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psnet.ahrq.gov/node/837799/psn-pdf
August 10, 2022 - Effect of a pharmacy-based centralized intravenous
admixture service on the prevalence of medication errors:
a before-and-after study.
August 10, 2022
Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous
admixture service on the prevalence of medication errors: a befo…
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psnet.ahrq.gov/node/848359/psn-pdf
May 03, 2023 - Medical line entanglement: the unspoken patient safety
hazard of medical devices.
May 3, 2023
Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of
medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000.
https://psnet.ahrq.gov/issue/medical-line-enta…
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psnet.ahrq.gov/node/50836/psn-pdf
January 29, 2020 - Developing a cancer-specific trigger tool to identify
treatment-related adverse events using administrative
data.
January 29, 2020
Weingart SN, Nelson J, Koethe B, et al. Developing a cancer?specific trigger tool to identify treatment?
related adverse events using administrative data. Cancer Med. 2020;9(4):1462-14…
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psnet.ahrq.gov/node/47190/psn-pdf
January 01, 2021 - Disclosure coaching: an ask-tell-ask model to support
clinicians in disclosure conversations.
July 25, 2018
Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in
Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1370. doi:10.1097/PTS.0000000000000491.
…
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psnet.ahrq.gov/node/851886/psn-pdf
August 02, 2023 - Hospitalization due to adverse drug events in older adults
with cancer: a retrospective analysis.
August 2, 2023
Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with
cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101540. doi:10.1016/j.jgo.2023.101540…
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psnet.ahrq.gov/node/47571/psn-pdf
December 12, 2018 - Enhancing safety culture through improved incident
reporting: a case study in translational research.
December 12, 2018
Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A
Case Study In Translational Research. Health Aff (Millwood). 2018;37(11):1797-1804.
doi:10.1…
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www.ahrq.gov/topics/childrenadolescents.html
January 01, 2011 - Topic: Children/Adolescents
Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
CAHPS Child Hospital Survey (Child HCAHPS) Toolkit
Cente…
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psnet.ahrq.gov/node/46894/psn-pdf
June 20, 2018 - Smart pump custom concentrations without hard "low
concentration" alerts can lead to patient harm.
June 20, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 31, 2018;23:1-4.
https://psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-
lead-patient-harm
Smart p…
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www.ahrq.gov/funding/process/grant-app-basics/apptime.html
October 01, 2014 - Timeframe for Application Preparation
This guide is intended to help you plan the timing of preparation of your grant application. Give yourself plenty of time to write the application—at least three to six months.
This guide is intended to help you plan the timing of preparation of your grant application. Gi…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/FCxshu6GVxPj8utdpVWBVG
Primary Care Interventions to Promote Breastfeeding: Clinical Summary
PRIMARY CARE INTERVENTIONS TO PROMOTE BREASTFEEDING
CLINICAL SUMMARY OF U.S. PREVENTIVE SERVICES TASK FORCE RECOMMENDATION
Population
Pregnant Women
New Mothers
The Mother’s Partner,
Other Family Members,
and Friends
…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety5.html
September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
Conclusion
Previous Page Next Page
Table of Contents
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
I…
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psnet.ahrq.gov/node/836959/psn-pdf
April 20, 2022 - Safety of elderly fallers: identifying associated risk
factors for 30-day unplanned readmissions using a
clinical data warehouse.
April 20, 2022
El Abd A, Schwab C, Clementz A, et al. Safety of elderly fallers: identifying associated risk factors for 30-
day unplanned readmissions using a clinical data warehouse. …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-ginsberg.pdf
June 02, 2025 - Implementing the New CAHPS® Protocol for Obtaining Patient Comments About Their Care
AHRQ and AHRQ’s CAHPS®
Program
Caren Ginsberg, Ph.D.
Director, CAHPS Division, Center for Quality
Improvement and Patient Safety
Agency for Healthcare Research and Quality
www.ahrq.gov/cahps
AHRQ’s Core Competencies
Resea…
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psnet.ahrq.gov/node/44697/psn-pdf
June 21, 2016 - Saving Lives and Saving Money: Hospital-Acquired
Conditions Update.
June 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; December 2015. AHRQ Publication No. 16-
0009-EF.
https://psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update
The Partnership for Patients …
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psnet.ahrq.gov/node/866636/psn-pdf
January 01, 2025 - Hospital commitments to address diagnostic errors: an
assessment of 95 US hospitals.
September 4, 2024
Campione Russo A, Tilly J?L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an
assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13485.
https://psnet.ahrq.gov/is…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T1-Sample_Letter_of_Agreement_Phase_2.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 2
Sample Letter of Agreement
Date
Name
Address of Laboratory
RE:
Developing an Antibiogram for [NURSING HOME NAME]
Dear [insert name]:
For several years, antibiogram reports have been used in hospitals to address the issue of appropriate antibiotic use; nursing homes are …
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.pdf
May 01, 2014 - Sample Vignettes
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 3
Sample Policy
[NAME OF NURSING HOME]
RE: Antibiogram Program
[DATE]
Antibiotics are among the most commonly…
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psnet.ahrq.gov/node/44515/psn-pdf
February 23, 2018 - The Expert Panel Report to Texas Health Resources
Leadership on the 2014 Ebola Events.
February 23, 2018
Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resources Leadership;
2015.
https://psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
…
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www.ahrq.gov/evidencenow/projects/urinary/resources/recruiting-pbrn.html
January 01, 2011 - Back to MUI Resources
Recruiting Practice-Based Research Network (PBRN) Physicians To Be Research Participants: Lessons Learned From the North Texas (NorTex) Needs Assessment Study
Resource
Full article on PubMed.
Summary
The purpose of this study was to examine strategies fo…
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psnet.ahrq.gov/node/47105/psn-pdf
August 10, 2018 - A systems approach to identify factors influencing
adverse drug events in nursing homes.
August 10, 2018
Al-Jumaili AA, Doucette WR. A Systems Approach to Identify Factors Influencing Adverse Drug Events in
Nursing Homes. J Am Geriatr Soc. 2018;66(7):1420-1427. doi:10.1111/jgs.15389.
https://psnet.ahrq.gov/issue/s…