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psnet.ahrq.gov/issue/oral-solid-medication-appearance-should-play-greater-role-medication-error-prevention
February 20, 2019 - Newspaper/Magazine Article
Oral solid medication appearance should play a greater role in medication error prevention.
Citation Text:
Oral solid medication appearance should play a greater role in medication error prevention. ISMP Medication Safety Alert! Acute care edition. July 28, 201…
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psnet.ahrq.gov/issue/fda-advise-err-medication-errors-associated-cerebyx
May 02, 2018 - Newspaper/Magazine Article
FDA Advise-ERR: medication errors associated with Cerebyx.
Citation Text:
FDA Advise-ERR: medication errors associated with Cerebyx. ISMP Medication Safety Alert! Acute Care Edition. April 10, 2008;13:1-2.
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psnet.ahrq.gov/issue/durasal-durezol-mix-illustrates-how-dangerous-product-problems-persist-long-after-recognition
June 10, 2018 - Newspaper/Magazine Article
Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition.
Citation Text:
Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. ISMP Medication Safety Alert! Acute care edition. …
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psnet.ahrq.gov/issue/surgical-count-practice-variability-and-potential-retained-surgical-items
October 20, 2010 - Commentary
Surgical count practice variability and the potential for retained surgical items.
Citation Text:
Edel EM. Surgical count practice variability and the potential for retained surgical items. AORN J. 2012;95(2):228-38. doi:10.1016/j.aorn.2011.02.014.
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psnet.ahrq.gov/issue/independent-double-checks-undervalued-and-misused
July 12, 2023 - Newspaper/Magazine Article
Independent double checks: undervalued and misused.
Citation Text:
Independent double checks: undervalued and misused. ISMP Medication Safety Alert! Acute care edition. June 13, 2013;18:1-4.
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psnet.ahrq.gov/issue/losing-laura
June 06, 2018 - Newspaper/Magazine Article
Losing Laura.
Citation Text:
Losing Laura. DeMarco P. Globe Magazine. November 3, 2018.
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psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
November 16, 2022 - Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.
Citation Text:
Partridge E, Dodson D, Reilly M, et al. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.. PSNet [inter…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation.pptx
December 01, 2017 - Performing SSI Investigations: Slide Presentation
Performing an SSI Investigation
AHRQ Safety Program for Surgery
Onboarding
AHRQ Pub No. 16(18)-0004-15-EF
December 2017
SAY:
In this module, you’ll learn about performing a surgical site infection or SSI investigation.
1
Learning Objectives
After this session, you …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence
Previous Page Next Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspectives on Di…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-safety-practices_research-protocol.pdf
November 09, 2011 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: November 9, 2011
Evidence-based Practice Center Systematic Review Protocol
Project Title: Critical Analysis of the Evidence for Patient Safety Practices
I. Background and Objectives fo…
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integrationacademy.ahrq.gov/news-and-events/archive
September 23, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Español
FAQs
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The Academy
Integrating Behavioral Health & Primary Care
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www.ahrq.gov/evidencenow/heart-health/smoking/resources.html
August 01, 2018 - Webinar: New Resources to Help Providers Help Smokers Quit: CDC
Resource title: New Resources To Help Providers Help Smokers Quit (PPT)
Resource description: This presentation reviews additional resources, including a protocol and treatment action guide, that health care professionals can use to help pati…
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psnet.ahrq.gov/node/43624/psn-pdf
October 22, 2014 - Hand hygiene compliance for patient safety.
October 22, 2014
Aziz A.
https://psnet.ahrq.gov/issue/hand-hygiene-compliance-patient-safety
Health care–associated infections (HAIs) remain a major contributor to preventable morbidity and mortality
in hospitalized patients, despite some progress in combating certain in…
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psnet.ahrq.gov/node/46788/psn-pdf
April 11, 2018 - Preventing newborn falls and drops.
April 11, 2018
Quick Safety. March 27, 2018;(40):1-2.
https://psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
Falls are a common patient safety concern for adults but are rarely discussed as a threat to newborn
safety. This newsletter article provides a definition for a …
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psnet.ahrq.gov/node/42524/psn-pdf
August 21, 2013 - FentaNYL patch fatalities linked to "bystander apathy."
We ALL have a role in prevention!
August 21, 2013
ISMP Medication Safety Alert! Acute care edition! August 8, 2013;18:1-4.
https://psnet.ahrq.gov/issue/fentanyl-patch-fatalities-linked-bystander-apathy-we-all-have-role-prevention
Relating how an …
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digital.ahrq.gov/ahrq-funded-projects/use-patient-buddy-application-disseminate-knowledge-prevent-readmission/citation/patient
January 01, 2023 - The patient buddy app can potentially prevent hepatic encephalopathy-related readmissions.
Citation
Ganapathy D, Acharya C, Lachar J, et al. The patient buddy app can potentially prevent hepatic encephalopathy-related readmissions. Liver Int 2017 Jun 15. doi: 10.1111/liv.13494. PMID: 28618192.
L…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/progestogens-preterm-birth_research-protocol.pdf
June 01, 2010 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: April 15, 2010
1
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Progestogens for the Prevention of Preterm B…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide56.html
October 01, 2014 - 56. Algorithm for Treating Tobacco Use
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
At the top of the flowchart is the question, Does patient now use tobacco? (See chapter 2). If the answer is "yes," ask, Is patient now willing to quit? If the answer is "yes," provi…
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psnet.ahrq.gov/node/45302/psn-pdf
November 28, 2016 - Patients and families as teachers: a mixed methods
assessment of a collaborative learning model for medical
error disclosure and prevention.
November 28, 2016
Langer T, Martinez W, Browning DM, et al. Patients and families as teachers: a mixed methods
assessment of a collaborative learning model for medical error …
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psnet.ahrq.gov/node/42590/psn-pdf
August 02, 2015 - Health care-associated infections: a meta-analysis of
costs and financial impact on the US health care system.
August 2, 2015
Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs
and financial impact on the US health care system. JAMA Intern Med. 2013;173(22):2039-2…