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psnet.ahrq.gov/issue/canadian-incident-analysis-framework
December 04, 2016 - Book/Report
Canadian Incident Analysis Framework.
Citation Text:
Canadian Incident Analysis Framework. Incident Analysis Collaborating Parties. Edmonton, AB: Canadian Patient Safety Institute; 2012. ISBN: 9781926541440.
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psnet.ahrq.gov/issue/medmarx-data-report-report-relationship-drug-names-and-medication-errors-response-institute
March 21, 2007 - Press Release/Announcement
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).
Citation Text:
MEDMARX Data Report: A Report on the Relationship of Drug N…
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psnet.ahrq.gov/issue/how-collective-design-triumphed-over-competition-fight-against-hais
February 05, 2019 - Book/Report
How Collective Design Triumphed Over Competition in the Fight Against HAIs.
Citation Text:
How Collective Design Triumphed Over Competition in the Fight Against HAIs. Wilson T. St Louis, MO; Facilities Guidelines Institute; 2020.
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psnet.ahrq.gov/issue/patient-centered-care-improvement-guide
June 10, 2020 - Book/Report
Patient-Centered Care Improvement Guide.
Citation Text:
Patient-Centered Care Improvement Guide. Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.
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psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events-same-hospital
April 07, 2021 - Book/Report
Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital?
Citation Text:
Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? Gangopadhyaya A. Washington DC; Urban Institute: July 2021.
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psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication
August 17, 2022 - Webinar
Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error.
Citation Text:
Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. Institute for Safe Medication Practic…
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psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
February 01, 2013 - Review
How safe is my intensive care unit? Methods for monitoring and measurement.
Citation Text:
Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8.
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psnet.ahrq.gov/issue/implications-health-literacy-public-health-workshop-summary
December 17, 2014 - Book/Report
Implications of Health Literacy for Public Health: Workshop Summary.
Citation Text:
Implications of Health Literacy for Public Health: Workshop Summary. Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of …
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digital.ahrq.gov/national-webinars
July 17, 2025 - National Webinars
The AHRQ Digital Healthcare Research (DHR) Program sponsors national webinars showcasing the latest scientific advancements and key conversations with experts around impactful research in the evolving digital healthcare ecosystem. Access the latest on-demand webinars and up…
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psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
June 15, 2011 - Book/Report
Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary.
Citation Text:
Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of …
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psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care
March 29, 2006 - Book/Report
Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care.
Citation Text:
Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021.
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psnet.ahrq.gov/issue/potential-inaccuracy-electronically-transmitted-medication-history-information-used
December 15, 2021 - Press Release/Announcement
Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation.
Citation Text:
Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation. Nati…
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psnet.ahrq.gov/issue/coordination-between-emergency-and-primary-care-physicians
August 13, 2014 - Book/Report
Coordination Between Emergency and Primary Care Physicians.
Citation Text:
Coordination Between Emergency and Primary Care Physicians. Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011. NIHCR Research Brief No. 3.
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psnet.ahrq.gov/node/46802/psn-pdf
March 21, 2018 - The accuracy of trigger tools to detect preventable
adverse events in primary care: a systematic review.
March 21, 2018
Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse
Events in Primary Care: A Systematic Review. J Am Board Fam Med. 2018;31(1):113-125.
doi:10.31…
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psnet.ahrq.gov/node/42822/psn-pdf
December 18, 2013 - Automated adverse event detection collaborative:
electronic adverse event identification, classification, and
corrective actions across academic pediatric institutions.
December 18, 2013
Stockwell DC, Kirkendall E, Muething S, et al. Automated adverse event detection collaborative: electronic
adverse event identif…
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psnet.ahrq.gov/node/45343/psn-pdf
August 10, 2016 - Medication errors involving the intravenous
administration route: characteristics of voluntarily
reported medication errors.
August 10, 2016
Wolf ZR. Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily
Reported Medication Errors. J Infus Nurs. 2016;39(4):235-48. doi:10.…
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - Browse Author Resources
Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…
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effectivehealthcare.ahrq.gov/sites/default/files/04_dementia_potential_high_impact_2012-12-10.pdf
January 01, 2012 - 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
540 Gaither Road
R…
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effectivehealthcare.ahrq.gov/sites/default/files/04_dementia_potential_high_impact_june_2012.pdf
January 01, 2012 - 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
540 Gaither R…
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digital.ahrq.gov/sites/default/files/docs/citation/asthmacarewithhit_081011comp.pdf
July 01, 2011 - Pilot and Final Implementation Sites, Project Champions, and Implementation Activities ..... 16
Build Institutional … Build Institutional Support
Dr. … Brottman, Principal Investigator, is building institutional support among the
organizational leadership … Milestones and Timeline
Aspect of Project Milestone/Activity Milestone Completion Date
Build institutional … support –
clinics Pilot site warm-ups* complete May-June 2008
Build institutional support –
clinics