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psnet.ahrq.gov/issue/food-and-drug-administrations-national-drug-code-directory
February 15, 2017 - Government Resource
The Food and Drug Administration's National Drug Code Directory.
Citation Text:
The Food and Drug Administration's National Drug Code Directory. Levinson DR. Washington DC; Office of the Inspector General, US Department of Health and Human Services: August 2006. R…
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psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
December 19, 2016 - Newspaper/Magazine Article
Medication errors involving healthcare students.
Citation Text:
Medication errors involving healthcare students. Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23.
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psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes
October 05, 2022 - Book/Report
Improving Education—A Key to Better Diagnostic Outcomes.
Citation Text:
Improving Education—A Key to Better Diagnostic Outcomes. Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0026-1-EF
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psnet.ahrq.gov/issue/plague-year-mistakes-and-struggles-behind-americas-covid-19-tragedy
September 04, 2013 - Newspaper/Magazine Article
The plague year. The mistakes and the struggles behind America’s coronavirus tragedy.
Citation Text:
The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. Wright L. New Yorker. January 4, 2021;96(463):20-59.
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psnet.ahrq.gov/issue/your-patient-ready-go-home
November 08, 2023 - Newspaper/Magazine Article
Is your patient ready to go home?
Citation Text:
Hoenig LJ. Is your patient ready to go home? Medical economics. 2006;83(11):45-6.
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psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-care
November 18, 2011 - Book/Report
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition.
Citation Text:
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute…
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psnet.ahrq.gov/issue/science-simulation-healthcare-defining-and-developing-clinical-expertise
November 02, 2011 - Meeting/Conference Proceedings
The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise.
Citation Text:
The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise. Kaji AH, Cone DC, eds. Acad Emerg Med. 2008;15:971-1222.
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psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication-adherence-chronic
January 20, 2016 - Book/Report
Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease.
Citation Text:
Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. Cambridge, MA: New England He…
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psnet.ahrq.gov/issue/err-human-need-trauma-support-too
December 21, 2018 - Commentary
To err is human; the need for trauma support is, too.
Citation Text:
To err is human; the need for trauma support is, too. Kenney LK, van Pelt RA. Patient Safety Quality Healthcare. January/February 2005.
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psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
September 29, 2017 - Book/Report
Optimal Resources for Surgical Quality and Safety.
Citation Text:
Optimal Resources for Surgical Quality and Safety. Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242.
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psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
April 24, 2018 - Commentary
Peripheral vision: expertise in real world contexts.
Citation Text:
Dreyfus HL, Dreyfus SE. Peripheral Vision. Organization Studies. 2005;26(5). doi:10.1177/0170840605053102.
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psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
October 25, 2013 - Book/Report
Finding and Preventing Patient Safety Incidents.
Citation Text:
Finding and Preventing Patient Safety Incidents. Golden, CO: HealthGrades, Inc.; June 9, 2014.
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psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
March 30, 2022 - Commentary
White blood cell left shift in a neonate: a case of mistaken identity.
Citation Text:
White blood cell left shift in a neonate: a case of mistaken identity. Mohamed IS; Wynn RJ; Cominsky K; Reynolds AM; Ryan RM; Kumar VH; Lakshminrusimha S.
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psnet.ahrq.gov/issue/effect-smartphone-based-application-learning-nursing-students-performance-preventing
June 14, 2023 - Study
The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units.
Citation Text:
Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing st…
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psnet.ahrq.gov/issue/does-your-knee-make-more-click-or-clack-teaching-car-talk-new-docs
April 17, 2019 - Newspaper/Magazine Article
"Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs.
Citation Text:
"Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs. Chisholm P. Health Shots. National Public Radio. February 27, 2019.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.2. Suntown 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…
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psnet.ahrq.gov/issue/cost-errors-medicares-new-policy-could-cost-average-hospital-23772-study
March 28, 2012 - Newspaper/Magazine Article
The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.
Citation Text:
The cost of errors: Medicare's new policy could cost the average hospital $23,772: study. Wilson L.
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psnet.ahrq.gov/issue/final-five-ascs-told-target-patient-safety
April 24, 2018 - Newspaper/Magazine Article
Final five: ASCs told to target patient safety.
Citation Text:
Rollins G. Final five: ASCs told to target patient safety. Hospitals & health networks. 2007;81(12):53-4, 56, 1.
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digital.ahrq.gov/2020-year-review/research-dissemination/reaching-research-community-through-web-conferences
January 01, 2020 - Reaching the Research Community Through Web Conferences
AHRQ convenes national web conferences to highlight recent developments and disseminate the impact of innovative digital healthcare research. In 2020, the AHRQ Digital Healthcare Research Program convened two conferences.
Go to th…
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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…