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psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly
May 12, 2021 - Newspaper/Magazine Article
'America's other drug problem': copious prescriptions for hospitalized elderly.
Citation Text:
'America's other drug problem': copious prescriptions for hospitalized elderly. Gorman A. Kaiser Health News. August 30, 2016.
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psnet.ahrq.gov/issue/misdiagnoses-hidden-risk-genetic-testing
July 10, 2019 - Newspaper/Magazine Article
Misdiagnoses: a hidden risk of genetic testing.
Citation Text:
Misdiagnoses: a hidden risk of genetic testing. Howard J. CNN. October 31, 2016.
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psnet.ahrq.gov/issue/safety-subject-science
January 16, 2017 - Commentary
Is safety a subject for science?
Citation Text:
Hollnagel E. Is safety a subject for science? Safety Sci. 2013;67:21-24. doi:10.1016/j.ssci.2013.07.025.
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psnet.ahrq.gov/issue/impact-statewide-reporting-system-medication-error-reduction
December 16, 2011 - Study
Impact of a statewide reporting system on medication error reduction.
Citation Text:
Impact of a statewide reporting system on medication error reduction. Rask K; Hawley J; Davis A; Naylor D; Thorpe K.
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23668
August 11, 2025 - An official website of the Department of Health & Human Services
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23428
August 06, 2025 - An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/implementing-patient-safety-alert-system
June 21, 2015 - Study
Implementing a patient safety alert system.
Citation Text:
Furman C. Implementing a patient safety alert system. Nurs Econ. 2005;23(1):42-5.
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psnet.ahrq.gov/issue/we-cant-do-alone-role-patients-family-members-and-general-public-play-advancing-patient
June 01, 2023 - Webinar
We Can’t Do This Alone! The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety.
Citation Text:
We Can’t Do This Alone! The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety. Patient Safety Movement…
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psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program
January 26, 2023 - Press Release/Announcement
FDA/ISMP Safe Medication Management Fellowship Program.
Citation Text:
FDA/ISMP Safe Medication Management Fellowship Program. Food and Drug Administration, Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/canada-continues-lag-behind-other-oecd-countries-measures-patient-safety
March 26, 2014 - Fact Sheet/FAQs
Canada continues to lag behind other OECD countries on measures of patient safety
Citation Text:
Canada continues to lag behind other OECD countries on measures of patient safety Canadian Institute for Health Information. Ottawa, ON: Canadian Institute for Health Informat…
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psnet.ahrq.gov/issue/noise-distraction-interruption-and-safety-hazard
February 01, 2014 - Commentary
Noise: a distraction, interruption, and safety hazard.
Citation Text:
Beyea SC. Noise: a distraction, interruption, and safety hazard. AORN J. 2007;86(2):281-5.
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psnet.ahrq.gov/issue/distractions-interruptions-and-patient-safety
February 01, 2014 - Commentary
Distractions, interruptions, and patient safety.
Citation Text:
Beyea SC. Distractions, interruptions, and patient safety. AORN J. 2007;86(1):109-12.
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psnet.ahrq.gov/issue/interview-audrey-nelson-interviewed-steven-berman
January 19, 2022 - Commentary
An interview with Audrey Nelson. Interviewed by Steven Berman.
Citation Text:
Nelson AL. An interview with Audrey Nelson. Interviewed by Steven Berman. Jt Comm J Qual Patient Saf. 2005;31(12):665-670.
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psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
May 07, 2014 - Newspaper/Magazine Article
A mislabeling event with batched drugs: the unintended consequences of practice changes.
Citation Text:
A mislabeling event with batched drugs: the unintended consequences of practice changes. ISMP Medication Safety Alert! Acute Care Edition. 2014;19:1-3.&nbs…
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psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals
June 21, 2016 - Toolkit
Toolkit for Reducing CAUTI in Hospitals.
Citation Text:
Toolkit for Reducing CAUTI in Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; October 2015.
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23737
January 01, 2013 - An official website of the Department of Health & Human Services
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www.ahrq.gov/research/findings/final-reports/ptmgmt/introduction.html
July 01, 2018 - Patient Self-Management Support Programs: An Evaluation
Introduction and Purpose
Previous Page Next Page
Table of Contents
Patient Self-Management Support Programs: An Evaluation
Acknowledgments
Introduction and Purpose
Summary
Background
Methodology
Design Options for a Self-Management …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-SOPS_101_Webcast-GRAY-Overview.pdf
June 02, 2025 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Gray (Overview)
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
What is Patient Safety Culture?
13
AHRQ Surveys on Patient Safety Culture
• Surveys …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-8x11-UTI.pdf
June 01, 2021 - Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents
For Residents With a
Urinary Catheter or if
Nonverbal
One or more of the following
without another recognized cause:
� Fever (>100°F or a…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/primer-how-are-cahps-surveys-used.pdf
January 01, 2021 - How Are CAHPS® Survey Results Used?
HOW ARE CAHPS SURVEY
RESULTS USED?
Dale Shaller, M.P.A.
Principal
Shaller Consulting Group
Major Uses of CAHPS Surveys
• Public reporting
• Value-based purchasing
• Recognition and certification
• Research
Major Uses of CAHPS Surveys
• Public reporting
• Value-based…