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psnet.ahrq.gov/node/46596/psn-pdf
November 01, 2017 - Infection prevention and control in pediatric ambulatory
settings.
November 1, 2017
Rathore MH, Jackson MA, AAP Committee on Infections Diseases. Pediatrics. 2017;140(5):e20172857.
https://psnet.ahrq.gov/issue/infection-prevention-and-control-pediatric-ambulatory-settings
Patient safety in the ambulatory environme…
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psnet.ahrq.gov/node/47354/psn-pdf
November 21, 2018 - Improving Diagnosis in Medicine Change Package.
November 21, 2018
Chicago, IL: Health Research & Educational Trust; 2018.
https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
Proactive identification of conditions that degrade the diagnostic process can drive improvement. This
toolkit provides …
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psnet.ahrq.gov/node/42160/psn-pdf
April 03, 2013 - The perianesthesia nurse's role in the prevention of
opioid-related sentinel events.
April 3, 2013
Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth
Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001.
https://psnet.ahrq.gov/issue/perianesthesia-nurses-r…
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psnet.ahrq.gov/node/45544/psn-pdf
December 19, 2016 - Prescribing errors that cause harm.
December 19, 2016
Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91.
https://psnet.ahrq.gov/issue/prescribing-errors-cause-harm
Prescribing errors can have harmful results. Analyzing prescribing error reports submitted over a 12- year
period, t…
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psnet.ahrq.gov/node/60262/psn-pdf
April 22, 2020 - COVID-19 exposes potential gaps in PPE training,
effectiveness.
April 22, 2020
Ault A. Medscape Medical News. April 6, 2020.
https://psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness
Training is essential to ensure the safe use of equipment. This article discusses how the incorrect us…
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psnet.ahrq.gov/node/45462/psn-pdf
August 31, 2016 - Learning From Mistakes.
August 31, 2016
London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764.
https://psnet.ahrq.gov/issue/learning-mistakes
The National Health Service (NHS) has a history of sharing analyses of problems in its system.
Summarizing an NHS investigation into the…
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psnet.ahrq.gov/node/40502/psn-pdf
January 01, 2020 - New 2012 National Patient Safety Goal - catheter-
associated urinary tract infection (CAUTI).
June 1, 2011
Joint Commission.
https://psnet.ahrq.gov/issue/new-2012-national-patient-safety-goal-catheter-associated-urinary-tract-
infection-cauti
This announcement reveals the new National Patient Safety Goal for 2012…
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psnet.ahrq.gov/node/41623/psn-pdf
April 05, 2013 - Preventing patient harms through systems of care.
April 5, 2013
Pronovost P, Bo-Linn GW. Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70.
doi:10.1001/jama.2012.9537.
https://psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
Recent initiatives, such as the Partnership for…
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www.ahrq.gov/antibiotic-use/long-term-care/improve/collection.html
June 01, 2021 - Appropriate Collection of Microbiological Specimens
After viewing or presenting this presentation viewers will be able to—
Recognize that collecting a good specimen is important to making treatment decisions.
Detail procedures for collecting urine and respiratory samples from nursing home residents.
…
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psnet.ahrq.gov/node/45237/psn-pdf
June 15, 2016 - Medication reconciliation in oncological patients: a
randomized clinical trial.
June 15, 2016
Vega TG-C, Sierra-Sánchez JF, Martínez-Bautista MJ, et al. Medication Reconciliation in Oncological
Patients: A Randomized Clinical Trial. J Manag Care Spec Pharm. 2016;22(6):734-40.
doi:10.18553/jmcp.2016.15248.
https:/…
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psnet.ahrq.gov/node/40204/psn-pdf
April 14, 2011 - Residents' intentions and actions after patient safety
education.
April 14, 2011
Jansma JD, Wagner C, Bijnen AB. Residents' intentions and actions after patient safety education. BMC
Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350.
https://psnet.ahrq.gov/issue/residents-intentions-and-actions-after-pati…
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psnet.ahrq.gov/node/37080/psn-pdf
October 03, 2011 - Pharmacists' perceptions of computerized prescriber-
order-entry systems.
October 3, 2011
Inquilla CC, Szeinbach S, Seoane-Vazquez E, et al. Pharmacists' perceptions of computerized prescriber-
order-entry systems. Am J Health Syst Pharm. 2007;64(15):1626-32.
https://psnet.ahrq.gov/issue/pharmacists-perceptions-co…
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psnet.ahrq.gov/node/836788/psn-pdf
March 23, 2022 - A widow’s mission to change NC dental sedation rules.
March 23, 2022
Blythe A. NC Health News. March 10, 2022
https://psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules
Patient harm in dentistry is receiving increased attention and scrutiny. This story covers a medication
incident and the lack of …
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psnet.ahrq.gov/node/73480/psn-pdf
December 17, 2024 - Improving Patient Safety with Human Factors Methods.
December 17, 2024
Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025.
https://psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
Human factors engineering (HFE) is a primary strategy for advancing safety in healt…
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psnet.ahrq.gov/node/40403/psn-pdf
August 25, 2011 - The quality and economic impact of disruptive behaviors
on clinical outcomes of patient care.
August 25, 2011
Rosenstein AH. The quality and economic impact of disruptive behaviors on clinical outcomes of patient
care. Am J Med Qual. 2011;26(5):372-9. doi:10.1177/1062860611400592.
https://psnet.ahrq.gov/issue/qual…
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digital.ahrq.gov/ahrq-funded-projects/reducing-hospital-readmission-rates-implementing-inpatient-tobacco-cessation/citation/effect
January 01, 2023 - Effect of an evidence-based inpatient tobacco dependence treatment service on 30-, 90-, and 180-day hospital readmission rates.
Citation
Cartmell KB, Dooley M, Mueller M, et al. Effect of an evidence-based inpatient tobacco dependence treatment service on 30-, 90-, and 180-day hospital readmission ra…
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digital.ahrq.gov/ahrq-funded-projects/reducing-hospital-readmission-rates-implementing-inpatient-tobacco-cessation/citation/tobacco
January 01, 2023 - Effect of an evidence-based inpatient tobacco dependence treatment service on 1-year postdischarge health care costs.
Citation
Cartmell KB, Dismuke CE, Dooley M, et al. Effect of an evidence-based inpatient tobacco dependence treatment service on 1-year postdischarge health care costs. Med Care 2018 O…
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www.ahrq.gov/topics/chronic-conditions.html
Topic: Chronic Conditions
A chronic condition is defined as a condition that lasts 12 months or longer and meets one or both of the following tests: (a) it places limitations on self-care, independent living, and social interactions; (b) it results in the need for ongoing intervention with medical products, services,…
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digital.ahrq.gov/location/usa-ga-athens
January 01, 2023 - USA, GA, Athens
Machine Learning Validation of Medication Regimen Complexity for Critical Care Pharmacist Resource Prediction
Description
This research will develop and validate machine learning enhanced predictive models improving the allocation of critical care pharmacists t…
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digital.ahrq.gov/location/usa-ms-jackson
January 01, 2023 - USA, MS, Jackson
The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology
Description
This project looked at the ability of EHRs to facilitate patient outcomes tracking, improve provider com…