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psnet.ahrq.gov/node/45064/psn-pdf
April 20, 2016 - Making Care Safer.
April 20, 2016
Agency for Healthcare Research and Quality. Priorities in Focus. March 2016.
https://psnet.ahrq.gov/issue/making-care-safer
The National Quality Strategy is part of AHRQ's ongoing efforts to enhance patient safety. This brief
summarizes the results of the Partnership for Patients …
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psnet.ahrq.gov/node/44693/psn-pdf
June 15, 2016 - Safety.
June 15, 2016
Center for Health Design.
https://psnet.ahrq.gov/issue/safety-0
Elements of the health care work environment can affect the care delivery. This website highlights design
considerations for health care facilities that can help reduce noise, falls, and hospital-acquired infections.
The collect…
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psnet.ahrq.gov/node/45663/psn-pdf
November 09, 2016 - Nursing Home Antimicrobial Stewardship Guide.
November 9, 2016
Rockville, MD: Agency for Healthcare Research and Quality; October 2016.
https://psnet.ahrq.gov/issue/nursing-home-antimicrobial-stewardship-guide
Antimicrobial stewardship is one strategy to reduce health care–associated infections in a variety of
set…
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psnet.ahrq.gov/node/43145/psn-pdf
June 15, 2014 - The 2013 John M. Eisenberg Patient Safety and Quality
Awards.
June 15, 2014
Jt Comm J Qual Patient Saf. 2014;40(5):195-218.
https://psnet.ahrq.gov/issue/2013-john-m-eisenberg-patient-safety-and-quality-awards
Articles in this special issue highlight the achievements of the 2013 John M. Eisenberg Patient Safety and…
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psnet.ahrq.gov/node/40212/psn-pdf
April 04, 2011 - Creating effective quality-improvement collaboratives: a
multiple case study.
April 4, 2011
Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives:
a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159.
https://psnet.ahrq.gov/issue/creatin…
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psnet.ahrq.gov/node/34617/psn-pdf
March 07, 2005 - World Alliance for Patient Safety: forward programme.
March 7, 2005
Geneva, Switzerland: World Health Organization; 2004.
https://psnet.ahrq.gov/issue/world-alliance-patient-safety-forward-programme
This report outlines the six goals set by the new world alliance to achieve what no single country could
accomplish …
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psnet.ahrq.gov/node/42584/psn-pdf
September 11, 2013 - Cardiac surgical ICU care: eliminating "preventable"
complications.
September 11, 2013
Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications.
J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124.
https://psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-p…
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psnet.ahrq.gov/node/42185/psn-pdf
April 10, 2013 - Improving patient safety in medicine: is the model of
anaesthesia care enough?
April 10, 2013
Haller G. Improving patient safety in medicine: is the model of anaesthesia care enough? Swiss Med Wkly.
2013;143:w13770. doi:10.4414/smw.2013.13770.
https://psnet.ahrq.gov/issue/improving-patient-safety-medicine-model-an…
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psnet.ahrq.gov/node/42297/psn-pdf
August 01, 2024 - Society to Improve Diagnosis in Medicine.
August 1, 2024
https://psnet.ahrq.gov/issue/society-improve-diagnosis-medicine
The Society to Improve Diagnosis in Medicine (SIDM) was a not-for-profit organization founded in 2011 that
promoted reducing diagnostic errors through collaboration, research, and education. SIDM…
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psnet.ahrq.gov/node/36914/psn-pdf
March 21, 2017 - Reasons for after-hours calls by hospital floor nurses to
on-call physicians.
March 21, 2017
Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-
call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9.
https://psnet.ahrq.gov/issue/reasons-after-hours-call…
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psnet.ahrq.gov/node/36388/psn-pdf
June 12, 2013 - Using patient safety science to explore strategies for
improving safety in intravenous medication
administration.
June 12, 2013
Franklin M. Journal of the Association for Vascular Access. 2006. 11(3):157–160.
https://psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-…
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psnet.ahrq.gov/node/42613/psn-pdf
September 25, 2013 - Approaches to decreasing medication and other care
errors in the ICU.
September 25, 2013
Valentin A. Approaches to decreasing medication and other care errors in the ICU. Curr Opin Crit Care.
2013;19(5):474-9. doi:10.1097/MCC.0b013e328364d4f9.
https://psnet.ahrq.gov/issue/approaches-decreasing-medication-and-other…
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psnet.ahrq.gov/node/37243/psn-pdf
December 16, 2011 - Raising the awareness of inpatient nursing staff about
medication errors.
December 16, 2011
Elnour AA, Ellahham NH, Qassas HIA. Raising the awareness of inpatient nursing staff about medication
errors. Pharm World Sci. 2008;30(2):182-90.
https://psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-…
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psnet.ahrq.gov/node/46998/psn-pdf
August 01, 2019 - 10 Facts on Patient Safety.
June 27, 2018
Patient Safety and Risk Management Service Delivery and Safety. Geneva, Switzerland; World Health
Organization: August 2019.
https://psnet.ahrq.gov/issue/10-facts-patient-safety
This publication highlights statistics that illustrate the global impact of patient harm. The i…
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psnet.ahrq.gov/node/39464/psn-pdf
February 17, 2011 - Evaluation of a redesign initiative in an internal-medicine
residency.
February 17, 2011
McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine
residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136.
https://psnet.ahrq.gov/issue/evaluation-redesign…
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psnet.ahrq.gov/node/41758/psn-pdf
October 10, 2012 - The Broselow tape as an effective medication dosing
instrument: a review of the literature.
October 10, 2012
Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review
of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.pedn.2012.04.009.
https://psnet.ah…
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psnet.ahrq.gov/node/46442/psn-pdf
October 04, 2017 - Handoff Communication.
October 4, 2017
APSF Newsletter. October 2017;32:29-56.
https://psnet.ahrq.gov/issue/handoff-communication
Handoff processes are known to carry risks of communication errors. This special issue focuses on
transfers involving anesthesia care. Articles review different types of handoffs, chara…
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digital.ahrq.gov/ahrq-funded-projects/reducing-hospital-readmission-rates-implementing-inpatient-tobacco-cessation/citation/feasibility
January 01, 2023 - Feasibility of implementing a hospital-based “opt-out” tobacco cessation service.
Citation
Nahhas GJ, Wilson D, Cartmell KB, et al. Feasibility of implementing a hospital-based “opt-out” tobacco cessation service. Nicotine Tob Res 2017 Aug 1;19(8):937-43. PMID: 27928052.
Link
https://www.ncb…
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www.uspreventiveservicestaskforce.org/uspstf/document/draft-evidence-review/unhealthy-alcohol-use-adolescents-adults-behavioral-counseling-interventions
August 05, 2025 - Share to Facebook
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Unhealthy Alcohol Use in Adolescents and Adults: Screening and Behavioral Counseling Interventions
August 05, 2025
Recommendations made b…
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digital.ahrq.gov/ahrq-funded-projects/feedback-treatment-intensification-data-reduce-cardiovascular-disease-risk-2
January 01, 2023 - System-based participatory research in health care: an approach for sustainable translational research and quality improvement.
Citation
Schmittdiel JA, Grumbach K, Selby JV. System-based participatory research in health care: an approach for sustainable translational research and quality improvement.…