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psnet.ahrq.gov/node/35059/psn-pdf
June 22, 2009 - Adverse events associated with sedatives, analgesics,
and other drugs that provide patient comfort in the
intensive care unit.
June 22, 2009
Riker RR, Fraser GL. Adverse events associated with sedatives, analgesics, and other drugs that provide
patient comfort in the intensive care unit. Pharmacotherapy. 2005;25…
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psnet.ahrq.gov/node/42861/psn-pdf
January 15, 2014 - Transitioning Newborns From NICU to Home: A Resource
Toolkit.
January 15, 2014
Rockville, MD: Agency for Healthcare Research and Quality; December 2013. AHRQ Publication No.
12(14)-0054-EF.
https://psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit
Infants discharged from the neonatal intensiv…
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psnet.ahrq.gov/node/37332/psn-pdf
November 14, 2007 - Is Our Pharmacy Meeting Patients' Needs? A Pharmacy
Health Literacy Assessment Tool User's Guide.
November 14, 2007
Jacobson KL, Gazmararian JA, Kripalani S, et al. Rockville, MD: Agency for Healthcare Research and
Quality. October 2007. AHRQ Publication No. 07-0051.
https://psnet.ahrq.gov/issue/our-pharmacy-meeti…
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psnet.ahrq.gov/node/34924/psn-pdf
February 27, 2009 - Medication errors in family practice, in hospitals and after
discharge from the hospital: an ethical analysis.
February 27, 2009
Clark PA. Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical
analysis. J Law Med Ethics. 2004;32(2):349-57, 192.
https://psnet.ahrq.gov/…
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/influenza-rsv.html
September 01, 2022 - The "Never Antibiotics" Diagnoses: Influenza and RSV
After viewing or presenting this presentation, viewers will be able to—
Describe how to diagnose influenza.
Explain the role of antivirals for treatment of influenza.
Describe how to diagnose and treat RSV.
The Never Antibiotics Diagnoses: I…
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psnet.ahrq.gov/node/41583/psn-pdf
August 08, 2012 - Achieving the 'perfect handoff' in patient transfers:
building teamwork and trust.
August 8, 2012
Clarke D, Werestiuk K, Schoffner A, et al. Achieving the 'perfect handoff' in patient transfers: building
teamwork and trust. J Nurs Manag. 2012;20(5):592-8. doi:10.1111/j.1365-2834.2012.01400.x.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/38584/psn-pdf
June 17, 2014 - Taking the Lead in Patient Safety: How Healthcare
Leaders Influence Behavior and Create Culture.
June 17, 2014
Krause TR, Hidley J. Hoboken, NJ: Wiley; 2008. ISBN: 9780470225394.
https://psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-
create-culture
With insight from…
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/pharyngitis.html
September 01, 2022 - The "Sometimes Antibiotics" Diagnoses: Pharyngitis
After viewing or presenting this presentation, viewers will be able to—
Review common infection causes of pharyngitis.
Identify criteria for determining whether to test for streptococcal pharyngitis.
Describe the treatment of streptococcal pharyngitis…
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/sinusitis.html
September 01, 2022 - The "Sometimes Antibiotics" Diagnoses: Sinusitis
After viewing or presenting this presentation, viewers will be able to—
Explain how to diagnose sinusitis.
Describe when to treat sinusitis with antibiotics.
Describe the non-antibiotic management of sinusitis.
The “Sometimes Antibiotics” Diagnose…
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psnet.ahrq.gov/node/46417/psn-pdf
October 11, 2017 - Center for Health Care Human Factors.
October 11, 2017
Armstrong Institute for Patient Safety and Quality.
https://psnet.ahrq.gov/issue/center-health-care-human-factors
Human factors engineering has provided unique insights into designing solutions to address human error
and system weaknesses that facilitate mista…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_pedtips.pdf
June 02, 2025 - NICU Toolkit, Appendix A: Tips for Finding a Pediatrician
Tips for Finding a Pediatrician
■ Your family will need to visit a
pediatrician within the first week
after leaving the hospital.
■ Plan ahead to avoid the pressure and
frustration of finding a pediatrician
right before your baby is discharged
from th…
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psnet.ahrq.gov/node/45998/psn-pdf
April 19, 2017 - Learning and mindfulness: improving perioperative
patient safety.
April 19, 2017
Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J.
2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006.
https://psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patie…
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psnet.ahrq.gov/node/35924/psn-pdf
April 14, 2011 - Assessment of the potential impact of a reminder system
on the reduction of diagnostic errors: a quasi-
experimental study.
April 14, 2011
Ramnarayan P, Roberts GC, Coren M, et al. Assessment of the potential impact of a reminder system on
the reduction of diagnostic errors: a quasi-experimental study. BMC Med Inf…
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www.ahrq.gov/talkingquality/plan/distribute-and-promote.html
May 01, 2019 - How Will You Distribute and Promote a Health Care Quality Report?
While you are in the early stages of the reporting process, it is important to plan how you will reach your audience. Pertinent decisions include:
Will your report be available in print, on the Web, or both?
How will you let people know i…
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psnet.ahrq.gov/node/43734/psn-pdf
January 21, 2015 - Explicit and Standardized Prescription Medicine
Instructions.
January 21, 2015
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
https://psnet.ahrq.gov/issue/explicit-and-standardized-prescription-medicine-instructions
Standardization has been embraced as a strategy to improve health litera…
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psnet.ahrq.gov/node/37555/psn-pdf
February 14, 2018 - ACOG Committee Opinion #730: fatigue and patient
safety.
February 14, 2018
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78-
e81.
https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety
This commentary discusses how sleep deprivation affects…
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psnet.ahrq.gov/node/852463/psn-pdf
August 16, 2023 - Staying safe while getting well.
August 16, 2023
Salamon M. Harvard Women's Health Watch. August 1, 2023
https://psnet.ahrq.gov/issue/staying-safe-while-getting-well
Patients can help minimize the potential for adverse events while in the hospital. Actions such as working
with a care partner, tracking medications,…
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psnet.ahrq.gov/node/37518/psn-pdf
March 13, 2008 - Innovation in patient safety: a new task design in
reducing patient falls.
March 13, 2008
Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care
Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5.
https://psnet.ahrq.gov/issue/innovation-patient-safety…
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psnet.ahrq.gov/node/47435/psn-pdf
November 07, 2018 - Cognitive bias in clinical medicine.
November 7, 2018
O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48(3):225-
232. doi:10.4997/JRCPE.2018.306.
https://psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine
Cognitive biases can lead to unnecessary treatment and de…
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psnet.ahrq.gov/node/37619/psn-pdf
March 19, 2008 - Learning from error: identifying contributory causes of
medication errors in an Australian hospital.
March 19, 2008
Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication
errors in an Australian hospital. Med J Aust. 2008;188(5):276-9.
https://psnet.ahrq.gov/is…