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psnet.ahrq.gov/node/45409/psn-pdf
May 17, 2021 - ISMP List of High-Alert Medications in Long-Term Care
(LTC) Settings.
May 17, 2021
Horsham, PA: Institute of Safe Medication Practices; 2021
https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-long-term-care-ltc-settings
Long-term care patients often have concurrent conditions that increase their risk of…
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psnet.ahrq.gov/node/840169/psn-pdf
November 16, 2022 - ISMP survey on tall man (mixed case) lettering to reduce
drug name confusion.
November 16, 2022
Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
Mixed case letters are one suggested strategy to reduce look-alike medication na…
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psnet.ahrq.gov/node/60589/psn-pdf
June 23, 2020 - Medication Safety During the COVID-19 Pandemic: What
Have We Learned in the United States.
June 23, 2020
Institute for Safe Medication Practices and US Food and Drug Administration Division of Drug Information.
June 23, 2020.
https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-lear…
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psnet.ahrq.gov/node/36505/psn-pdf
February 16, 2011 - Complying with ACGME resident duty hours restrictions:
restructuring the 80-hour workweek to enhance education
and patient safety at Texas A&M/Scott & White Memorial
Hospital.
February 16, 2011
Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictions: restructuring
the 80-hour w…
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psnet.ahrq.gov/node/41632/psn-pdf
January 01, 2013 - Variation in safety culture dimensions within and between
US and Swiss Hospital units: an exploratory study.
December 31, 2012
Schwendimann R, Zimmermann N, Küng K, et al. Variation in safety culture dimensions within and
between US and Swiss Hospital Units: an exploratory study. BMJ Qual Saf. 2013;22(1):32-41.
do…
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psnet.ahrq.gov/node/36069/psn-pdf
May 11, 2014 - Health literacy, medication errors, and health outcomes:
is there a relationship?
May 11, 2014
Warner A, Menachemi N, Brooks RG. Health Literacy, Medication Errors, and Health Outcomes: Is There a
Relationship? Hosp Pharm. 2010;41(6):542-551. doi:10.1310/hpj4106-538.
https://psnet.ahrq.gov/issue/health-literacy-me…
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digital.ahrq.gov/ahrq-funded-projects/implementation-novel-multi-platform-evidence-based-clinical-decision/final-report
January 01, 2023 - Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System - Final Report
Citation
Spyropoulos A, Mcginn T. Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System - Final Report. (Prepared by the Feinstein Institute for Medical Research u…
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psnet.ahrq.gov/node/847733/psn-pdf
March 16, 2025 - ISMP Targeted Medication Safety Best Practices for
Community Pharmacy.
March 16, 2025
Institute for Safe Medication Practices: March 2025.
https://psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy
Community pharmacies are common providers of medication delivery that harbor proc…
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digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery/final-report
January 01, 2023 - Optimizing the Value of Patient-Reported Outcome Measures in Improving Care Delivery through Health Information Technology – Final Report
Citation
Solberg L. Optimizing the Value of Patient-Reported Outcome Measures in Improving Care Delivery through Health Information Technology – Final Report. (Prep…
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign/final-report
January 01, 2023 - Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report
Citation
Ratwani R., Hettinger A. Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report. (Prepared by MedStar Health Research Institute under Grant No. R01 HS025136). R…
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psnet.ahrq.gov/node/44674/psn-pdf
December 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care
at Baylor Scott & White Health.
December 18, 2017
Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390.
https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health
Since the publication of the Inst…
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psnet.ahrq.gov/node/34061/psn-pdf
January 04, 2017 - Patient Safety Leadership WalkRounds.
January 4, 2017
Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf.
2003;29(1). doi:10.1016/s1549-3741(03)29003-1.
https://psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds
This study shares the concept of an interventi…
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www.ahrq.gov/evidencenow/tools/diy-run-chart.html
July 01, 2022 - Do It Yourself Run Chart for Primary Care Practices
Resource: Do It Yourself Run Chart (XLSX, 86 KB)
Primary care practices can use this Excel spreadsheet to create run charts to track their progress in quality improvement. It includes instructions, an example of a diabetes measure, and a programmed blank s…
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psnet.ahrq.gov/node/42914/psn-pdf
June 18, 2014 - 2013 John M. Eisenberg Patient Safety and Quality Award
Recipients Announced.
June 18, 2014
Joint Commission. January 27, 2014.
https://psnet.ahrq.gov/issue/2013-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
The Eisenberg Award honors individuals and organizations who have made vital accom…
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hcup-us.ahrq.gov/pdf/HCUP_Central_Distributor_User_Guide.pdf
January 01, 2024 - United States or a US territory whose project has undergone review by
their academic institution's Institutional … This project must have
undergone review by your academic institution's Institutional Review Board (
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.pdf
March 06, 2013 - Strategy 1: Working with Patients & Families as Advisors (Tool 9)
Guide to Patient and Family Engagement
Patient and Family Advisor
Orientation Manual
Guide to Patient and Family Engagement
Table of Contents
About This Orientation Manual ..........................................................…
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www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference
AHRQ Grant Final Progress Report
Title of Project: Diagnostic Error in Medicine Annual Conference
Principal Investigator: Hardeep Singh, MD
Team Members:
• Paul L. Epner, M.Ed, MBA, Executive Vice President, Society to Improve Diagnosis in Me…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiid.html
June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Appendix III (continued)
Previous Page Next Page
Table of Contents
Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services
Executive Summary
Introduction and Scan Methodology
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Improving Patient Safety in Ambulatory Surgery
Centers: A Resource List for Users of the AHRQ
Ambulatory Surgery Center Survey on Patient Safety
Culture
Purpos…
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hcup-us.ahrq.gov/reports/statbriefs/sb95.pdf
September 01, 2010 - Statistical Brief #95: Public Hospitals in the United States, 2008
From
HEALTHCARE COST AND
UTILIZATION PROJECT
Agency for Healthcare
Research and Quality
STATISTICAL BRIEF #95
September 2010
Highlights
■ In 2008, there were 1,131 U.S. public
hospitals. These hospitals
represented 21.9 pe…