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effectivehealthcare.ahrq.gov/sites/default/files/pdf/depression-pregnancy-postpartum_research-protocol.pdf
March 29, 2013 - SF-36)
o Caring for self, infant and family
o Mother-father dyad interaction success, including reduced … ],
community health nurse, social worker, State Department of Health and Human
Services, free and reduced
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - Improving Diagnostic Safety and Quality
April 26, 2023
Al-Khafaji J, Lee M, Mossburg S. Improving Diagnostic Safety and Quality . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
Introduction
During an annual editorial review of featured articles in the Agency for …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/034-ss-action-chart-decisionmaking-readiness.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Preoperative Decolonization Program Decision Making and Readiness for Implementation
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Review and Share the Evidence for Decolonization
A surgical site infection (SSI) is an …
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digital.ahrq.gov/ahrq-funded-projects/implementing-breast-reconstruction-decision-support-tool-diverse-practice
January 01, 2024 - Implementing a Breast Reconstruction Decision Support Tool in Diverse Practice Settings
Project Final Report ( PDF , 830.66 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessa…
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psnet.ahrq.gov/issue/strategies-improve-patient-safety-final-report-congress-required-patient-safety-and-quality
June 21, 2016 - Book/Report
Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.…
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psnet.ahrq.gov/issue/using-twitter-assess-patient-takes-patient-experience
February 24, 2021 - Newspaper/Magazine Article
Using Twitter to assess patient takes on patient experience.
Citation Text:
Using Twitter to assess patient takes on patient experience. Heath S. Patient Engagement HIT. October 29, 2020.
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psnet.ahrq.gov/issue/pursuit-better-diagnostic-performance-human-factors-perspective
September 24, 2017 - Commentary
The pursuit of better diagnostic performance: a human factors perspective.
Citation Text:
Henriksen K, Brady J. The pursuit of better diagnostic performance: a human factors perspective. BMJ Qual Saf. 2013;22(Suppl 2):ii1-ii5. doi:10.1136/bmjqs-2013-001827.
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psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practice
September 01, 2021 - Commentary
Measures to improve diagnostic safety in clinical practice.
Citation Text:
Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf. 2019;15(4):311-316. doi:10.1097/PTS.0000000000000338.
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psnet.ahrq.gov/issue/safety-considerations-mitigate-risks-misconnections-small-bore-connectors-intended-enteral
June 02, 2021 - Regulation
Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications.
Citation Text:
Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications. Rockville, MD:…
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psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
March 23, 2012 - Book/Report
Classic
Serious Reportable Events in Healthcare—2011 Update.
Citation Text:
Serious Reportable Events in Healthcare—2011 Update. Washington DC: National Quality Forum; December 2011.
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psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus
May 31, 2017 - Newspaper/Magazine Article
Death due to pharmacy compounding error reinforces need for safety focus.
Citation Text:
Death due to pharmacy compounding error reinforces need for safety focus. ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4.
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psnet.ahrq.gov/issue/risk-society-and-system-failure
November 29, 2023 - Commentary
Risk, society and system failure.
Citation Text:
Scalliet P. Risk, society and system failure. Radiotherapy and Oncology. 2006;80(3). doi:10.1016/j.radonc.2006.07.003.
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psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
August 28, 2024 - Slideset
Multiple accountabilities in incident reporting and management.
Citation Text:
Hor S-Y, Iedema R, Williams K, et al. Multiple accountabilities in incident reporting and management. Qual Health Res. 2010;20(8):1091-100. doi:10.1177/1049732310369232.
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psnet.ahrq.gov/issue/interruptions-and-medication-errors-part-i
January 03, 2017 - Commentary
Interruptions and medication errors: part I.
Citation Text:
Flanders S, Clark AP. Interruptions and medication errors: part I. Clin Nurse Spec. 2010;24(6):281-5. doi:10.1097/NUR.0b013e3181faf78b.
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psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care
January 04, 2009 - Book/Report
Patient Safety: Achieving a New Standard for Care.
Citation Text:
Patient Safety: Achieving a New Standard for Care. Aspden P ed, Committee for Data Standards for Patient Safety, Institute of Medicine. Washington DC: National Academies Press; 2004. ISBN 0309090776.
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psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
December 15, 2011 - Review
Medication administration errors: understanding the issues.
Citation Text:
McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs. 2006;23(3):33-41.
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psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
May 30, 2008 - Commentary
Failure mode and effect analysis: a technique to prevent chemotherapy errors.
Citation Text:
Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8.
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psnet.ahrq.gov/issue/transformation-health-care-front-line
July 24, 2017 - Commentary
Transformation of health care at the front line.
Citation Text:
Conway PH, Clancy CM. Transformation of health care at the front line. JAMA. 2009;301(7):763-5. doi:10.1001/jama.2009.103.
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psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
March 11, 2017 - Toolkit
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings.
Citation Text:
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; D…
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
July 03, 2013 - Press Release/Announcement
Common formats for patient safety data collection and event reporting.
Citation Text:
Common formats for patient safety data collection and event reporting. Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214…