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psnet.ahrq.gov/node/47541/psn-pdf
March 04, 2019 - Health outcomes of deprescribing interventions among
older residents in nursing homes: a systematic review
and meta-analysis.
March 4, 2019
Kua C-H, Mak VSL, Lee SWH. Health Outcomes of Deprescribing Interventions Among Older Residents in
Nursing Homes: A Systematic Review and Meta-analysis. J Amer Med Direct Asso…
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psnet.ahrq.gov/node/36276/psn-pdf
October 21, 2010 - Effects of nursing rounds on patients' call light use,
satisfaction, and safety.
October 21, 2010
Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and
safety. Am J Nurs. 2006;106(9):58-71.
https://psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light…
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psnet.ahrq.gov/node/47224/psn-pdf
June 27, 2018 - Managing Alarms in Acute Care Across the Life Span:
Electrocardiography and Pulse Oximetry.
June 27, 2018
Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Crit Care
Nurse. 2018;38(2):e16-e20. doi:10.4037/ccn2018468.
https://psnet.ahrq.gov/issue/managing-alarms-acute-care-…
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psnet.ahrq.gov/node/36698/psn-pdf
February 24, 2011 - The impact of duty hours on resident self reports of
errors.
February 24, 2011
Vidyarthi A, Auerbach AD, Wachter R, et al. The impact of duty hours on resident self reports of errors. J
Gen Intern Med. 2007;22(2):205-9.
https://psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors
Residency programs…
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psnet.ahrq.gov/node/73530/psn-pdf
July 28, 2021 - The nature, severity and causes of medication incidents
from an Australian community pharmacy incident
reporting system: the QUMwatch study.
July 28, 2021
Adie K, Fois RA, McLachlan AJ, et al. The nature, severity and causes of medication incidents from an
Australian community pharmacy incident reporting system: T…
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psnet.ahrq.gov/node/47495/psn-pdf
October 31, 2018 - Developing and evaluating clinical leadership
interventions for frontline healthcare providers: a review
of the literature.
October 31, 2018
Mianda S, Voce A. Developing and evaluating clinical leadership interventions for frontline healthcare
providers: a review of the literature. BMC Health Serv Res. 2018;18(1):…
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psnet.ahrq.gov/node/45898/psn-pdf
August 16, 2017 - Estimating hospital-related deaths due to medical error: a
perspective from patient advocates.
August 16, 2017
Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A
Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. doi:10.1097/PTS.0000000000000364.
http…
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www.ahrq.gov/research/findings/final-reports/index.html?page=1
January 01, 2024 - Grantee Final Reports: Patient Safety
Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety.
The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
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www.ahrq.gov/news/newsletters/e-newsletter/951.html
March 01, 2025 - AHRQ Report Identifies Strategies To Reduce Emergency Department Boarding
Issue Number
951
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
March 25, 2025
AHRQ Stats: MRSA Rates by Payer Type The rate of MRSA diagnoses on admission among expected self-pay hosp…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-delivery-hpv-vaccine
January 01, 2023 - Using Health Information Technology to Improve Delivery of HPV Vaccine
Project Final Report ( PDF , 142.79 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 necessarily represent t…
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - promotes professional self-governance, fosters a fair and just culture of safety and kindness, and reduces
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digital.ahrq.gov/sites/default/files/docs/citation/09-10-0091-1-EF.pdf
October 01, 2009 - These roles include:
• Memory aid: Reduces the need to rely on memory alone for information required … • Computational aid: Reduces the need to mentally group, compare, or analyze
information. … Actively managing the
“healthy” patient population through preventative and health promotion activities reduces … Actively managing
the “healthy” patient population through preventative and health promotion activities reduces
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis
Save
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May 31, 2023
Innovation
Contact
…
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www.ahrq.gov/sites/default/files/publications/files/psml-planning-grants-final-report.pdf
May 01, 2016 - promotes professional self-governance, fosters a fair
and just culture of safety and kindness, and reduces
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
May 01, 2016 - promotes professional self-governance, fosters a fair
and just culture of safety and kindness, and reduces
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
August 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Implications for Practice Improvement, Research, and Policy
Previous Page Next Page
Table of Contents
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Introduction
Uniqu…
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psnet.ahrq.gov/print/pdf/node/866984
January 01, 2020 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Interdisciplinary teamwork
Curated Library
Foundations
Medical teamwork and the evolution of safety science: a critical review.
Neuhaus C, Lutnæs DE, Bergström J. Cogn Technol Work. 2020;22:13-27.
In this narrative review, the authors contr…
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - Failure to Report
March 1, 2007
Spath P. Failure to Report. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/failure-report
Case Objectives
List common causes of medical errors.
Appreciate the magnitude of underreporting of adverse events.
List the common barriers to reporting adverse events and near misses…
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www.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - CUSP Videos
The following videos give examples of CUSP practices.
Introduction
About CUSP—A Doctor's Perspective
About CUSP: A Nurse's Perspective
About CUSP: Overview
Assemble the Team
The 4 E's
Building Your CUSP Team
Psychological Safety
Physician Engagement
Engage the Senior Executive
…
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www.ahrq.gov/hai/tools/mvp/about.html
March 01, 2017 - About the Toolkit Development
The toolkit was developed as part of a 3-year project to help staff in intensive care units use Comprehensive Unit-based Safety Program (CUSP) principles to reduce complications from mechanical ventilation, including ventilator-associated pneumonia. It was developed through a partn…