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psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
May 01, 2017 - Toolkit
Toolkit for Improving Perinatal Safety.
Citation Text:
Toolkit for Improving Perinatal Safety. Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
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psnet.ahrq.gov/issue/capturing-more-emergency-department-errors-anonymous-web-based-reporting-system
July 22, 2019 - Commentary
Capturing more emergency department errors via an anonymous web-based reporting system.
Citation Text:
Capturing more emergency department errors via an anonymous web-based reporting system. Khare RK; Uren B; Wears RL.
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psnet.ahrq.gov/issue/practicing-medicine-difficult-times-protecting-physicians-malpractice-litigation
August 03, 2005 - Book/Report
Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation.
Citation Text:
Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation. Thomas MO, Quinn CJ, Donohue GM. Sudbury, MA: Jones Bartlett; 2009. ISBN: 1…
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psnet.ahrq.gov/issue/implementing-program-patient-safety-small-rural-hospitals
December 24, 2008 - Book/Report
Implementing a Program of Patient Safety in Small Rural Hospitals.
Citation Text:
Implementing a Program of Patient Safety in Small Rural Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; October 2004.
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digital.ahrq.gov/location/usa-md-rockville
January 01, 2023 - USA, MD, Rockville
Understanding Development Methods from Other Industries to Improve the Design of Consumer Health Information Technology
Description
The project conducted an environmental scan and grey literature review, and key informant interviews to identify consumer prod…
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psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-long-term-care
December 24, 2008 - Toolkit
Toolkit to Improve Antibiotic Use in Long-Term Care.
Citation Text:
Toolkit to Improve Antibiotic Use in Long-Term Care. Rockville, MD: Agency for Healthcare Research and Quality; June 2021.
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psnet.ahrq.gov/improvement-tools
February 26, 2025 - Improvement Resources Overview
Patient Safety Innovations highlight important innovations that can lead to improvements in patient safety, while Toolkits provide the practical applications of PSNet research and concepts for front line providers to use in their day to day work. Together these support the implementatio…
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psnet.ahrq.gov/issue/conversation-patient-safety-officers
April 30, 2024 - Book/Report
A Conversation with Patient Safety Officers.
Citation Text:
A Conversation with Patient Safety Officers. Harrisburg, PA: Patient Safety Authority; 2007.
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digital.ahrq.gov/ahrq-funded-projects/mhealth-delivery-motivational-intervention-address-heavy-drinking-among-college/citation/real
January 01, 2023 - Real-time demonstration of a mHealth app designed to reduce college students hazardous drinking.
Citation
Kazemi DM, Borsari B, Levine MJ, Set al. Real-time demonstration of a mHealth app designed to reduce college students hazardous drinking. Psychol Serv. 2018 Nov 8. doi: 10.1037/ser0000310. [Epub a…
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-optimizing-necrotizing-enterocolitis-prevention/citation/standardized
January 01, 2023 - Standardized feeding protocols to reduce risk of necrotizing enterocolitis in fragile infants born premature or with congenital heart disease: implementation science needed.
Citation
Gephart SM, Moore EF, Fry E. Standardized feeding protocols to reduce risk of necrotizing enterocolitis in fragile infa…
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psnet.ahrq.gov/node/74707/psn-pdf
January 26, 2022 - Pharmacy Education and Practice.
January 26, 2022
Cohen M, Degnan D, McDonnell P, eds. Patient Saf. 2022;4(s1):1-45
https://psnet.ahrq.gov/issue/pharmacy-education-and-practice
Pharmacists play a unique role in patient safety that educational methods are shifting to address. This
special issue covers several topic…
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psnet.ahrq.gov/node/44337/psn-pdf
July 22, 2015 - Patient Safety Supplement.
July 22, 2015
Middleton J, ed. Nursing Times and Health Service Journal. July 2015:s1-s20.
https://psnet.ahrq.gov/issue/patient-safety-supplement
Drawing from presentations at an annual conference in the United Kingdom, articles in this supplement
discuss barcode technologies, the Sign u…
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psnet.ahrq.gov/node/45241/psn-pdf
October 31, 2023 - Hospital Harm Project.
October 31, 2023
Canadian Institute for Health Information, Health Excellence Canada.
https://psnet.ahrq.gov/issue/hospital-harm-project
Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative
developed a measure to track unintended harm in acute c…
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digital.ahrq.gov/ahrq-funded-projects/dissemination-and-implementation-qt-risk-clinical-decision-support/citation/clinician
January 01, 2023 - Clinician Satisfaction with advanced clinical decision support to reduce the risk of torsades de pointes.
Citation
Gallo T, Heise CW, Woosley RL, Tisdale JE, Antonescu CC, Gephart SM, Malone DC. Clinician Satisfaction with advanced clinical decision support to reduce the risk of torsades de pointes. …
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digital.ahrq.gov/ahrq-funded-projects/essential-nurse-documentation-studying-ehr-burden-during-covid-19-endburden/citation/eliciting
January 01, 2023 - Eliciting insights from chat logs of the 25X5 Symposium to reduce documentation burden: Novel application of topic modeling.
Citation
Moy AJ, Withall J, Hobensack M, et al. Eliciting insights from chat logs of the 25X5 Symposium to reduce documentation burden: Novel application of topic modeling. J Me…
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psnet.ahrq.gov/node/38149/psn-pdf
October 15, 2008 - Health-Care-Associated Infections in Hospitals: An
Overview of State Reporting Programs and Individual
Hospital Initiatives to Reduce Certain Infections.
October 15, 2008
Washington, DC: United States Government Accountability Office; September 2008. Publication GAO-08-
808.
https://psnet.ahrq.gov/issue/health-ca…
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digital.ahrq.gov/ahrq-funded-projects/cancelrx-health-it-tool-decrease-medication-discrepancies-outpatient-setting/citation/cancelrx
January 01, 2023 - CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting.
Citation
Watterson TL, Stone JA, Brown R, Xiong KZ, Schiefelbein A, Ramly E, Kleinschmidt P, Semanik M, Craddock L, Pitts S, Woodroof T, Chui MA. CancelRx: a health IT tool to reduce medication discrepancies in th…
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digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote/citation/ambulatory
January 01, 2024 - Ambulatory care coordination data gathering and use.
Citation
Geary CR, Hook M, Popejoy L, Smith E, Pasek L, Heermann Langford L, Hewner S. Ambulatory care coordination data gathering and use. Comput Inform Nurs. 2024 Jan 1;42(1):63-70. doi: 10.1097/CIN.0000000000001069. PMID: 37748014.
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h…
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digital.ahrq.gov/ahrq-funded-projects/technology-optimizing-population-care-resource-limited-environment/citation/building
January 01, 2023 - Building equity improvement into quality improvement: reducing socioeconomic disparities in colorectal cancer screening as part of population health management.
Citation
Berkowitz SA, Percac-Lima S, Ashburner JM, et al. Building equity improvement into quality improvement: reducing socioeconomic disp…
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www.uspreventiveservicestaskforce.org/uspstf/announcements/public-comment-draft-recommendation-statement-and-draft-evidence-review-screening-and-interventions-reduce-unhealthy-alcohol-use-0
August 05, 2025 - Public Comment on Draft Recommendation Statement and Draft Evidence Review: Screening and Interventions to Reduce Unhealthy Alcohol Use
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August 5, 2025 – The U.S. Preventive S…