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psnet.ahrq.gov/node/39136/psn-pdf
November 25, 2009 - We may remember but what did we learn? Dealing with
errors, crimes and misdemeanours around adverse
events in healthcare.
November 25, 2009
Fischbacher-Smith D, Fischbacher-Smith M. WE MAY REMEMBER BUT WHAT DID WE LEARN?
DEALING WITH ERRORS, CRIMES AND MISDEMEANOURS AROUND ADVERSE EVENTS IN
HEALTHCARE. Financial …
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psnet.ahrq.gov/node/44893/psn-pdf
March 09, 2016 - Improving the governance of patient safety in emergency
care: a systematic review of interventions.
March 9, 2016
Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a
systematic review of interventions. BMJ Open. 2016;6(1):e009837. doi:10.1136/bmjopen-2015-009837.
…
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psnet.ahrq.gov/node/39972/psn-pdf
January 22, 2017 - Executive/senior leader checklist to improve culture and
reduce central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture
and reduce central line-associated bloodstream infections. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/node/43596/psn-pdf
December 19, 2014 - The role of the anesthesiologist in perioperative patient
safety.
December 19, 2014
Wacker J, Staender S. The role of the anesthesiologist in perioperative patient safety. Curr Opin
Anaesthesiol. 2014;27(6):649-656. doi:10.1097/ACO.0000000000000124.
https://psnet.ahrq.gov/issue/role-anesthesiologist-perioperative-…
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psnet.ahrq.gov/node/46895/psn-pdf
March 14, 2018 - Rapid response teams: what's the latest?
March 14, 2018
Jackson SA. Rapid response teams: What's the latest? Nursing (Brux). 2017;47(12):34-41.
doi:10.1097/01.NURSE.0000526885.10306.21.
https://psnet.ahrq.gov/issue/rapid-response-teams-whats-latest
Rapid response systems are an established strategy to prevent in-h…
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www.ahrq.gov/news/sops-webcast.html
August 01, 2025 - Webcast - Sept. 9: Patient Safety in Medical Offices: Using SOPS Tools to Drive Improvement
Date: Tuesday, September 9 Time: 1:00 - 2:30 p.m. ET Register now for the upcoming webinar “Patient Safety in Medical Offices: Using SOPS Tools to Drive Improvement”. This webinar will highlight how the University o…
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psnet.ahrq.gov/node/47615/psn-pdf
January 30, 2019 - A Crisis in Health Care: A Call to Action on Physician
Burnout.
January 30, 2019
Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health
and Hospital Association, Harvard T.H. Chan School of Public Health, and Harvard Global Health Institute;
2019.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/72828/psn-pdf
March 10, 2021 - A recurring call to action: every healthcare organization
needs a medication safety officer!
March 10, 2021
ISMP Medication Safety Alert! Acute care edition. February 25, 2021;26(4);1-4.
https://psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety-
officer
Leadership ro…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/genitourinary-symptoms-protocol_0.pdf
July 10, 2023 - for genitourinary symptoms associated with menopause: the
COMMA (Core Outcomes in Menopause) global initiative
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi25.pdf
October 01, 2011 - eHHIC: Data Acquisition
Hawaii Health Information Corporation
Enhancing Hawaii Hospital Information Content (eHHIC)
Deliverable 2:
Data Acquisition
2 | P a g e
TABLE OF CONTENTS
I. OBJECTIVE……………………………….………………..…………………………………………3
a. IMPLEMENTATION GUIDE.……….……………………………………………
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www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
January 01, 2024 - Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety
Risk Models to Improve Long-term Care Medication Safety
Principal Investigator: Grant Higginson, MD, MPH
Team Members: Sharon Conrow Comden, Margaret Murphy Carley, Megan Hornby, Linda
Kirschbaum, David Marx, Misti Hale, Joel Young, Lyn…
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www.ahrq.gov/sites/default/files/2025-03/tanner-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Dystonia
5R01HS018413-02 REVISED Tanner CM
I
FINAL PROGRESS REPORT
Project Title:
Principal Investigator:
Team Members:
Project Dates:
Federal Project Officer:
Acknowledgment of Agency Support
and Grant Number:
DIAGNOSTIC ERROR IN DYSTONIA
Tanner, Caroline M., MD, …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/011-blood-culture-webinar-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Blood Culture Practices and Stewardship
ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Blood Culture Practices
and Steward…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0245-testing-report.pdf
January 01, 2014 - Depression Care for Adolescents and Adults: 2014 Testing Report
Depression Care for Adolescents and Adults
2014 Testing Report
Executive Summary
This report summarizes findings from quantitative testing conducted in 2014 to evaluate the feasibility and
variation in performance at the health plan level for …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/depression/chipra-246-section-6.pdf
January 01, 2014 - Depression Care for Adolescents and Adults 2014 Testing Report
Depression Care for Adolescents and Adults
2014 Testing Report
Executive Summary
This report summarizes findings from quantitative testing conducted in 2014 to evaluate the feasibility and
variation in performance at the health plan level for t…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0244-testing-report.pdf
January 01, 2014 - Depression Care for Adolescents and Adults: 2014 Testing Report
Depression Care for Adolescents and Adults
2014 Testing Report
Executive Summary
This report summarizes findings from quantitative testing conducted in 2014 to evaluate the feasibility and
variation in performance at the health plan level for …
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/low-dose-aspirin-use-for-the-prevention-of-morbidity-and-mortality-from-preeclampsia-preventive-medication
September 28, 2021 - Share to Facebook
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Final Recommendation Statement
Aspirin Use to Prevent Preeclampsia and Related Morbidity and Mortality: Preventive Medication
September 28, 2021
Recommendations made by the…
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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - Clinics credits Children’s Hospital Colorado’s success as the motivation for implementing a similar initiative
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - The HGR is a continuing education initiative comprised of a four-module seminar series focused on
best
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psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
February 01, 2023 - February 1, 2023
An initiative to reduce insulin-related adverse drug events in