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psnet.ahrq.gov/issue/organising-manuscript-reporting-quality-improvement-or-patient-safety-research
May 11, 2011 - Commentary
Organising a manuscript reporting quality improvement or patient safety research.
Citation Text:
Holzmueller CG, Pronovost P. Organising a manuscript reporting quality improvement or patient safety research. BMJ Qual Saf. 2013;22(9):777-85. doi:10.1136/bmjqs-2012-001603.
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psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-overdose-induction-general-anesthesia
March 17, 2021 - Commentary
Special K with no license to kill: accidental ketamine overdose on induction of general anesthesia.
Citation Text:
Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case Rep. 2018;19:10-12.
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psnet.ahrq.gov/issue/how-columbia-ignored-women-undermined-prosecutors-and-protected-predator-more-20-years
May 31, 2023 - Newspaper/Magazine Article
How Columbia ignored women, undermined prosecutors and protected a predator for more than 20 years.
Citation Text:
How Columbia ignored women, undermined prosecutors and protected a predator for more than 20 years. Fortis B, Bell L. Pro Publica. September 12, 2…
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psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety
March 18, 2019 - Commentary
High reliability: truly achieving healthcare quality and safety.
Citation Text:
Kaplan GS. Pursuing the perfect patient experience. Front Health Serv Manage. 2013;29(3):16-27.
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psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety
May 15, 2024 - Commentary
Antimicrobial stewardship and patient safety.
Citation Text:
Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356. doi:10.1016/j.aorn.2016.08.002.
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psnet.ahrq.gov/issue/viewing-health-care-delivery-science-challenges-benefits-and-policy-implications
May 24, 2012 - Commentary
Viewing health care delivery as science: challenges, benefits, and policy implications.
Citation Text:
Pronovost P, Goeschel CA. Viewing health care delivery as science: challenges, benefits, and policy implications. Health Serv Res. 2010;45(5 Pt 2):1508-22. doi:10.1111/j.1…
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psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
March 13, 2024 - Commentary
A performance improvement plan to increase nurse adherence to use of medication safety software.
Citation Text:
Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.0…
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digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program
Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with a pharmacist to monitor patient medications during the transition may improve care co…
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www.ahrq.gov/pcor/healthcare-extension-services/index.html
February 01, 2025 - AHRQ's Healthcare Extension Service: State-Based Solutions to Healthcare Improvement
Applications Currently Being Reviewed for Healthcare Extension Cooperatives, National Coordinating Center, and National Evaluation Center Applications have closed and are currently being reviewed for applicants seeking to join …
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psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-names-recommended-tall-man-letters
November 16, 2022 - Fact Sheet/FAQs
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters.
Citation Text:
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Ins…
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psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals
December 09, 2009 - Fact Sheet/FAQs
Classic
10 Patient Safety Tips for Hospitals.
Citation Text:
10 Patient Safety Tips for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10-M008.
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psnet.ahrq.gov/issue/safe-practices-better-healthcare-2010-update
March 23, 2012 - Book/Report
Safe Practices for Better Healthcare: 2010 Update.
Citation Text:
Safe Practices for Better Healthcare: 2010 Update. Washington, DC: National Quality Forum; 2010.
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pso.ahrq.gov/resources/act
August 01, 2022 - SHARE:
More topics in this section
Resources
Resources
Resources About the Patient Safety and Quality Improvement Act of 2005
Patient Safety Act
Patient Safety Rule
HHS Guidance
Guides
Other Educational Materials
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/breastfeeding-interventions-draft-rec-bulletin.pdf
November 18, 2024 - Behavioral Counseling Interventions to Support Breastfeeding
1 www.uspreventiveservicestaskforce.org
U.S. Preventive Services Task Force Issues Draft Recommendation
Statement on Interventions to Support Breastfeeding
Clinicians can help improve the health of people who breastfeed and their babies by
providing in…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/2nGsLfynVxP3XwN-Zgo_sg
GET THE FACTS:
FACT: The Task Force
recognizes the value of
mammography screening as
an important tool in reducing
breast cancer deaths.
FACT: There is considerable
agreement about
mammography screening
among groups who have
recently issued evidence-
based guidelines, including
the Task Force and the
Americ…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/mWobCghbAX938Av48jDqQ4
GET THE FACTS:
FACT: The Task Force
recognizes the value of
mammography screening as
an important tool in reducing
breast cancer deaths.
FACT: There is considerable
agreement about
mammography screening
among groups who have
recently issued evidence-
based guidelines, including
the Task Force and the
Americ…
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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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psnet.ahrq.gov/issue/fda-public-health-notification-unretrieved-device-fragments
June 02, 2021 - Press Release/Announcement
FDA public health notification: unretrieved device fragments.
Citation Text:
FDA public health notification: unretrieved device fragments. Silver Spring MD, Center for Devices and Radiological Health, US Food and Drug Administration; January 15, 2008.
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psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
July 24, 2024 - Newspaper/Magazine Article
How studying human factors improves patient safety.
Citation Text:
Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9.
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psnet.ahrq.gov/issue/point-care-testing-medical-error-and-patient-safety-2007-assessment
February 01, 2017 - Review
Point-of-care testing, medical error, and patient safety: a 2007 assessment.
Citation Text:
Ehrmeyer SS, Laessig RH. Point-of-care testing, medical error, and patient safety: a 2007 assessment. Clin Chem Lab Med. 2007;45(6):766-73.
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