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psnet.ahrq.gov/issue/diagnostic-error-internal-medicine
May 25, 2022 - Study
Diagnostic error in internal medicine.
Citation Text:
Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499.
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psnet.ahrq.gov/issue/improving-quality-and-safety-patient-care-cardiac-anesthesia
September 26, 2012 - Review
Improving the quality and safety of patient care in cardiac anesthesia.
Citation Text:
Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018.
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psnet.ahrq.gov/issue/practice-advisory-intraoperative-awareness-and-brain-function-monitoring
July 16, 2018 - Review
Practice Advisory on Intraoperative Awareness and Brain Function Monitoring.
Citation Text:
Awareness AS of ATF on I. Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative …
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psnet.ahrq.gov/issue/new-graduate-registered-nurses-knowledge-patient-safety-and-practice-literature-review
June 13, 2018 - Review
New graduate registered nurses' knowledge of patient safety and practice: a literature review.
Citation Text:
Murray M, Sundin D, Cope V. New graduate registered nurses' knowledge of patient safety and practice: A literature review. J Clin Nurs. 2018;27(1-2):31-47. doi:10.1111/joc…
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psnet.ahrq.gov/issue/fda-preliminary-public-health-notification-unpredictable-events-medical-equipment-due-new
June 02, 2021 - Government Resource
FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change.
Citation Text:
FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time chang…
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psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma
March 07, 2018 - Study
Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study.
Citation Text:
Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…
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psnet.ahrq.gov/issue/inpatient-notes-just-what-doctor-ordered-checklists-improve-diagnosis
August 14, 2019 - Commentary
Inpatient notes: just what the doctor ordered—checklists to improve diagnosis.
Citation Text:
Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.…
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psnet.ahrq.gov/issue/why-your-doctors-white-coat-can-be-threat-your-health
November 18, 2016 - Newspaper/Magazine Article
Why your doctor's white coat can be a threat to your health.
Citation Text:
Haun N, Hooper-Lane C, Safdar N. Healthcare Personnel Attire and Devices as Fomites: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(11):1367-1373.
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psnet.ahrq.gov/issue/safety-culture-includes-good-catches
August 21, 2024 - Commentary
Safety culture includes "good catches."
Citation Text:
Traynor K. Safety culture includes "good catches". Am J Health Syst Pharm. 2015;72(19):1597-1599. doi:10.2146/news150065.
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psnet.ahrq.gov/issue/effect-pharmacists-medication-errors-emergency-department
September 23, 2020 - Study
Effect of pharmacists on medication errors in an emergency department.
Citation Text:
Brown JN, Barnes CL, Beasley B, et al. Effect of pharmacists on medication errors in an emergency department. Am J Health Syst Pharm. 2008;65(4):330-3. doi:10.2146/ajhp070391.
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psnet.ahrq.gov/issue/scientific-inquiry-100000-lives-campaign-and-application-children
April 05, 2017 - Commentary
Scientific inquiry. 100,000 lives campaign and the application to children.
Citation Text:
Edson BS, Williams MC. Scientific Inquiry . 100,000 Lives Campaign and the Application to Children. Journal for Specialists in Pediatric Nursing. 2006;11(2). doi:10.1111/j.1744-6155.20…
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-continuing-leadership-needed-hhs-prioritize
September 06, 2016 - Congressional Testimony
Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections.
Citation Text:
Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to…
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psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program
September 23, 2020 - Commentary
The WakeWings journey: creating a patient safety program.
Citation Text:
Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9. doi:10.1016/j.aorn.2016.04.004.
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psnet.ahrq.gov/issue/prioritizing-threats-patient-safety-rural-primary-care
April 23, 2014 - Study
Prioritizing threats to patient safety in rural primary care.
Citation Text:
Singh R, Singh A, Servoss TJ, et al. Prioritizing threats to patient safety in rural primary care. J Rural Health. 2007;23(2):173-8.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
December 01, 2020 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan
Workforce
Safety
Patricia McGaffigan, RN, MS, CPPS
pmcgaffigan@ihi.org; @Pmcgaffigan_IHI
mailto:pmcgaffigan@ihi.org
Why Workforce Safety Matters
Workforce safety is
essential for safe, high-
quality care and is
preconditional to …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_3_Physician_HO_508.pdf
January 01, 2010 - Strategy 4: IDEA Discharge Planning (Tool 3)
Guide to Patient and Family Engagement :: 1
Improving Discharge Outcomes with Patients and Families
Evidence for engaging patients
and families in discharge planning
Nearly 20 percent of patients experience an adverse
event within 30 days of discharge.1,2 Re…
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digital.ahrq.gov/ahrq-funded-projects/development-and-implementation-remote-telehealth-user-reported-cancer
September 30, 2023 - Development and Implementation of the REmote Telehealth User-Reported caNcer Surveillance (RETURNS) Program for Lung Cancer
Project Description
The ability to remotely collect and review signs and symptoms of lung cancer recurrence using patient-reported outcomes and results of…
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psnet.ahrq.gov/node/43355/psn-pdf
July 23, 2014 - Nearing zero...reducing grade C medication errors. … Nearing zero..reducing grade C medication errors.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0543_05-24-2013.pdf
January 01, 2013 - Summary: alternative strategies, including educational strategies and antibiotic management, for
reducing … Individuals with acute cough illness Intervention(s): Educational and
antimicrobial strategies for reducing … present with ACI, what is the comparative effectiveness of various
from Nominator: interventions for reducing
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
January 01, 2018 - Microsoft PowerPoint - Updated Handouts - Read-Only
REDUCING MEDICATIONS SAFELY
TO MEET LIFE’S CHANGES … taking:_____________________
Your dose: _____________________________________________
WHY CONSIDER REDUCING … Adapted from “Reducing Medications Safely to Meet Life’s Changes, Focus on Benzodiazepine Receptor Agonists