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psnet.ahrq.gov/node/39227/psn-pdf
January 13, 2010 - Executive summary of the American College of
Obstetricians and Gynecologists Presidential Task Force
on Patient Safety in the Office Setting: reinvigorating
safety in office-based gynecologic surgery.
January 13, 2010
Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executive summary of the American College of
…
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psnet.ahrq.gov/node/46831/psn-pdf
April 18, 2018 - Guideline Summary: Medication Safety.
April 18, 2018
Guideline Summary: Medication Safety. AORN J. 2018;107(4):489-494. doi:10.1002/aorn.12096.
https://psnet.ahrq.gov/issue/guideline-summary-medication-safety
Perioperative medication errors can result in patient harm as well as emotional distress among clinical
te…
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psnet.ahrq.gov/issue/role-human-factors-home-health-care-workshop-summary
August 03, 2011 - Book/Report
The Role of Human Factors in Home Health Care: Workshop Summary.
Citation Text:
The Role of Human Factors in Home Health Care: Workshop Summary. Olson S. Committee on the Role of Human Factors in Home Healthcare, National Research Council. Washington, DC: National Academi…
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psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
June 15, 2011 - Book/Report
Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary.
Citation Text:
Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of …
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psnet.ahrq.gov/node/43660/psn-pdf
November 12, 2014 - Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for Disease
Control and Prevention–convened meeting.
November 12, 2014
Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for …
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psnet.ahrq.gov/node/45192/psn-pdf
December 04, 2016 - Evidence summary and recommendations for improved
communication during care transitions.
December 4, 2016
Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved
Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/40005/psn-pdf
November 17, 2010 - Incorporating Health Information Technology Into
Workflow Redesign: Request for Information Summary
Report.
November 17, 2010
Carayon P, Karsh B-T, Cartmill RS, et al. Rockville, MD: Agency for Healthcare Research and Quality;
October 2010. AHRQ Publication No. 10-0098-EF.
https://psnet.ahrq.gov/issue/incorporati…
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psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans
July 27, 2022 - Book/Report
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021.
Citation Text:
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administra…
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psnet.ahrq.gov/node/38532/psn-pdf
January 13, 2017 - Triggers and Targeted Injury Detection Systems (TIDS)
Expert Panel Meeting: Conference Summary Report.
January 13, 2017
Rockville, MD: Agency for Healthcare Research and Quality; February 2009. AHRQ Publication No.
090003.
https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-pane…
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psnet.ahrq.gov/node/41602/psn-pdf
August 15, 2012 - How Can Health Care Organizations Become More Health
Literate?: Workshop Summary.
August 15, 2012
Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Practice;
Institute of Medicine. Washington, DC: The National Academies Press; 2012. ISBN: 9780309256810.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/40716/psn-pdf
March 22, 2017 - Promoting Safety and Quality Through Human Resource
Practices: Executive Summary.
March 22, 2017
McAlearney AS, Song P, Garman A, McHugh M, Caputo N. Rockville, MD: Agency for Healthcare
Research and Quality; August 2011. AHRQ Publication No. 11-0080-EF.
https://psnet.ahrq.gov/issue/promoting-safety-and-quality-th…
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psnet.ahrq.gov/issue/2004-ashp-leadership-conference-pharmacy-practice-management-executive-summary-improving
June 16, 2019 - Meeting/Conference Proceedings
2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: Improving patient care and medication safety.
Citation Text:
2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: improving patient care and m…
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psnet.ahrq.gov/node/837214/psn-pdf
May 25, 2022 - Global Report on Infection Prevention and Control:
Executive Summary.
May 25, 2022
Geneva, Switzerland; World Health Organization; May 5, 2022.
https://psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
Healthcare-acquired infection is a persistent systemic problem. This report r…
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psnet.ahrq.gov/node/42245/psn-pdf
July 22, 2013 - 25-Year summary of US malpractice claims for diagnostic
errors 1986–2010: an analysis from the National
Practitioner Data Bank.
July 22, 2013
Tehrani ASS, Lee HW, Mathews SC, et al. 25-Year summary of US malpractice claims for diagnostic errors
1986-2010: an analysis from the National Practitioner Data Bank. BMJ Q…
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psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental-health-veterans-health
July 13, 2022 - Book/Report
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020.
Citation Text:
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Fac…
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psnet.ahrq.gov/node/43909/psn-pdf
March 11, 2015 - Summary and frequency of barriers to adoption of CPOE
in the US.
March 11, 2015
Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst.
2015;39(2):15. doi:10.1007/s10916-015-0198-2.
https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
Although compu…
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psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate-patient-safety
July 08, 2015 - Meeting/Conference Proceedings
The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report.
Citation Text:
The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. Hanlon…
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psnet.ahrq.gov/issue/health-literacy-and-patient-safety-help-patients-understand-manual-clinicians-2nd-ed
November 26, 2008 - Book/Report
Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed.
Citation Text:
Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed. Weiss BD. Chicago, IL: American Medical Association Foundation; 2007.
Cop…
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psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
December 21, 2017 - December 31, 2014
Why patient summaries in electronic health records do not provide the
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psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-panel-meeting-conference-summary
October 23, 2019 - Meeting/Conference Proceedings
Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report.
Citation Text:
Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report. Rockville, MD: Agency for Healthcare…