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psnet.ahrq.gov/node/45547/psn-pdf
October 05, 2016 - Sick children face potentially deadly danger: medication
errors.
October 5, 2016
Furfaro H. Wall Street Journal. September 25, 2016.
https://psnet.ahrq.gov/issue/sick-children-face-potentially-deadly-danger-medication-errors
Medication errors in pediatric care are common in the hospital and at home. This newspaper…
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psnet.ahrq.gov/node/73668/psn-pdf
September 01, 2021 - Leadership: an effective human factor during COVID-19.
September 1, 2021
Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203-
205. doi:10.1136/leader-2020-000384.
https://psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19
Hierarchy and professional…
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psnet.ahrq.gov/node/46221/psn-pdf
July 02, 2017 - Tools and methods for quality improvement and patient
safety in perinatal care.
July 2, 2017
Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care.
Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002.
https://psnet.ahrq.gov/issue/tools-and-methods-q…
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psnet.ahrq.gov/node/45387/psn-pdf
August 15, 2016 - Preventing medication errors.
August 15, 2016
Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10.
doi:10.1016/j.gerinurse.2016.06.005.
https://psnet.ahrq.gov/issue/preventing-medication-errors
Nursing home patients are particularly vulnerable to medication errors. This commentar…
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psnet.ahrq.gov/node/866956/psn-pdf
October 16, 2024 - Obstetrics and gynecologic hospitalists and their focus:
impact on safety and quality metrics.
October 16, 2024
Gonzalez AK, Butler JR. Obstetrics and gynecologic hospitalists and their focus: impact on safety and
quality metrics. Obstet Gynecol Clin North Am. 2024;51(3):453-461. doi:10.1016/j.ogc.2024.05.001.
htt…
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psnet.ahrq.gov/node/35502/psn-pdf
May 27, 2011 - Medication errors: a prospective cohort study of hand-
written and computerised physician order entry in the
intensive care unit.
May 27, 2011
Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and
computerised physician order entry in the intensive care unit. Cr…
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psnet.ahrq.gov/node/60801/psn-pdf
August 12, 2020 - Targeting zero harm: a stretch goal that risks breaking the
spring.
August 12, 2020
Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring.
NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354.
https://psnet.ahrq.gov/issue/targeting-zero-harm-stretch-g…
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psnet.ahrq.gov/node/45611/psn-pdf
May 27, 2025 - Funding Announcement for Projects Targeting the
Reduction of Healthcare-Associated Infections.
July 7, 2021
Rockville, MD: Agency for Healthcare Research and Quality; July 7 2021.
https://psnet.ahrq.gov/issue/funding-announcement-projects-targeting-reduction-healthcare-associated-
infections
Health care–associate…
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psnet.ahrq.gov/node/34100/psn-pdf
February 09, 2011 - Safety of patients isolated for infection control.
February 9, 2011
Stelfox HT, Bates DW, Redelmeier DA. Safety of patients isolated for infection control. JAMA.
2003;290(14):1899-1905.
https://psnet.ahrq.gov/issue/safety-patients-isolated-infection-control
This study discovered that patients isolated for coloniza…
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psnet.ahrq.gov/node/45204/psn-pdf
September 18, 2016 - Alternative perspectives of safety in home delivered
health care: a sequential exploratory mixed method study.
September 18, 2016
Jones S. Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed
method study. J Adv Nurs. 2016;72(10):2536-46. doi:10.1111/jan.13006.
https://p…
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psnet.ahrq.gov/node/46516/psn-pdf
December 16, 2017 - The business case for investing in physician well-being.
December 16, 2017
Shanafelt TD, Goh J, Sinsky CA. The Business Case for Investing in Physician Well-being. JAMA Intern
Med. 2017;177(12):1826-1832. doi:10.1001/jamainternmed.2017.4340.
https://psnet.ahrq.gov/issue/business-case-investing-physician-well-being
…
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psnet.ahrq.gov/node/47381/psn-pdf
April 03, 2019 - The role of the patient in patient safety: what can we learn
from healthcare's history?
April 3, 2019
Leistikow I, Huisman F. The role of the patient in patient safety: What can we learn from healthcare's
history? J Patient Saf Risk Manag. 2018;23(4):139-141. doi:10.1177/2516043518791051.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/867701/psn-pdf
August 01, 2017 - Toolkit To Improve Safety for Mechanically Ventilated
Patients.
August 1, 2017
Agency for Healthcare Research and Quality . Toolkit To Improve Safety for Mechanically Ventilated
Patients. August 2017.
https://psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients
Patients requiring mechanica…
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digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/citation/coordinated
January 01, 2023 - Coordinated use of Health Level 7 standards to support clinical decision support: Case study with shared decision making and drug-drug interactions.
Citation
Thiess H, Del Fiol G, Malone DC, Cornia R, Sibilla M, Rhodes B, Boyce RD, Kawamoto K, Reese T. Coordinated use of Health Level 7 standards to su…
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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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Print
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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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
September 01, 2021 - Long-term Care Facilities
Resources for long-term care facilities
Improving Patient Safety in Long-Term Care Facilities
Detecting and promptly reporting changes in a nursing home resident's condition are critical for ensuring the resident's well-being and safety. Such changes may represent a patient s…
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psnet.ahrq.gov/node/47597/psn-pdf
August 07, 2019 - Intentional rounding—an integrative literature review.
August 7, 2019
Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs.
2019;75(6):1151-1161. doi:10.1111/jan.13897.
https://psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review
This review exam…
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psnet.ahrq.gov/node/45273/psn-pdf
October 13, 2018 - Using an inpatient portal to engage families in pediatric
hospital care.
October 13, 2018
Kelly MM, Hoonakker P, Dean SM. Using an inpatient portal to engage families in pediatric hospital care. J
Am Med Inform Assoc. 2017;24(1):153-161. doi:10.1093/jamia/ocw070.
https://psnet.ahrq.gov/issue/using-inpatient-portal…
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psnet.ahrq.gov/node/74064/psn-pdf
May 27, 2021 - Achieving zero inequity: lessons learned from patient
safety.
May 27, 2021
Gandhi TK. NEJM Catalyst. May 27, 2021.
https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety
The COVID-19 pandemic has shown a spotlight on bias, disparities, and inequity in the healthcare system.
The author…
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psnet.ahrq.gov/node/43677/psn-pdf
November 19, 2014 - Reporting and Learning Systems for Medication Errors:
The Role of Pharmacovigilance Centres.
November 19, 2014
Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World Health Organization; October
2014. ISBN: 9789241507943.
https://psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-err…