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digital.ahrq.gov/organization/purdue-university
January 01, 2023 - Purdue University
An Evaluation of the Spread and Scale of PatientToc™ From Primary Care to Community Pharmacy Practice for the Collection of Patient-Reported Outcomes
Description
The research team implemented PatientToc™ - a mobile application for patient-reported outcomes co…
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab13.html
December 01, 2017 - Table 13. Health coverage among adults with diabetes and/or cardiovascular disease. All project sites. Fiscal year 2010
ARRA Grants Initiative
Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for adva…
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psnet.ahrq.gov/node/60193/psn-pdf
July 01, 2022 - Improving Diagnosis and Treatment of Maternal Sepsis.
April 1, 2020
Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022.
https://psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis
This toolkit focuses on identification of, and rapid response to, sepsis in obstetric p…
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psnet.ahrq.gov/node/73097/psn-pdf
March 31, 2011 - The Future of Nursing: Leading Change, Advancing
Health.
March 31, 2011
Institute of Medicine. Washington, DC: The National Academies Press: 2011.
https://psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health
The effective engagement of nursing is key to patient safety and care quality improvement. T…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/qualifications.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Prevention
Facilitator Training—Recommended Facilitator Trainee Qualifications
Know about adult learning principles and have experience training adults.
Can adjust the technical complexity of the content to the audience's level of understanding.
Have exce…
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psnet.ahrq.gov/node/37752/psn-pdf
May 07, 2019 - Guidance for the Safe Use of Automated Dispensing
Cabinets.
May 7, 2019
Horsham, PA: Institute for Safe Medication Practices; 2019.
https://psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets
Drug dispensing systems have been adopted in hospitals to prevent medication errors, but accidents
associ…
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psnet.ahrq.gov/node/44679/psn-pdf
November 18, 2015 - Key vulnerabilities in the surgical environment: container
mix-ups and syringe swaps.
November 18, 2015
ISMP Medication Safety Alert! Acute Care Edition. November 5, 2015;20:1-5.
https://psnet.ahrq.gov/issue/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps
The perioperative environment …
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review43/bladder-cancer-screening-2004
March 30, 2020 - Share to Facebook
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Final Evidence Review
Bladder Cancer in Adults: Screening, 2004
March 30, 2020
Recommendations made by the USPSTF are independent of the U.S. government. They shou…
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psnet.ahrq.gov/node/39973/psn-pdf
January 04, 2011 - Residency training at a crossroads: duty-hour standards
2010.
January 4, 2011
Volpp KG, Friedman W, Romano PS, et al. Residency training at a crossroads: duty-hour standards 2010.
Ann Intern Med. 2010;153(12):826-8. doi:10.7326/0003-4819-153-12-201012210-00287.
https://psnet.ahrq.gov/issue/residency-training-cross…
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psnet.ahrq.gov/node/40868/psn-pdf
October 19, 2011 - Simulation to enhance patient safety: why aren't we there
yet?
October 19, 2011
Aggarwal R, Darzi A. Simulation to enhance patient safety: why aren't we there yet? Chest.
2011;140(4):854-858. doi:10.1378/chest.11-0728.
https://psnet.ahrq.gov/issue/simulation-enhance-patient-safety-why-arent-we-there-yet
Discussin…
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psnet.ahrq.gov/node/74249/psn-pdf
January 12, 2022 - Medication safety issues with newly authorized
PAXLOVID.
January 12, 2022
Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022.
https://psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
Emerging care practices can produce unsafe situations due to the newness…
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psnet.ahrq.gov/node/854638/psn-pdf
October 18, 2023 - Early identification and evaluation of severe pressure
injuries.
October 18, 2023
Quick Safety. October 2023;70:1-2.
https://psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
Pressure injuries are a significant and preventable patient safety threat. This article summarizes
recommen…
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psnet.ahrq.gov/node/61052/psn-pdf
April 01, 2019 - Inadvertent Administration of an Oral Liquid Medicine into
a Vein.
April 1, 2019
Farnborough, UK; Healthcare Safety Investigation Branch: April 2019.
https://psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
Wrong route medication administration is a never event. This report examined the co…
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psnet.ahrq.gov/node/39728/psn-pdf
January 03, 2017 - Diffusing aviation innovations in a hospital in the
Netherlands.
January 3, 2017
de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The
Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47.
https://psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-n…
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psnet.ahrq.gov/node/36661/psn-pdf
March 22, 2010 - Heparin sodium injection 10,000 units/mL, and HEP-LOCK
U/P 10 units/mL medication errors.
March 22, 2010
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 6, 2007.
https://psnet.ahrq.gov/issue/heparin-sodium-injection-10000-unitsml-and-hep-lock-10-unitsml-medication-
errors
This …
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psnet.ahrq.gov/node/35879/psn-pdf
July 23, 2010 - Preventing vincristine administration errors: does
evidence support minibag infusions?
July 23, 2010
Mahon SM, Schulmeister L. Preventing Vincristine Administration Errors: Does Evidence Support Minibag
Infusions? Clin J Oncol Nurs. 2006;10(2). doi:10.1188/06.cjon.271-273.
https://psnet.ahrq.gov/issue/preventing-v…
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psnet.ahrq.gov/node/50805/psn-pdf
January 15, 2020 - Advancing safety with closed-loop communication of test
results.
January 15, 2020
Quick Safety. December 17, 2019;(52):1-3.
https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results
Incomplete or delayed test result communication is a known factor in diagnostic error. This article shares…
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psnet.ahrq.gov/node/41053/psn-pdf
December 30, 2014 - Time to accelerate integration of human factors and
ergonomics in patient safety.
December 30, 2014
Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in
patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421.
https://psnet.ahrq.gov/issue/time-acc…
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psnet.ahrq.gov/node/45793/psn-pdf
July 19, 2024 - SHOT Annual Report.
July 19, 2024
S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN:
9781999596859.
https://psnet.ahrq.gov/issue/shot-annual-report-2019
Although errors in the blood transfusion process are rare, they can be harmful. This annual report provides
an anal…
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psnet.ahrq.gov/node/46553/psn-pdf
October 25, 2017 - Telehealth.
October 25, 2017
Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592.
doi:10.1056/NEJMsr1503323.
https://psnet.ahrq.gov/issue/telehealth
Telemedicine can improve patient experience and access to health care. This commentary reviews the
current state of telehealth practi…