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psnet.ahrq.gov/issue/establishing-culture-patient-safety-role-education
August 23, 2017 - Commentary
Establishing a culture for patient safety - the role of education.
Citation Text:
Milligan FJ. Establishing a culture for patient safety - the role of education. Nurse Educ Today. 2007;27(2):95-102.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/fig1.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Figure 1. Numeric Scoring for Evaluation Criteria
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Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introducti…
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psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
June 30, 2011 - Commentary
Mortality as a measure of quality: implications for palliative and end-of-life care.
Citation Text:
Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care. JAMA. 2007;298(7):802-804.
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psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms-quality-measures
November 23, 2015 - Book/Report
2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report.
Citation Text:
2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. Baltimore, MD: US Department of Health …
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psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition
May 13, 2009 - Book/Report
Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition.
Citation Text:
Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 978…
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psnet.ahrq.gov/issue/mean-girls-er-alarming-nurse-culture-bullying-and-hazing
November 01, 2017 - Newspaper/Magazine Article
Mean girls of the ER: the alarming nurse culture of bullying and hazing.
Citation Text:
Mean girls of the ER: the alarming nurse culture of bullying and hazing. Robbins A. Good Housekeeping. May 20, 2016.
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psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
January 27, 2021 - Newspaper/Magazine Article
Pump up the volume: tips for increasing error reporting and decreasing patient harm.
Citation Text:
Pump up the volume: tips for increasing error reporting and decreasing patient harm. ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5…
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psnet.ahrq.gov/issue/implementing-systematic-response-medication-errors
August 27, 2009 - Commentary
Implementing a systematic response to medication errors.
Citation Text:
Larsen D, Cole R, Higton P. Implementing a systematic response to medication errors. Nurs Stand. 2007;21(48):35-40.
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psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-best-practices
February 12, 2020 - Newspaper/Magazine Article
Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices.
Citation Text:
Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute care edition. July 3…
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psnet.ahrq.gov/issue/medication-errors-year-review
May 02, 2018 - Newspaper/Magazine Article
Medication errors: the year in review.
Citation Text:
Medication errors: the year in review. Valentine D, Ingram V, Fobi B et al. Pharmacy Practice News. September 10, 2019.
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psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy
May 11, 2014 - Commentary
Developing a medication patient safety program — infrastructure and strategy.
Citation Text:
Mark SM, Weber RJ. Developing a Medication Patient Safety Program – Infrastructure and Strategy. Hosp Pharm. 2010;42(2):149-154. doi:10.1310/hpj4202-149.
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psnet.ahrq.gov/issue/appropriate-prescribing-medications-eight-step-approach
January 10, 2024 - Commentary
Appropriate prescribing of medications: an eight-step approach.
Citation Text:
Pollock M, Bazaldua O, Dobbie AE. Appropriate prescribing of medications: an eight-step approach. Am Fam Physician. 2007;75(2):231-236.
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psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine
December 21, 2016 - Commentary
System-related and cognitive errors in laboratory medicine.
Citation Text:
Plebani M. System-related and cognitive errors in laboratory medicine. Diagnosis (Berl). 2018;5(4):191-196. doi:10.1515/dx-2018-0085.
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psnet.ahrq.gov/issue/improving-patient-safety-intersection-safety-culture-clinician-and-staff-support-and-patient
April 15, 2015 - Book/Report
Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations.
Citation Text:
Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations. Miller RG, …
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psnet.ahrq.gov/issue/medicare-takes-aim-boomerang-hospitalizations-nursing-home-patients
December 12, 2018 - Newspaper/Magazine Article
Medicare takes aim at boomerang hospitalizations of nursing home patients.
Citation Text:
Medicare takes aim at boomerang hospitalizations of nursing home patients. Rau J. Kaiser Health News. June 13, 2018.
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psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm
July 28, 2021 - Newspaper/Magazine Article
Heparin: improving treatment and reducing risk of harm.
Citation Text:
Heparin: improving treatment and reducing risk of harm. Daner WE, Gosselin RC, Raschke R, et al. Patient Saf Qual Healthcare. January/February 2009;6:20-25.
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psnet.ahrq.gov/issue/factors-influencing-nurses-decisions-raise-concerns-about-care-quality
June 22, 2009 - Study
Factors influencing nurses' decisions to raise concerns about care quality.
Citation Text:
Attree M. Factors influencing nurses' decisions to raise concerns about care quality. J Nurs Manag. 2007;15(4):392-402.
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psnet.ahrq.gov/issue/staying-safe-while-getting-well
February 05, 2014 - Newspaper/Magazine Article
Staying safe while getting well.
Citation Text:
Staying safe while getting well. Salamon M. Harvard Women's Health Watch. August 1, 2023
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psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence
January 10, 2024 - Commentary
Creating a culture of safety by coaching clinicians to competence.
Citation Text:
Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Educ Today. 2013;33(10):1108-11. doi:10.1016/j.nedt.2012.05.025.
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_USPSTF%20Statin%20Use%20for%20the%20Primary%20Prevention%20of%20CVD%20in%20Adults_Final.docx
October 01, 2017 - Verify completeness
Diagnosis of Active Pregnancy as an Exclusion
Statins are not indicated for pregnant … Verify completeness
Pregnancy Observation as an Exclusion
Statins are not indicated for pregnant women … Verify completeness
Diagnosis: Breastfeeding added as an Exclusion
Statins are not indicated for women … Verify completeness
Actively undergoing dialysis added as an Exclusion
Statins are not indicated for … Verify completeness
Diagnosis of Active Cirrhosis added as an Exclusion
Statins are not indicated for