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psnet.ahrq.gov/node/46505/psn-pdf
August 20, 2018 - Americans' Experiences With Medical Errors and Views
on Patient Safety.
August 20, 2018
Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute; 2017.
https://psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety
Patient perspectives have been shown to identi…
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psnet.ahrq.gov/node/45439/psn-pdf
October 15, 2016 - Patient participation in patient safety still missing: patient
safety experts' views.
October 15, 2016
Sahlström M, Partanen P, Rathert C, et al. Patient participation in patient safety still missing: Patient safety
experts' views. Int J Nurs Pract. 2016;22(5):461-469. doi:10.1111/ijn.12476.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/46455/psn-pdf
April 24, 2018 - ISMP Medication Safety Self Assessment for High-Alert
Medications.
April 24, 2018
Horsham, PA: Institute for Safe Medication Practices; 2017.
https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications
High-alert medications have the potential to cause substantial patient harm if adm…
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www.ahrq.gov/patient-safety/resources/designer-guide/index.html
December 01, 2017 - Bringing Human Factors into Home Health Care
Institute of Medicine Report and Designer's Guide
Many health care technologies that involve information technology (IT) are moving into the home, for use by caregivers who look after the growing number of older adults with chronic illnesses. With funding from the …
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www.ahrq.gov/cpi/about/nac/pcortf-snac/hasnain-wynia.html
November 01, 2022 - Subcommittee Member: Romana Hasnain-Wynia
Romana Hasnain-Wynia, Ph.D.
Chief Research Officer
Office of Research
Denver Health
Romana Hasnain-Wynia, Ph.D., is chief research officer at Denver Health, where she oversees research and sponsored programs through the Office of Research. She mentors junior and …
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www.ahrq.gov/cpi/about/nac/pcortf-snac/pham.html
November 01, 2022 - Subcommittee Member: Mai Pham
Mai Pham, M.D., M.P.H.
President
Institute for Exceptional Care
Mai Pham, M.D., M.P.H., is president of the Institute for Exceptional Care, a nonprofit organization dedicated to transforming healthcare for people with intellectual and developmental disabilities. Dr. Pham is a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendix_b.pdf
June 02, 2025 - Appendix B. Technical Expert Panel Members
Appendix B. Technical Expert Panel Members
The Technical Expert Panel (TEP) for the hotline project provided multi-stakeholder expertise on
relevant dimensions of the project, including patient safety, reporting systems, patient and
consumer perspectives, and survey meth…
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psnet.ahrq.gov/issue/potentially-dangerous-confusion-between-bloxiverz-neostigmine-injection-and-vazculep
July 08, 2015 - Press Release/Announcement
Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection.
Citation Text:
Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. National Alert Net…
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psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-learned-united-states
January 13, 2021 - Webinar
Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States.
Citation Text:
Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. Institute for Safe Medication Practices and US Food and Drug Administration Divisio…
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psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrectly-using-insulin-pens-home
December 15, 2021 - Press Release/Announcement
Severe hyperglycemia in patients incorrectly using insulin pens at home.
Citation Text:
Severe hyperglycemia in patients incorrectly using insulin pens at home. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American…
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psnet.ahrq.gov/issue/iatrogenic-events-resulting-intensive-care-admission-frequency-cause-and-disclosure-patients
September 30, 2010 - Study
Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.
Citation Text:
Lehmann LS, Puopolo AL, Shaykevich S, et al. Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patient…
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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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psnet.ahrq.gov/issue/partnering-patients-and-families-design-patient-and-family-centered-health-care-system
November 29, 2017 - Meeting/Conference Proceedings
Classic
Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices.
Citation Text:
Partnering with Patients and Families to Design a Patient- and Famil…
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psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families
June 13, 2012 - Book/Report
Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families.
Citation Text:
Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families. Bostock L, Bairstow S, Fish S, et al. London, UK: Social Care Institute for Excellenc…
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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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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/improving-oversight-graduate-medical-education-enterprise-one-institutions-strategies-and
September 21, 2009 - Study
Improving oversight of the graduate medical education enterprise: one institution's strategies and tools.
Citation Text:
Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise: One Institution???s Strategies and Tools. Academic Medic…
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psnet.ahrq.gov/issue/patient-safety-institute-demonstration-project-model-implementing-local-health-information
May 15, 2013 - Commentary
The Patient Safety Institute demonstration project: a model for implementing a local health information infrastructure.
Citation Text:
Classen D, Kanhouwa M, Will D, et al. The patient safety institute demonstration project: a model for implementing a local health informatio…
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psnet.ahrq.gov/issue/safe-handling-concentrated-electrolyte-products-outsourcing-facilities-during-critical-drug
December 15, 2021 - Press Release/Announcement
Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages.
Citation Text:
Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages. National Alert Network. …
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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