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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/carnahan.pdf
January 01, 2014 - Improving Antipsychotic Appropriateness in Dementia Patients
…
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www.ahrq.gov/evidencenow/model/profiles/scenic-bluffs.html
March 01, 2021 - A Unique Take on Patient-Centered Care in Rural Wisconsin
"Working together to keep community members healthy is how we do things out here," says Ms. Jennifer Nottestad, Patient Care Manager at Scenic Bluffs Community Health Care Centers. "Because we're a Federally Qualified Health Center and relatively small, …
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www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilref.html
April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council
References
Agency for Healthcare Research and Quality. CAHPS®: Consumer Assessment of Healthcare Providers and Systems. Accessed January 3, 2007. Available at: http://www.ahrq.gov/cahps/index.html .
Aspden P, Wolcott JA, Bootman L, Cron…
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psnet.ahrq.gov/issue/safety-paradoxes-and-safety-culture
February 06, 2008 - Commentary
Safety paradoxes and safety culture.
Citation Text:
Reason J. Safety paradoxes and safety culture. Inj Control Safety Promot. 2003;7(1):3-14. doi:10.1076/1566-0974(200003)7:1;1-v;ft003.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …
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psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and
March 09, 2016 - Newspaper/Magazine Article
Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2.
Citation Text:
Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. ISMP Medicat…
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psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews
October 27, 2015 - Book/Report
Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews.
Citation Text:
Systematic Systems Analysis: A Practical Approach to Patient Safety Reviews. Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012.
Copy Citatio…
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psnet.ahrq.gov/node/48053/psn-pdf
July 17, 2019 - Review of medication errors that are new or likely to
occur more frequently with electronic medication
management systems.
July 17, 2019
Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur
more frequently with electronic medication management systems. Aust Health …
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psnet.ahrq.gov/node/45474/psn-pdf
October 29, 2017 - Evaluation of electronic health record implementation on
pharmacist interventions related to oral chemotherapy
management.
October 29, 2017
Finn A, Bondarenka C, Edwards K, et al. Evaluation of electronic health record implementation on
pharmacist interventions related to oral chemotherapy management. J Oncol Phar…
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psnet.ahrq.gov/node/47698/psn-pdf
April 03, 2019 - Bringing perioperative emergency manuals to your
institution: a "How To" from concept to implementation in
10 steps.
April 3, 2019
Agarwala A, McRichards K, Rao V, et al. Bringing Perioperative Emergency Manuals to Your Institution: A
"How To" from Concept to Implementation in 10 Steps. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/node/838922/psn-pdf
October 26, 2022 - Effect of pharmacist email alerts on concurrent
prescribing of opioids and benzodiazepines by
prescribers and primary care managers: a randomized
clinical trial.
October 26, 2022
Sacarny A, Safran E, Steffel M, et al. Effect of pharmacist email alerts on concurrent prescribing of opioids
and benzodiazepines by pr…
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psnet.ahrq.gov/node/47869/psn-pdf
April 17, 2019 - Minimizing Opioid Prescribing in Surgery (MOPiS)
initiative: an analysis of implementation barriers.
April 17, 2019
Coughlin JM, Shallcross ML, Schäfer WLA, et al. Minimizing Opioid Prescribing in Surgery (MOPiS)
Initiative: An Analysis of Implementation Barriers. J Surg Res. 2019;239:309-319.
doi:10.1016/j.jss.20…
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psnet.ahrq.gov/node/43885/psn-pdf
January 30, 2018 - Health Information Technology.
January 30, 2018
Am J Manag Care. 2014;20(spec 17):492-554,e1-e31.
https://psnet.ahrq.gov/issue/health-information-technology
Efforts to implement health information technology, particularly electronic health records and computerized
provider order entry systems, continue at a rapid …
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psnet.ahrq.gov/node/34796/psn-pdf
November 18, 2015 - The business case for quality: case studies and an
analysis.
November 18, 2015
Leatherman S, Berwick DM, Iles D, et al. The business case for quality: case studies and an analysis.
Health Aff (Millwood). 2003;22(2):17-30.
https://psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
This comprehens…
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psnet.ahrq.gov/issue/ashrm-patient-safety-portal
September 27, 2016 - Multi-use Website
ASHRM Patient Safety Portal.
Save
Save to your library
Print
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March 21, 2012
This Web site provides access to educational resources for risk ma…
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psnet.ahrq.gov/node/39568/psn-pdf
August 08, 2010 - The quality, safety and content of telephone and face-to-
face consultations: a comparative study.
August 8, 2010
McKinstry B, Hammersley V, Burton C, et al. The quality, safety and content of telephone and face-to-face
consultations: a comparative study. Qual Saf Health Care. 2010;19(4):298-303.
doi:10.1136/qshc.…
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psnet.ahrq.gov/node/47897/psn-pdf
January 01, 2021 - What influences sustainment and nonsustainment of
facilitation activities in implementation? Analysis of
organizational factors in hospitals implementing
TeamSTEPPS.
June 5, 2019
Baloh J, Zhu X, Ward MM. What influences sustainment and nonsustainment of facilitation activities in
implementation? Analysis of organ…
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psnet.ahrq.gov/node/853970/psn-pdf
September 27, 2023 - Clinical triggers and vital signs influencing crisis
acknowledgment and calls for help by anesthesiologists:
a simulation-based observational study.
September 27, 2023
Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis
acknowledgment and calls for help by anesthesiologist…
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psnet.ahrq.gov/node/46933/psn-pdf
April 04, 2018 - Pain states, the opioid epidemic, and the role of
radiologists.
April 4, 2018
Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists.
Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-x.
https://psnet.ahrq.gov/issue/pain-states-opioid-epidemic-and-r…
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psnet.ahrq.gov/node/47903/psn-pdf
January 01, 2021 - A qualitative analysis of outpatient medication use in
community settings: observed safety vulnerabilities and
recommendations for improved patient safety.
April 17, 2019
Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community
Settings: Observed Safety Vulnerabilitie…
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psnet.ahrq.gov/node/44290/psn-pdf
April 10, 2023 - Retained surgical sponge (gossypiboma) and other
retained surgical items: prevention and management.
April 10, 2023
Copeland AW. UpToDate. April 10, 2023.
https://psnet.ahrq.gov/issue/retained-surgical-sponge-gossypiboma-and-other-retained-surgical-items-
prevention-and
Retained surgical items are rare and potent…