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psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - Risk Management and Patient Safety
December 1, 2010
Manuel BM, McCarthy JL, Berry WR, et al. Risk Management and Patient Safety. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/risk-management-and-patient-safety
Perspective
In 1990, a Harvard-based research team reported the incidence of medical errors …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanagement_webinar_slides.pdf
January 01, 2015 - Medication Management
1
Medication Management
AHRQ
Guide to Improving Patient Safety in Primary
Care Settings by Engaging Patients and
Families
Speaker
Kelly Smith, PhD
Scientific Director, Quality & Safety
Co-PI, AHRQ Guide to Improve Patient Safety
in Primary Care Settings by Engaging
Patients …
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - Mistaken Identity
October 1, 2008
Hall LW. Mistaken Identity. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/mistaken-identity
The Case
An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status
and a reported fall. After finding tenderness in her left hip, the p…
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hcup-us.ahrq.gov/db/vars/surgid_s/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs…
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psnet.ahrq.gov/web-mm/lp-or-not-lp
February 01, 2018 - To LP or Not LP
Citation Text:
Landrigan CP. To LP or Not LP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Medication/Drug Errors
Download
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Created By: Dr. Yan Xiao, AHRQ TEP Member
Date…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/engaging-and-educating
January 01, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
June 02, 2025 - Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Case Study of Using the QI Toolkit for Quality Improvement
What is the purpose of this tool? This tool provides a case study from one hospital that
participated in the field test and evaluation of the QI Toolkit. It offers …
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psnet.ahrq.gov/node/45125/psn-pdf
January 26, 2023 - FDA and ISMP Lists of Look-Alike Drug Names With
Recommended Tall Man Letters.
January 26, 2023
Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Institute
for Safe Medication Practices; January 2023.
https://psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-name…
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psnet.ahrq.gov/node/73091/psn-pdf
March 31, 2021 - Has the COVID pandemic strengthened or weakened
health care teams? A field guide to healthy workforce
best practices.
March 31, 2021
Thompson R, Kusy M. Has the COVID pandemic strengthened or weakened health care teams? A field
guide to healthy workforce best practices. Nurs Adm Q. 2021;45(2):135-141.
doi:10.1097…
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digital.ahrq.gov/document-type/informed-consent-document
January 01, 2023 - Informed Consent Document
Focus Group Consent Form (Spanish)
Description
Example consent form used in an AHRQ-funded project involving older adults. The study involves a focus group on medication management practices. The form is in Spanish.
Document Source …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide172.html
October 01, 2014 - 172. Systems Strategy 2. Provide education, resources, and feedback to promote provider intervention
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Action
Strategies for implementation
Health care systems should ensure that clinicians have sufficient t…
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psnet.ahrq.gov/issue/center-consumer-health-care-information-patient-safety-center
February 04, 2025 - Multi-use Website
Center for Consumer Health Care Information Patient Safety Center.
Save
Save to your library
Print
Download PDF
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March 6, 2005
The Center's efforts for pati…
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psnet.ahrq.gov/node/860388/psn-pdf
January 10, 2024 - Patient reasoning: patients' and care partners'
perceptions of diagnostic accuracy in emergency care.
January 10, 2024
Dukhanin V, McDonald KM, Gonzalez N, et al. Patient reasoning: patients' and care partners' perceptions
of diagnostic accuracy in emergency care. Med Decis Making. 2024;44(1):102-111.
doi:10.1177/…
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www.ahrq.gov/hai/tools/mvp/modules.html
January 01, 2017 - Toolkit Modules
The toolkit consists of four modules and other resources that will help ICUs uncover local defects, implement interventions to prevent ventilator-associated events, and build a sustainable safety culture.
Module on How To Apply CUSP for Mechanically Ventilated Patients
The Comprehensive Unit…
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psnet.ahrq.gov/node/37992/psn-pdf
August 20, 2008 - Medication errors reported by US family physicians and
their office staff.
August 20, 2008
Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office
staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869.
https://psnet.ahrq.gov/issue/medic…
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psnet.ahrq.gov/node/837897/psn-pdf
August 24, 2022 - Review of medication error sources associated with
inpatient subcutaneous insulin: recommendations for
safe and cost-effective dispensing practices.
August 24, 2022
McKay C, Schenkat D, Murphy K, et al. Review of medication error sources associated with inpatient
subcutaneous insulin: recommendations for safe and …
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psnet.ahrq.gov/node/60881/psn-pdf
September 02, 2020 - Advancing Patient Safety: Reviews From the Agency for
Healthcare Research and Quality's Making Healthcare
Safer III Report.
September 2, 2020
Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality’s Making
Healthcare Safer III Report. J Patient Saf. 2020;16(3S Suppl 1):s1-s56.
doi:1…
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psnet.ahrq.gov/node/43765/psn-pdf
February 04, 2015 - Differences in medication knowledge and risk of errors
between graduating nursing students and working
registered nurses: comparative study.
February 4, 2015
Simonsen BO, Daehlin GK, Johansson I, et al. Differences in medication knowledge and risk of errors
between graduating nursing students and working registere…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/chronic-obstructive-pulmonary-disease-ventura-county-medical-center-pbrn.html
September 04, 2013 - Chronic Obstructive Pulmonary Disease Ventura County Medical Center PBRN
Status:
Inactive
Registered Date:
September 4, 2013
PBRN Acronym:
COPDVCMCPBRN
PBRN Type:
Family Medicine Network (at least 75% are Family Medicine Clinicians)
Network Category:
Established
City:…