly visible hospital through a serious
reportable event.
October 3, 2017
Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm.
2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6.
https://psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-repor…
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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/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/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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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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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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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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psnet.ahrq.gov/node/37014/psn-pdf
September 15, 2011 - Medication safety messages for patients via the web
portal: the MedCheck intervention.
September 15, 2011
Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the
MedCheck intervention. Int J Med Inform . 2008;77(3):161-168.
https://psnet.ahrq.gov/issue/medication-s…
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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…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review-nonpregnant-adolescents-and-adults/human-immunodeficiency-virus-hiv-infection-screening
June 11, 2019 - Share to Facebook
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Final Evidence Review: Nonpregnant Adolescents and Adults
Human Immunodeficiency Virus (HIV) Infection: Screening
June 11, 2019
Recommendations made by the USPSTF are inde…
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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…