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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/41833/psn-pdf
November 14, 2012 - Risks related to patient bed safety.
November 14, 2012
Sharkey JE, Van Leuven K, Radovich P. Risks related to patient bed safety. J Nurs Care Qual.
2012;27(4):346-51. doi:10.1097/NCQ.0b013e318264744b.
https://psnet.ahrq.gov/issue/risks-related-patient-bed-safety
Reviewing the three major contributing factors to me…
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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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psnet.ahrq.gov/node/60162/psn-pdf
March 25, 2020 - Patient Safety Improvement Act of 2020.
March 25, 2020
SB 3380. 116th Congress (2020).
https://psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
This bill submits amendments to existing US federal law to strengthen state-organized efforts to improve
health care-associated infection control efforts, pediatri…
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psnet.ahrq.gov/node/38602/psn-pdf
January 14, 2025 - World Hand Hygiene Day.
January 14, 2025
World Health Organization
https://psnet.ahrq.gov/issue/save-lives-clean-your-hands
This global initiative raises awareness about hand hygiene as a strategy to reduce health care–associated
infections. The initiative highlights Save Lives: Clean Your Hands, an annual promoti…
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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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in progress
Draft Evidence Review
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/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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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.…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cad-women-treatment_research-protocol.pdf
September 29, 2011 - warrant coronary
revascularization, in light of its lower procedural risk and the evidence that PCI reduces
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary4/lung-cancer-screening-december-2013
July 30, 2013 - current practice involves following nodules with LDCT rather than high-resolution CT, which substantially reduces