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psnet.ahrq.gov/node/837907/psn-pdf
August 24, 2022 - ISMP Guidelines for Safe Medication Use in Perioperative
and Procedural Settings.
August 24, 2022
Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022.
https://psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings
Medication errors associated with surgery and…
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psnet.ahrq.gov/node/37830/psn-pdf
June 18, 2008 - Does surgeon fatigue influence outcomes after anterior
resection for rectal cancer?
June 18, 2008
Schieman C, MacLean AR, Buie D, et al. Does surgeon fatigue influence outcomes after anterior resection
for rectal cancer? Am J Surg. 2008;195(5):684-7; discussion 687-8. doi:10.1016/j.amjsurg.2008.01.009.
https://psn…
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psnet.ahrq.gov/node/50875/psn-pdf
February 05, 2020 - Implementing Closing the Loop. Safe Practices for
Diagnostic Results
February 5, 2020
Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020.
https://psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
Health information technology (HIT) can improve record keepi…
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psnet.ahrq.gov/node/44909/psn-pdf
March 23, 2016 - Root Cause Analysis Workbook for
Community/Ambulatory Pharmacy.
March 23, 2016
Horsham, PA: Institute for Safe Medication Practices; 2013.
https://psnet.ahrq.gov/issue/root-cause-analysis-workbook-communityambulatory-pharmacy
Root cause analysis offers a structured way to detect and address system weaknesses. This…
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psnet.ahrq.gov/node/44718/psn-pdf
November 25, 2015 - Beyond the Quick Fix: Strategies for Improving Patient
Safety.
November 25, 2015
Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto;
2015.
https://psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
The 2004 Canadian Adverse Events Study helpe…
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psnet.ahrq.gov/node/838015/psn-pdf
September 07, 2022 - Physicians and cognitive decline: a challenge for state
medical boards.
September 7, 2022
Hoffman S. Physicians and cognitive decline: a challenge for state medical boards. J Med Regulation.
2022;108(2):19-28. doi:10.30770/2572-1852-108.2.19.
https://psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-…
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psnet.ahrq.gov/node/46750/psn-pdf
January 31, 2018 - Iowans' Views on Medical Errors: Iowa Patient Safety
Study.
January 31, 2018
Clive, IA: Heartland Health Research Institute; January 7, 2018.
https://psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study
Patient perspectives can provide insights regarding areas in need of improvement. This sur…
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psnet.ahrq.gov/node/43243/psn-pdf
June 11, 2014 - Improved incident reporting following the implementation
of a standardized emergency department peer review
process.
June 11, 2014
Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized
emergency department peer review process. Int J Qual Health Care. 2014;26(3):278-86.
d…
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psnet.ahrq.gov/node/34994/psn-pdf
September 29, 2017 - Advances in Patient Safety: From Research to
Implementation.
September 29, 2017
Henriksen K, Battles JB, Marks ES, et al, eds. Rockville, MD: Agency for Healthcare Research and Quality
(US); 2005.
https://psnet.ahrq.gov/issue/advances-patient-safety-research-implementation
With 4 volumes and 140 articles (all of …
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digital.ahrq.gov/ahrq-funded-projects/cognitive-engineering-complex-decisionmaking-problem-solving-acute-care/final-report
January 01, 2023 - Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care - Final Report
Citation
Hettinger A. Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care - Final Report. (Prepared by MedStar Health Research Institute under Grant No. R01 HS022542). Rockville…
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psnet.ahrq.gov/node/43839/psn-pdf
January 28, 2015 - Patient Safety.
January 28, 2015
J Health Serv Res Policy. 2015;20(suppl 1):S1-S60.
https://psnet.ahrq.gov/issue/patient-safety-11
Articles in this special supplement explore research commissioned by National Institute for Health
Research in the United Kingdom to address four patient safety research gaps: how orga…
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psnet.ahrq.gov/node/36419/psn-pdf
July 14, 2010 - Time to get off this pig's back?: the human factors
aspects of the mismatch between device and real-world
knowledge in the health care environment.
July 14, 2010
Nunnally M, Bitan Y. Time to Get Off this Pig's Back? J Patient Saf. 2008;2(3).
doi:10.1097/01.jps.0000233827.90690.97.
https://psnet.ahrq.gov/issue/tim…
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psnet.ahrq.gov/node/37847/psn-pdf
June 18, 2008 - Effect of the 80-hour work week on resident case
coverage.
June 18, 2008
Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg.
2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028.
https://psnet.ahrq.gov/issue/effect-80-hour-work-week-resident…
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www.ahrq.gov/funding/process/review/index.html
April 01, 2015 - Grant Application Peer Review Process
Grant applications submitted to AHRQ are evaluated by the AHRQ peer review process to ensure a fair, competent and objective assessment of their scientific and technical merit.
Application Receipt and Referral Process
Once received, AHRQ grant applications are submitt…
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psnet.ahrq.gov/node/60805/psn-pdf
August 12, 2020 - A blueprint for leadership during COVID-19.
August 12, 2020
Rosa WE, Schlak AE, Rushton CH. A blueprint for leadership during COVID-19. Nurs Manage.
2020;51(8):28-34. doi:10.1097/01.numa.0000688940.29231.6f.
https://psnet.ahrq.gov/issue/blueprint-leadership-during-covid-19
These authors discuss the effect of the C…
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www.cahps.ahrq.gov/policymakers/chipra/overview/background/references.html
December 01, 2009 - excluding patients with cystic fibrosis or anomalies of the respiratory system and transfers from other institutions
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www.innovations.ahrq.gov/policymakers/chipra/overview/background/references.html
December 01, 2009 - excluding patients with cystic fibrosis or anomalies of the respiratory system and transfers from other institutions
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www.healthcare411.ahrq.gov/policymakers/chipra/overview/background/references.html
December 01, 2009 - excluding patients with cystic fibrosis or anomalies of the respiratory system and transfers from other institutions
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www.monahrq.ahrq.gov/policymakers/chipra/overview/background/references.html
December 01, 2009 - excluding patients with cystic fibrosis or anomalies of the respiratory system and transfers from other institutions
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www.qualitymeasures.ahrq.gov/policymakers/chipra/overview/background/references.html
December 01, 2009 - excluding patients with cystic fibrosis or anomalies of the respiratory system and transfers from other institutions