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psnet.ahrq.gov/node/46217/psn-pdf
January 30, 2018 - Safer and more appropriate opioid prescribing: a large
healthcare system's comprehensive approach.
January 30, 2018
Losby JL, Hyatt JD, Kanter MH, et al. Safer and more appropriate opioid prescribing: a large healthcare
system's comprehensive approach. J Eval Clin Pract. 2017;23(6):1173-1179. doi:10.1111/jep.12756.…
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psnet.ahrq.gov/node/46114/psn-pdf
June 07, 2017 - Standardizing concentrations of adult drug infusions in
Indiana.
June 7, 2017
Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana.
Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018.
https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…
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psnet.ahrq.gov/node/46276/psn-pdf
August 02, 2017 - Vital signs: changes in opioid prescribing in the United
States, 2006-2015.
August 2, 2017
Guy GP, Zhang K, Bohm MK, et al. Vital Signs: Changes in Opioid Prescribing in the United States, 2006-
2015. MMWR Morb Mortal Wkly Rep. 2017;66(26):697-704. doi:10.15585/mmwr.mm6626a4.
https://psnet.ahrq.gov/issue/vital-sig…
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psnet.ahrq.gov/node/74729/psn-pdf
February 02, 2022 - Healing our own: a randomized trial to assess benefits of
peer support.
February 2, 2022
Rivera-Chiauzzi EY, Smith HA, Moore-Murray T, et al. Healing our own: a randomized trial to assess
benefits of peer support. J Patient Saf. 2022;18(1):e308-e314. doi:10.1097/pts.0000000000000771.
https://psnet.ahrq.gov/issue/h…
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psnet.ahrq.gov/node/853077/psn-pdf
August 30, 2023 - 2022 John M. Eisenberg Patient Safety and Quality
Awards.
August 30, 2023
Jt Comm J Qual Patient Saf. 2023;49(9):435-450.
https://psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards
The legacy of AHRQ leader John Eisenberg, MD, still inspires safety improvement work decades after his
pass…
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psnet.ahrq.gov/node/44458/psn-pdf
September 09, 2015 - Utilizing pharmacy students in transitions-of-care
services.
September 9, 2015
L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care
services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561.
https://psnet.ahrq.gov/issue/utilizing-pharmacy-students-tran…
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www.ahrq.gov/evidencenow/tools/train-medical-assitant.html
November 01, 2018 - How to Train Medical Assistants for Expanded Roles: Webinar
Resource: Video: Medical Assistants: Empowering and Effectively using crucial members of your patient care team – Part 2 (http://www.screencast.com/users/chsresults/folders/HVH%20Maintenance%20Videos/media/aba50466-3f29-4ed8-b11b-3a39ec3bc07e)
In al…
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psnet.ahrq.gov/node/43585/psn-pdf
July 16, 2015 - At risk care plans: a way to reduce readmissions and
adverse events.
July 16, 2015
Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse
events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106.
https://psnet.ahrq.gov/issue/risk-care-plans-way-reduc…
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psnet.ahrq.gov/node/44505/psn-pdf
January 22, 2016 - Reducing continuous intravenous medication errors in an
intensive care unit.
January 22, 2016
O?Byrne N, Kozub EI, Fields W. Reducing Continuous Intravenous Medication Errors in an Intensive Care
Unit. J Nurs Care Qual. 2016;31(1):13-16. doi:10.1097/NCQ.0000000000000144.
https://psnet.ahrq.gov/issue/reducing-conti…
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psnet.ahrq.gov/node/50936/psn-pdf
February 26, 2020 - Sitters as a patient safety strategy to reduce hospital
falls: a systematic review.
February 26, 2020
Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann
Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628.
https://psnet.ahrq.gov/issue/sitters-patient-safety-st…
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psnet.ahrq.gov/node/50629/psn-pdf
November 06, 2019 - Lack of association between intraoperative handoff of
care and postoperative complications: a retrospective
observational study.
November 6, 2019
O'Reilly-Shah VN, Melanson VG, Sullivan CL, et al. Lack of association between intraoperative handoff of
care and postoperative complications: a retrospective observatio…
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psnet.ahrq.gov/node/35038/psn-pdf
January 02, 2017 - Using Six Sigma to reduce medication errors in a home-
delivery pharmacy service.
January 2, 2017
Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery
pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24.
https://psnet.ahrq.gov/issue/using-six-sigma-redu…
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psnet.ahrq.gov/node/45068/psn-pdf
August 15, 2017 - Missed ischemic stroke diagnosis in the emergency
department by emergency medicine and neurology
services.
August 15, 2017
Arch AE, Weisman DC, Coca S, et al. Missed Ischemic Stroke Diagnosis in the Emergency Department by
Emergency Medicine and Neurology Services. Stroke. 2016;47(3):668-73.
doi:10.1161/STROKEAHA…
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psnet.ahrq.gov/node/855426/psn-pdf
November 15, 2023 - Anesthesia workspaces for safe medication practices:
design guidelines.
November 15, 2023
MohammadiGorji S, Joseph A, Mihandoust S, et al. Anesthesia workspaces for safe medication practices:
design guidelines. HERD. 2024;17(1):64-83. doi:10.1177/19375867231190646.
https://psnet.ahrq.gov/issue/anesthesia-workspace…
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psnet.ahrq.gov/node/41466/psn-pdf
June 20, 2012 - Factors predicting change in hospital safety climate and
capability in a multi-site patient safety collaborative: a
longitudinal survey study.
June 20, 2012
Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a
multi-site patient safety collaborative: a longit…
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psnet.ahrq.gov/node/43616/psn-pdf
October 29, 2014 - Preventing Healthcare-Associated Infections: Results and
Lessons Learned from AHRQ's HAI Program.
October 29, 2014
Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Infect Control Hosp Epidemiol. 2014;35(suppl 3):S1-
S141.
https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lesson…
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psnet.ahrq.gov/node/854259/psn-pdf
January 01, 2024 - The power of written word: reflection reduces errors of
omission.
October 4, 2023
Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission.
Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630.
https://psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-…
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www.ahrq.gov/funding/process/index.html
March 01, 2016 - Grants Process and Application Basics
Grant application process guidance and application basics.
Grant Application Basics
Provides links to guides on how to create grant applications to AHRQ to supporting research to improve the quality, effectiveness, accessibility, and cost effectiveness of health c…
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psnet.ahrq.gov/node/44872/psn-pdf
February 12, 2016 - Reducing preventable harm in hospitals.
February 12, 2016
Bornstein D. New York Times. January 26, and February 2, 2016.
https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
Discussing the importance of designing safeguards to prevent system failures that can result in patient
harm, this two-part newsp…
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psnet.ahrq.gov/node/836757/psn-pdf
March 16, 2022 - Improving communication and teamwork during labor: a
feasibility, acceptability, and safety study.
March 16, 2022
Weiseth A, Plough A, Aggarwal R, et al. Improving communication and teamwork during labor: A feasibility,
acceptability, and safety study. Birth. 2022;49(4):637-647. doi:10.1111/birt.12630.
https://psn…