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psnet.ahrq.gov/node/35393/psn-pdf
April 06, 2011 - Multiplicity of medication safety terms, definitions and
functional meanings: when is enough enough?
April 6, 2011
Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings:
when is enough enough? Qual Saf Health Care. 2005;14(5):358-63.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/41588/psn-pdf
August 15, 2012 - Implementation of an evidence-based extubation
checklist to reduce extubation failure in patients with
trauma: a pilot study.
August 15, 2012
Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation
failure in patients with trauma: a pilot study. AANA J. 2012;80(3):179-184…
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psnet.ahrq.gov/node/862621/psn-pdf
February 14, 2024 - Toward the eradication of medical diagnostic errors.
February 14, 2024
Topol EJ. Toward the eradication of medical diagnostic errors. Science. 2024;383(6681):eadn9602.
doi:10.1126/science.adn9602.
https://psnet.ahrq.gov/issue/toward-eradication-medical-diagnostic-errors
Artificial intelligence (AI) is being touted…
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psnet.ahrq.gov/node/43489/psn-pdf
September 03, 2014 - Did hospital engagement networks actually improve care?
September 3, 2014
Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med.
2014;371(8):691-693. doi:10.1056/NEJMp1405800.
https://psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
In this commentary,…
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psnet.ahrq.gov/node/37624/psn-pdf
September 27, 2017 - Adverse drug events and medication errors in psychiatry:
methodological issues regarding identification and
classification.
September 27, 2017
Mann K, Rothschild JM, Keohane C, et al. Adverse drug events and medication errors in psychiatry:
methodological issues regarding identification and classification. World J…
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psnet.ahrq.gov/node/43525/psn-pdf
July 16, 2015 - Clinical handovers between prehospital and hospital
staff: literature review.
July 16, 2015
Wood K, Crouch R, Rowland E, et al. Clinical handovers between prehospital and hospital staff: literature
review. Emerg Med J. 2015;32(7):577-581. doi:10.1136/emermed-2013-203165.
https://psnet.ahrq.gov/issue/clinical-hando…
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psnet.ahrq.gov/node/43391/psn-pdf
July 30, 2014 - Special Issue on Patient Safety.
July 30, 2014
West J Nurs Res. 2014;36(7):851-946.
https://psnet.ahrq.gov/issue/special-issue-patient-safety-0
Articles in this special issue discuss errors of omission in nursing, the importance of situational awareness
during medication administration, how complexity of health ca…
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psnet.ahrq.gov/node/44566/psn-pdf
October 14, 2015 - FDA Advise-ERR: avoid using the error-prone
abbreviation, TPA.
October 14, 2015
ISMP Medication Safety Alert! Acute Care Edition. September 24, 2015;20:1,4-5.
https://psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa
Describing incidents involving abbreviation confusion for ACTIVASE (alt…
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psnet.ahrq.gov/node/867773/psn-pdf
February 01, 2024 - Central Line Insertion Care Team Checklist.
February 1, 2024
Agency for Healthcare Research and Quality. Central Line Insertion Care Team Checklist.
https://psnet.ahrq.gov/issue/central-line-insertion-care-team-checklist
Checklists are helpful in reducing omissions in standardized processes designed to support safe…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide157.html
October 01, 2014 - 157. Treatment Recommendations: Medications-Relative Effectiveness
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Medication Number of arms Estimated odds ratio (95% C. I.)
Medication
Number of arms
Estimated odds ratio (95% C. I.)
Nicotine Patch (re…
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psnet.ahrq.gov/node/866638/psn-pdf
September 04, 2024 - The problem with 'never events'.
September 4, 2024
Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616.
doi:10.1136/bmjqs-2023-016981.
https://psnet.ahrq.gov/issue/problem-never-events
Never events are serious, but preventable, adverse events that result in serious pati…
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meps.ahrq.gov/data_files/publications/rf23/rf23.shtml
March 01, 2005 - Office of Management and
Budget, which applied 1990 standards using population counts
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hcup-us.ahrq.gov/reports/methods/2012_01.pdf
January 01, 2012 - Microsoft Word - MS2012-01 Population Denominator Data _Updated through 2010 population_.doc
HCUP Methods Series
kbr33831
Contact Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
http://www.hcup-us.ahrq.gov
F…
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - A health system directive should be to impart and enforce new standards for patient-centered labeling
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015437-waters-final-report-2008.pdf
January 01, 2008 - Technology network utilizing telehealth, electronic medical
records, computer-assisted protocol-driven standards
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meps.ahrq.gov/data_files/publications/rf16/rf16.shtml
July 01, 2001 - Office of Management and Budget, which
applied 1990 standards using population counts
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effectivehealthcare.ahrq.gov/sites/default/files/pulmonary-horizon-scan-high-impact-1406.pdf
June 01, 2014 - PULMONARY with "Discussions" in Exec Summary
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 13: Pulmonary Disease, Including Asthma
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/reporting-patients-comments-transcript.pdf
June 01, 2014 - Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work?
Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It
Work?
June 2014 Webcast
Speakers
Steven Martino, PhD, Behavioral Scientist, RAND, Pittsburgh, PA
Rachel Grob, PhD, Senior Scientist, Cent…
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hcup-us.ahrq.gov/reports/methods/MS2022-03-PopulationReport.pdf
December 15, 2022 - Population Denominator Data Sources and Data for Use with HCUP Databases (Updated with 2021 Population Data)
HCUP Method Series
Population Denominator Data Sources and Data for Use with
HCUP Databases (Updated with 2021 Population Data)
Report #2022-03
Contact Information:
Healthcare Cost and Utiliz…
-
hcup-us.ahrq.gov/reports/methods/2020-02.pdf
January 01, 2020 - MS-2020-02
HCUP Method Series
Population Denominator Data Sources and Data for Use with
HCUP Databases (Updated with 2019 Population Data)
Report #2020-02
Contact Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality
5600 Fishers Lane
Room 07W17B …