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psnet.ahrq.gov/issue/ny-medicaid-ups-ante-refusing-pay-14-never-events-nations-biggest-medicaid-program-could
December 16, 2009 - Newspaper/Magazine Article
NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action.
Citation Text:
NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid p…
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psnet.ahrq.gov/issue/health-it-safety-center-roadmap
June 29, 2016 - Government Resource
Health IT Safety Center Roadmap.
Citation Text:
Health IT Safety Center Roadmap. RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015.
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psnet.ahrq.gov/issue/systemic-how-racism-making-us-ill
June 10, 2015 - Book/Report
Systemic: How Racism Is Making Us Ill.
Citation Text:
Systemic: How Racism Is Making Us Ill. Liverpool L. New York, NY: Astra Publishing House; 2024. ISBN: 9781662601675.
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psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities
July 10, 2024 - Book/Report
The Top Five: A Review of Post-Pandemic Patient Safety Priorities.
Citation Text:
The Top Five: A Review of Post-Pandemic Patient Safety Priorities. Sacramento, CA: Hospital Quality Institute; 2024.
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hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_2_10.jsp
January 01, 2005 - Exhibit 2.10. Injuries
Exhibit 2.10. Injuries
Number of Stays, Average Cost per Stay, Average Length of Stay, and In-hospital Death Rate for Discharges with an Injury Diagnosis, 2005
CCS Principal Diagnosis Category and Name
Total Number of Stays in Thousands
Average Costs per Stay
Average Len…
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psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management
September 11, 2019 - Book/Report
Textbook of Patient Safety and Clinical Risk Management.
Citation Text:
Textbook of Patient Safety and Clinical Risk Management. Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN 9783030594022.
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psnet.ahrq.gov/issue/diagnoses-without-names-challenges-medical-care-research-and-policy
January 20, 2021 - Book/Report
Diagnoses Without Names: Challenges for Medical Care, Research, and Policy.
Citation Text:
Diagnoses Without Names: Challenges for Medical Care, Research, and Policy. Lockshin MD, Crow MK, Barbhaiya M, eds. Springer Nature: Cham, Switzerland; 2022. ISBN 9783031049347.&n…
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psnet.ahrq.gov/issue/tracking-progress-patient-safety-elusive-target
March 13, 2013 - Commentary
Tracking progress in patient safety: an elusive target.
Citation Text:
Pronovost P, Miller MR, Wachter R. Tracking progress in patient safety: an elusive target. JAMA. 2006;296(6):696-9.
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psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture
December 24, 2008 - Measurement Tool/Indicator
Medical Office Survey on Patient Safety Culture.
Citation Text:
Medical Office Survey on Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; June 2023.
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psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
April 13, 2018 - Book/Report
Second Victim: Error, Guilt, Trauma, and Resilience.
Citation Text:
Second Victim: Error, Guilt, Trauma, and Resilience. Dekker S. Boca Raton, FL: CRC Press; 2013. ISBN: 9781466583412.
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psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
December 24, 2008 - Toolkit
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.
Citation Text:
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publicat…
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psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
September 06, 2017 - Book/Report
Classic
IHI Framework for Improving Joy in Work.
Citation Text:
IHI Framework for Improving Joy in Work. Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
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psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health
October 11, 2016 - Book/Report
Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health.
Citation Text:
Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390.
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psnet.ahrq.gov/issue/validity-patient-safety-indicators-veterans-health-administration
October 16, 2008 - Special or Theme Issue
Validity of Patient Safety Indicators in the Veterans Health Administration.
Citation Text:
Validity of Patient Safety Indicators in the Veterans Health Administration. J Am Coll Surg. 2011;212:921-990.
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psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare-associated
March 28, 2018 - Special or Theme Issue
Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections.
Citation Text:
Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. Hamilton DK, Stichle…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcdowell-i-et-al-1989
January 01, 2023 - McDowell I et al. 1989 "A randomized trial of computerized reminders for blood-pressure screening in primary care."
Reference
McDowell I, Newell C, Rosser W. A randomized trial of computerized reminders for blood-pressure screening in primary care. Med Care 1989;27(3):297-305.
Abstract
"In a r…
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psnet.ahrq.gov/issue/rapid-response-systems-0
April 07, 2010 - Review
Rapid response systems.
Citation Text:
Rapid response systems. Stevens JP. UpToDate. July 18, 2024.
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psnet.ahrq.gov/issue/follow-ismp-guidelines-safeguard-design-and-use-automated-dispensing-cabinets-adcs
May 07, 2018 - Newspaper/Magazine Article
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs).
Citation Text:
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). ISMP Medication Safety Alert! Acute Care Edition. Febr…
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psnet.ahrq.gov/issue/using-ai-detect-breast-cancer-doctors-miss
November 08, 2023 - Newspaper/Magazine Article
Using A.I. to detect breast cancer that doctors miss.
Citation Text:
Using A.I. to detect breast cancer that doctors miss. Satariano A, Metz C. New York Times. March 5, 2023.
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psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-crp-policy-or-commitment-statement-cr
February 28, 2024 - Tools/Toolkit
Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR.
Citation Text:
Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. Collaborative for Accountability and Improvement Po…