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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - Rapid Feedback
(DISCOVERI)
2022-2026
$1,994,147
Purpose: To accelerate uptake of e-triggers for measurement
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www.ahrq.gov/topics/q.html
June 12, 2025 - Topics Browse A - Z
Q
Quality Improvement Quality Indicators (QIs) Quality Measures Quality of Care
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psnet.ahrq.gov/issue/effect-drug-concentration-expression-epinephrine-dosing-errors-randomized-trial
August 27, 2008 - Study
The effect of drug concentration expression on epinephrine dosing errors: a randomized trial.
Citation Text:
Wheeler DW, Carter JJ, Murray LJ, et al. The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. Ann Intern Med. 2008;148(1):11-4.
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psnet.ahrq.gov/issue/considering-safety-and-quality-artificial-intelligence-health-care
August 12, 2020 - Commentary
Considering the safety and quality of artificial intelligence in health care.
Citation Text:
Ross P, Spates K. Considering the Safety and Quality of Artificial Intelligence in Health Care. Jt Comm J Qual Patient Saf. 2020;46(10):596-599. doi:10.1016/j.jcjq.2020.08.002.
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psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
September 13, 2016 - Commentary
A piece of my mind. Despite my best intentions.
Citation Text:
Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0251_05-20-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number(s): 0267 & 0302
Document Completion Date: 11-15-10
1
Results of Topic Selection Process & Next Steps
Prevention and treatment of pressure ulcers will go forward for refinement as a systematic review. The
scope of this topic, including populations, intervention…
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-care-children-special-needs/annual-summary/2010
January 01, 2010 - Improving Quality Care for Children with Special Needs - 2010
Project Name
Improving Quality Care for Children with Special Needs
Principal Investigator
Lozzio, Carmen
Organization
University of Tennessee, Knoxville
Funding Mechanism
RFA: HS05-013: Limited Competiti…
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psnet.ahrq.gov/issue/what-patient-safety-culture-review-literature
July 19, 2023 - Review
What is patient safety culture? A review of the literature.
Citation Text:
Sammer CE, Lykens K, Singh KP, et al. What is patient safety culture? A review of the literature. J Nurs Scholarsh. 2010;42(2):156-65. doi:10.1111/j.1547-5069.2009.01330.x.
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psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrectly-using-insulin-pens-home
December 15, 2021 - Press Release/Announcement
Severe hyperglycemia in patients incorrectly using insulin pens at home.
Citation Text:
Severe hyperglycemia in patients incorrectly using insulin pens at home. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American…
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psnet.ahrq.gov/issue/perioperative-patient-safety-correct-patient-correct-surgery-correct-side-multifaceted-cross
December 21, 2011 - Study
Perioperative patient safety: correct patient, correct surgery, correct side--a multifaceted, cross-organizational, interventional study.
Citation Text:
Zohar E, Noga Y, Davidson E, et al. Perioperative patient safety: correct patient, correct surgery, correct side--a multifacete…
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psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
October 29, 2008 - Book/Report
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing.
Citation Text:
Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Office of the Inspector General. Washington, DC: US Department of Health and Human Services…
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psnet.ahrq.gov/issue/interdisciplinary-collaboration-maintain-culture-safety-labor-and-delivery-setting
January 02, 2017 - Commentary
Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting.
Citation Text:
Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/FL25LOINCMaintenance.pdf
September 22, 2010 - LOINC Maintenance
LOINC® Maintenance
Checklist of Database changes / When to Re-Evaluate LOINC® mapping
Share this checklist with the site staff holding security privileges to make LIS database
changes. This particular staff doesn’t necessarily need to know how to map to LOINC®,
but is now informed to route t…
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psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital-quality
October 02, 2019 - Commentary
State sepsis mandates—a new era for regulation of hospital quality.
Citation Text:
Hershey TB, Kahn JM. State Sepsis Mandates - A New Era for Regulation of Hospital Quality. N Engl J Med. 2017;376(24):2311-2313. doi:10.1056/NEJMp1611928.
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psnet.ahrq.gov/issue/chemotherapy-patients-perceptions-drug-administration-safety
April 14, 2010 - Study
Chemotherapy patients' perceptions of drug administration safety.
Citation Text:
Schwappach DLB, Wernli M. Chemotherapy patients' perceptions of drug administration safety. J Clin Oncol. 2010;28(17):2896-901. doi:10.1200/JCO.2009.27.6626.
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psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
September 27, 2017 - Commentary
An innovative mobile approach for patient safety services: the case of a Taiwan health care provider.
Citation Text:
Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of a Taiwan health care provider. Technovation. 2007;2…
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psnet.ahrq.gov/issue/time-transparent-standards-quality-reporting-health-care-organizations
July 07, 2021 - Commentary
Time for transparent standards in quality reporting by health care organizations.
Citation Text:
Pronovost P, Wu AW, Austin M. Time for Transparent Standards in Quality Reporting by Health Care Organizations. JAMA. 2017;318(8):701-702. doi:10.1001/jama.2017.10124.
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psnet.ahrq.gov/issue/building-bridges-future-directions-medical-error-disclosure-research
October 10, 2018 - Study
Building bridges: future directions for medical error disclosure research.
Citation Text:
Hannawa AF, Beckman H, Mazor KM, et al. Building bridges: future directions for medical error disclosure research. Patient Educ Couns. 2013;92(3):319-327. doi:10.1016/j.pec.2013.05.017.
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psnet.ahrq.gov/issue/health-care-getting-safer
December 14, 2016 - Commentary
Is health care getting safer?
Citation Text:
Vincent CA, Aylin PP, Franklin BD, et al. Is health care getting safer? BMJ. 2008;337:a2426. doi:10.1136/bmj.a2426.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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psnet.ahrq.gov/issue/differential-impact-crew-resource-management-program-according-professional-specialty
July 31, 2013 - Study
Differential impact of a crew resource management program according to professional specialty.
Citation Text:
Suva D, Haller G, Lübbeke A, et al. Differential impact of a crew resource management program according to professional specialty. Am J Med Qual. 2012;27(4):313-20. doi:1…