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psnet.ahrq.gov/issue/chemotherapy-incident-reporting-and-improvement-system
November 16, 2022 - Study
A chemotherapy incident reporting and improvement system.
Citation Text:
France DJ, Miles P, Cartwright J, et al. A chemotherapy incident reporting and improvement system. Jt Comm J Qual Saf. 2003;29(4):171-80.
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psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs-continue-strengthen-oversight-infection-prevention-and
October 26, 2022 - Book/Report
COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control.
Citation Text:
COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. Washington, DC: United States Government …
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psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help
August 28, 2024 - Newspaper/Magazine Article
"Second victim" casualties and how physician leaders can help.
Citation Text:
MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8-12.
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psnet.ahrq.gov/issue/development-patient-safety-culture-measurement-tool-ambulatory-health-care-settings-analysis
October 03, 2011 - Study
Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity.
Citation Text:
Schutz AL, Counte MA, Meurer S. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of con…
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psnet.ahrq.gov/issue/best-practice-protocols-preventing-adverse-drug-events
January 18, 2011 - Commentary
Best-practice protocols: preventing adverse drug events.
Citation Text:
Weir VL. Best-practice protocols: preventing adverse drug events. Nurs Manage. 2005;36(9):24-30.
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www.ahrq.gov/funding/grant-mgmt/whistleblowers.html
December 01, 2013 - Term of Award: Pilot for Enhancement of Contractor Employee Whistleblower Protections
As of July 2013, a new Term of Award, Pilot for Enhancement of Contractor Employee Whistleblower Protections, applies to all grants of AHRQ.
General Term and Condition
Grantees are hereby given notice that the 48 CFR secti…
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digital.ahrq.gov/care-setting/health-department
January 01, 2023 - Health Department
Advancing Population and Public Health Reporting and Outcomes With Vaccination Data Exchange (APPROVE)
Description
This study aimed to improve data exchange between public health and clinical care information systems, and across public health itself, to enhan…
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psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-2013
November 18, 2016 - Commentary
ACR guidance document on MR safe practices: 2013.
Citation Text:
Safety EP on, Kanal E, Barkovich J, et al. ACR guidance document on MR safe practices: 2013. J Magn Reson Imaging. 2013;37(3):501-530. doi:10.1002/jmri.24011.
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psnet.ahrq.gov/issue/medication-safety-initiative-reducing-medication-errors
June 09, 2015 - Study
Medication safety initiative in reducing medication errors.
Citation Text:
Nguyen EE, Connolly PM, Wong V. Medication safety initiative in reducing medication errors. J Nurs Care Qual. 2010;25(3):224-230.
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psnet.ahrq.gov/issue/statewide-identification-adverse-events-using-retrospective-nurse-review-methods-and-outcomes
November 21, 2021 - Study
Statewide identification of adverse events using retrospective nurse review: methods and outcomes.
Citation Text:
Silver MP, Hougland P, Elder S, et al. Statewide identification of adverse events using retrospective nurse review: methods and outcomes. J Nurs Meas. 2007;15(3):220-…
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psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm-neonatal-intensive
December 15, 2021 - Commentary
Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive care unit.
Citation Text:
Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive care unit. Sedlock EW, Ottosen M, Nether …
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psnet.ahrq.gov/issue/hospital-ethical-climate-and-teamwork-acute-care-moderating-role-leaders
October 15, 2016 - Study
Hospital ethical climate and teamwork in acute care: the moderating role of leaders.
Citation Text:
Rathert C, Fleming DA. Hospital ethical climate and teamwork in acute care: the moderating role of leaders. Health Care Manag Rev. 2008;33(4):323-331. doi:10.1097/01.HCM.0000318769.7…
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psnet.ahrq.gov/issue/role-information-technology-healthcare-communications-efficiency-and-patient-safety
October 19, 2022 - Commentary
The role of information technology in healthcare communications, efficiency, and patient safety: application and results.
Citation Text:
Prince SB, Herrin DM. The role of information technology in healthcare communications, efficiency, and patient safety: application and res…
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psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-reduce-errors
February 04, 2015 - Commentary
Using morbidity and mortality conferences to drive quality improvement and reduce errors.
Citation Text:
Using morbidity and mortality conferences to drive quality improvement and reduce errors. Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17.
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psnet.ahrq.gov/issue/mitigating-hazards-through-continuing-design-birth-and-evolution-pediatric-intensive-care
April 06, 2011 - Commentary
Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit.
Citation Text:
Madsen P, Desai V, Roberts K, et al. Mitigating Hazards Through Continuing Design: The Birth and Evolution of a Pediatric Intensive Care Unit. Organizati…
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psnet.ahrq.gov/issue/ethical-challenges-child-abuse-what-harm-misdiagnosis
September 01, 2021 - Commentary
Ethical challenges in child abuse: what is the harm of a misdiagnosis?
Citation Text:
Brown SD. Ethical challenges in child abuse: what is the harm of a misdiagnosis? Pediatr Radiol. 2021;51(6):1070-1075. doi:10.1007/s00247-020-04845-4.
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psnet.ahrq.gov/issue/digital-health-technology-specific-risks-medical-malpractice-liability
January 18, 2023 - Commentary
Digital health technology-specific risks for medical malpractice liability.
Citation Text:
Rowland SP, Fitzgerald JE, Lungren M, et al. Digital health technology-specific risks for medical malpractice liability. NPJ Digit Med. 2022;5(1):157. doi:10.1038/s41746-022-00698-3.
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psnet.ahrq.gov/issue/what-accountability-health-care
April 19, 2013 - Commentary
Classic
What is accountability in health care?
Citation Text:
Emanuel EJ, Emanuel LL. What is accountability in health care? Ann Intern Med. 1996;124(2):229-239.
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digital.ahrq.gov/funding-mechanism/transforming-healthcare-quality-through-information-technology-thqit-planning
January 01, 2023 - Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Grants
Error analysis leading technology development.
Citation
Carstens D. Error analysis leading technology development. TIES 2006;7(6):525-49.
Principal Investigator
Laird, Rosemary …
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project
January 01, 2023 - The Medication Metronome Project
Project Final Report ( PDF , 850.24 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 statement in this…