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psnet.ahrq.gov/issue/selecting-quality-and-resource-use-measures-decision-guide-community-quality-collaboratives
November 17, 2010 - Government Resource
Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives.
Citation Text:
Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. Romano PS, Hussey P, Ritley D. Rockville, MD:…
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psnet.ahrq.gov/issue/other-big-drug-problem-older-people-taking-too-many-pills
December 14, 2016 - Newspaper/Magazine Article
The other big drug problem: older people taking too many pills.
Citation Text:
The other big drug problem: older people taking too many pills. Boodman SG. Washington Post. December 9, 2017.
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psnet.ahrq.gov/issue/exploring-role-patients-promoting-safety-policy-practice
March 13, 2024 - Commentary
Exploring the role of patients in promoting safety: policy to practice.
Citation Text:
Holme A. Exploring the role of patients in promoting safety: policy to practice. Br J Nurs. 2009;18(22):1392-5.
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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - Patient Safety 101: The Fundamentals
What is Patient Safety?
The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…
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psnet.ahrq.gov/issue/utilizing-pharmacogenomic-testing-can-improve-medication-safety-and-prevent-harm
April 17, 2024 - Newspaper/Magazine Article
Utilizing pharmacogenomic testing can improve medication safety and prevent harm.
Citation Text:
Utilizing pharmacogenomic testing can improve medication safety and prevent harm. ISMP Medication Safety Alert! Acute Care. 2024;29(9):1-4.
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psnet.ahrq.gov/print/pdf/node/840940
March 22, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
PSNet How-to Videos
Curated Library
All Library Content
Optimizing PSNet Search for Patient Safety Resources
February 15, 2024
Optimizing PSNet Search for Patient Safety Resources PSNet has over 17,000 patient safety resources
available - d…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - PowerPoint Presentation
Spotlight
Wandering Off the Floors: Safety and Security Risks of Patient Wandering
1
This presentation is based on the June 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…
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psnet.ahrq.gov/primer/responding-patient-safety-events
October 18, 2023 - Responding to Patient Safety Events
Citation Text:
Shaikh U. Responding to Patient Safety Events. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident
August 01, 2014 - Legislation/Regulation
Communication and Resolution After an Adverse Health Care Incident.
Citation Text:
Communication and Resolution After an Adverse Health Care Incident. Pettersen B, Tate J, Tipper K, McKean H. Colorado Senate Bill 19-201.
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psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and-quality-r18
March 08, 2023 - Grant Announcement
Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18).
Citation Text:
Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18). Rockville, MD: Agency for Healthcare Research and Quality; April…
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psnet.ahrq.gov/issue/underdiagnosis-hypertension-children-and-adolescents
January 04, 2012 - Study
Underdiagnosis of hypertension in children and adolescents.
Citation Text:
Hansen M, Gunn PW, Kaelber DC. Underdiagnosis of hypertension in children and adolescents. JAMA. 2007;298(8):874-9.
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psnet.ahrq.gov/issue/effective-discharge-communication-emergency-department
January 24, 2024 - Review
Effective discharge communication in the emergency department.
Citation Text:
Samuels-Kalow ME, Stack AM, Porter SC. Effective discharge communication in the emergency department. Ann Emerg Med. 2012;60(2):152-9. doi:10.1016/j.annemergmed.2011.10.023.
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psnet.ahrq.gov/issue/handoffs-transitions-care-children-emergency-department
July 03, 2016 - Organizational Policy/Guidelines
Handoffs: transitions of care for children in the emergency department.
Citation Text:
Handoffs: transitions of care for children in the emergency department. American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Em…
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psnet.ahrq.gov/issue/systematic-review-medication-errors-pediatric-patients
March 05, 2010 - Review
Systematic review of medication errors in pediatric patients.
Citation Text:
Ghaleb M, Barber N, Franklin BD, et al. Systematic review of medication errors in pediatric patients. Ann Pharmacother. 2006;40(10):1766-76.
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psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-reduce-errors
October 27, 2010 - Newspaper/Magazine Article
Following the patient journey to improve medicines management and reduce errors.
Citation Text:
Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing times. 2009;105(46):12-5.
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psnet.ahrq.gov/issue/patient-safety-listen-whistleblowers
May 22, 2019 - Commentary
Patient safety: listen to whistleblowers.
Citation Text:
Kirkup B, Titcombe J. Patient safety: listen to whistleblowers. BMJ. 2023;382:1972. doi:10.1136/bmj.p1972.
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psnet.ahrq.gov/issue/framework-classifying-factors-contribute-error-emergency-department
February 14, 2024 - Commentary
A framework for classifying factors that contribute to error in the emergency department.
Citation Text:
Cosby K. A framework for classifying factors that contribute to error in the emergency department. Ann Emerg Med. 2003;42(6):815-23.
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psnet.ahrq.gov/issue/second-victim-traumatic-experience
October 06, 2016 - Commentary
Second victim: a traumatic experience.
Citation Text:
Second victim: a traumatic experience. Wands B. AANA J. 2021;89(2):168-174.
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psnet.ahrq.gov/issue/safe-use-opioids-hospitals
February 28, 2018 - Sentinel Event Alerts
Safe use of opioids in hospitals.
Citation Text:
Sentinel Event Alert. 2012;49:1-5.
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psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
June 29, 2011 - Study
A new method to guard inpatient medication safety by the implementation of RFID.
Citation Text:
Sun PR, Wang BH, Wu F. A new method to guard inpatient medication safety by the implementation of RFID. J Med Syst. 2008;32(4):327-32.
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