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psnet.ahrq.gov/issue/ask-or-not-ask-results-formative-assessment-video-empowering-patients-ask-their-health-care
June 28, 2013 - Image/Poster
To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene.
Citation Text:
To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their h…
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psnet.ahrq.gov/issue/teamstepps-patient-safety-tool-needs-be-implemented
February 14, 2024 - Commentary
TeamSTEPPS: the patient safety tool that needs to be implemented.
Citation Text:
Clapper TC, Kong M. TeamSTEPPS®: The Patient Safety Tool That Needs to Be Implemented. Clin Simul Nurs. 2011;8(8). doi:10.1016/j.ecns.2011.03.002.
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psnet.ahrq.gov/issue/drug-shortages-amid-covid-19-pandemic
July 10, 2019 - Newspaper/Magazine Article
Drug shortages amid the COVID-19 pandemic.
Citation Text:
Drug shortages amid the COVID-19 pandemic. Bookwalter CM. US Pharmacist. 2021;46(2):25-28.
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www.ahrq.gov/es/topics/index.html?page=0
October 01, 2008 - Topics
Information on AHRQ's most-searched topics are included below and in the A to Z menu above. Results
Topics 1 - 10 of 19 displayed
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Antimicrobial Stewardship Antimicrobial stewardship programs are coordinated p…
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psnet.ahrq.gov/issue/medication-errors-nursing-experience
May 26, 2011 - Book/Report
Classic
Medication Errors: The Nursing Experience.
Citation Text:
Medication Errors: The Nursing Experience. Wolf ZR. Albany NY: Delmar Publishers; 1994. ISBN: 9780827362628.
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psnet.ahrq.gov/issue/constitutional-arguments-favor-modifying-hcqia-allow-dissemination-physician-information
March 20, 2024 - Commentary
Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare consumers.
Citation Text:
Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare con…
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psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
November 19, 2014 - Commentary
The normalization of deviance in healthcare delivery.
Citation Text:
Banja J. The normalization of deviance in healthcare delivery. Bus Horiz. 2010;53(2):139.
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psnet.ahrq.gov/issue/medication-errors-outpatient-pediatrics
December 07, 2022 - Commentary
Medication errors in outpatient pediatrics.
Citation Text:
Berrier K. Medication Errors in Outpatient Pediatrics. MCN Am J Matern Child Nurs. 2016;41(5):280-6. doi:10.1097/NMC.0000000000000261.
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psnet.ahrq.gov/issue/integrating-patient-safety-curriculum
July 15, 2009 - Commentary
Integrating patient safety into curriculum.
Citation Text:
Integrating patient safety into curriculum. Rapala K, Novak JC. Patient Safety Quality in Healthcare. March/April 2007.
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psnet.ahrq.gov/issue/serious-reportable-events
March 21, 2018 - Government Resource
Serious Reportable Events.
Citation Text:
Serious Reportable Events. Nova Scotia Department of Health and Wellness.
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psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
October 19, 2022 - Toolkit
Starter Kit for Alarm Fatigue.
Citation Text:
Starter Kit for Alarm Fatigue. National Association of Clinical Nurse Specialists; NACNS.
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www.ahrq.gov/news/newsroom/case-studies/201807.html
November 01, 2018 - California Hospital Reduced Infections, Improved Diabetes Care with AHRQ Safety Program
Search All Impact Case Studies
November 2018
Tri-City Medical Center, a 388-bed hospital in Oceanside, California, reduced central line-associated bloodstream infections (CLABSIs) by 33 percent and improved the on-time d…
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psnet.ahrq.gov/issue/clinician-mindfulness-and-patient-safety
November 10, 2010 - Commentary
Clinician mindfulness and patient safety.
Citation Text:
Sibinga EMS, Wu AW. Clinician Mindfulness and Patient Safety. JAMA. 2010;304(22). doi:10.1001/jama.2010.1817.
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psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-medication
June 02, 2021 - Commentary
Using patient safety science to explore strategies for improving safety in intravenous medication administration.
Citation Text:
Using patient safety science to explore strategies for improving safety in intravenous medication administration. Franklin M. Journal of the A…
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www.ahrq.gov/news/newsroom/case-studies/cquips1201.html
October 01, 2014 - AHRQ Patient Safety Surveys, TeamSTEPPS Used in Georgia Nursing Homes and Hospitals
Search All Impact Case Studies
January 2012
Alliant/GMCF, the Medicare Quality Improvement Organization (QIO) for Georgia, used AHRQ's patient safety culture surveys and team training tools in tandem to help nursing homes an…
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psnet.ahrq.gov/issue/criminalization-mistakes-nursing
June 13, 2011 - Commentary
The criminalization of mistakes in nursing.
Citation Text:
Philipsen NC. The Criminalization of Mistakes in Nursing. J Nurs Pract. 2011;7(9):719-726. doi:10.1016/j.nurpra.2011.07.004.
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psnet.ahrq.gov/issue/errors-and-malpractice-radiology
June 26, 2013 - Special or Theme Issue
Errors and Malpractice in Radiology.
Citation Text:
Errors and Malpractice in Radiology. Pinto A, ed. Semin Ultrasound CT MR. 2012;33:273-382.
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psnet.ahrq.gov/issue/slow-troubling-death-autopsy
August 19, 2020 - Newspaper/Magazine Article
The slow, troubling death of the autopsy.
Citation Text:
The slow, troubling death of the autopsy. Ashworth S. Elemental. September 22, 2020.
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psnet.ahrq.gov/issue/use-systems-redesign-and-law-prevent-medical-errors-and-accidents
August 26, 2020 - Newspaper/Magazine Article
Use systems redesign and the law to prevent medical errors and accidents.
Citation Text:
Use systems redesign and the law to prevent medical errors and accidents. Saks MJ, Landsman S. STAT. August 4, 2021.
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www.ahrq.gov/talkingquality/resources/podcasts-webinars.html
December 01, 2022 - Presentations on Health Care Quality Reporting Topics
Plug-In & Multimedia Help
Podcasts
How Social Media Can Draw Visitors to a Quality Report
Barbara Lambiaso and Lauren Piccolo from Massachusetts Health Quality Partners (MHQP) talk about how MHQP uses social media to promote awareness and use of comp…