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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
January 01, 2005 - Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program
223
Identifying, Understanding, and
Communicating Medical Device Use Errors:
Observations from an FDA Pilot Program
Marilyn Flack, Terrie Reed, Jay Crowley, Susan Gardner
Abstract
The U.S. Food an…
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www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
January 01, 2024 - Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care
Final Progress Report
HIV/HCV Support Team to Improve Medication Safety and Engagement in Care
Principal Investigator: Stephen A. Berry, MD, PhD
Team Members: David Thompson, PhD; Elizabeth Holmes, RN; Janessa M. Smith…
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digital.ahrq.gov/sites/default/files/docs/citation/EHRVendorPracticesPerspectives.pdf
May 01, 2010 - functions support compliance with
government mandates, such as P4P, the Physician Quality Reporting Initiative
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
October 01, 2019 - Assessment Information Set
Sponsor
Centers for Medicare & Medicaid Services (CMS), Home Health Quality Initiative … The National Cancer Data Base: a powerful
initiative to improve cancer care in America.
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psnet.ahrq.gov/node/73584/psn-pdf
August 11, 2021 - What became of the 'eyes and the ears'?: exploring the
challenges to reporting poor quality of care among
trainee medical staff.
August 11, 2021
Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of
care among trainee medical staff. Postgrad Med J. 2021;97(1153):69…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide154.html
October 01, 2014 - 154. Treatment Recommendations: Medications-Nortriptyline
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Patient selection
Appropriate as a second-line medication for treating tobacco use
Precautions, warnings, contraindications and side effect…
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psnet.ahrq.gov/node/45631/psn-pdf
July 02, 2017 - Implementation science: a neglected opportunity to
accelerate improvements in the safety and quality of
surgical care.
July 2, 2017
Hull L, Athanasiou T, Russ S. Implementation Science: A Neglected Opportunity to Accelerate
Improvements in the Safety and Quality of Surgical Care. Ann Surg. 2017;265(6):1104-1112.
…
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psnet.ahrq.gov/node/40649/psn-pdf
April 21, 2015 - Explaining Michigan: developing an ex post theory of a
quality improvement program.
April 21, 2015
Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality
improvement program. Milbank Q. 2011;89(2):167-205. doi:10.1111/j.1468-0009.2011.00625.x.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/47856/psn-pdf
June 02, 2019 - The impact of patient–physician alliance on trust
following an adverse event.
June 2, 2019
Shoemaker K, Smith CP. The impact of patient-physician alliance on trust following an adverse event.
Patient Educ Couns. 2019;102(7):1342-1349. doi:10.1016/j.pec.2019.02.015.
https://psnet.ahrq.gov/issue/impact-patient-physi…
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psnet.ahrq.gov/node/857455/psn-pdf
January 01, 2024 - Addressing veteran health-related social needs: how
Joint Commission standards accelerated integration and
expansion of tools and services in the Veterans Health
Administration.
December 6, 2023
List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social needs: how Joint
Commission standard…
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psnet.ahrq.gov/node/867634/psn-pdf
February 26, 2025 - Using simulation to augment root cause analysis for
patient safety incidents at a tertiary care women's and
children's hospital: a qualitative feasibility study.
February 26, 2025
Burchell D, MacPhee S, Sinclair D, et al. Using simulation to augment root cause analysis for patient safety
incidents at a tertiary ca…
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psnet.ahrq.gov/node/44822/psn-pdf
September 04, 2016 - A cluster randomized trial of interventions to improve
work conditions and clinician burnout in primary care:
results from the Healthy Work Place (HWP) study.
September 4, 2016
Linzer M, Poplau S, Grossman E, et al. A Cluster Randomized Trial of Interventions to Improve Work
Conditions and Clinician Burnout in Pri…
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psnet.ahrq.gov/node/72525/psn-pdf
December 02, 2020 - Breast cancer treatment delays by socioeconomic and
health care access latent classes in Black and White
women.
December 2, 2020
Emerson MA, Golightly YM, Aiello AE, et al. Breast cancer treatment delays by socioeconomic and health
care access latent classes in Black and White women. Cancer. 2020;126(22):4957-4966…
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psnet.ahrq.gov/node/47935/psn-pdf
April 17, 2019 - Teaching patient safety in global health: lessons from the
Duke Global Health Patient Safety Fellowship.
April 17, 2019
Johnston BE, Lou-Meda R, Mendez S, et al. Teaching patient safety in global health: lessons from the
Duke Global Health Patient Safety Fellowship. BMJ Glob Health. 2019;4(1). doi:10.1136/bmjgh-201…
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psnet.ahrq.gov/node/34698/psn-pdf
January 04, 2017 - Using Health Care Failure Mode and Effect Analysis: the
VA National Center for Patient Safety's prospective risk
analysis system.
January 4, 2017
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA
National Center for Patient Safety's prospective risk analysis s…
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psnet.ahrq.gov/node/45240/psn-pdf
June 15, 2016 - Is technology the best medicine? Three practice
theoretical perspectives on medication administration
technologies in nursing.
June 15, 2016
Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical
perspectives on medication administration technologies in nursing. Nurs Inq. 2…
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psnet.ahrq.gov/node/37207/psn-pdf
September 09, 2008 - Publicly available hospital comparison web sites:
determination of useful, valid, and appropriate
information for comparing surgical quality.
September 9, 2008
Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determination of useful,
valid, and appropriate information for comparing …
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psnet.ahrq.gov/node/46832/psn-pdf
February 07, 2018 - FDA Drug Safety Communication: FDA requires labeling
changes for prescription opioid cough and cold
medicines to limit their use to adults 18 years and older.
February 7, 2018
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 11, 2018.
https://psnet.ahrq.gov/issue/fda-drug-safety-c…
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psnet.ahrq.gov/node/40116/psn-pdf
January 05, 2011 - Organisational culture: variation across hospitals and
connection to patient safety climate.
January 5, 2011
Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to
patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. doi:10.1136/qshc.2009.039511.
https:…
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psnet.ahrq.gov/node/35748/psn-pdf
February 02, 2011 - Policies and practices related to the role of board
certification and recertification of pediatricians in hospital
privileging.
February 2, 2011
Freed GL, Uren RL, Hudson EJ, et al. Policies and practices related to the role of board certification and
recertification of pediatricians in hospital privileging. JAMA.…