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psnet.ahrq.gov/issue/err-human-patient-misinterpretations-prescription-drug-label-instructions
February 28, 2011 - Study
To err is human: patient misinterpretations of prescription drug label instructions.
Citation Text:
Wolf MS, Davis TC, Shrank WH, et al. To err is human: patient misinterpretations of prescription drug label instructions. Patient Educ Couns. 2007;67(3):293-300.
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psnet.ahrq.gov/issue/patient-experience-patient-safety-and-provider-well-being-associations-and-paths-quality
January 10, 2024 - Meeting/Conference Proceedings
Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths for Quality Improvement.
Citation Text:
Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths for Quality Improvement. Rockville, MD: Agency fo…
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psnet.ahrq.gov/issue/reinforcing-value-and-roles-nurses-diagnostic-safety-pragmatic-recommendations-nurse-leaders
August 17, 2022 - Book/Report
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators.
Citation Text:
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. Tran AK, Calabr…
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psnet.ahrq.gov/issue/national-imperative-improve-nursing-home-quality-honoring-our-commitment-residents-families
November 15, 2022 - Book/Report
The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff.
Citation Text:
The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff. National Academies of Science…
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psnet.ahrq.gov/issue/wish-patient-safety-forum
June 24, 2015 - Audiovisual Presentation
WISH Patient Safety Forum
Citation Text:
WISH Patient Safety Forum World Innovation Summit for Health 2015. Doha, Qatar: Qatar Foundation; February 2015.
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psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit
August 01, 2012 - Government Resource
Transitioning Newborns From NICU to Home: A Resource Toolkit.
Citation Text:
Transitioning Newborns From NICU to Home: A Resource Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; December 2013. AHRQ Publication No. 12(14)-0054-EF.
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psnet.ahrq.gov/issue/physician-quality-officer-new-model-engaging-physicians-quality-improvement
May 03, 2017 - Commentary
Physician Quality Officer: a new model for engaging physicians in quality improvement.
Citation Text:
Walsh KE, Ettinger WH, Klugman R. Physician quality officer: a new model for engaging physicians in quality improvement. Am J Med Qual. 2009;24(4):295-301. doi:10.1177/10628…
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psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
May 25, 2016 - Commentary
Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety.
Citation Text:
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…
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psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report
January 11, 2013 - Book/Report
National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report.
Citation Text:
National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Washington, DC: National Quality Forum; June 2012.
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psnet.ahrq.gov/issue/findings-and-lessons-improving-management-individuals-complex-health-care-needs-through
October 02, 2013 - Book/Report
Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative.
Citation Text:
Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Ini…
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psnet.ahrq.gov/issue/optimizing-crisis-resource-management-improve-patient-safety-and-team-performance-handbook
August 16, 2016 - Book/Report
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals.
Citation Text:
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professi…
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psnet.ahrq.gov/issue/cusp-method
October 23, 2019 - Toolkit
The CUSP Method
Citation Text:
The CUSP Method.
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psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product-labeling-and-packaging
May 03, 2023 - Newspaper/Magazine Article
More can be done to alleviate errors associated with pharmaceutical product labeling and packaging.
Citation Text:
More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
July 08, 2016 - Book/Report
Classic
Crossing the Quality Chasm: A New Health System for the 21st Century.
Citation Text:
Crossing the Quality Chasm: A New Health System for the 21st Century. Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: N…
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psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety-enhancing-care
August 07, 2024 - Book/Report
AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination.
Citation Text:
AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination. Rockville, MD: Agency for Healthcare Research and Qua…
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psnet.ahrq.gov/issue/systematic-review-evidence-publishing-patient-care-performance-data-improves-quality-care
September 06, 2017 - Review
Systematic review: the evidence that publishing patient care performance data improves quality of care.
Citation Text:
Fung CH, Lim Y-W, Mattke S, et al. Systematic review: the evidence that publishing patient care performance data improves quality of care. Ann Intern Med. 2008;…
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psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-address-opioids-crisis
November 10, 2021 - Grant Announcement
AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis.
Citation Text:
AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. Augu…
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psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
December 23, 2012 - Congressional Testimony
Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm.
Citation Text:
Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. US House of Representatives Committee on Veterans Affairs Subco…
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psnet.ahrq.gov/issue/reducing-surgical-complications
January 03, 2018 - Commentary
Reducing surgical complications.
Citation Text:
Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5.
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psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
March 13, 2024 - Commentary
A performance improvement plan to increase nurse adherence to use of medication safety software.
Citation Text:
Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.0…