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psnet.ahrq.gov/web-mm/picking-cause-stroke
August 07, 2024 - Picking Up the Cause of the Stroke
Citation Text:
Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - In Conversation with...Lucian Leape, MD
August 1, 2006
In Conversation with..Lucian Leape, MD. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
Dr. Robert Wachter, Editor, AHRQ WebM&M: What kind of career did you fashion for yourself prior to
getting involved in safety an…
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www.ahrq.gov/cahps/bibliography/index.html
November 01, 2024 - CAHPS Bibliography
Browse or search for publications about the development and use of CAHPS surveys and other topics related to assessing patients’ experiences with care.
Results
1-50 of 575 Bibliography Items Found
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hcup-us.ahrq.gov/db/nation/kid/tools/stats/KID_2000_SummaryStats_Hospital.PDF
January 01, 2000 - please refer to the section on Description of Data Elements.
For more information about the coding of HCUP data elements,
HCUP Summary Statistics Report: KID 2000 - Hospital File 1
Means of Continuous Data Elements 10:14 Monday, May 1, 2006
please refer to the section on Description of Data Elements.
For more infor…
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - SPOTLIGHT CASE
Patient Safety Events Involving Opioid Dose Stacking
Citation Text:
Porras H, Lammers C. Patient Safety Events Involving Opioid Dose Stacking. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - Annual Perspective
Improving Diagnostic Safety and Quality
Jawad Al-Khafaji, MD, MHSA, Merton Lee, PhD, PharmD, Sarah Mossburg, RN, PhD
| April 26, 2023
View more articles from the same authors.
Citation Text:
Al-Khafaji J, Lee M, Mossburg S. Improving Di…
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psnet.ahrq.gov/node/45307/psn-pdf
September 07, 2016 - End Sepsis.
September 7, 2016
1212 Avenue of the Americas, 5th Floor, New York, NY 10036. 212-244-
6294 contact@endsepsis.org
https://psnet.ahrq.gov/issue/rory-staunton-foundation-sepsis-prevention
Sepsis is a serious condition that can be rapidly fatal if it is not promptly diagnosed and treated. T…
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psnet.ahrq.gov/node/42090/psn-pdf
March 06, 2013 - Adverse drug events in a paediatric intensive care unit: a
prospective cohort.
March 6, 2013
Silva DCB, Araujo OR, Arduini RG, et al. Adverse drug events in a paediatric intensive care unit: a
prospective cohort. BMJ Open. 2013;3(2):e001868. doi:10.1136/bmjopen-2012-001868.
https://psnet.ahrq.gov/issue/adverse-dru…
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psnet.ahrq.gov/node/39319/psn-pdf
March 05, 2010 - The incidence and nature of prescribing and medication
administration errors in paediatric inpatients.
March 5, 2010
Ghaleb M, Barber N, Franklin BD, et al. The incidence and nature of prescribing and medication
administration errors in paediatric inpatients. Arch Dis Child. 2010;95(2):113-8.
doi:10.1136/adc.2009.…
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www.ahrq.gov/teamstepps-program/evidence-base/index.html
July 01, 2023 - TeamSTEPPS: Research/Evidence Base
TeamSTEPPS ® has been used by healthcare professionals across the United States. The research cataloged here describes some of the approaches used to implement TeamSTEPPS 3.0 in specific settings of care, as well as evaluation efforts to quantify or qualify the impact of us…
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psnet.ahrq.gov/node/47477/psn-pdf
November 14, 2018 - Losing Laura.
November 14, 2018
DeMarco P. Globe Magazine. November 3, 2018.
https://psnet.ahrq.gov/issue/losing-laura
This magazine article reports on the preventable death of a patient during an acute asthma attack. Written
by the patient's husband, the article outlines the failures that led to her death despite…
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psnet.ahrq.gov/node/39184/psn-pdf
January 06, 2010 - Patient safety attitudes of paediatric trainee physicians.
January 6, 2010
Parry G, Horowitz L, Goldmann D. Patient safety attitudes of paediatric trainee physicians. Qual Saf Health
Care. 2009;18(6):462-6. doi:10.1136/qshc.2006.020230.
https://psnet.ahrq.gov/issue/patient-safety-attitudes-paediatric-trainee-physic…
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapg.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Appendix G. Readiness Assessment
Previous Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
Methods
Participation
Outcomes
Adult Non-…
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psnet.ahrq.gov/node/41631/psn-pdf
September 24, 2016 - Interruption handling strategies during paediatric
medication administration.
September 24, 2016
Colligan L, Bass EJ. Interruption handling strategies during paediatric medication administration. BMJ Qual
Saf. 2012;21(11):912-7. doi:10.1136/bmjqs-2011-000292.
https://psnet.ahrq.gov/issue/interruption-handling-stra…
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psnet.ahrq.gov/node/61052/psn-pdf
April 01, 2019 - Inadvertent Administration of an Oral Liquid Medicine into
a Vein.
April 1, 2019
Farnborough, UK; Healthcare Safety Investigation Branch: April 2019.
https://psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
Wrong route medication administration is a never event. This report examined the co…
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psnet.ahrq.gov/node/41637/psn-pdf
February 20, 2013 - Codeine use in certain children after tonsillectomy and/or
adenoidectomy may lead to rare, but life-threatening
adverse events or death.
February 20, 2013
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 15, 2012. (Updated
February 20, 2013)
https://psnet.ahrq.gov/issue/codeine-us…
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psnet.ahrq.gov/node/41888/psn-pdf
December 12, 2012 - ACOG Committee Opinion #546: tracking and reminder
systems.
December 12, 2012
Improvement AC of O and GC on PS and Q. Committee Opinion No.546: Tracking and reminder systems.
Obstet Gynecol. 2012;120(6):1535-7. doi:10.1097/01.AOG.0000423820.92906.d0.
https://psnet.ahrq.gov/issue/acog-committee-opinion-546-tracking…
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psnet.ahrq.gov/node/45153/psn-pdf
May 18, 2016 - Structuring feedback and debriefing to achieve mastery
learning goals.
May 18, 2016
Eppich W, Hunt EA, Duval-Arnould JM, et al. Structuring feedback and debriefing to achieve mastery
learning goals. Acad Med. 2015;90(11):1501-8. doi:10.1097/ACM.0000000000000934.
https://psnet.ahrq.gov/issue/structuring-feedback-an…
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psnet.ahrq.gov/node/867145/psn-pdf
November 13, 2024 - Technology, Education and Safety.
November 13, 2024
Technology, Education and Safety. Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37(6):666-742.
https://psnet.ahrq.gov/issue/technology-education-and-safety-3
Despite consummate efforts to improve safety, errors still occur in anesthesiology. This special collection…
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psnet.ahrq.gov/node/73380/psn-pdf
June 09, 2021 - Wrong Site Surgery–Wrong Tooth Extraction.
June 9, 2021
Farnborough, UK: Healthcare Safety Investigation Branch; April 2021.
https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-tooth-extraction
Wrong-site surgery in dentistry is a frequent and persistent never event. This report examines a case of
pediatric wron…