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psnet.ahrq.gov/issue/digital-clinical-safety-strategy
March 01, 2023 - Book/Report
Digital Clinical Safety Strategy
Citation Text:
Digital Clinical Safety Strategy NHSX, NHS Digital, NHS England, et al. London, England: Crown Copyright; September 2021.
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psnet.ahrq.gov/issue/patient-safety-efforts-pharmacists-gain-new-prominence
October 30, 2024 - Commentary
In patient safety efforts, pharmacists gain new prominence.
Citation Text:
Gale R. In Patient Safety Efforts, Pharmacists Gain New Prominence. Health Aff (Millwood). 2018;37(11):1726-1729. doi:10.1377/hlthaff.2018.1225.
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psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
March 27, 2024 - Commentary
Value of the pharmacist in the medication reconciliation process.
Citation Text:
Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8.
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psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic
October 19, 2022 - Study
Standardizing hospital discharge planning at the Mayo Clinic.
Citation Text:
Holland DE, Hemann MA. Standardizing hospital discharge planning at the Mayo Clinic. Jt Comm J Qual Patient Saf. 2011;37(1):29-36.
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psnet.ahrq.gov/issue/some-health-workers-suffering-addiction-steal-drugs-meant-patients
October 28, 2020 - Audiovisual
Some health workers suffering from addiction steal drugs meant for patients.
Citation Text:
Some health workers suffering from addiction steal drugs meant for patients. Mann B. All Things Considered. National Public Radio. October 5, 2020.
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psnet.ahrq.gov/issue/half-time-nursing-homes-scrutinized-safety-medicare-are-still-treacherous
March 13, 2019 - Newspaper/Magazine Article
Half the time, nursing homes scrutinized on safety by Medicare are still treacherous.
Citation Text:
Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Rau J. Kaiser Health News. July 6, 2017.
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psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors
April 26, 2023 - Newspaper/Magazine Article
New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors.
Citation Text:
New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. Lovelace Jr, B. NBC News. September 7, 2022.
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psnet.ahrq.gov/issue/mother-claims-hospital-error-kept-her-newborn-daughter
June 13, 2011 - Newspaper/Magazine Article
Mother claims hospital error kept her from newborn daughter.
Citation Text:
Mother claims hospital error kept her from newborn daughter. Barbella M. Drug Topics. October 8, 2007.
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psnet.ahrq.gov/issue/common-formats-allow-uniform-collection-and-reporting-patient-safety-data-patient-safety
May 20, 2009 - Commentary
Common formats allow uniform collection and reporting of patient safety data by patient safety organizations.
Citation Text:
Clancy CM. Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient Safety Organizations. Am J Med Qual. 2009;25(1):73-…
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psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors-0
December 15, 2014 - Commentary
What about doctors? The impact of medical errors.
Citation Text:
Abd Elwahab S, Doherty E. What about doctors? The impact of medical errors. The Surgeon. 2014;12(6). doi:10.1016/j.surge.2014.06.004.
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www.ahrq.gov/patient-safety/patients-families/engagingfamilies/strategy4/index.html
December 01, 2017 - Strategy 4: Care Transitions From Hospital to Home: IDEAL Discharge Planning
Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, Agency for Healthcare Research and Quality developed the Guide to Patient…
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psnet.ahrq.gov/issue/reinforcing-value-and-roles-nurses-diagnostic-safety-pragmatic-recommendations-nurse-leaders
August 17, 2022 - Book/Report
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators.
Citation Text:
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators. Tran AK, Calabr…
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
October 19, 2022 - Commentary
John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital.
Citation Text:
Uhlig PN, Brown J, Nason AK, et al. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672.
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digital.ahrq.gov/funding-mechanism/improving-quality-care-and-patient-outcomes-during-care-transitions-r01
January 01, 2023 - Improving Quality of Care and Patient Outcomes During Care Transitions (R01)
Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery
Description
This research will develop and evaluate the Perioperative Optim…
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www.ahrq.gov/patient-safety/settings/ambulatory/index.html
September 01, 2025 - AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care
Ambulatory Surgery Center (ASC) Survey on Patient Safety Culture is a staff-administered survey that helps ambulatory surgery centers assess how their staff perceive various aspects of safety culture. CAHPS ® Clinician & Group Survey was de…
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www.ahrq.gov/patient-safety/news-events/psaw-2021/index.html
July 01, 2022 - Patient Safety Awareness Week
AHRQ and colleagues from the U.S. Department of Health and Human Services, the Health Resources and Services Administration, the Institute for Healthcare Improvement, and the entire patient safety community are collaborating to observe Patient Safety Awareness Week. While AHRQ's …
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psnet.ahrq.gov/issue/non-english-speakers-drug-label-instructions-can-be-lost-translation
September 12, 2016 - Newspaper/Magazine Article
For non-English speakers, drug label instructions can be lost in translation.
Citation Text:
Mitka M. For non-english speakers, drug label instructions can be lost in translation. JAMA. 2007;297(23):2575-7.
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psnet.ahrq.gov/issue/medication-error-reduction-and-use-pda-technology
August 28, 2024 - Study
Medication error reduction and the use of PDA technology.
Citation Text:
Greenfield S. Medication error reduction and the use of PDA technology. J Nurs Educ. 2007;46(3):127-31. doi:10.3928/01484834-20070301-07.
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psnet.ahrq.gov/issue/high-costs-unnecessary-care
June 28, 2023 - Commentary
The high costs of unnecessary care.
Citation Text:
Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193.
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psnet.ahrq.gov/issue/current-status-monitoring-medication-practice
May 28, 2015 - Commentary
Current status of the monitoring of medication practice.
Citation Text:
Cousins D. Current status of the monitoring of medication practice. Am J Health Syst Pharm. 2009;66(5 Suppl 3):S49-56. doi:10.2146/ajhp080605.
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