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psnet.ahrq.gov/node/39432/psn-pdf
April 08, 2011 - The response of the APPD, CoPS and AAP to the Institute
of Medicine report on resident duty hours.
April 8, 2011
Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of
Medicine report on resident duty hours. Pediatrics. 2010;125(4):786-790. doi:10.1542/peds.2009-2149.
ht…
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psnet.ahrq.gov/node/41213/psn-pdf
September 20, 2012 - A resident-led institutional patient safety and quality
improvement process.
September 20, 2012
Stueven J, Sklar DP, Kaloostian P, et al. A resident-led institutional patient safety and quality improvement
process. Am J Med Qual. 2012;27(5):369-76. doi:10.1177/1062860611429387.
https://psnet.ahrq.gov/issue/residen…
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psnet.ahrq.gov/node/46417/psn-pdf
October 11, 2017 - Center for Health Care Human Factors.
October 11, 2017
Armstrong Institute for Patient Safety and Quality.
https://psnet.ahrq.gov/issue/center-health-care-human-factors
Human factors engineering has provided unique insights into designing solutions to address human error
and system weaknesses that facilitate mista…
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psnet.ahrq.gov/node/46465/psn-pdf
February 21, 2018 - Preventing mistransfusions: an evaluation of institutional
knowledge and a response.
February 21, 2018
MacDougall N, Dong F, Broussard L, et al. Preventing Mistransfusions: An Evaluation of Institutional
Knowledge and a Response. Anesth Analg. 2018;126(1):247-251. doi:10.1213/ANE.0000000000002443.
https://psnet.ah…
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psnet.ahrq.gov/node/37527/psn-pdf
August 24, 2015 - MEDMARX Data Report: A Report on the Relationship of
Drug Names and Medication Errors in Response to the
Institute of Medicine's Call to Action (2003-2006 Findings
and Trends 2002-2006).
August 24, 2015
Hicks RW, Becker SC, Cousins DD, eds. Rockville, MD: Center for the Advancement of Patient Safety, US
Pharmacop…
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psnet.ahrq.gov/node/43803/psn-pdf
January 29, 2015 - Creating a high-reliability health care system: improving
performance on core processes of care at Johns Hopkins
Medicine.
January 29, 2015
Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving
performance on core processes of care at Johns Hopkins Medicine. Acad Med.…
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psnet.ahrq.gov/node/46787/psn-pdf
October 15, 2018 - Institute for Safe Medication Practices International
Mentorship Program.
October 15, 2018
Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/institute-safe-medication-practices-international-mentorship-program
Structured interaction with a wide variety of experts and environments enables medica…
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psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligence-opportunities-and-challenges-care-delivery
January 08, 2020 - Book/Report
Patient Safety and Artificial Intelligence: Opportunities and Challenges for Care Delivery.
Citation Text:
Patient Safety and Artificial Intelligence: Opportunities and Challenges for Care Delivery. Lucian Leape Institute. Boston: Institute for Healthcare Improvement; 20…
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psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and-finance
January 23, 2019 - Toolkit
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance.
Citation Text:
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. Institute for Healthcare Improvement, National Patient Safety Foundation. C…
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psnet.ahrq.gov/issue/moving-measurement-action-global-principles-measuring-patient-safety
January 09, 2019 - Book/Report
Moving Measurement into Action: Global Principles for Measuring Patient Safety.
Citation Text:
Moving Measurement into Action: Global Principles for Measuring Patient Safety. IHI Lucian Leape Institute. Boston, MA: Institute for Healthcare Improvement, Salzburg Global Seminar…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - Computerized
EMR
“…The institution that I trained at had a much more advanced system. … to effect improvement, and they attributed the responsibility for many specific solutions to the
institution
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - knowledge of the patient’s desire for information and may require
disclosure of information to the institution
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digital.ahrq.gov/sites/default/files/docs/page/2006Adams_051311comp.pdf
June 05, 2006 - The RHIO as Convener and Catalyst: The Birth of EHR of Rhode Island.
AHRQ 2006 Patient Safety and HIT Annual Conference
Organization and Governance: Getting Started
in HIE and Gaining Stakeholder Participation
The RHIO as Convener and Catalyst:
The Birth of EHR of Rhode Island
Laura L. Adams
President and CEO, Rh…
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psnet.ahrq.gov/node/43070/psn-pdf
August 20, 2014 - Reducing the rate of catheter-associated bloodstream
infections in a surgical intensive care unit using the
Institute for Healthcare Improvement Central Line Bundle.
August 20, 2014
Sacks GD, Diggs BS, Hadjizacharia P, et al. Reducing the rate of catheter-associated bloodstream
infections in a surgical intensive c…
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psnet.ahrq.gov/issue/2012-ismp-international-medication-safety-self-assessment-oncology
January 26, 2023 - Press Release/Announcement
2012 ISMP International Medication Safety Self Assessment for Oncology.
Citation Text:
2012 ISMP International Medication Safety Self Assessment for Oncology. Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada.
Copy…
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psnet.ahrq.gov/issue/patient-safety-context-perinatal-neonatal-and-pediatric-care
April 01, 2024 - Press Release/Announcement
Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care.
Citation Text:
Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care. Eunice Kennedy Shriver National Institute of Child Health and Human Development; NICHD; National I…
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psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-names-recommended-tall-man-letters
November 16, 2022 - Fact Sheet/FAQs
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters.
Citation Text:
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Ins…
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www.ahrq.gov/patient-safety/reports/engage.html
October 01, 2021 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Research shows that when patients are engaged in their healthcare, it can lead to measurable improvements in safety and quality. To promote stronger engagement, the Agency for Healthcare Research and Quality (AHRQ) has …
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psnet.ahrq.gov/issue/consumermedsafetyorg
April 12, 2019 - Multi-use Website
Consumermedsafety.org
Citation Text:
Consumermedsafety.org Institute for Safe Medication Practices; 5200 Butler Pike, Plymouth Meeting, PA 19462.
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Sandra Millon Underwood, R.N., Ph.D.
Member
Sandra Millon Underwood, R.N., Ph.D., is a professor emerita in the College of Nursing at the University of Wisconsin—Milwaukee …