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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - Patient Safety 101: The Fundamentals
What is Patient Safety?
The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…
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digital.ahrq.gov/care-setting/pharmacy
January 01, 2023 - Pharmacy
Advancing Population and Public Health Reporting and Outcomes With Vaccination Data Exchange (APPROVE)
Description
This study aimed to improve data exchange between public health and clinical care information systems, and across public health itself, to enhance data-i…
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-xiii-template-scoping-decision-problem-address-through-decision-modeling
July 01, 2017 - Procedure Manual Appendix XIII. Template for Scoping the “Decision Problem” to Address Through Decision Modeling
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psnet.ahrq.gov/issue/guidelines-practice
March 05, 2010 - Special or Theme Issue
Guidelines in Practice.
Citation Text:
Guidelines in Practice. AORN J. 2020-2024.
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psnet.ahrq.gov/issue/what-cannot-be-said-television-about-health-care
January 10, 2018 - Commentary
What cannot be said on television about health care.
Citation Text:
Emanuel EJ. What Cannot Be Said on Television About Health Care. JAMA. 2007;297(19). doi:10.1001/jama.297.19.2131.
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psnet.ahrq.gov/issue/learning-not-blaming
March 28, 2018 - Book/Report
Learning Not Blaming.
Citation Text:
Learning Not Blaming. Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN: 9781474123716.
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psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and-warnings
May 03, 2023 - Newspaper/Magazine Article
Patients with low health literacy make more errors interpreting instructions and warnings.
Citation Text:
Patients with low health literacy make more errors interpreting instructions and warnings. ISMP Medication Safety Alert! Acute Care. 2023;28(24):1-3.
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psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
December 24, 2008 - Toolkit
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.
Citation Text:
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publicat…
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psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and-usability-inpatient
November 29, 2023 - Book/Report
Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings.
Citation Text:
Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. Dorset, UK: Health Services Safety Investigatio…
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psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts
June 10, 2018 - Newspaper/Magazine Article
Smart pump custom concentrations without hard "low concentration" alerts.
Citation Text:
Smart pump custom concentrations without hard "low concentration" alerts. ISMP Medication Safety Alert! Acute care edition. February 23, 2012;17:1,3-4.
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psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
August 24, 2016 - Newspaper/Magazine Article
"Use as directed" can cause confusion for both patients and practitioners.
Citation Text:
"Use as directed" can cause confusion for both patients and practitioners. ISMP Medication Safety Alert! Acute Care Edition. August 25, 2016;21:1-3.
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psnet.ahrq.gov/issue/misadministration-iv-insulin-associated-dose-measurement-and-hyperkalemia-treatment
August 24, 2016 - Newspaper/Magazine Article
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.
Citation Text:
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. ISMP Medication Safety Alert! Acute Care Edition. August 11,…
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psnet.ahrq.gov/issue/stop-silent-misdiagnosis-patients-preferences-matter
February 02, 2020 - Commentary
Stop the silent misdiagnosis: patients' preferences matter.
Citation Text:
Mulley AG, Trimble C, Elwyn G. Stop the silent misdiagnosis: patients' preferences matter. BMJ. 2012;345:e6572. doi:10.1136/bmj.e6572.
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psnet.ahrq.gov/issue/utilizing-pharmacogenomic-testing-can-improve-medication-safety-and-prevent-harm
April 17, 2024 - Newspaper/Magazine Article
Utilizing pharmacogenomic testing can improve medication safety and prevent harm.
Citation Text:
Utilizing pharmacogenomic testing can improve medication safety and prevent harm. ISMP Medication Safety Alert! Acute Care. 2024;29(9):1-4.
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psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question
February 24, 2025 - Newspaper/Magazine Article
‘Medical errors are the third leading cause of death’ and other statistics you should question.
Citation Text:
‘Medical errors are the third leading cause of death’ and other statistics you should question. Jaklevic MC. HealthJournalism.org. July 27, 2023.
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www.ahrq.gov/talkingquality/resources/comparative-reports/home-health.html
October 01, 2022 - Comparative Reports on Home Health Care, Hospice Care, and Other Long-Term Care
The following reports are examples of comparative information on the quality of care provided by home health care, hospice care and other long-term care providers.
Report Title: Home Health Compare
Website: https://www.medicare…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/mhs/outpatient-mental-health-survey-measures.pdf
June 02, 2025 - Patient Experience Measures from the CAHPS Outpatient Mental Health Survey
Section 4: Patient Experience Measures from the CAHPS Outpatient Mental Health Survey
Page 10
Guidelines for Using the CAHPS® Outpatient Mental Health Survey
Section 4: Patient Experience Measures from
the CAHPS Outpatient Mental …
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psnet.ahrq.gov/issue/sbar-patients
September 12, 2012 - Commentary
SBAR for patients.
Citation Text:
Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06.
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psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
August 10, 2016 - Newspaper/Magazine Article
Correct use of inhalers: help patients breathe easier.
Citation Text:
Correct use of inhalers: help patients breathe easier. ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6.
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www.ahrq.gov/research/shuttered/acfselection/chapter1.html
July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools
Chapter 1. Objectives
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Table of Contents
Disaster Alternate Care Facilities: Report and Interactive Tools
Executive Summary
Chapter 1. Objectives
Chapter 2. Background
Chapter 3. Methods
Chapter 4. Resu…