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  1. psnet.ahrq.gov/issue/patient-survival-handbook
    February 22, 2006 - Book/Report The Patient Survival Handbook. Citation Text: The Patient Survival Handbook. Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  2. psnet.ahrq.gov/issue/implementing-rapid-response-team
    June 30, 2011 - Commentary Implementing a rapid response team. Citation Text: Durkin SE. Implementing a rapid response team. Am J Nurs. 2006;106(10):50-53. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citat…
  3. psnet.ahrq.gov/issue/err-human-need-trauma-support-too
    December 21, 2018 - Commentary To err is human; the need for trauma support is, too. Citation Text: To err is human; the need for trauma support is, too. Kenney LK, van Pelt RA. Patient Safety Quality Healthcare. January/February 2005. Copy Citation Save Save to your library …
  4. psnet.ahrq.gov/issue/hospital-drug-errors-far-uncommon
    February 11, 2015 - Newspaper/Magazine Article Hospital drug errors far from uncommon. Citation Text: Hospital drug errors far from uncommon. Lin R-G II; Watanabe T. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  5. psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety
    June 10, 2018 - Webinar Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. Citation Text: Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. Institute for Safe Medication Practices. September 15, 2020. Copy Citation …
  6. psnet.ahrq.gov/issue/proposal-use-common-ground-exists-between-medical-and-legal-professions-promote-culture
    December 15, 2021 - Commentary A proposal to use common ground that exists between the medical and legal professions to promote a culture of safety. Citation Text: A proposal to use common ground that exists between the medical and legal professions to promote a culture of safety. Pegalis SE, 51 N.Y.L. SCH.…
  7. psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
    March 27, 2018 - Newspaper/Magazine Article Medication errors attributed to health information technology. Citation Text: Medication errors attributed to health information technology. Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8. Copy Citation Save Save to …
  8. psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience
    July 18, 2018 - Newspaper/Magazine Article Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. Citation Text: Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27. Copy Citation …
  9. psnet.ahrq.gov/issue/medication-tracers-systems-approach-medication-safety
    December 21, 2018 - Commentary Medication tracers: a systems approach to medication safety. Citation Text: Hendrick EC, Montanya KR, Griffith NL. Medication Tracers: A Systems Approach to Medication Safety. Hosp Pharm. 2010;42(10):916-920. doi:10.1310/hpj4210-916. Copy Citation Format: DOI Goo…
  10. psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
    October 18, 2017 - Newspaper/Magazine Article Geisinger Health System's plan to fix America's health care. Citation Text: Geisinger Health System's plan to fix America's health care. Carbonara P. Fast Company. October 2008. Copy Citation Save Save to your library Print …
  11. psnet.ahrq.gov/issue/overreaction
    November 15, 2023 - Newspaper/Magazine Article Overreaction. Citation Text: Shell ER. Overreaction. Scientific American. 2015;313(5):28-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Sav…
  12. psnet.ahrq.gov/issue/health-care-industry-needs-be-more-honest-about-medical-errors
    February 06, 2019 - Newspaper/Magazine Article The health care industry needs to be more honest about medical errors. Citation Text: The health care industry needs to be more honest about medical errors. Sutcliffe K. Time Magazine. November 5, 2019. Copy Citation Save Save to your…
  13. effectivehealthcare.ahrq.gov/sites/default/files/pdf/antibiotics-respiratory-infection_research-protocol.pdf
    September 22, 2014 - antibiotics-respiratory-infection-protocol-140922 Evidence-based Practice Center Systematic Review Protocol Project Title: Interventions to Improve Appropriate Antibiotic Use for Acut…
  14. effectivehealthcare.ahrq.gov/sites/default/files/related_files/tethered-spinal-cord-protocol.pdf
    July 19, 2023 - Evidence-based Practice Center Systematic Review Protocol Evidence-based Practice Center Systematic Review Protocol Project Title: Diagnosis and Treatment of Tethered Spinal Cord I. Background and Objectives for the Systematic Review Tethered spinal cord is most commonly caused by spinal dysraphism, including my…
  15. www.ahrq.gov/news/newsletters/e-newsletter/958.html
    May 01, 2025 - Researcher Megan McHugh, Ph.D., Works To Improve Heart Health in Manufacturing Communities Issue Number 958 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. May 20, 2025 Editor’s Note:  Due to the Memorial Day holiday, the next issue of  AHRQ News Now will be…
  16. www.ahrq.gov/news/newsletters/e-newsletter/944.html
    January 01, 2025 - Affordable Care Act Boosts Individual Health Insurance Enrollment and Stability Issue Number 944 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. January 14, 2025 Editor’s Note:  AHRQ News Now will not publish next week. Our next issue will publish Jan. 28. AH…
  17. www.ahrq.gov/news/newsletters/e-newsletter/942.html
    December 01, 2024 - COVID-19 Surges Tied to Higher Risks for All Hospital Patients, AHRQ Study Finds Issue Number 942 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. December 17, 2024 Editor’s Note: Due to the Christmas and New Year’s holidays, AHRQ News Now will not publish ag…
  18. TO (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d7_pdi_implementationmeasurement.docx
    January 01, 2016 - TO Implementation Measurement What is the purpose of this tool? The purpose of the implementation measurement tool is to provide a format in which you can determine if best practice processes are successful in your organization. The tool provides general guidance on implementation measurement, as well as an example o…
  19. www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
    April 01, 2025 - Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality Principal Investigator: Alison Stuebe, M.D., M.Sc., University of North Carolina, Chapel Hill, NC.  Co-PIs:  Kristin Tully, Ph.D., University of North Carolina, Chapel Hill, NC; Emily Patterson, Ph.D., The Oh…
  20. psnet.ahrq.gov/primer/triggers-and-trigger-tools
    September 15, 2024 - Triggers and Trigger Tools Citation Text: Triggers and Trigger Tools. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…