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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/factors-contributing-sustainment.pdf
August 31, 2015 - Factors Contributing to Sustainment Outcomes in Four States
1
Factors Contributing to Sustainment Outcomes in Four States
This supplementary material contains brief case studies that examine key factors influencing
decisions about sustaining elements of four states’ CHIPRA Quality Demonstration Grants. The …
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psnet.ahrq.gov/issue/safe-surgery-saves-lives
May 12, 2009 - Multi-use Website
Safe Surgery Saves Lives.
Citation Text:
Safe Surgery Saves Lives. Canadian Patient Safety Institute; CPSI.
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psnet.ahrq.gov/issue/introduction-trigger-tools-identifying-adverse-events
January 08, 2020 - Multi-use Website
Introduction to Trigger Tools for Identifying Adverse Events.
Citation Text:
Introduction to Trigger Tools for Identifying Adverse Events. Institute for Healthcare Improvement; IHI
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psnet.ahrq.gov/issue/surfing-healthcare-tsunami-bring-your-best-board
May 13, 2019 - Audiovisual
Surfing the Healthcare Tsunami: Bring Your Best Board.
Citation Text:
Surfing the Healthcare Tsunami: Bring Your Best Board. Austin, TX: Texas Medical Institute for Technology; 2012.
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psnet.ahrq.gov/issue/center-diagnostic-excellence
July 09, 2019 - Multi-use Website
Center for Diagnostic Excellence.
Citation Text:
Center for Diagnostic Excellence. Armstrong Institute for Patient Safety and Quality
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psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic
September 29, 2017 - Press Release/Announcement
NAM Action Collaborative on Countering the U.S. Opioid Epidemic.
Citation Text:
NAM Action Collaborative on Countering the U.S. Opioid Epidemic. National Academy of Medicine; Aspen Institute.
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psnet.ahrq.gov/issue/ismp-medication-safety-alertr-acute-care-edition
March 26, 2015 - Newsletter/Journal
ISMP Medication Safety Alert® Acute Care Edition.
Citation Text:
ISMP Medication Safety Alert® Acute Care Edition. Plymouth Meeting, PA; Institute for Safe Medication Practices. ISSN 1550-6312.
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www.ahrq.gov/priority-populations/observances/womens-history/index.html
March 01, 2021 - Women’s History Month
In celebration of March as Women’s History Month, AHRQ is pleased to highlight the significant role and impact women in the healthcare field have had on improving the quality and safety of healthcare in America. This annual observance presents an opportunity for the Agency to recognize dis…
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal2.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Program Implementation
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report
Executive Summary
Report Organization
Program Implementation
Program Impact
What We…
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hcup-us.ahrq.gov/reports/methods/2005_06.pdf
January 01, 2005 - admission type” (elective, urgent, and
emergency), and “admission source” (e.g., transfer from another institution
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psnet.ahrq.gov/node/40767/psn-pdf
September 14, 2011 - Mislabeling of cases, specimens, blocks, and slides: a
College of American Pathologists study of 136
institutions.
September 14, 2011
Nakhleh RE, Idowu MO, Souers RJ, et al. Mislabeling of cases, specimens, blocks, and slides: a college of
american pathologists study of 136 institutions. Arch Pathol Lab Med. 2011;…
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psnet.ahrq.gov/node/34700/psn-pdf
January 04, 2017 - Reducing adverse drug events: lessons from a
breakthrough series collaborative.
January 4, 2017
Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough
series collaborative. Jt Comm J Qual Improv. 2000;26(6):321-31.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-event…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx
May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment
Patient and Family Engagement in the Surgical Environment Module
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-2-EF
May 2017
Patient and Family Engagement | ‹#›
AHRQ Safety Program for Ambulatory Surgery
1
Learning Objectiv…
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psnet.ahrq.gov/issue/covid-19-has-united-patients-and-providers-against-institutional-betrayal-health-care-battle
June 29, 2009 - Commentary
COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected.
Citation Text:
Klest B, Smith CP, May C, et al. COVID-19 has united patients and providers against institutional betrayal in health care: a …
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psnet.ahrq.gov/issue/duty-hours-emergency-medicine-balancing-patient-safety-resident-wellness-and-resident
August 04, 2021 - Commentary
Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations.
Citation Text:
Wagner MJ, Wolf S, Promes S, et al. Duty hours in e…
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psnet.ahrq.gov/issue/mislabeling-cases-specimens-blocks-and-slides-college-american-pathologists-study-136
January 08, 2016 - Study
Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions.
Citation Text:
Nakhleh RE, Idowu MO, Souers RJ, et al. Mislabeling of cases, specimens, blocks, and slides: a college of american pathologists study of 136 instituti…
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psnet.ahrq.gov/node/49821/psn-pdf
February 01, 2018 - Right Place, Right Drug, Wrong Strength
February 1, 2018
Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
The Case
A 2-year-old girl was admitted to a hospital burn unit for a 10% total body surface area bur…
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - to the Josie King Foundation and catalyzing Hopkins' safety initiatives), demonstrating the power of institution–patient … Certainly there were additional details that came out when the state report came out, but generally the institution
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psnet.ahrq.gov/node/39745/psn-pdf
September 09, 2010 - Duty hours in emergency medicine: balancing patient
safety, resident wellness, and the resident training
experience: a consensus response to the 2008 Institute of
Medicine resident duty hours recommendations.
September 9, 2010
Wagner MJ, Wolf S, Promes S, et al. Duty hours in emergency medicine: balancing patient …
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psnet.ahrq.gov/node/39872/psn-pdf
February 25, 2013 - The Essential Guide for Patient Safety Officers, Second
Edition.
February 25, 2013
Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute
for Healthcare Improvement; 2013. ISBN: 9781599407036.
https://psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-se…