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psnet.ahrq.gov/issue/world-patient-safety-science-technology-summit
January 01, 2020 - Meeting/Conference Proceedings
World Patient Safety, Science & Technology Summit.
Citation Text:
World Patient Safety, Science & Technology Summit. Patient Safety Movement Foundation. VEA Newport Beach, Newport Beach, CA, June 1-2, 2023.
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psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
October 21, 2020 - Government Resource
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.
Citation Text:
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory
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psnet.ahrq.gov/issue/hospital-drug-errors-far-uncommon
February 11, 2015 - Newspaper/Magazine Article
Hospital drug errors far from uncommon.
Citation Text:
Hospital drug errors far from uncommon. Lin R-G II; Watanabe T.
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psnet.ahrq.gov/issue/epidural-iv-route-mix-ups-reducing-risk-deadly-errors
May 02, 2018 - Newspaper/Magazine Article
Epidural-IV route mix-ups: reducing the risk of deadly errors.
Citation Text:
Epidural-IV route mix-ups: reducing the risk of deadly errors. ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
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psnet.ahrq.gov/issue/special-issue-medication-safety
June 26, 2019 - Special or Theme Issue
Special Issue on Medication Safety.
Citation Text:
Special Issue on Medication Safety. Chui MA, Pohjanoksa-Mäntylä M, Snyder ME, eds. Res Social Adm Pharm. 2019;15(7):811-906.
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psnet.ahrq.gov/issue/guidelines-design-and-construction
April 29, 2020 - Book/Report
Guidelines for Design and Construction.
Citation Text:
Guidelines for Design and Construction. St Louis, Missouri; Facilities Guidelines Institute; 2018.
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psnet.ahrq.gov/issue/health-it-safety-center-roadmap
June 29, 2016 - Government Resource
Health IT Safety Center Roadmap.
Citation Text:
Health IT Safety Center Roadmap. RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015.
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psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
October 11, 2016 - Commentary
Understanding models of error and how they apply in clinical practice.
Citation Text:
Understanding models of error and how they apply in clinical practice. Garfield S, Franklin BD. Pharm J. June 14, 2016.
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psnet.ahrq.gov/issue/managing-costs-clinical-negligence-trusts
March 28, 2018 - Book/Report
Managing the Costs of Clinical Negligence in Trusts.
Citation Text:
Managing the Costs of Clinical Negligence in Trusts. Comptroller and Auditor General, Department of Health; London, UK: National Audit Office; 2017. ISBN: 9781786041395.
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psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs
February 04, 2015 - Book/Report
Investigating Clinical Incidents in the NHS.
Citation Text:
Investigating Clinical Incidents in the NHS. Sixth Report of Session 2014–15. House of Commons Public Administration Select Committee. London, England: The Stationery Office; March 27, 2015. Publication HC 886.
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digital.ahrq.gov/sites/default/files/docs/survey/ccd-functionality-colorado-chc-emr.pdf
September 01, 2008 - CCD Functionality of Colorado Community Health Center
Report on Continuity of Care Document (CCD) Functionality of Colorado
Community Health Center Electronic Medical Record Systems
University of Colorado Health Sciences Center, Denver CO
This is a questionnaire designed to be completed by vendors for an ambulator…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-final-rule
December 24, 2008 - Government Resource
Patient Safety and Quality Improvement; Final Rule.
Citation Text:
Patient Safety and Quality Improvement; Final Rule. US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal Register. November 21, 2008;73:70731-70814.
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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 20 displayed
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All-Payer Claims AHRQ activities focus on developing an effective, feasible ap…
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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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www.ahrq.gov/news/newsroom/case-studies/ktcquips52.html
October 01, 2014 - Nebraska Critical Access Hospitals Improve Safety With AHRQ TeamSTEPPS®
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December 2010
The University of Nebraska Medical Center (UNMC) customized the coaching strategies used in the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) curriculum fo…
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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
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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/pediatric-medication-errors-and-reduction-strategies-perioperative-period
October 19, 2022 - Review
Pediatric medication errors and reduction strategies in the perioperative period.
Citation Text:
Pediatric medication errors and reduction strategies in the perioperative period. Bekes JL, Sackash CR, Voss AL, et al. AANA J. 2021;89(4):319-324.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips32.html
October 01, 2014 - North Dakota Critical Access Hospitals Use AHRQ TeamSTEPPS® to Improve Patient Safety
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January 2010
The University of Nebraska Medical Center customized the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) curriculum for use in critical access h…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips36.html
October 01, 2014 - Iowa Hospital Integrates AHRQ TeamSTEPPS® Throughout Facility
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April 2010
In 2008, staff from Clarinda Regional Health Center, a 25-bed critical access hospital in Clarinda, Iowa, participated in training on Team Strategies and Tools to Enhance Performance and Patient Safety (T…
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psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
April 18, 2018 - Study
Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study.
Citation Text:
Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:3…