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psnet.ahrq.gov/node/40492/psn-pdf
March 23, 2012 - Racial disparities in the frequency of patient safety
events: results from the National Medicare Patient Safety
Monitoring System.
March 23, 2012
Metersky M, Hunt D, Kliman R, et al. Racial disparities in the frequency of patient safety events: results
from the National Medicare Patient Safety Monitoring System. M…
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psnet.ahrq.gov/node/863748/psn-pdf
March 06, 2024 - Scaling the EQUIPPED medication safety program:
traditional and hub-and-spoke implementation models.
March 6, 2024
Vandenberg AE, Hwang U, Das S, et al. Scaling the EQUIPPED medication safety program: traditional and
hub?and?spoke implementation models. J Am Geriatr Soc. 2024;72(7):2184-2194. doi:10.1111/jgs.18746.…
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psnet.ahrq.gov/node/73207/psn-pdf
May 05, 2021 - Diagnostic accuracy of prehospital triage tools for
identifying major trauma in elderly injured patients: a
systematic review.
May 5, 2021
Fuller G, Pandor A, Essat M, et al. Diagnostic accuracy of prehospital triage tools for identifying major
trauma in elderly injured patients: a systematic review. J Trauma Acut…
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psnet.ahrq.gov/node/48193/psn-pdf
August 28, 2019 - Automated detection of wrong-drug prescribing errors.
August 28, 2019
Lambert BL, Galanter W, Liu KL, et al. Automated detection of wrong-drug prescribing errors. BMJ Qual
Saf. 2019;28(11):908-915. doi:10.1136/bmjqs-2019-009420.
https://psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors
Look-al…
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psnet.ahrq.gov/node/73427/psn-pdf
June 23, 2021 - Incidence and OR team awareness of “near-miss” and
retained surgical sharps: a national survey on United
States operating rooms.
June 23, 2021
Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical
sharps: a national survey on United States operating rooms. Patient Sa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-formula.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Formula Feedings
Formula Feedings
We recommend breastfeeding for all infants when possible. However, when breastfeeding is
unavailable or undesired, the following formula recommendations apply.
Benefits
■ Premature transitional formulas have higher contents of protein,…
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psnet.ahrq.gov/node/44328/psn-pdf
August 22, 2015 - Accidents and incidents related to intravenous drug
administration: a pre-post study following implementation
of smart pumps in a teaching hospital.
August 22, 2015
Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A
Pre-Post Study Following Implementation of …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/malone.pdf
September 29, 2013 - Innovative Diffusion of Comparative Effectiveness Research
Research to Help Underserved Populations
Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness
Research Products
Innovative Diffusion of Comparative Effectiveness Research
Description
The purpose of this study was to develop and…
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psnet.ahrq.gov/node/41925/psn-pdf
November 26, 2014 - Medication reconciliation accuracy and patient
understanding of intended medication changes on
hospital discharge.
November 26, 2014
Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding
of intended medication changes on hospital discharge. J Gen Intern Med. 2012;2…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-4.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.4. Organizational Goals of Lean
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central H…
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psnet.ahrq.gov/node/848039/psn-pdf
April 26, 2023 - Use of the revised second victim experience and support
tool to examine second victim experiences of respiratory
therapists.
April 26, 2023
Allender EA, Bottema SM, Bosley CL, et al. Use of the revised second victim experience and support tool
to examine second victim experiences of respiratory therapists. Respir …
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psnet.ahrq.gov/node/73177/psn-pdf
April 28, 2021 - The association of nursing home characteristics and
quality with adverse events after a hospitalization.
April 28, 2021
Field TS, Fouayzi H, Crawford S, et al. The association of nursing home characteristics and quality with
adverse events after a hospitalization. J Am Med Dir Assoc. 2021;22(10):2196-2200.
doi:10.…
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psnet.ahrq.gov/node/865811/psn-pdf
May 08, 2024 - Call me Ishmael: addressing the white whale of team
communication in the operating room with labelled
surgical caps at an academic medical centre.
May 8, 2024
Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team
communication in the operating room with labelled surgical c…
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psnet.ahrq.gov/node/43474/psn-pdf
August 28, 2017 - Racial and ethnic disparities in patient safety.
August 28, 2017
Okoroh JS, Uribe EF, Weingart SN. Racial and Ethnic Disparities in Patient Safety. J Patient Saf.
2017;13(3):153-161. doi:10.1097/PTS.0000000000000133.
https://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
Prior studies have raise…
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psnet.ahrq.gov/node/43190/psn-pdf
September 04, 2015 - Pediatric obesity and safety in inpatient settings: a
systematic literature review.
September 4, 2015
Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature
review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/0009922814533406.
https://psnet.ahrq.gov…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb22.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B22: Suggestions for Further Assessment and/or Interventions
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Int…
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psnet.ahrq.gov/node/46119/psn-pdf
August 15, 2018 - Incidence and predictors of opioid prescription at
discharge after traumatic injury.
August 15, 2018
Chaudhary MA, Schoenfeld AJ, Harlow AF, et al. Incidence and Predictors of Opioid Prescription at
Discharge After Traumatic Injury. JAMA Surg. 2017;152(10):930-936. doi:10.1001/jamasurg.2017.1685.
https://psnet.ahr…
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psnet.ahrq.gov/node/74030/psn-pdf
November 03, 2021 - Evaluation of a second victim peer support program on
perceptions of second victim experiences and supportive
resources in pediatric clinical specialties using the
second victim experience and support tool (SVEST).
November 3, 2021
Finney RE, Czinski S, Fjerstad K, et al. Evaluation of a second victim peer support…
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psnet.ahrq.gov/node/43117/psn-pdf
December 12, 2014 - Is your hospital really as safe as you think? Our updated
hospital safety score can help you find out.
December 12, 2014
Consumer Reports. March 27, 2014.
https://psnet.ahrq.gov/issue/your-hospital-really-safe-you-think-our-updated-hospital-safety-score-can-help-
you-find-out
Despite lack of consensus on the valu…
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psnet.ahrq.gov/node/837763/psn-pdf
August 03, 2022 - Implementation of hand hygiene in health-care facilities:
results from the WHO Hand Hygiene Self-Assessment
Framework global survey 2019.
August 3, 2022
de Kraker MEA, Tartari E, Tomczyk S, et al. Implementation of hand hygiene in health-care facilities:
results from the WHO Hand Hygiene Self-Assessment Framework …