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psnet.ahrq.gov/node/74859/psn-pdf
February 23, 2022 - Characteristics of registered clinical trials assessing
strategies of medication errors prevention- an unusual
cross sectional analysis.
February 23, 2022
doi:http://doi.org/10.23750/abm.v92iS2.11507.
https://psnet.ahrq.gov/issue/characteristics-registered-clinical-trials-assessing-strategies-medication-errors-
p…
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psnet.ahrq.gov/node/866520/psn-pdf
August 14, 2024 - People are more error-prone after committing an error.
August 14, 2024
Adkins TJ, Zhang H, Lee TG. People are more error-prone after committing an error. Nat Commun.
2024;15(1):6422. doi:10.1038/s41467-024-50547-y.
https://psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
In order to improve …
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psnet.ahrq.gov/node/72787/psn-pdf
May 01, 2018 - The Caregiver Advise, Record, Enable (CARE) act.
May 1, 2018
Anthony M. The Caregiver Advise, Record, Enable (CARE) Act. Home Healthc Now. 2018;36(2):69-70.
doi:10.1097/nhh.0000000000000655.
https://psnet.ahrq.gov/issue/caregiver-advise-record-enable-care-act
Home healthcare is an increasingly viable option for pa…
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psnet.ahrq.gov/node/43236/psn-pdf
August 02, 2015 - Hospital safety scores: do grades really matter?
August 2, 2015
Gonzalez AA, Ghaferi AA. Hospital Safety Scores: do grades really matter? JAMA Surg. 2014;149(5):413-
4.
https://psnet.ahrq.gov/issue/hospital-safety-scores-do-grades-really-matter
This editorial examines whether The Leapfrog Group's Hospital Safety S…
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psnet.ahrq.gov/node/45789/psn-pdf
January 11, 2017 - Concurrent and Overlapping Surgeries: Additional
Measures Warranted.
January 11, 2017
US Senate Finance Committee. December 6, 2016.
https://psnet.ahrq.gov/issue/concurrent-and-overlapping-surgeries-additional-measures-warranted
The practice of scheduling concurrent surgeries has raised concerns about increased ri…
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psnet.ahrq.gov/node/45381/psn-pdf
July 01, 2017 - Incorporating quality and safety values into a CLABSI
simulation experience.
July 1, 2017
Liebrecht CM, Lieb MC. Incorporating Quality and Safety Values into a CLABSI Simulation Experience.
Nurs Forum. 2017;52(2):118-123. doi:10.1111/nuf.12175.
https://psnet.ahrq.gov/issue/incorporating-quality-and-safety-values-c…
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psnet.ahrq.gov/node/39393/psn-pdf
March 24, 2010 - Lack of emergency medical services documentation is
associated with poor patient outcomes: a validation of
audit filters for prehospital trauma care.
March 24, 2010
Laudermilch DJ, Schiff MA, Nathens AB, et al. Lack of emergency medical services documentation is
associated with poor patient outcomes: a validation …
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psnet.ahrq.gov/node/33958/psn-pdf
December 18, 2008 - A review of the literature examining linkages between
organizational factors, medical errors, and patient safety.
December 18, 2008
Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational
factors, medical errors, and patient safety. Med Care Res Rev. 2004;61(1):3-37.…
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psnet.ahrq.gov/node/38364/psn-pdf
June 14, 2011 - Excess cost and length of stay associated with voluntary
patient safety event reports in hospitals.
June 14, 2011
Paradis AR, Stewart VT, Bayley KB, et al. Excess Cost and Length of Stay Associated With Voluntary
Patient Safety Event Reports in Hospitals. American Journal of Medical Quality. 2009;24(1).
doi:10.117…
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psnet.ahrq.gov/node/72734/psn-pdf
February 10, 2021 - Meitheal Pharmaceuticals, Inc. issues voluntary
nationwide recall of Cisatracurium Besylate Injection,
USP 10mg per 5mL due to mislabeling.
February 10, 2021
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 27, 2021.
https://psnet.ahrq.gov/issue/meitheal-pharmaceuticals-inc…
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psnet.ahrq.gov/node/42504/psn-pdf
August 14, 2014 - The effect of an organizational network for patient safety
on safety event reporting.
August 14, 2014
Jeffs L, Hayes C, Smith O, et al. The effect of an organizational network for patient safety on safety event
reporting. Eval Health Prof. 2014;37(3):366-78. doi:10.1177/0163278713491267.
https://psnet.ahrq.gov/iss…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide54.html
October 01, 2014 - 54. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Providing Smoking Cessation Treatments as a Covered Benefit:
2000 Guideline: Recommendation: Smoking cessation treatments (both Medication and c…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide44.html
October 01, 2014 - 44. The "5 A's" Model for Treating Tobacco Use and Dependence-2008 (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
A flowchart of the treatment process.
Ask : Do you currently use tobacco? If "no," ask: Have you ever used tobacco? If "no," arra…
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psnet.ahrq.gov/node/60672/psn-pdf
July 08, 2020 - The Care We Need
July 8, 2020
Washington DC: National Quality Forum; 2020.
https://psnet.ahrq.gov/issue/care-we-need
This report builds on the legacy of To Err is Human and Crossing the Quality Chasm to outline an approach
to improve the US health care system. Five strategic objectives are provided--one of which f…
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psnet.ahrq.gov/node/50909/psn-pdf
February 19, 2020 - Time to take hearing loss seriously.
February 19, 2020
Blustein J, Wallhagen MI, Weinstein BE, et al. Time to take hearing loss seriously. Jt Comm J Qual Patient
Saf. 2019;46(1):53-58. doi:10.1016/j.jcjq.2019.10.003.
https://psnet.ahrq.gov/issue/time-take-hearing-loss-seriously
The authors of this narrative review…
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www.ahrq.gov/sops/events/podcasts.html
May 01, 2017 - SOPS Audio Podcasts
Improving Response Rates on the AHRQ Surveys on Patient Safety Culture
Listen to brief audio interviews and messages about using the AHRQ Surveys on Patient Safety Culture (SOPS ® ).
Contents
Summary
Recording
Speakers
Additional Information
Summary
This podcast will prov…
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psnet.ahrq.gov/node/837979/psn-pdf
August 31, 2022 - Maternal Health Research Centers of Excellence (U54
Clinical Trial Optional).
August 31, 2022
National Institutes of Health. August 11, 2022. RFA-HD-23-035.
https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional
Maternity care is increasingly being recognized as …
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psnet.ahrq.gov/node/34752/psn-pdf
November 18, 2015 - Demanding Medical Excellence. Doctors and
Accountability in the Information Age.
November 18, 2015
Millenson ML. Chicago, IL: University of Chicago Press; 1999. ISBN: 9780226525884.
https://psnet.ahrq.gov/issue/demanding-medical-excellence-doctors-and-accountability-information-age
Millenson, a Pulitzer-nomin…
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digital.ahrq.gov/principal-investigator/bauer-nerissa-san-luis
January 01, 2023 - Bauer, Nerissa San Luis
Improving Anxiety Detection in Pediatrics Using Health Information Technology - Final Report
Citation
Bauer, N. Improving Anxiety Detection in Pediatrics Using Health Information Technology - Final Report. (Prepared by Indiana University-Purdue Universi…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/h5Tt4jScmQJeHeztmo93hu
February 25, 2020 - Assessment of Risk
Increasing age is the strongest known risk factor for cognitive
impairment.9 The ε4