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psnet.ahrq.gov/issue/lives-lost-lives-saved-updated-comparative-analysis-avoidable-deaths-hospitals-graded
July 09, 2019 - Book/Report
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group.
Citation Text:
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. Austin M, Derk J. Bal…
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www.ahrq.gov/policymakers/chipra/cpcf-form16.html
December 01, 2013 - Candidate Measure Submission Form (CPCF)
CHIPRA Pediatric Quality Measures Program (PQMP)
The CHIPRA Pediatric Quality Measures Program (PQMP) Candidate Measure Submission Form (CPCF) was approved by the Office of Management and Budget (OMB) in accordance with the Paperwork Reduction Act. The OMB Control Num…
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psnet.ahrq.gov/issue/instituting-vincristine-minibag-administration-innovative-strategy-using-simulation-enhance
April 24, 2018 - Commentary
Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety.
Citation Text:
Corbitt N, Malick L, Nishioka J, et al. Instituting Vincristine Minibag Administration: An Innovative Strategy Using Simulation to Enhance Che…
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psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient-safety-conditions
August 18, 2021 - Book/Report
Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions.
Citation Text:
Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Gangopadhyaya A. Washington DC: Urban Institu…
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psnet.ahrq.gov/node/867448/psn-pdf
January 08, 2025 - Patient safety in general practice during COVID-19: a
descriptive analysis in 38 countries (PRICOV-19).
January 8, 2025
Van Poel E, Vanden Bussche P, Collins C, et al. Patient safety in general practice during COVID-19: a
descriptive analysis in 38 countries (PRICOV-19). Fam Pract. 2025;42(2):cmae059.
doi:10.1093/…
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psnet.ahrq.gov/issue/gooddxorg
August 07, 2019 - Multi-use Website
GoodDx.org
Citation Text:
GoodDx.org GoodDx.
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April 26, 2023
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psnet.ahrq.gov/node/42719/psn-pdf
December 18, 2014 - Talking with patients about other clinicians' errors.
December 18, 2014
Gallagher TH, Mello MM, Levinson W, et al. Talking with patients about other clinicians' errors. N Engl J
Med. 2013;369(18):1752-7. doi:10.1056/NEJMsb1303119.
https://psnet.ahrq.gov/issue/talking-patients-about-other-clinicians-errors
Physicia…
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psnet.ahrq.gov/node/36145/psn-pdf
June 16, 2012 - Preventing Medication Errors: Quality Chasm Series.
June 16, 2012
Aspden P, Wolcott J, Bootman JL, et al, eds; Institute of Medicine, Committee on Identifying and
Preventing Medication Errors. Washington DC: National Academies Press; 2007. ISBN 0309101476.
https://psnet.ahrq.gov/issue/preventing-medication-errors-q…
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psnet.ahrq.gov/node/41586/psn-pdf
January 01, 2013 - Strategies for improving patient safety culture in
hospitals: a systematic review.
December 31, 2012
Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a
systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-000582.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/41313/psn-pdf
January 18, 2017 - Apology for errors: whose responsibility?
January 18, 2017
Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12.
https://psnet.ahrq.gov/issue/apology-errors-whose-responsibility
Although victims of adverse events have clearly expressed their preferences for full error disclos…
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psnet.ahrq.gov/node/38010/psn-pdf
August 27, 2008 - Detection of adverse events in surgical patients using the
Trigger Tool approach.
August 27, 2008
Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach.
Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080.
https://psnet.ahrq.gov/issue/detection-…
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psnet.ahrq.gov/node/72726/psn-pdf
February 10, 2021 - Wrong administration route of medications in the
domestic setting: a review of an underestimated public
health topic.
February 10, 2021
Gualano MR, Lo Moro G, Voglino G, et al. Wrong administration route of medications in the domestic
setting: a review of an underestimated public health topic. Expert Opin Pharmaco…
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psnet.ahrq.gov/node/43205/psn-pdf
April 04, 2018 - Placing Diagnosis Errors on the Policy Agenda.
April 4, 2018
Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood
Johnson Foundation; 2014.
https://psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
This comprehensive policy brief emphasizes the importance of addre…
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psnet.ahrq.gov/node/856635/psn-pdf
January 01, 2024 - System planning for modern-day Just Culture to mitigate
worker distress and second victim response.
November 29, 2023
Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker
distress and second victim response. BMJ Lead. 2024;8(2):149-152. doi:10.1136/leader-2023-0008…
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psnet.ahrq.gov/node/61004/psn-pdf
October 07, 2020 - National Nursing Home COVID Action Network.
October 7, 2020
Rockville, MD: Agency for Healthcare Research and Quality; September 2020.
https://psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
Nursing home residents are especially vulnerable to COVID-19 due to their age, and communal living
condition…
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psnet.ahrq.gov/node/45900/psn-pdf
June 07, 2017 - Blood bank specimen mislabeling: a College of American
Pathologists Q-Probes study of 41,333 blood bank
specimens in 30 institutions.
June 7, 2017
Novis DA, Lindholm PF, Ramsey G, et al. Blood Bank Specimen Mislabeling: A College of American
Pathologists Q-Probes Study of 41 333 Blood Bank Specimens in 30 Institut…
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psnet.ahrq.gov/node/45205/psn-pdf
July 11, 2017 - Performance of the Global Assessment of Pediatric
Patient Safety (GAPPS) tool.
July 11, 2017
Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient
Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076.
https://psnet.ahrq.gov/issue/performance-glo…
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psnet.ahrq.gov/web-mm/undetected-foreign-object
April 24, 2018 - the operation, and patients with higher body mass index (BMI).( 3 ) However, in the largest single institution
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effectivehealthcare.ahrq.gov/sites/default/files/06_devdelays_potential_high_impact_2012-12-10.pdf
January 01, 2012 - #06 Developmental Delays ADHD, and Autism
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 06: Developmental Delays, ADHD,
and Autism
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 G…
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effectivehealthcare.ahrq.gov/sites/default/files/dementia-horizon-scan-high-impact-1512.pdf
December 01, 2015 - DEMENTIA INCLUDING ALZHEIMER'S #04
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 04: Dementia (Including Alzheimer’s
Disease)
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane …