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psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
March 29, 2007 - Book/Report
First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety.
Citation Text:
First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.
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psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve
June 09, 2009 - Special or Theme Issue
Patient Safety: Committing to Learn and Acting to Improve.
Citation Text:
Patient Safety: Committing to Learn and Acting to Improve. Twigg D, Attree M, eds. Nurse Educ Today. 2014;34(2):159-284.
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psnet.ahrq.gov/issue/patient-safety-through-eyes-your-peers
August 11, 2021 - Commentary
Patient safety: through the eyes of your peers.
Citation Text:
Bry K, Stettner B, Marks J. Patient safety: through the eyes of your peers. Nurs Manage. 2006;37(6):20-24.
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psnet.ahrq.gov/issue/health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse-communication
December 24, 2008 - Newspaper/Magazine Article
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study.
Citation Text:
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funde…
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psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
September 28, 2010 - Study
Interruptions and multitasking in nursing care.
Citation Text:
Kalisch BJ, Aebersold M. Interruptions and multitasking in nursing care. Jt Comm J Qual Patient Saf. 2010;36(3):126-132.
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psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies
November 01, 2016 - Book/Report
Patient and Family Engagement in Primary Care: Case Studies.
Citation Text:
Patient and Family Engagement in Primary Care: Case Studies. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0035-2-EF.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0311_06-17-2008.pdf
January 01, 2008 - Effective Health Care
Topic Number(s): 0176
Document Completion Date: 6-8-10
1
Results of Topic Selection Process & Next Steps
Troponin cardiac marker interpretation during renal function impairment will go forward for refinement
as a systematic review via the AHRQ Evidence-based Practice Cen…
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psnet.ahrq.gov/issue/ding-ling-ling-ambulances-can-be-dangerous-places
September 20, 2017 - Newspaper/Magazine Article
Ding-a-ling-a-ling: ambulances can be dangerous places.
Citation Text:
Ding-a-ling-a-ling: ambulances can be dangerous places. Meisel Z.
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psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-proficiency-guide-hospitals
August 01, 2012 - Book/Report
Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals.
Citation Text:
Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals. Rockville, MD: Agency for Healthcare Research and Quali…
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psnet.ahrq.gov/issue/unintended-exposure-patient-lisa-norris-during-radiotherapy-treatment-beatson-oncology-centre
March 06, 2005 - Book/Report
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006.
Citation Text:
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006.…
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psnet.ahrq.gov/issue/prescribing-errors-cause-harm
March 30, 2016 - Government Resource
Prescribing errors that cause harm.
Citation Text:
Prescribing errors that cause harm. Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91.
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digital.ahrq.gov/ahrq-funded-projects/medication-management-closed-computerized-loop
January 01, 2023 - Medication Management: A Closed Computerized Loop
Project Description
Other Resources
Project Details -
Completed
Grant Number
UC1 HS015231
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT…
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psnet.ahrq.gov/issue/infection-prevention-and-control-pediatric-ambulatory-settings
April 11, 2011 - Organizational Policy/Guidelines
Infection prevention and control in pediatric ambulatory settings.
Citation Text:
Infection prevention and control in pediatric ambulatory settings. Rathore MH, Jackson MA, AAP Committee on Infections Diseases. Pediatrics. 2017;140(5):e20172857.
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psnet.ahrq.gov/issue/iatrogenesis-pediatrics
April 24, 2024 - Special or Theme Issue
Iatrogenesis in Pediatrics.
Citation Text:
Iatrogenesis in Pediatrics. Michalska-Smith M, ed. AMA J Ethics. 2017;19(8):737-842
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psnet.ahrq.gov/issue/same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019
November 06, 2019 - Book/Report
Same Day Surgery in the US; Findings of Two Inaugural Leapfrog Surveys 2019.
Citation Text:
Same Day Surgery in the US; Findings of Two Inaugural Leapfrog Surveys 2019. Washington DC: Leapfrog Group; 2019.
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psnet.ahrq.gov/issue/hospital-better-responses-those-beeping-alarms
August 17, 2016 - Newspaper/Magazine Article
At the hospital, better responses to those beeping alarms.
Citation Text:
At the hospital, better responses to those beeping alarms. Landro L. Wall Street Journal. January 4, 2016.
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psnet.ahrq.gov/issue/fostering-rational-regulation-patient-safety
May 20, 2015 - Review
Fostering rational regulation of patient safety.
Citation Text:
Mello MM, Kelly CN, Brennan TA. Fostering rational regulation of patient safety. J Health Polit Policy Law. 2005;30(3):375-426.
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psnet.ahrq.gov/issue/sponges-surgical-instruments-miscounted-13-surgeries
June 23, 2010 - Newspaper/Magazine Article
Sponges, surgical instruments miscounted in 13% of surgeries.
Citation Text:
Sponges, surgical instruments miscounted in 13% of surgeries. O'Reilly KB. American Medical News. September 22, 2008;51:14.
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www.ahrq.gov/news/newsroom/case-studies/201503.html
March 01, 2015 - Gulf Breeze Hospital in Florida Shows Consistent Improvement in Hospital Survey of Consumers
Search All Impact Case Studies
March 2015
Gulf Breeze Hospital (GBH), a 65-bed, acute-care facility near Pensacola, FL, has improved patient experiences by using AHRQ's Hospital Consumer Assessment of Healthcare Pr…
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psnet.ahrq.gov/issue/pact-collaborative-pathway-accountability-compassion-and-transparency
February 05, 2014 - Multi-use Website
PACT Collaborative: Pathway to Accountability, Compassion and Transparency.
Citation Text:
PACT Collaborative: Pathway to Accountability, Compassion and Transparency. Ariadne Labs, Brigham and Women’s Hospital, Harvard TH Chan School of Public Health.
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