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psnet.ahrq.gov/issue/promethazine-conundrum-iv-can-hurt-more-im-injection
November 13, 2018 - Newspaper/Magazine Article
Promethazine conundrum: IV can hurt more than IM injection!
Citation Text:
Promethazine conundrum: IV can hurt more than IM injection! ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.
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psnet.ahrq.gov/issue/far-more-could-be-done-stop-deadly-bacteria-c-diff
November 08, 2023 - Newspaper/Magazine Article
Far more could be done to stop the deadly bacteria C. diff.
Citation Text:
Far more could be done to stop the deadly bacteria C. diff. Eisler P. USA Today. August 16, 2012.
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psnet.ahrq.gov/issue/diagnostic-excellence-patient-safety-awareness-week-webinar
May 29, 2024 - Webinar
Diagnostic Excellence: a Patient Safety Awareness Week Webinar.
Citation Text:
Diagnostic Excellence: a Patient Safety Awareness Week Webinar. Institute for Healthcare Improvement. March 14, 2024.
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psnet.ahrq.gov/issue/human-costs-training-doctors
December 17, 2014 - Newspaper/Magazine Article
Human costs of training doctors.
Citation Text:
Human costs of training doctors. Dunklin R; Goetinck Ambrose S; Egerton B.
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psnet.ahrq.gov/issue/international-prize-resilient-health-care
August 14, 2018 - Award Announcement
International Prize in Resilient Health Care.
Citation Text:
International Prize in Resilient Health Care. The Australian Institute of Health Innovation.
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psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis
May 13, 2020 - Audiovisual
Uncovering the shocking dangers of misdiagnosis.
Citation Text:
Uncovering the shocking dangers of misdiagnosis. Graedon T. People’s Pharmacy. Show 1355. September 8, 2023.
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www.ahrq.gov/ncepcr/tools/self-mgmt/why.html
February 01, 2016 - Why is Self-Management Support Important?
Self-Management Support
Managing chronic illness and changing behavior are challenging and take time for both providers and patients. Yet, often it is chronically ill patients who are called on to manage the broad array of factors that contribute to their health. Comm…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb8.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B25: Ways Families Can Help Reduce Fall Risk
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Pr…
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psnet.ahrq.gov/issue/getting-rid-never-events-hospitals
April 25, 2016 - Commentary
Getting rid of "never events" in hospitals.
Citation Text:
Getting rid of "never events" in hospitals. Morgenthaler T; Harper CM.
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psnet.ahrq.gov/issue/health-care-professionals-tools
January 30, 2003 - Multi-use Website
Health Care Professionals Tools.
Citation Text:
Health Care Professionals Tools. Little Rock, AR: National Transitions of Care Coalition; April 2008.
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psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers
May 01, 2015 - Toolkit
Toolkit To Improve Safety in Ambulatory Surgery Centers.
Citation Text:
Toolkit To Improve Safety in Ambulatory Surgery Centers. Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
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psnet.ahrq.gov/issue/human-factors-pediatric-anesthesia-incidents
June 06, 2018 - Study
Human factors in pediatric anesthesia incidents.
Citation Text:
Human factors in pediatric anesthesia incidents. Marcus R.
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digital.ahrq.gov/principal-investigator/abraham-joanna
January 01, 2024 - Abraham, Joanna
Machine learning-augmented interventions in perioperative care: A systematic review and meta-analysis.
Citation
Mehta D, Gonzalez XT, Huang G, Abraham J. Machine learning-augmented interventions in perioperative care: A systematic review and meta-analysis. Br J…
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psnet.ahrq.gov/issue/checklist
September 28, 2017 - Newspaper/Magazine Article
Classic
The checklist.
Citation Text:
The checklist. Gawande A. New Yorker. December 10, 2007:86-95.
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psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
September 07, 2016 - Newspaper/Magazine Article
Pregnancy-related deaths: saving women’s lives before, during and after delivery.
Citation Text:
Pregnancy-related deaths: saving women’s lives before, during and after delivery. CDC Vital Signs. May 7, 2019.
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psnet.ahrq.gov/issue/whats-name-newborn-naming-conventions-and-wrong-patient-errors
September 14, 2016 - Newspaper/Magazine Article
What's in a name? Newborn naming conventions and wrong-patient errors.
Citation Text:
What's in a name? Newborn naming conventions and wrong-patient errors. ISMP Medication Safety Alert! Acute Care Edition. April 25, 2019.
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psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
August 06, 2008 - Newspaper/Magazine Article
Most surgery in wrong spot done on spine: 11 such cases found in state since 2006.
Citation Text:
Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. Smith S.
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www.ahrq.gov/news/newsroom/case-studies/201804.html
July 01, 2018 - AHRQ Toolkit Helped Madonna Rehabilitation Hospital Reduce Patient Falls by 21 Percent
Search All Impact Case Studies
July 2018
Patient falls resulting in injury were reduced by 21 percent at Madonna Rehabilitation Hospital after the Lincoln, NE, facility implemented AHRQ’s Preventing Falls in Hospitals To…
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digital.ahrq.gov/principal-investigator/chui-michelle-anne
January 01, 2023 - Chui, Michelle Anne
CancelRx case study: Implications for clinic and community pharmacy work systems.
Citation
Watterson TL, Stone JA, Kleinschmidt PC, Chui MA. CancelRx case study: Implications for clinic and community pharmacy work systems. BMC Health Serv Res. 2023 Dec 6;23…
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www.ahrq.gov/news/newsroom/case-studies/201501.html
March 01, 2015 - AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital
Search All Impact Case Studies
March 2015
Nacogdoches Memorial Hospital, a 216-bed Level III trauma center in Nacogdoches, Texas, saw 30-day all-cause readmissions drop from 18.6 percent to 16.6 percent in the six-month …