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psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - Right Electrocardiogram, Wrong Patient
Citation Text:
Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/147-cusp-roles-responsibilities-tool.docx
June 02, 2025 - AHRQ Safety Program for MRSA Prevention
Core CUSP Team Member
Roles & Responsibilities
How To Use This Tool
This tool identifies core Comprehensive Unit-based Safety Program (CUSP) team members and describes individual roles and responsibilities.
For best results, each team member should:
· Review expectations associa…
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psnet.ahrq.gov/node/836978/psn-pdf
May 16, 2022 - Check Twice, Transport Once
May 16, 2022
DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/check-twice-transport-once
The Case
Case #1: A 26-year-old woman (Patient A) presented to the Emergency Department (ED) with abdominal
pain and was diagnosed with “s…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/127-roles-responsibilities-tool.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Core Comprehensive Unit-based Safety Program (CUSP) Team Member
Roles & Responsibilities
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
How To Use This Tool
This tool identifies core CUSP team members and describes indi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
December 01, 2017 - Successful hospital teams often start small and grow into a bigger initiative over time.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/cpcf.pdf
December 31, 2015 - CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF)
CHIPRA Pediatric Quality Measures
Program (PQMP) Candidate Measure
Submission Form (CPCF)
The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission
Form (CPCF) was approved by the Office of Manage…
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
March 01, 2018 - parties involved were required to complete or provide evidence of Collaborative Institutional Training Initiative
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psnet.ahrq.gov/issue/never-events-framework-200910
January 31, 2018 - Multi-use Website
Never Events--Framework 2010-11.
Citation Text:
Never Events--Framework 2010-11. National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2010.
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digital.ahrq.gov/ahrq-funded-projects/patient-safety-metadata
January 01, 2023 - Patient Safety Metadata
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-08-10005
Funding Mechanism(s)
United States Health Information Knowledgebase: A Metadata Registry
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psnet.ahrq.gov/issue/safety-ems
March 14, 2018 - Special or Theme Issue
Safety in EMS.
Citation Text:
Safety in EMS. Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.
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psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system
January 10, 2018 - Special or Theme Issue
Systematically Identified Failure Is the Route to a Successful Health System.
Citation Text:
Systematically Identified Failure Is the Route to a Successful Health System. Tepper J, Martin D, eds. Healthc Pap. 2015;15(2):4-61.
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psnet.ahrq.gov/issue/medication-safety-technologies-what-and-not-working
January 02, 2017 - Newspaper/Magazine Article
Medication safety technologies: what is and is not working.
Citation Text:
Medication safety technologies: what is and is not working. Bates DW, Wachter RM, Vanderveen T. Patient Saf Qual Healthc. July/August 2009;6:22-27.
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psnet.ahrq.gov/issue/report-morecambe-bay-investigation
November 16, 2005 - Book/Report
The Report of the Morecambe Bay Investigation.
Citation Text:
The Report of the Morecambe Bay Investigation. Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306.
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumkess.html
October 01, 2014 - Kesselheim, Aaron
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: Brigham and Women's Hospital, Boston, MA
Grant Title: Off-Label Prescribing: Comparative Evidence, Regulation…
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psnet.ahrq.gov/issue/right-tech-dose-helps-medicine-go-down
October 28, 2020 - Newspaper/Magazine Article
Right tech dose helps medicine go down.
Citation Text:
Right tech dose helps medicine go down. Patton S. CIO Magazine. July 12, 2006.
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psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition
March 20, 2013 - Multi-use Website
National Patient Safety Board Advocacy Coalition.
Citation Text:
National Patient Safety Board Advocacy Coalition. EQT Plaza, 625 Liberty Ave, Ste. 2500, Pittsburgh, PA 15222.
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psnet.ahrq.gov/issue/macarthur-fellows-program-michael-cohen
June 11, 2013 - Grant Recipient
The MacArthur Fellows Program: Michael Cohen.
Citation Text:
The MacArthur Fellows Program: Michael Cohen. The John D. and Catherine T. MacArthur Foundation.
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psnet.ahrq.gov/issue/getting-rid-never-events-hospitals
April 25, 2016 - Commentary
Getting rid of "never events" in hospitals.
Citation Text:
Getting rid of "never events" in hospitals. Morgenthaler T; Harper CM.
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psnet.ahrq.gov/issue/conversations-withlucian-leape-md
March 13, 2024 - Audiovisual
Conversations with...Lucian Leape, MD.
Citation Text:
Conversations with...Lucian Leape, MD. Lundberg G. MedPage Today. July 5, 2013.
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psnet.ahrq.gov/issue/medical-mistakes-no-longer-billable-bold-steps-taken-state-reduce-hospital-errors
August 06, 2008 - Newspaper/Magazine Article
Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors.
Citation Text:
Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors. Smith S.
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