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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/oral-solid-medication-appearance-should-play-greater-role-medication-error-prevention
February 20, 2019 - Newspaper/Magazine Article
Oral solid medication appearance should play a greater role in medication error prevention.
Citation Text:
Oral solid medication appearance should play a greater role in medication error prevention. ISMP Medication Safety Alert! Acute care edition. July 28, 201…
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psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit
December 16, 2020 - Newspaper/Magazine Article
Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit.
Citation Text:
Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit. Hamilton WL.
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psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs
November 21, 2018 - Newspaper/Magazine Article
I-PASS checklist: a powerful tool for patient handoffs.
Citation Text:
I-PASS checklist: a powerful tool for patient handoffs. Peeples L. Pharmacy Practice News. October 10, 2018.
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psnet.ahrq.gov/issue/medication-errors-outpatient-pediatrics
December 07, 2022 - Commentary
Medication errors in outpatient pediatrics.
Citation Text:
Berrier K. Medication Errors in Outpatient Pediatrics. MCN Am J Matern Child Nurs. 2016;41(5):280-6. doi:10.1097/NMC.0000000000000261.
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psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey
November 23, 2005 - Commentary
Building a high-reliability organization: one system's patient safety journey.
Citation Text:
Building a high-reliability organization: one system's patient safety journey. J Healthc Manag. 2017;62.
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psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
November 30, 2016 - Book/Report
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety.
Citation Text:
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Wiley K, Davies JM. Edmonton, AB: Canadia…
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psnet.ahrq.gov/issue/2018-john-m-eisenberg-patient-safety-and-quality-awards
March 20, 2019 - Special or Theme Issue
2018 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2018 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2019;45(7):461-486.
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psnet.ahrq.gov/issue/quality-indicators-detect-pre-analytical-errors-laboratory-testing
December 21, 2016 - Commentary
Quality indicators to detect pre-analytical errors in laboratory testing.
Citation Text:
Plebani M. Quality indicators to detect pre-analytical errors in laboratory testing. Clin Biochem Rev. 2012;33(3):85-8.
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre/ready.html
January 01, 2024 - Readiness Assessment
Investing in TeamSTEPPS typically requires one or more identifiable problems that are creating risks to patient safety, care quality, or operational efficiency that an organization or unit agrees they must resolve.
Are You Ready for TeamSTEPPS?
Determining whether your organization or u…
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hcup-us.ahrq.gov/tech_assist/centdist/ResponsibilitiesDataPurchaser.pdf
June 22, 2022 - Responsibilities of the Data Purchaser
Responsibilities of the Data Purchaser
All users of HCUP data must agree to the terms of the HCUP Data Use Agreement (DUA). Being the data
purchaser carries additional responsibilities to which you must agree.
In order to facilitate your data request, please confirm your unde…
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digital.ahrq.gov/sites/default/files/docs/page/asthma_assessment_final_1_0.pdf
June 16, 2021 - Pediatric Asthma Template
Pediatric Documentation Templates
Pediatric Asthma Template
Executive Summary
The Partners Pediatric Asthma Template was designed to aid in the documentation of
asthma symptoms as well as to improve adherence to recommendations for
assessing asthmatic patients. This web …
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www.ahrq.gov/cahps/surveys-guidance/surgical/index.html
March 01, 2025 - CAHPS Surgical Care Survey
The CAHPS Surgical Care Survey asks adult patients to report on surgical care, surgeons, their staff, and anesthesiologists. This standardized survey expands on the CAHPS Clinician & Group Survey , which focuses on primary and specialty care, by incorporating domains that are relevan…
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digital.ahrq.gov/2020-year-review
January 01, 2020 - Improving Healthcare Through AHRQ's Digital Healthcare Research Program
About this Report
This report summarizes the research activities and outcomes funded by the AHRQ Digital Healthcare Research Program in 2020. The objective of the report is to support AHRQ stakeholders, inclu…
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www.ahrq.gov/topics/antimicrobial-stewardship.html
Antimicrobial Stewardship
Antimicrobial stewardship programs are coordinated programs within a health care setting that promote the appropriate use of antimicrobials, thereby improving patient outcomes, reducing antibiotic resistance, and decreasing the spread of infections caused by antibiotic-re…
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psnet.ahrq.gov/issue/surgical-count-practice-variability-and-potential-retained-surgical-items
October 20, 2010 - Commentary
Surgical count practice variability and the potential for retained surgical items.
Citation Text:
Edel EM. Surgical count practice variability and the potential for retained surgical items. AORN J. 2012;95(2):228-38. doi:10.1016/j.aorn.2011.02.014.
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www.ahrq.gov/ncepcr/tools/case-studies/overview.html
August 01, 2014 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs
Overview
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Table of Contents
Case Studies of Exemplary Primary Care Practice Facilitation Training Programs
Overview
Training Program Summary: HealthTeamWorks’ Coach University
Training Program…
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psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
October 18, 2017 - Newspaper/Magazine Article
Geisinger Health System's plan to fix America's health care.
Citation Text:
Geisinger Health System's plan to fix America's health care. Carbonara P. Fast Company. October 2008.
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www.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
January 01, 2021 - Grants to Enable Diagnostic Excellence
Congress authorized $2 million in fiscal year 2019 for AHRQ to initiate a research agenda to understand and solve the problem of diagnostic errors. In 2019, AHRQ awarded the four grants below that will more precisely define the scope of diagnostic errors.
Utility of Pre…
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psnet.ahrq.gov/issue/cleveland-clinic-health-system-comprehensive-framework-health-system-patient-safety
January 04, 2017 - Commentary
Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative.
Citation Text:
Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative. Nadzam DM; Atkins PM; Waggoner DM; Shonk R.
Co…