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psnet.ahrq.gov/node/45586/psn-pdf
November 02, 2016 - Antimicrobial stewardship and patient safety.
November 2, 2016
Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356.
doi:10.1016/j.aorn.2016.08.002.
https://psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety
Antimicrobial stewardship has been highlighted as a strate…
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psnet.ahrq.gov/node/858323/psn-pdf
December 13, 2023 - Some doctors are ditching the scale, saying focusing on
weight drives misdiagnoses.
December 13, 2023
O'Neill E. Health Shots. National Public Radio. December 2, 2023.
https://psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses
Inordinate focus on one element o…
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psnet.ahrq.gov/node/44152/psn-pdf
November 06, 2015 - Infection Prevention.
November 6, 2015
Allen G, ed. AORN J. 2015;101:505-596.
https://psnet.ahrq.gov/issue/infection-prevention
A primary concern in the perioperative setting is the prevention of health care–associated infections,
particularly surgical site infections. Articles in this special issue explore strate…
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psnet.ahrq.gov/node/46081/psn-pdf
April 19, 2017 - Why are medical errors still a leading cause of death?
April 19, 2017
Headley M.
https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death
This magazine article explores the need for robust research and effective reporting to better understand the
prevalence of medical errors and how to prevent…
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psnet.ahrq.gov/node/42985/psn-pdf
February 26, 2014 - Confusion—specimen mix-up in dermatopathology and
measures to prevent and detect it.
February 26, 2014
Weyers W. Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it.
Dermatol Pract Concept. 2014;4(1):27-42. doi:10.5826/dpc.0401a04.
https://psnet.ahrq.gov/issue/confusion-specimen-mix…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-conclusion.html
May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Conclusion
Previous Page
Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensive Unit-based Safety Program (CUSP)
Measurement…
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digital.ahrq.gov/technology/digital-scribe
January 01, 2023 - Digital Scribe
Assessing the Effects of EHR Optimization Interventions in Primary Care
Description
This research evaluates the adoption and impact of three electronic health record-optimization interventions—scribes, advanced team-based inbox management, and artificial intelli…
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digital.ahrq.gov/ahrq-funded-projects/integrating-contextual-factors-clinical-decision-support-reduce-contextual/citation/effect
January 01, 2023 - Effect of electronic health record clinical decision support on contextualization of care: A randomized clinical trial.
Citation
Weiner SJ, Schwartz A, Weaver F, Galanter W, Olender S, Kochendorfer K, Binns-Calvey A, Saini R, Iqbal S, Diaz M, Michelfelder A, Varkey A. Effect of electronic health recor…
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psnet.ahrq.gov/node/50758/psn-pdf
December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of
American Medicine.
December 18, 2019
Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268.
https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine
The modern patient safety movement …
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digital.ahrq.gov/ahrq-funded-projects/ml-rover-machine-learning-reduce-laboratory-test-overutilization/citation/picu
January 01, 2025 - The PICU data collaborative: A novel, multi-institutional, pediatric critical care dataset.
Citation
Farris RWD, Shah SS, Bennett TD, Brown SR, Cornell TT, Dziorny AC, Flynn A, Grunwell J, Heneghan JA, Kennedy CE, Kretsu A, Mendonca E, Nishisaki A, Rogerson C, Tawfik DS, Wetzel RC, Sanchez-Pinto LN; P…
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digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/citation/shared-decision
January 01, 2023 - Shared decision-making for drug-drug interactions: Formative evaluation of an anticoagulant drug interaction.
Citation
Gomez Lumbreras A, Reese TJ, Del Fiol G, Tan MS, Butler JM, Hurwitz JT, Brown M, Kawamoto K, Thiess H, Wright M, Malone DC. Shared decision-making for drug-drug interactions: Formativ…
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psnet.ahrq.gov/node/842432/psn-pdf
January 11, 2023 - Medication errors: the year in review: January through
December 2021.
January 11, 2023
Pharmacy Practice News Special Edition. December 13, 2022: 43-54.
https://psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021
Medication errors continue to occur despite long-standing efforts to redu…
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psnet.ahrq.gov/node/34979/psn-pdf
June 22, 2009 - The WHO World Alliance for Patient Safety: a new
challenge or an old one neglected?
June 22, 2009
Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug
Saf. 2005;28(5):379-86.
https://psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-negle…
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psnet.ahrq.gov/node/42925/psn-pdf
February 05, 2014 - Understanding the Role of Facility Design in the
Acquisition and Prevention of Healthcare-Associated
Infections.
February 5, 2014
Hamilton DK, Stichler JF, eds. HERD. 2013;7(suppl):1-154.
https://psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare-
associated
Articles in…
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psnet.ahrq.gov/node/44495/psn-pdf
September 30, 2015 - Impact of laws aimed at healthcare-associated infection
reduction: a qualitative study.
September 30, 2015
Stone PW, Pogorzelska-Maziarz M, Reagan J, et al. Impact of laws aimed at healthcare-associated
infection reduction: a qualitative study. BMJ Qual Saf. 2015;24(10):637-44. doi:10.1136/bmjqs-2014-
003921.
htt…
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psnet.ahrq.gov/node/50729/psn-pdf
December 11, 2019 - Improving Diagnostic Quality & Safety/Reducing
Diagnostic Error: Measurement Considerations.
December 11, 2019
Washington DC; National Quality Forum: October 28, 2019.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-
considerations
Efforts to track, understand…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide168.html
October 01, 2014 - 168. Components of Intensive Treatment (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Medication
Every smoker should be offered medications endorsed in this Guideline, except where contraindicated or for specific populations for which there is insu…
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psnet.ahrq.gov/node/47954/psn-pdf
August 07, 2019 - Special Issue on Resilience Engineering and High
Reliability Organizations.
August 7, 2019
Wears RL, Roberts KH, eds. Safety Sci. 2019;117;458-533.
https://psnet.ahrq.gov/issue/special-issue-resilience-engineering-and-high-reliability-organizations
Resilience is an organizational characteristic that enables indivi…
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psnet.ahrq.gov/node/48072/psn-pdf
June 19, 2019 - Independent double checks: worth the effort if used
judiciously and properly.
June 19, 2019
ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7.
https://psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
Independent double checks can reduce risk of human …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-e.pdf
September 01, 2015 - Appendix E. Poster on Urinary Catheter Risks and Indications
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix E. Poster on Urinary Catheter Risks
and Indications
■ Acute urinary retention or obstruction
■ Perioperative use in selected surgeries
■ Assistance of healing of severe perineal an…