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  1. Medication errors and drug-dispensing systems in a hospital pharmacy. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-drug-dispensing-systems-hospital-pharmacy
    November 18, 2016 - Commentary Medication errors and drug-dispensing systems in a hospital pharmacy. Citation Text: Anacleto TA, Perini E, Rosa MB, et al. Medication errors and drug-dispensing systems in a hospital pharmacy. Clinics. 2006;60(4). doi:10.1590/s1807-59322005000400011. Copy Citation For…

  2. Patients, beware: 731 nurses reveal what to watch out for in the hospital. | PSNet

    psnet.ahrq.gov/issue/patients-beware-731-nurses-reveal-what-watch-out-hospital
    November 24, 2021 - Newspaper/Magazine Article Patients, beware: 731 nurses reveal what to watch out for in the hospital. Citation Text: Patients, beware: 731 nurses reveal what to watch out for in the hospital. Consumer Reports. 2009 Sep;74(9):18-23. Copy Citation Save Save to y…

  3. Generic drug names: fertile ground for errors? | PSNet

    psnet.ahrq.gov/issue/generic-drug-names-fertile-ground-errors
    August 11, 2021 - Newspaper/Magazine Article Generic drug names: fertile ground for errors? Citation Text: Generic drug names: fertile ground for errors? Wynn P. Drug Topics. August 8, 2005. Copy Citation Save Save to your library Print Download PDF Share …

  4. You can say sorry. | PSNet

    psnet.ahrq.gov/issue/you-can-say-sorry
    February 25, 2009 - Commentary You can say sorry. Citation Text: Feinmann J. You can say sorry. BMJ. 2009;339:b3057. doi:10.1136/bmj.40018.430972.4D. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  5. Feds stop public disclosure of many serious hospital errors. | PSNet

    psnet.ahrq.gov/issue/feds-stop-public-disclosure-many-serious-hospital-errors
    September 17, 2014 - Newspaper/Magazine Article Feds stop public disclosure of many serious hospital errors. Citation Text: Feds stop public disclosure of many serious hospital errors. O'Donnell J. Copy Citation Save Save to your library Print Download PDF Share …

  6. VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. | PSNet

    psnet.ahrq.gov/issue/va-pauses-16b-oracle-cerner-ehr-deployments-indefinitely-address-error-ridden-early-rollout
    September 14, 2022 - Newspaper/Magazine Article VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. Citation Text: VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. Muoio D. Fierce Healthcare. April 21, 2023. Copy…

  7. The science of interruption. | PSNet

    psnet.ahrq.gov/issue/science-interruption
    September 04, 2024 - Commentary The science of interruption. Citation Text: Coiera E. The science of interruption. BMJ Qual Saf. 2012;21(5):357-60. doi:10.1136/bmjqs-2012-000783. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  8. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-intro.html
    April 01, 2018 - Environmental Scan of Patient Safety Education and Training Programs Introduction Previous Page Next Page Table of Contents Environmental Scan of Patient Safety Education and Training Programs Introduction Chapter 1. Environmental Scan Chapter 2. Electronic Searchable Catalog Chapter 3. Qual…

  9. Patient Safety in Public Hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-safety-public-hospitals
    November 20, 2013 - Book/Report Patient Safety in Public Hospitals. Citation Text: Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689. Copy Citation Save Save to your library P…

  10. Exhibit 5.2. Heights Hospital | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-2.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 5.2. Heights Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital Ca…

  11. Key Driver Diagram | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/key-drivers.html
    July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit Key Driver Diagram Previous Page Next Page Table of Contents Pediatric Asthma Emergency Department Use Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Successful quality impr…

  12. Tenfold errors can lead to tragedy. | PSNet

    psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy
    February 21, 2007 - Newspaper/Magazine Article Tenfold errors can lead to tragedy. Citation Text: Tenfold errors can lead to tragedy. Sipkoff M. Drug Topics. August 21, 2006. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

  13. Marie (Tonette) Krousel-Wood, M.D., M.S.P.H. | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/current-members/marie-tonette-krousel-wood-md-msph
    January 01, 2024 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Marie (Tonette) Krousel-Wood, M.D., M.S.P.H. Member Marie (Tonette) Krousel-Wood, M.D., M.S.P.H., is a professor and the Jack Aron endowed chair in primary care medicine in…

  14. National Prevention Week is May 12-18 | The Academy

    integrationacademy.ahrq.gov/news-and-events/news/national-prevention-week-may-12-18
    May 10, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…

  15. Digital Tools to Support Care Coordination for People with Depression | Digital Healthcare Research

    digital.ahrq.gov/program-overview/research-stories/digital-tools-support-care-coordination-people-depression
    January 01, 2023 - Digital Tools to Support Care Coordination for People with Depression Theme: Optimizing Care Delivery for Clinicians Subtheme: Optimizing Data Visualization to Improve Care Adaptation of a digital mental health intervention has the potential to improve the coordination of and access to men…

  16. AHRQ National Advisory Council to Meet Virtually on July 21 with 7 New Members | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/press-releases/nac-meeting-members.html
    July 01, 2022 - AHRQ National Advisory Council to Meet Virtually on July 21 with 7 New Members Press Release Date: July 18, 2022 The National Advisory Council (NAC) for the Agency for Healthcare Research and Quality (AHRQ) has added seven new members who will convene with the council for their next meeting on Thursday, July 21, …

  17. Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. | PSNet

    psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-stat
    August 23, 2007 - Newspaper/Magazine Article Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. Citation Text: Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. Wang SS. Washington Post. August 31, 2007.…

  18. USA, SC, Charleston | Digital Healthcare Research

    digital.ahrq.gov/location/usa-sc-charleston
    January 01, 2023 - USA, SC, Charleston Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach Description This research aims to examine a health system’s four telehealt…

  19. Eliminating insulin errors: RPhs share tricks.  | PSNet

    psnet.ahrq.gov/issue/eliminating-insulin-errors-rphs-share-tricks
    June 13, 2011 - Newspaper/Magazine Article Eliminating insulin errors: RPhs share tricks.  Citation Text: Eliminating insulin errors: RPhs share tricks.  Cassell D. Drug Topics. March 20, 2006. Copy Citation Save Save to your library Print Download PDF Share…

  20. PQMP Asthma ED Visit Quality Metric Key Driver Diagram (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-ed-kdd.pdf
    March 10, 2021 - PQMP Asthma ED Visit Quality Metric Key Driver Diagram PQMP Asthma ED Visit Quality Metric Key Driver Diagram Authors: Keith Robinson, MD, FAAP; Christine Pellegrino, MS; Judy Shaw, EdD, MPH, RN, FAAP Updated 3/10/2021 SMART Aim: Key Drivers Secondary Drivers Examples of Interventions Reduce the # of ED visits/…
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