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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.
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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.
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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.
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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.
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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.
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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.…
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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.
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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.
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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.
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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.
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psnet.ahrq.gov/issue/overreaction
November 15, 2023 - Newspaper/Magazine Article
Overreaction.
Citation Text:
Shell ER. Overreaction. Scientific American. 2015;313(5):28-9.
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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.
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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.
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