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psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
August 01, 2012 - Toolkit
Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events.
Citation Text:
Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Rockville, MD: Agency for Healthcare Research and Quality; July 2022. AHRQ Publication …
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psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
June 13, 2018 - Toolkit
ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices.
Citation Text:
ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Horsham, PA: Institute for Safe Medication Practices; 2018.
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psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery
January 24, 2018 - Book/Report
AHRQ's Safety Program for Ambulatory Surgery.
Citation Text:
AHRQ's Safety Program for Ambulatory Surgery. Health Research & Educational Trust. Rockville, MD: Agency for Healthcare Research and Quality; May 2017. AHRQ Publication No. 16(17)-0019-1-EF.
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psnet.ahrq.gov/issue/eliminating-serious-preventable-and-costly-medical-errors-never-events
May 26, 2021 - Press Release/Announcement
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events.
Citation Text:
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. Baltimore, MD: Centers for Medicare and Medicaid Services; May 18, 2006.
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psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
October 06, 2022 - Multi-use Website
Diagnostic Excellence Initiative.
Citation Text:
Diagnostic Excellence Initiative. Gordon and Betty Moore Foundation.
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psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
October 11, 2017 - Newspaper/Magazine Article
How DeKalb Medical fixed drug safety problems after fatal error.
Citation Text:
How DeKalb Medical fixed drug safety problems after fatal error. Porter S. HealthLeaders Media. April 26, 2018.
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psnet.ahrq.gov/issue/implementing-patient-safety-alert-system
June 21, 2015 - Study
Implementing a patient safety alert system.
Citation Text:
Furman C. Implementing a patient safety alert system. Nurs Econ. 2005;23(1):42-5.
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psnet.ahrq.gov/issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards-hospital-trust
January 29, 2020 - Newspaper/Magazine Article
‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals
Citation Text:
‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked repor…
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psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
November 06, 2015 - Newspaper/Magazine Article
Promote a culture of safety with good catch reports.
Citation Text:
Promote a culture of safety with good catch reports. Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14.
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psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
January 26, 2023 - Measurement Tool/Indicator
ISMP Medication Errors Reporting Program.
Citation Text:
ISMP Medication Errors Reporting Program. Institute for Safe Medication Practices
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digital.ahrq.gov/location/usa-sc-charleston
January 01, 2023 - USA, SC, Charleston
Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach
Description
This research aims to examine a health system’s four telehealt…
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psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals
July 23, 2014 - Review
Prevention of adverse drug events in hospitals.
Citation Text:
Prevention of adverse drug events in hospitals. Zhu J, Weingart SN. UpToDate. February 29, 2024.
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psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
August 01, 2012 - Audiovisual Presentation
The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety.
Citation Text:
The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality;…
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psnet.ahrq.gov/issue/err-human-quality-and-safety-issues-spine-care
August 04, 2021 - Commentary
To err is human: quality and safety issues in spine care.
Citation Text:
Wong DA, Watters WC. To err is human: quality and safety issues in spine care. Spine (Phila Pa 1976). 2007;32(11 Suppl):S2-8.
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psnet.ahrq.gov/issue/we-cant-do-alone-role-patients-family-members-and-general-public-play-advancing-patient
June 01, 2023 - Webinar
We Can’t Do This Alone! The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety.
Citation Text:
We Can’t Do This Alone! The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety. Patient Safety Movement…
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psnet.ahrq.gov/issue/so-much-care-it-hurts-unneeded-scans-therapy-surgery-only-add-patients-ills
January 15, 2020 - Newspaper/Magazine Article
So much care it hurts: unneeded scans, therapy, surgery only add to patients' ills.
Citation Text:
So much care it hurts: unneeded scans, therapy, surgery only add to patients' ills. Szabo L. Kaiser Health News. October 23, 2017.
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psnet.ahrq.gov/issue/utilizing-pharmacogenomic-testing-can-improve-medication-safety-and-prevent-harm
April 17, 2024 - Newspaper/Magazine Article
Utilizing pharmacogenomic testing can improve medication safety and prevent harm.
Citation Text:
Utilizing pharmacogenomic testing can improve medication safety and prevent harm. ISMP Medication Safety Alert! Acute Care. 2024;29(9):1-4.
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psnet.ahrq.gov/issue/ahrq-quality-and-safety-initiatives
May 20, 2009 - Commentary
AHRQ quality and safety initiatives.
Citation Text:
Clancy CM. AHRQ quality and safety initiatives. Jt Comm J Qual Patient Saf. 2005;31(6):354-6.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/intro.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Introduction
Previous Page Next Page
Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in a Resident's Condition
Module…
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psnet.ahrq.gov/issue/patient-safety-public-hospitals
November 20, 2013 - Book/Report
Patient Safety in Public Hospitals.
Citation Text:
Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689.
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