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psnet.ahrq.gov/issue/implementation-cpoe-and-medication-errors
July 18, 2012 - Commentary
Implementation, CPOE, and medication errors.
Citation Text:
Bradley V. Implementation, CPOE, and medication errors. Comput Inform Nurs. 2005;23(3):113-114, 138.
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psnet.ahrq.gov/issue/medical-error-disclosure-gap-between-attitude-and-practice
November 13, 2024 - Study
Medical error disclosure: the gap between attitude and practice.
Citation Text:
Ghalandarpoorattar SM, Kaviani A, Asghari F. Medical error disclosure: the gap between attitude and practice. Postgrad Med J. 2012;88(1037):130-3. doi:10.1136/postgradmedj-2011-130118.
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psnet.ahrq.gov/issue/applying-lean-methods-improve-quality-and-safety-surgical-sterile-instrument-processing
September 16, 2015 - Study
Applying Lean methods to improve quality and safety in surgical sterile instrument processing.
Citation Text:
Blackmore C, Bishop R, Luker S, et al. Applying lean methods to improve quality and safety in surgical sterile instrument processing. Jt Comm J Qual Patient Saf. 2013;39(…
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psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement
December 01, 2010 - Commentary
Researchers' roles in patient safety improvement.
Citation Text:
Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf. 2016;12(1):25-33. doi:10.1097/PTS.0000000000000096.
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www.ahrq.gov/news/newsroom/case-studies/202502.html
June 01, 2025 - Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture®, TeamSTEPPS®
Search All Impact Case Studies
June 2025
Kaiser Permanente (KP) School of Anesthesia in Pasadena, California, uses AHRQ’s Surveys on Patient Safety Culture (SOPS®) to improve ambulatory care and expand docto…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-online-care-model-follow-management-atopic-dermatitis/annual-activity/2010
January 01, 2010 - Patient-Centered Online Care Model for Followup Management - 2010
Project Name
Patient-Centered Online Care Model for Follow-Up Management of Atopic Dermatitis
Principal Investigator
Armstrong, April
Organization
University of California, Davis
Funding Mechanism
PAR…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-online-care-model-follow-management-atopic-dermatitis/annual-summary/2012
January 01, 2012 - Patient-Centered Online Care Model for Followup Management of Atopic Dermatitis - 2012
Project Name
Patient-Centered Online Care Model for Follow-Up Management of Atopic Dermatitis
Principal Investigator
Armstrong, April
Organization
University of California, Davis
Fu…
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psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua
February 04, 2009 - Special or Theme Issue
Supplement on Deepening our Understanding of Quality in Australia (DUQuA).
Citation Text:
Supplement on Deepening our Understanding of Quality in Australia (DUQuA). Int J Qual Health Care. 2020;32(Supp1):1-105.
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psnet.ahrq.gov/issue/fighting-against-covid-19-innovative-strategies-clinical-pharmacists
March 24, 2019 - Commentary
Fighting against COVID-19: innovative strategies for clinical pharmacists.
Citation Text:
Li H, Zheng S, Liu F, et al. Fighting against COVID-19: innovative strategies for clinical pharmacists. Res Social Adm Pharm. 2020. doi:10.1016/j.sapharm.2020.04.003.
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psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
July 27, 2018 - Book/Report
Resident Safety Practices in Nursing Home Settings.
Citation Text:
Resident Safety Practices in Nursing Home Settings. Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-…
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psnet.ahrq.gov/issue/apology-errors-whose-responsibility
September 27, 2016 - Commentary
Apology for errors: whose responsibility?
Citation Text:
Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12.
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psnet.ahrq.gov/issue/model-building-standardized-hand-protocol
September 22, 2010 - Commentary
A model for building a standardized hand-off protocol.
Citation Text:
Arora V, Johnson J. A model for building a standardized hand-off protocol. Jt Comm J Qual Saf. 2006;32(11):646-655.
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psnet.ahrq.gov/issue/patients-attitudes-towards-patient-involvement-safety-interventions-results-two-exploratory
July 06, 2012 - Study
Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies.
Citation Text:
Davis R, Sevdalis N, Pinto A, et al. Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies. Health Exp…
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psnet.ahrq.gov/issue/delivering-truth-challenges-and-opportunities-error-disclosure-obstetrics
December 01, 2021 - Commentary
Delivering the truth: challenges and opportunities for error disclosure in obstetrics.
Citation Text:
Carranza L, Lyerly AD, Lipira L, et al. Delivering the Truth. Obstetrics & Gynecology. 2014;123(3). doi:10.1097/aog.0000000000000130.
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psnet.ahrq.gov/issue/team-structure-and-adverse-events-home-health-care
February 03, 2011 - Study
Team structure and adverse events in home health care.
Citation Text:
Feldman PH, Bridges J, Peng T. Team structure and adverse events in home health care. Med Care. 2007;45(6):553-61.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/susan-edgman-levitan-intro-slides.pdf
March 15, 2016 - Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores
Strategies for Improving CAHPS
Clinician & Group (CG-CAHPS)
Survey Scores
A Webcast Presented by the AHRQ CAHPS User Network
March 15, 2016
12:00 – 1:00 pm EDT
CAHPS Webcast Series
• Consumer Assessment of Healthcare Providers
and Syste…
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psnet.ahrq.gov/issue/normal-neurologic-and-developmental-outcome-after-accidental-intravenous-infusion-expressed
June 15, 2022 - Study
Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate.
Citation Text:
Ryan A, Mohammad I, Murphy B. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk i…
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-challenge-health-care-professionals-and-institutions
April 19, 2017 - Commentary
Disclosing medical errors to patients: a challenge for health care professionals and institutions.
Citation Text:
Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/…
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psnet.ahrq.gov/issue/medication-administration-errors-nurses-adherence-guidelines
July 08, 2020 - Study
Medication administration errors by nurses: adherence to guidelines.
Citation Text:
Kim J, Bates DW. Medication administration errors by nurses: adherence to guidelines. J Clin Nurs. 2013;22(3-4):590-8. doi:10.1111/j.1365-2702.2012.04344.x.
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psnet.ahrq.gov/issue/objective-medical-emergency-team-activation-criteria-case-control-study
June 22, 2009 - Study
The objective medical emergency team activation criteria: a case-control study.
Citation Text:
Cretikos M, Chen J, Hillman K, et al. The objective medical emergency team activation criteria: a case-control study. Resuscitation. 2007;73(1):62-72.
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