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psnet.ahrq.gov/issue/department-defense-dod-patient-safety-program
December 27, 2018 - Copy URL
October 3, 2017
US Department of Defense; DOD
This Web site includes
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psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis
September 22, 2021 - It includes screening, evaluation and monitoring, and antibiotic use recommendations for maternal sepsis
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psnet.ahrq.gov/issue/oral-dosage-forms-should-not-be-crushed
January 26, 2023 - To ensure that certain medications are used safely, this updated list includes oral medications that
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psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals
January 26, 2023 - The 2024-2025 edition includes new practices that are associated with tranexamic acid wrong-route errors
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psnet.ahrq.gov/issue/hospital-compare
May 26, 2021 - The site includes specific information for both patients and hospitals on how to use the data to guide
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psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
November 27, 2018 - The text includes a sample sentinel event root cause analysis form and a glossary.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-35
December 30, 2014 - This monthly selection of medication error reports includes examples of drug name confusion, communication
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-31
January 17, 2018 - This monthly selection of error reports includes examples of confusion regarding medication delivery
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psnet.ahrq.gov/issue/npsd-data-spotlight-patterns-fall-interventions
September 13, 2023 - Data for the analysis includes reports on patient safety concerns submitted from 2009 through 2021.
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psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-healthcare-safety-engaging-patients
March 22, 2024 - This collection of AHRQ-funded work includes summaries of 53 projects since 2000 that contributed to
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psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-names-recommended-tall-man-letters
November 16, 2022 - This list includes medications recognized by clinicians and professional organizations as those suited
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psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and-optimization
February 17, 2021 - experiences to recommend strategies for improving the effectiveness of clinical audible alerts which includes
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psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-measurement-considerations
March 25, 2020 - The report includes comprehensive, broad-scope, actionable, and specific recommendations for implementing
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psnet.ahrq.gov/issue/serious-reportable-events-massachusetts
May 03, 2023 - This presentation also includes events from ambulatory surgery centers .
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psnet.ahrq.gov/issue/common-program-requirements-learning-and-working-environment-duty-hours
November 18, 2020 - The site's Background and Archives includes information on the regular reviews of current program requirements
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psnet.ahrq.gov/node/867676/psn-pdf
February 26, 2025 - Such communication includes key facts, results of the root
cause analysis and other investigations into … that disclosure is an
ongoing process that starts with an initial conversation after an event and includes … Patients and families report that the content of disclosure
that matters most to them includes an explanation
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psnet.ahrq.gov/issue/rx-medication-errors
July 19, 2023 - This continuing education activity includes an article discussing medication errors in the context of
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psnet.ahrq.gov/issue/cusp-method
October 23, 2019 - This toolkit includes modules on how to build the CUSP team, identify recurring safety concerns, and
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psnet.ahrq.gov/issue/diagnostic-excellence-through-lens-patient-centeredness
June 24, 2020 - commentary outlines how a diagnostician can enfold patient centeredness into their practice, which includes
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psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems-perspective
March 10, 2021 - The framework includes assessing whether systems are prepared for change, identifying leaders, and establishing