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psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
September 07, 2022 - Newspaper/Magazine Article
Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety.
Citation Text:
Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…
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psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence
November 23, 2005 - Book/Report
Prescription Drug Monitoring Programs: Evolution and Evidence.
Citation Text:
Prescription Drug Monitoring Programs: Evolution and Evidence. Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017.
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psnet.ahrq.gov/issue/side-errors-neurosurgery
November 17, 2010 - Study
Side errors in neurosurgery.
Citation Text:
Mitchell P, Nicholson CL, Jenkins A. Side errors in neurosurgery. Acta Neurochir (Wien). 2006;148(12):1289-92; discussion 1292.
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psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
January 12, 2022 - Study
Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems.
Citation Text:
Armbruster DA, Alexander DB. Sample to sample carryover: a source of analytical laboratory error and its relevance to integra…
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psnet.ahrq.gov/issue/perioperative-pharmacology-framework-perioperative-medication-safety
December 19, 2012 - Commentary
Perioperative pharmacology: a framework for perioperative medication safety.
Citation Text:
Hicks RW, Wanzer LJ, Goeckner BL. Perioperative Pharmacology: A Framework for Perioperative Medication Safety. AORN J. 2010;93(1):136-145. doi:10.1016/j.aorn.2010.08.020.
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psnet.ahrq.gov/issue/fda-guidance-document-hospital-bed-system-dimensional-and-assessment-guidance-reduce
July 01, 2009 - Organizational Policy/Guidelines
FDA Guidance Document: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment.
Citation Text:
FDA Guidance Document: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. Rockville MD: Center for Devices a…
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psnet.ahrq.gov/issue/review-article-influence-psychology-and-human-factors-education-anesthesiology
January 13, 2010 - Review
Review article: the influence of psychology and human factors on education in anesthesiology.
Citation Text:
Glavin R, Flin R. Review article: the influence of psychology and human factors on education in anesthesiology. Can J Anaesth. 2012;59(2):151-8. doi:10.1007/s12630-011-96…
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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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psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021
October 05, 2016 - Book/Report
Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021.
Citation Text:
Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023.
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psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world
March 23, 2022 - Book/Report
Classic
Safer Healthcare: Strategies for the Real World.
Citation Text:
Safer Healthcare: Strategies for the Real World. Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016
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www.ahrq.gov/patient-safety/settings/multiple/project-echo/videos.html
April 01, 2021 - Videos About Telementoring and COVID-19
AHRQ grantee and Project ECHO founder Dr. Sanjeev Arora, M.D., took part in an in-depth interview with AHRQ's Office of Communications as the COVID-19 pandemic continued to unfold. In these video clips, Dr. Arora describes AHRQ's contribution to this innovative model, h…
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psnet.ahrq.gov/issue/joint-commission-and-national-quality-forum-announce-2022-eisenberg-award-recipients
February 21, 2024 - Award Recipient
The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients.
Citation Text:
The Joint Commission and National Quality Forum Announce 2022 Eisenberg Award Recipients. Oakbrook Terrace, IL: Joint Commission and National Quality Forum: January 23…
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psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes
December 10, 2024 - Meeting/Conference Proceedings
New AHRQ SOPS Workplace Safety Supplemental Item Set for Nursing Homes.
Citation Text:
New AHRQ SOPS Workplace Safety Supplemental Item Set for Nursing Homes. Agency for Healthcare Research and Quality. January 24, 2023.
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digital.ahrq.gov/ahrq-funded-projects/evaluation-stage-3-meaningful-use-objectives-analysis-ok-and-dc
January 01, 2023 - Evaluation of Stage 3 Meaningful Use Objectives: Analysis in Oklahoma and the District of Columbia
Project Final Report ( PDF , 1.11 MB) Disclaimer
Disclaimer
(Persons using assistive technology may not be able to fully access information in this report. For assistance, please co…
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psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety-enhancing-care
August 07, 2024 - Book/Report
AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination.
Citation Text:
AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination. Rockville, MD: Agency for Healthcare Research and Qua…
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psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
April 01, 2024 - Multi-use Website
The National Healthcare System Action Alliance for Patient and Workforce Safety.
Citation Text:
The National Healthcare System Action Alliance for Patient and Workforce Safety. US Department of Health and Human Services.
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psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
January 10, 2024 - Book/Report
Healthcare Simulation Dictionary, Third Edition.
Citation Text:
Healthcare Simulation Dictionary, Third Edition. Lioce L, Lopreiato J, Anderson M, et al, eds and the Terminology and Concepts Working Group. Rockville, MD: Agency for Healthcare Research and Quality; January 202…
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23088
January 29, 2025 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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The Academy
Integrating Behavioral Health & Primary Care
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digital.ahrq.gov/ahrq-funded-projects/use-ehr-metadata-assess-hospital-discharge-planning-post-acute-transitions
January 31, 2025 - Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions
Project Description
Publications
Analyzing electronic health record metadata may help health systems identify gaps, inconsistencies, and inefficiencies in discharge p…
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digital.ahrq.gov/program-overview/research-stories/patient-facing-clinical-decision-support-improve-blood-pressure
January 01, 2023 - Patient-Facing Clinical Decision Support to Improve Blood Pressure
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Making Clinical Decision Support Interventions More Shareable and Interoperable
Translating hypertension guidelines into a patient-facing clinical decision support to…