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psnet.ahrq.gov/issue/nurses-role-detecting-deterioration-ward-patients-systematic-literature-review
March 27, 2018 - Review
Nurses' role in detecting deterioration in ward patients: systematic literature review.
Citation Text:
Nurses' role in detecting deterioration in ward patients: systematic literature review. Odell M; Victor C; Oliver D.
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digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/optimization-patient-reported-outcome-data-visualization-improve
January 01, 2019 - Optimization of Patient-Reported Outcome Data Visualization to Improve Shared Decision Making
Optimizing PRO data visualization with clinicians’ and patients’ input will improve clinicians’ ability to effectively synthesize and communicate complex data to provide patient-centered clinical management.
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psnet.ahrq.gov/issue/sops-surveys
December 24, 2008 - Meeting/Conference Proceedings
SOPS Surveys.
Citation Text:
SOPS Surveys. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets
February 06, 2019 - Organizational Policy/Guidelines
Guidance for the Safe Use of Automated Dispensing Cabinets.
Citation Text:
Guidance for the Safe Use of Automated Dispensing Cabinets. Horsham, PA: Institute for Safe Medication Practices; 2019.
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psnet.ahrq.gov/training-education
October 01, 2025 - Training and Education Overview
PSNet offers an unparalleled set of resources for patient safety training and education. In this section, you will have the opportunity to read WebM&M (Morbidity & Mortality) Spotlight Cases and complete the interactive learning modules for continuing medical education (CME), maintenan…
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psnet.ahrq.gov/issue/eliminating-unintentionally-retained-surgical-items-special-report
December 07, 2022 - Special or Theme Issue
Eliminating Unintentionally Retained Surgical Items - Special Report.
Citation Text:
Eliminating Unintentionally Retained Surgical Items - Special Report. Saver C. AORN J. 2022;116(2):111-132.
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psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides
January 10, 2007 - Multi-use Website
Safety Assurance Factors for EHR Resilience: SAFER Guides.
Citation Text:
Safety Assurance Factors for EHR Resilience: SAFER Guides. Washington, DC: Assistant Secretary for Technology Policy.
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psnet.ahrq.gov/issue/preventing-maternal-death
April 26, 2023 - Sentinel Event Alerts
Preventing maternal death.
Citation Text:
Preventing maternal death. Sentinel Event Alert. 2010;44(44):1-4.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/all-right-reasons
March 06, 2005 - Newspaper/Magazine Article
For all the right reasons.
Citation Text:
For all the right reasons. Hagland M.
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psnet.ahrq.gov/issue/2006-patient-safety-and-health-information-technology-conference
July 28, 2013 - Slideset
2006 Patient Safety and Health Information Technology Conference.
Citation Text:
2006 Patient Safety and Health Information Technology Conference. Agency for Healthcare Research and Quality. Renaissance Hotel, Washington DC. June 4-7, 2006.
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psnet.ahrq.gov/issue/hospital-medication-errors-commonplace
August 02, 2023 - Audiovisual
Hospital Medication Errors Commonplace.
Citation Text:
Hospital Medication Errors Commonplace. Berwick D; Lassman S; Bates D. National Public Radio. July 28, 2006.
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psnet.ahrq.gov/issue/behavioral-mental-health-toolbox
December 14, 2010 - Toolkit
Behavioral & Mental Health Toolbox.
Citation Text:
Behavioral & Mental Health Toolbox. Center for Health Design. Concord, CA: Center for Health Design; 2018.
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www.ahrq.gov/talkingquality/translate/labels/limit-info.html
November 01, 2018 - Limit Technical Information and Caveats in Quality Data Displays
It is very easy to say too much about each of your measures. Many health professionals worry that unless they provide the same level of detail in and around a graph as they would in a report for management or providers, or in an academic paper, th…
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psnet.ahrq.gov/issue/covid-19-leads-increased-need-dialysis-machines
April 29, 2020 - Audiovisual
COVID-19 leads to increased need for dialysis machines.
Citation Text:
COVID-19 leads to increased need for dialysis machines. Mosley T. Here & Now. Boston Public Radio. April 27, 2020.
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psnet.ahrq.gov/issue/when-surgeon-too-old-operate
February 12, 2016 - Newspaper/Magazine Article
When is the surgeon too old to operate?
Citation Text:
When is the surgeon too old to operate? Span P. New York Times. February 1, 2019.
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psnet.ahrq.gov/issue/development-patient-safety-climate-scale-japan
February 08, 2023 - Study
Development of a patient safety climate scale in Japan.
Citation Text:
Matsubara S, Hagihara A, Nobutomo K. Development of a patient safety climate scale in Japan. Int J Qual Health Care. 2008;20(3):211-20. doi:10.1093/intqhc/mzn003.
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psnet.ahrq.gov/issue/hospital-error-oversight-called-lax-state-takes-too-long-investigate-mistakes-patient
May 04, 2015 - Newspaper/Magazine Article
Hospital-error oversight called lax: state takes too long to investigate mistakes, patient advocates say.
Citation Text:
Hospital-error oversight called lax: state takes too long to investigate mistakes, patient advocates say. Galloway A. Seattle Post-Intel…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-nh_webcast-ginsberg.pdf
July 01, 2018 - SOPS Nursing Home Survey: What You Need To Know - Caren Ginsberg, Ph.D.
AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) Program
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and science-based agency of the US De…
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psnet.ahrq.gov/issue/state-wide-initiative-standardize-compounding-oral-liquids-pediatrics
January 23, 2017 - Multi-use Website
State-Wide Initiative to Standardize the Compounding of Oral Liquids in Pediatrics.
Citation Text:
State-Wide Initiative to Standardize the Compounding of Oral Liquids in Pediatrics. Michigan Pharmacists Association; MPA.
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psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety
June 09, 2011 - Newspaper/Magazine Article
First, protect the patient from harm: applying adult learning principles to patient safety.
Citation Text:
First, protect the patient from harm: applying adult learning principles to patient safety. Duffy B.
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