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psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts
June 15, 2016 - Book/Report
Roadmap to Health Care Safety for Massachusetts.
Citation Text:
Roadmap to Health Care Safety for Massachusetts. Massachusetts Healthcare Safety and Quality Consortium. Boston, MA: Betsy Lehman Center for Patient Safety; April 2023.
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psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
September 21, 2009 - Commentary
The development of a patient safety program across the continuum of care.
Citation Text:
Wertenberger S, Wilson J. The development of a patient safety program across the continuum of care. Nurs Adm Q. 2005;29(4):303-307.
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psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
June 22, 2022 - Commentary
Deaths due to medical error: jumbo jets or just small propeller planes?
Citation Text:
Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf. 2012;21(9). doi:10.1136/bmjqs-2012-001368.
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psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals
May 29, 2019 - Newspaper/Magazine Article
Medicare failed to investigate suspicious infection cases from 96 hospitals.
Citation Text:
Medicare failed to investigate suspicious infection cases from 96 hospitals. Jewett C. Kaiser Health News. May 9, 2017.
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psnet.ahrq.gov/issue/theoretical-approaches-investigating-patient-safety
September 15, 2009 - Commentary
Theoretical approaches for investigating patient safety.
Citation Text:
Thomas MB, Houston S. Theoretical approaches for investigating patient safety. Clin Nurse Spec. 2005;19(3):129-134.
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meps.ahrq.gov/mepsweb/communication/whats_new.jsp
August 08, 2025 - Medical Expenditure Panel Survey What's New
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An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus
December 24, 2008 - Toolkit
Toolkit for Preventing CLABSI and CAUTI in ICUs.
Citation Text:
Toolkit for Preventing CLABSI and CAUTI in ICUs. Rockville, MD: Agency for Healthcare Research and Quality; April 2022.
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meps.ahrq.gov/mepsweb/about_meps/workshops_events.jsp
Medical Expenditure Panel Survey Workshops and Events
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An official website of the Department of Health & Human Services
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www.ahrq.gov/news/newsroom/press-releases/nac-meeting-june28-29.html
June 01, 2024 - AHRQ National Advisory Council To Meet in Baltimore on June 28-29
Press Release Date: June 11, 2024
The National Advisory Council for the Agency for Healthcare Research and Quality (AHRQ) will convene in person in Baltimore, MD, on Friday, June 28, at 1:45 p.m. E.T. and Saturday, June 29, at 9 a.m. E.T. The counc…
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www.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
November 01, 2019 - Four Moments of Antibiotic Decision Making
The Four Moments of Antibiotic Decision Making are the critical time periods of antibiotic decision making. Clinicians are encouraged to use the Four Moments framework for all patients receiving antibiotics and whenever the need for antibiotics is being considered.
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psnet.ahrq.gov/issue/national-imperative-improve-nursing-home-quality-honoring-our-commitment-residents-families
November 15, 2022 - Book/Report
The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff.
Citation Text:
The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff. National Academies of Science…
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psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
April 17, 2024 - Newspaper/Magazine Article
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole.
Citation Text:
Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/part-5.html
February 01, 2022 - Primary Care Practice Facilitation Curriculum
Part 5: Implementing the Care Model and Patient-Centered Medical Home
Previous Page
Table of Contents
Primary Care Practice Facilitation Curriculum
Preface
Introduction
Part 1: Use of Adult Education Methods in Teaching PCPF Core Competencies
P…
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psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
April 23, 2014 - Commentary
How a series of errors led to recurrent hypoglycemia.
Citation Text:
Singh R. How a series of errors led to recurrent hypoglycemia. J Fam Pract. 2006;55(6):489-97.
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psnet.ahrq.gov/issue/when-my-father-died
July 01, 2011 - Commentary
When my father died.
Citation Text:
Van Spall HGC. When my father died. Ann Intern Med. 2007;146(12):893-894.
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psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety
January 19, 2022 - Organizational Policy/Guidelines
Standardising wristbands improves patient safety.
Citation Text:
Standardising wristbands improves patient safety. National Patient Safety Agency. Safer Practice Notice. July 2007;(24):1-2.
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psnet.ahrq.gov/issue/can-high-tech-save-your-life
August 07, 2024 - Newspaper/Magazine Article
Wired hospitals: can high tech save your life?
Citation Text:
Fischman J. Wired hospitals: can high tech save your life? U.S. news & world report. 2005;139(4):44-5, 49-50, 52.
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psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-industry
January 13, 2021 - Book/Report
Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry.
Citation Text:
Safety Considerations for Product Design to Minimize Medication Errors: Guidance for Industry. Rockville, MD: Center for Drug Evaluation and Research, US Food and Dru…
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meps.ahrq.gov/survey_comp/overall_p14.shtml
MEPS Context/Flow Specifications for the Overall CAPI Instrument - Panel 14 (2009-2010)
Context/Flow Specifications for the Overall
CAPI Instrument
MEPS-Household Component: Panel 14 (2009-2010)
Consolidated Instrument
Context: System
Ask IDSCREEN: {Collect caseid}
Context: R…
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meps.ahrq.gov/survey_comp/overall_p13.shtml
MEPS Context/Flow Specifications for the Overall CAPI Instrument - Panel 13 (2008-2009)
Context/Flow Specifications for the Overall
CAPI Instrument
MEPS-Household Component: Panel 13 (2008-2009)
Consolidated Instrument
Context: System
Ask IDSCREEN: {Collect caseid}
Context: RU…