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psnet.ahrq.gov/issue/patient-survival-handbook
February 22, 2006 - Book/Report
The Patient Survival Handbook.
Citation Text:
The Patient Survival Handbook. Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015.
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psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients
November 18, 2015 - Newspaper/Magazine Article
Preventing high-alert medication errors in hospital patients.
Citation Text:
Preventing high-alert medication errors in hospital patients. Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23.
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www.ahrq.gov/news/newsroom/case-studies/cquips0702.html
October 01, 2014 - University of Pittsburgh Uses AHRQ's Patient Safety Culture Survey to Help Improve Nursing Home Care
Search All Impact Case Studies
December 2006
The University of Pittsburgh School of Medicine adapted AHRQ's Hospital Survey on Patient Safety Culture to survey nursing home staff as part of ongoing researc…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips36.html
October 01, 2014 - Iowa Hospital Integrates AHRQ TeamSTEPPS® Throughout Facility
Search All Impact Case Studies
April 2010
In 2008, staff from Clarinda Regional Health Center, a 25-bed critical access hospital in Clarinda, Iowa, participated in training on Team Strategies and Tools to Enhance Performance and Patient Safety (T…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pfengagement-senior-checklist.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Patient and Family Engagement in the Surgical Environment Module
Senior Leader Checklist
AHRQ Safety Program for Ambulatory Surgery
Module 3: Patient and Family Engagement
Complete?
Opportunities To Engage Patients and Family
Party Responsible
Notes
Assig…
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psnet.ahrq.gov/issue/state-va-health-care
May 01, 2015 - Congressional Testimony
The State of VA Health Care.
Citation Text:
The State of VA Health Care. Hearing Before the Committee on Veterans' Affairs United States Senate. 113th Cong (September 9, 2014).
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psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
October 19, 2022 - Toolkit
Starter Kit for Alarm Fatigue.
Citation Text:
Starter Kit for Alarm Fatigue. National Association of Clinical Nurse Specialists; NACNS.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-2.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Introduction
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive Summary
Introduct…
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psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us
November 15, 2011 - Fact Sheet/FAQs
The Uneven Burden of Maternal Mortality in the U.S.
Citation Text:
The Uneven Burden of Maternal Mortality in the U.S. NIHCM Foundation. Washington DC: National Institute for Health Care Management. August 2, 2022.
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psnet.ahrq.gov/issue/hospital-discharge-and-readmission
March 27, 2005 - Review
Hospital discharge and readmission.
Citation Text:
Hospital discharge and readmission. Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023.
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/minnesota
January 01, 2023 - Minnesota
Team Description
Within the Minnesota healthcare community, we have multiple Health Information Exchange (HIE) projects and initiatives underway that are reaching various levels of maturity, so it is imperative that we ensure our state laws and business practices are understood a…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-verduzco-gutierrez.html
August 01, 2024 - Grantee Profile
Identifying and Disseminating Best Practices To Treat Long COVID
Monica Verduzco-Gutierrez, M.D. Professor and Chair, Department of Rehabilitation Medicine Long School of Medicine, University of Texas Health Science Center Monica Verduzco-Gutierrez, M.D. “AHRQ really wants to get at this… Th…
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psnet.ahrq.gov/issue/medicare-says-it-wont-cover-hospital-errors
November 28, 2016 - Newspaper/Magazine Article
Medicare says it won't cover hospital errors.
Citation Text:
Medicare says it won't cover hospital errors. Pear R. New York Times. August 19, 2007.
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psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
December 06, 2011 - Legislation/Case Law
The National Medical Error Disclosure and Compensation (MEDiC) Act.
Citation Text:
The National Medical Error Disclosure and Compensation (MEDiC) Act. Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/andre-b-et-al-2008
January 01, 2008 - Andre B et al. 2008 "Experiences with the implementation of computerized tools in health care units: a review article."
Reference
Andre B, Ringdal GI, Loge JH, et al. Experiences with the implementation of computerized tools in health care units: a review article. Int J Hum Comput Interact 2008;24(8):…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/christakis-da-et-al
January 01, 2023 - Christakis DA et al. 2001 "A randomized controlled trial of point-of-care evidence to improve the antibiotic prescribing practices for otitis media in children."
Reference
Christakis DA, Zimmerman FJ, Wright JA, et al. A randomized controlled trial of point-of-care evidence to improve the antibiotic p…
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psnet.ahrq.gov/issue/national-center-patient-safety-ncps
March 27, 2005 - Multi-use Website
National Center for Patient Safety (NCPS).
Citation Text:
National Center for Patient Safety (NCPS). Department of Veterans Affairs. 24 Frank Lloyd Wright Drive, M2100, Post Office Box 486, Ann Arbor, MI 48106-0486. Phone: (734) 930-5890.
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psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures
April 13, 2022 - Review
Disclosure of errors in surgical procedures.
Citation Text:
Disclosure of errors in surgical procedures. Ryan M, Mekel M, Sinha MS. UptoDate. November 20, 2023.
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psnet.ahrq.gov/issue/combat-physician-burnout-and-improve-care-fix-electronic-health-record
November 14, 2018 - Newspaper/Magazine Article
To combat physician burnout and improve care, fix the electronic health record.
Citation Text:
To combat physician burnout and improve care, fix the electronic health record. Wachter R, Goldsmith J. Harv Bus Rev. March 30, 2018.
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psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error
June 10, 2018 - Newspaper/Magazine Article
Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error.
Citation Text:
Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. ISMP Medication Safety Alert! Acute care edition. August 26, 2010;15:1…