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psnet.ahrq.gov/issue/using-simulation-training-improve-perioperative-patient-safety
August 20, 2018 - Study
Using simulation training to improve perioperative patient safety.
Citation Text:
Mullen L, Byrd D. Using simulation training to improve perioperative patient safety. AORN J. 2013;97(4):419-27. doi:10.1016/j.aorn.2013.02.001.
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psnet.ahrq.gov/issue/latest-results-first-trial
October 29, 2017 - Special or Theme Issue
Latest Results From the "FIRST" Trial.
Citation Text:
Latest Results From the "FIRST" Trial. J Am Coll Surg. 2017;224:103-159.
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psnet.ahrq.gov/issue/teaching-and-medical-errors-primary-care-preceptors-views
August 05, 2009 - Study
Teaching and medical errors: primary care preceptors' views.
Citation Text:
Mazor KM, Fischer M, Haley H-L, et al. Teaching and medical errors: primary care preceptors' views. Med Educ. 2005;39(10):982-90.
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psnet.ahrq.gov/issue/point-care-testing-medical-error-and-patient-safety-2007-assessment
February 01, 2017 - Review
Point-of-care testing, medical error, and patient safety: a 2007 assessment.
Citation Text:
Ehrmeyer SS, Laessig RH. Point-of-care testing, medical error, and patient safety: a 2007 assessment. Clin Chem Lab Med. 2007;45(6):766-73.
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psnet.ahrq.gov/issue/assessment-potential-impact-reminder-system-reduction-diagnostic-errors-quasi-experimental
April 19, 2011 - Study
Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study.
Citation Text:
Ramnarayan P, Roberts GC, Coren M, et al. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a qua…
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psnet.ahrq.gov/issue/ethical-and-practical-aspects-disclosing-adverse-events-emergency-department
April 04, 2011 - Review
Ethical and practical aspects of disclosing adverse events in the emergency department.
Citation Text:
Stokes SL, Wu AW, Pronovost P. Ethical and practical aspects of disclosing adverse events in the emergency department. Emerg Med Clin North Am. 2006;24(3):703-714.
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psnet.ahrq.gov/issue/challenging-world-patient-safety-and-health-care-associated-infection
October 21, 2010 - Commentary
Challenging the world: patient safety and health care-associated infection.
Citation Text:
Pittet D, Donaldson LJ. Challenging the world: patient safety and health care-associated infection. Int J Qual Health Care. 2006;18(1):4-8.
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www.ahrq.gov/hai/tools/mvp/cusp.html
March 01, 2017 - Module on How To Apply CUSP for Mechanically Ventilated Patients
This module demonstrates how to apply the Comprehensive Unit-based Safety Program (CUSP) method to improve care for mechanically ventilated patients.
CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients ( PD…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary7.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Using Federal grants to build intellectual capital at the State level
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Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Intr…
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psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
November 03, 2021 - Study
A transdisciplinary team acting on evidence through analyses of moot malpractice cases.
Citation Text:
Constantino RE. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Dimens Crit Care Nurs. 2007;26(4):150-5.
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psnet.ahrq.gov/issue/taking-aim-infusion-confusion
June 06, 2018 - Commentary
Taking aim at infusion confusion.
Citation Text:
Burdeu G, Crawford R, Van de Vreede M, et al. Taking aim at infusion confusion. J Nurs Care Qual. 2006;21(2):151-159.
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www.ahrq.gov/news/newsroom/case-studies/202504.html
June 01, 2025 - Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety
Search All Impact Case Studies
June 2025
Harborview Medical Center in Seattle, Washington, has improved patient safety across its facilities using AHRQ’s Quality Indicators (QIs) — standardized measures used to assess and m…
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psnet.ahrq.gov/issue/patient-reports-undesirable-events-during-hospitalization
March 28, 2011 - Study
Patient reports of undesirable events during hospitalization.
Citation Text:
Agoritsas T, Bovier PA, Perneger T. Patient reports of undesirable events during hospitalization. J Gen Intern Med. 2005;20(10):922-8.
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psnet.ahrq.gov/issue/patient-concerns-about-medical-errors-emergency-departments
March 21, 2017 - Study
Patient concerns about medical errors in emergency departments.
Citation Text:
Burroughs TE, Waterman AD, Gallagher TH, et al. Patient concerns about medical errors in emergency departments. Acad Emerg Med. 2005;12(1):57-64.
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psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
June 18, 2021 - Sentinel Event Alerts
Radiation risks of diagnostic imaging and fluoroscopy.
Citation Text:
Radiation risks of diagnostic imaging and fluoroscopy. Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019).
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digital.ahrq.gov/type-care/home-health-care
January 01, 2023 - Home Health Care
A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP)
Description
This conference convenes interdisciplinary experts from the United States and abroad to define priorities and goals for researching tec…
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psnet.ahrq.gov/issue/educational-interventions-reduce-prescribing-errors
October 19, 2022 - Study
Educational interventions to reduce prescribing errors.
Citation Text:
Conroy S, North C, Fox T, et al. Educational interventions to reduce prescribing errors. Arch Dis Child. 2008;93(4):313-5. doi:10.1136/adc.2007.127761.
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psnet.ahrq.gov/issue/pediatric-drug-labeling-improving-safety-and-efficacy-pediatric-therapies
January 24, 2024 - Study
Pediatric drug labeling: improving the safety and efficacy of pediatric therapies.
Citation Text:
Roberts R, Rodriguez W, Murphy D, et al. Pediatric Drug Labeling. JAMA. 2003;290(7). doi:10.1001/jama.290.7.905.
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effectivehealthcare.ahrq.gov/sites/default/files/ebc-webinar-slides.pdf
June 01, 2014 - the
diagram
pointing
to
the
right,
containing
the
phrase:
Marketing/Promotion … Dissemin-‐
aAon
Early
2013
Marketing/Promotion
Source:
www.effectivehealthcare.ahrq.gov
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - policies and practices;
Lack of access to international board-certified lactation consultants (IBCLCs);
Promotion … Pediatricians' practices and attitudes regarding breastfeeding
promotion.