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psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
September 11, 2019 - Newspaper/Magazine Article
Partnering with families and patient advocates: another line of defense in adverse event surveillance.
Citation Text:
Partnering with families and patient advocates: another line of defense in adverse event surveillance. ISMP Medication Safety Alert! Acute Care…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0623-140828.pdf
April 25, 2014 - Topic 0527 Fertility Treatment in Women NSD SJ clean
Fertility Treatment in Women
Nomination Summary Document
Results of Topic Selection Process & Next St…
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psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
May 27, 2020 - Book/Report
Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them.
Citation Text:
Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Washington, DC: United States Government Accountability Office; March 2020. Publication GAO-20-248.
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psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-centers-resource-list-users-ahrq-ambulatory
May 11, 2016 - Book/Report
Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture.
Citation Text:
Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Su…
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psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying
December 27, 2018 - Newspaper/Magazine Article
Are national efforts to reduce drug name confusion paying off?
Citation Text:
Are national efforts to reduce drug name confusion paying off? ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6.
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psnet.ahrq.gov/issue/do-staffing-levels-predict-missed-nursing-care
September 27, 2017 - Study
Do staffing levels predict missed nursing care?
Citation Text:
Kalisch BJ, Tschannen D, Lee KH. Do staffing levels predict missed nursing care? Int J Qual Health Care. 2011;23(3):302-8. doi:10.1093/intqhc/mzr009.
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digital.ahrq.gov/ahrq-funded-projects/connecting-healthcare-central-appalachia
January 01, 2023 - Connecting Healthcare in Central Appalachia
Project Final Report ( PDF , 347.31 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No statem…
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psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among
July 26, 2023 - Book/Report
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients.
Citation Text:
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Maxwell A…
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digital.ahrq.gov/ahrq-funded-projects/facilitators-and-barriers-adoption-successful-urban-telemedicine-model/annual-summary/2010
January 01, 2010 - Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model - 2010
Project Name
Facilitators and Barriers to Adoption of a Successful Urban Telemedicine Model
Principal Investigator
McConnochie, Kenneth
Organization
University of Rochester
Funding M…
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psnet.ahrq.gov/issue/back-basics-universal-protocol
March 17, 2021 - Commentary
Back to basics: the Universal Protocol.
Citation Text:
Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002.
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psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
October 19, 2022 - Study
Learning from error: identifying contributory causes of medication errors in an Australian hospital.
Citation Text:
Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(…
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psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
April 08, 2020 - Newspaper/Magazine Article
The other opioid crisis: hospital shortages lead to patient pain, medical errors.
Citation Text:
The other opioid crisis: hospital shortages lead to patient pain, medical errors. Bartolone P. Kaiser Health News. March 16, 2018.
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psnet.ahrq.gov/issue/access-prescription-opioids-primum-non-nocere-teachable-moment
July 02, 2019 - Commentary
Access to prescription opioids—Primum Non Nocere: a teachable moment.
Citation Text:
Tyler PD, Larochelle MR, Mafi JN. Access to Prescription Opioids-Primum Non Nocere: A Teachable Moment. JAMA Intern Med. 2016;176(9):1251-2. doi:10.1001/jamainternmed.2016.3926.
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psnet.ahrq.gov/issue/nonfatal-unintentional-medication-exposures-among-young-children-united-states-2001-2003
February 27, 2019 - Government Resource
Nonfatal, unintentional medication exposures among young children—United States, 2001–2003.
Citation Text:
Prevention C for DC and. Nonfatal, unintentional medication exposures among young children--United States, 2001-2003. MMWR Morb Mortal Wkly Rep. 2006;55(1):1-5…
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www.ahrq.gov/news/newsroom/case-studies/201510.html
May 01, 2015 - Loyola University Health Sciences Division Employs TeamSTEPPS® in Curricula
Search All Impact Case Studies
May 2015
Loyola University Chicago now requires that all students in its schools of medicine and nursing—about 300 annually—be introduced to AHRQ's TeamSTEPPS® patient safety training program.
At t…
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psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
October 28, 2020 - Grant Announcement
FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication
Citation Text:
FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Silver Spring, MD; US Food and Drug Administration: October 4, 2019.
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psnet.ahrq.gov/issue/still-hard-share-psos-making-progress-still-face-tech-hurdles
February 08, 2010 - Newspaper/Magazine Article
Still hard to share. PSOs making progress but still face tech hurdles.
Citation Text:
DerGurahian J. Still hard to share. PSOs making progress but still face tech hurdles. Modern healthcare. 2009;39(41):30, 32.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/infectioncontrol.pdf
October 14, 2008 - Infection Control and Prevention
Infection Control and Prevention
A. Providing a sanitary environment
• All treatment-related areas, equipment and surfaces are kept free of blood, mold, and accumulation of dirt, dust
and other potentially infectious materials.
o Treatment-related areas include any area…
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effectivehealthcare.ahrq.gov/sites/default/files/epstein1.pdf
January 01, 2009 - Epstein
Slide 1: Response to Naik and Singh
Ronald M Epstein MD
Professor of Family Medicine, Psychiatry and Oncology
Director, Rochester Center to Improve Communication in Health Care
University
of Rochester
Medical Center
Slide 2: Starting
points
• Synchronous asynchrono…
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psnet.ahrq.gov/issue/addressing-problematic-opioid-use-oecd-countries
October 14, 2020 - Book/Report
Addressing Problematic Opioid Use in OECD Countries.
Citation Text:
Addressing Problematic Opioid Use in OECD Countries. Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2019. ISBN: 978926474260.
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