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psnet.ahrq.gov/node/37009/psn-pdf
March 18, 2010 - Doing the "right" things to correct wrong-site surgery.
March 18, 2010
Patient Safety Advisory
https://psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery
This article discusses reports of wrong-site surgery submitted to the PA-PSRS, compares them with results
of other studies, and provides suggesti…
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psnet.ahrq.gov/node/37904/psn-pdf
July 09, 2008 - Evidence shows cost and patient safety benefits of
emergency pharmacists.
July 9, 2008
Clancy CM.
https://psnet.ahrq.gov/issue/evidence-shows-cost-and-patient-safety-benefits-emergency-pharmacists
This article discusses activities related to reducing adverse drug events in emergency departments (EDs)
and highligh…
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psnet.ahrq.gov/node/36824/psn-pdf
October 03, 2017 - Department of Defense (DoD) Patient Safety Program.
October 3, 2017
US Department of Defense; DOD
https://psnet.ahrq.gov/issue/department-defense-dod-patient-safety-program
This Web site includes information on several initiatives within the US Military Health System to support its
culture of safety and reduce med…
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psnet.ahrq.gov/node/35137/psn-pdf
May 27, 2011 - Drug errors show need for tech aid.
May 27, 2011
Landro L.
https://psnet.ahrq.gov/issue/drug-errors-show-need-tech-aid
The article discusses the importance of using computerized physician order entry systems that provide
more sophisticated alerts, such as drug dosages and strategies for monitoring patients, to red…
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www.ahrq.gov/nursing-home/resources/cohorting-residents.html
July 01, 2021 - Cohorting Residents to Prevent the Spread of COVID-19
Resource: Cohorting Residents to Prevent the Spread of COVID-19 (PDF, 121 KB)
This document provides guidance on cohorting (separating residents with COVID-19 from other residents) to reduce the exposure of residents without COVID-19.
Source:…
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psnet.ahrq.gov/node/35953/psn-pdf
May 24, 2006 - Too exhausted to act safely?
May 24, 2006
Spath P. Hosp Peer Rev. 2006;31(4):56-59.
https://psnet.ahrq.gov/issue/too-exhausted-act-safely
The author discusses how to identify and evaluate worker fatigue. Part II of this article outlines specific
techniques for reducing health care worker fatigue.
https://psnet.ah…
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psnet.ahrq.gov/node/40552/psn-pdf
June 22, 2011 - Don't come back, hospitals say.
June 22, 2011
Landro L.
https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say
This newspaper article describes government-funded and hospital-based efforts to improve discharge and
reduce preventable readmissions.
https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say
https:…
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psnet.ahrq.gov/node/36259/psn-pdf
October 21, 2010 - How we cut drug errors.
October 21, 2010
Nicol N, Huminski L. How we cut drug errors. At one hospital, IT and changed culture saves lives. Modern
healthcare. 2006;36(34):38.
https://psnet.ahrq.gov/issue/how-we-cut-drug-errors
This article discusses technology-based tools and culture change strategies employed by o…
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psnet.ahrq.gov/node/40491/psn-pdf
June 08, 2011 - Medical error reduction: the effect of employee
satisfaction with organizational support.
June 8, 2011
Lee D; Lee SM; Schniederjans MJ.
https://psnet.ahrq.gov/issue/medical-error-reduction-effect-employee-satisfaction-organizational-support
This survey conducted at four South Korean hospitals found that employees'…
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psnet.ahrq.gov/node/40616/psn-pdf
July 13, 2011 - Clinical decision support and malpractice risk.
July 13, 2011
Greenberg MD, Ridgely MS. Clinical Decision Support and Malpractice Risk. JAMA. 2011;306(1).
doi:10.1001/jama.2011.929.
https://psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk
This commentary discusses liabilities associated with cli…
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psnet.ahrq.gov/node/36423/psn-pdf
December 22, 2010 - Care transitions: a threat and an opportunity for patient
safety.
December 22, 2010
Clancy CM. Care Transitions: A Threat and an Opportunity for Patient Safety. American Journal of Medical
Quality. 2006;21(6). doi:10.1177/1062860606293537.
https://psnet.ahrq.gov/issue/care-transitions-threat-and-opportunity-patien…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/8LBrrLzvtemZYcdNSjToKz
December 01, 2014 - Behavioral Sexual Risk-Reduction Counseling in Primary Care to
Prevent Sexually Transmitted Infections: A Systematic Review for
the U.S. Preventive Services Task Force
Elizabeth A. O’Connor, PhD; Jennifer S. Lin, MD, MCR; Brittany U. Burda, MPH; Jillian T. Henderson, PhD; Emily S. Walsh, MPH; and
Evelyn P. Whitlock, MD…
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effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1306.pdf
July 01, 2013 - Coverage as a drug
6
requiring prior authorization with a brand copayment substantially reduces
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digital.ahrq.gov/sites/default/files/docs/publication/r36hs023349-islam-final-report-2015.pdf
January 01, 2015 - Understanding Complex Clinical Decision Tasks for Better Health Information Technology System Design - Final Report
Understanding Complex Clinical Decision Tasks for Better Health IT System Design
Principal Investigator:
Roosan Islam, PharmD, PhD
Team Members:
Guilherme Del Fiol, MD, PhD – Chair of…
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - What Makes a Good Checklist
Anne Collins McLaughlin, PhD | October 1, 2010
Also Read a Conversation
View more articles from the same authors.
Citation Text:
McLaughlin AC. What Makes a Good Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/LgBN7_z7hqynt6BRzUUYA-
February 01, 2009 - Screening for Skin Cancer: An Update of the Evidence
Clinical Guidelines Annals of Internal Medicine
Screening for Skin Cancer: An Update of the Evidence for the U.S.
Preventive Services Task Force
Tracy Wolff, MD, MPH; Eric Tai, MD, MS; and Therese Miller, DrPH
Background: Skin cancer is the most commonly dia…
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effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1312.pdf
December 01, 2013 - Coverage as a drug
10
requiring prior authorization with a brand copayment substantially reduces
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - Emergency Error
August 21, 2013
Symons NRA. Emergency Error. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/emergency-error
Case Objectives
State that emergency surgery is high risk and has high mortality.
Appreciate that emergency laparotomy is a particularly high-risk procedure with a high likelihood of
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/faqs-final508.pdf
June 02, 2025 - Frequently Asked Questions: The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
The Guide to Improving Patient Safety in Primary Care Settings by
Engaging Patients and Families
Frequently Asked
Questions
Frequently Asked Questions | 1
Implementation
1. How do I g…
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psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy
August 15, 2018 - Acute Respiratory Arrest in Pregnancy
Citation Text:
Sibai B. Acute Respiratory Arrest in Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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