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psnet.ahrq.gov/issue/effectiveness-inking-needle-core-prostate-biopsies-preventing-patient-specimen-identification
August 04, 2021 - Study
The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories.
Citation Text:
Raff LJ, Engel G, Beck KR, et al. The effectiveness of inking ne…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/emergency-preparedness-plans.pdf
May 01, 2022 - Incorporating Infection Prevention and Control into an Emergency Preparedness Plan
Incorporating Infection Prevention and Control
into an Emergency Preparedness Plan
Emergency preparedness plans capture a nursing home’s approach to meeting the health, safety, and
security needs of staff and residents during an…
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psnet.ahrq.gov/issue/qualitative-study-patient-involvement-medicines-management-after-hospital-discharge-under
August 03, 2011 - Study
A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience.
Citation Text:
Fylan B, Armitage G, Naylor D, et al. A qualitative study of patient involvement in medicines management after hospital disc…
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psnet.ahrq.gov/issue/impact-patient-physician-alliance-trust-following-adverse-event
May 31, 2023 - Study
The impact of patient–physician alliance on trust following an adverse event.
Citation Text:
Shoemaker K, Smith CP. The impact of patient-physician alliance on trust following an adverse event. Patient Educ Couns. 2019;102(7):1342-1349. doi:10.1016/j.pec.2019.02.015.
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effectivehealthcare.ahrq.gov/sites/default/files/ahrq_community_forum_webinar_branson.pdf
October 13, 2011 - <#> Significant Work. Extraordinary People. SRA.
Outreach to Patient and
Consumer Representatives
October 13, 2011
Carolyn Branson, Manager
Consumer Reviewer Administration
2
Topics
• Who are they?
• What characteristics do they share?
• How can you identify the “right” perso…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence3.html
April 01, 2025 - Four Pillars for Sustainable Centers of Excellence
Alignment
Previous Page Next Page
Table of Contents
Four Pillars for Sustainable Centers of Excellence
Introduction
Center of Excellence Operations
Alignment
Integration
Leadership Support
Windows of Opportunity
Conclusion
Acknowledg…
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psnet.ahrq.gov/issue/taxonomy-advancing-systematic-error-analysis-multi-site-electronic-health-record-based
March 24, 2019 - Study
A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept extraction.
Citation Text:
Fu S, Wang L, He H, et al. A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept ex…
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digital.ahrq.gov/health-care-theme/clinical-decision-making
January 01, 2023 - Clinical Decision Making
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementa…
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psnet.ahrq.gov/issue/use-maternal-early-warning-trigger-tool-reduces-maternal-morbidity
September 27, 2017 - Study
Use of maternal early warning trigger tool reduces maternal morbidity.
Citation Text:
Shields LE, Wiesner S, Klein C, et al. Use of Maternal Early Warning Trigger tool reduces maternal morbidity. Am J Obstet Gynecol. 2016;214(4):527.e1-527.e6. doi:10.1016/j.ajog.2016.01.154.
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/osteoporosis-screening-final-rec-bulletin.pdf
January 14, 2025 - U.S. Preventive Services Task Force Issues Final Recommendation on Screening for Osteoporosis to Prevent Fractures
1
www.uspreventiveservicestaskforce.org
U.S. Preventive Services Task Force Issues Final Recommendation on
Screening for Osteoporosis to Prevent Fractures
Screening for osteoporosis can help…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/vitamin-d-calcium-falls-bulletin.pdf
January 21, 2025 - Task Force Issues Draft Recommendation Statement on Vitamin D and Calcium to Prevent Falls and Fractures in Older Adults
1
www.uspreventiveservicestaskforce.org
Task Force Issues Draft Recommendation Statement on Vitamin D
and Calcium to Prevent Falls and Fractures in Older Adults
Vitamin D and calcium s…
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psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
May 03, 2023 - Study
Adverse patient safety events during the COVID epidemic.
Citation Text:
Yackel EE, Knowles RS, Jones CM, et al. Adverse patient safety events during the COVID epidemic. J Patient Saf. 2023;19(5):340-345. doi:10.1097/pts.0000000000001129.
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Format:
DOI Goog…
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www.ahrq.gov/news/blog/ahrqviews/womens-health-week-2023.html
May 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
For Women’s Health Week, Let’s Make Prevention Primary
MAY
12
2023
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
As we approach Mother’s Day and National Women's Health Week , all of us at AHRQ…
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide8.html
May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chap…
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digital.ahrq.gov/ahrq-funded-projects/sinc-synchronized-immunization-notifications
January 01, 2023 - SINC: Synchronized Immunization Notifications
Project Final Report ( PDF , 580.25 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No stat…
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psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program
April 24, 2018 - Study
Classic
Changes in medical errors after implementation of a handoff program.
Citation Text:
Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…
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www.ahrq.gov/funding/training-grants/k-awards.html
September 01, 2023 - Career Development (K) Awards
AHRQ sponsors several career development awards intended to foster the career development of promising new investigators in the field of health services research. These programs provide salary and research support for a sustained period of time for early career clinicians and resea…
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psnet.ahrq.gov/issue/exploring-safety-culture-within-inpatient-mental-health-units-results-participant-observation
September 23, 2020 - Study
Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services.
Citation Text:
Molloy L, Wilson V, O'Connor MF, et al. Exploring safety culture within inpatient mental health units: the results from partic…
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psnet.ahrq.gov/issue/structured-override-reasons-drug-drug-interaction-alerts-electronic-health-records
April 29, 2018 - Study
Structured override reasons for drug–drug interaction alerts in electronic health records.
Citation Text:
Wright A, McEvoy D, Aaron S, et al. Structured override reasons for drug-drug interaction alerts in electronic health records. J Am Med Info Asso. 2019;26(10):934-942. doi:10.1…
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psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-preventable-adverse-drug-events-paediatric-and
March 06, 2024 - Review
Emerging Classic
Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review.
Citation Text:
Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Me…