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psnet.ahrq.gov/issue/kaiser-permanentes-performance-improvement-system-part-4-creating-learning-organization
July 19, 2023 - Commentary
Kaiser Permanente's performance improvement system, part 4: creating a learning organization.
Citation Text:
Schilling L, Dearing JW, Staley P, et al. Kaiser Permanente's performance improvement system, Part 4: Creating a learning organization. Jt Comm J Qual Patient Saf. 2011…
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digital.ahrq.gov/program-overview/research-stories/virtual-pharmacy-improves-medication-use-and-patient-safety-palliative-care
January 01, 2023 - Virtual Pharmacy Improves Medication Use and Patient Safety in Palliative Care
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Leveraging Telehealth to Improve Health Systems
Including virtual pharmacists in palliative care teams can reduce adverse drug interactions a…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/WB-VZpzKsTPjEBnb27gCuf
January 01, 2024 - Summary of USPSTF Final Recommendation: Screening for Speech and Language Delay and Disorders in Children
Clinicians
Summary of USPSTF Final Recommendation
Screening for Speech and Language Delay and Disorders in Children
January 2024
What does the USPSTF recommend?
I
St…
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psnet.ahrq.gov/issue/placing-patient-safety-heart-value-based-healthcare
February 15, 2023 - Commentary
Placing patient safety at the heart of value-based healthcare.
Citation Text:
La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087.
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psnet.ahrq.gov/issue/patients-role-patient-safety
May 01, 2024 - Review
The patient's role in patient safety.
Citation Text:
Corina I, Abram M, Halperin D. The patient's role in patient safety. Obstet Gynecol Clin North Am. 2019;46(2):215-225. doi:10.1016/j.ogc.2019.01.004.
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psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety
April 03, 2019 - Book/Report
The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety.
Citation Text:
The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. Boston, MA: Betsy Lehman Center for Patient Saf…
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psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-during-neonatal-resuscitation
September 13, 2011 - Study
Teamwork behaviours and errors during neonatal resuscitation.
Citation Text:
Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320.
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psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states
August 26, 2020 - Study
Examination of maternal near-miss experiences in the hospital setting among Black women in the United States.
Citation Text:
Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lo…
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psnet.ahrq.gov/issue/incidence-staff-awareness-and-mortality-patients-risk-general-wards
November 15, 2023 - Study
Incidence, staff awareness and mortality of patients at risk on general wards.
Citation Text:
Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.…
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psnet.ahrq.gov/issue/enotss-platform-surgeons-nontechnical-skills-performance-improvement
July 01, 2017 - Commentary
The eNOTSS platform for surgeons’ nontechnical skills performance improvement.
Citation Text:
Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880.
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psnet.ahrq.gov/issue/best-practice-protocols-preventing-adverse-drug-events
January 18, 2011 - Commentary
Best-practice protocols: preventing adverse drug events.
Citation Text:
Weir VL. Best-practice protocols: preventing adverse drug events. Nurs Manage. 2005;36(9):24-30.
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psnet.ahrq.gov/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks-and-harms-ambulatory
August 15, 2018 - Government Resource
AHRQ Announces Interest in Research About the Epidemiology of Patient Safety Risks and Harms in Ambulatory Health Care Settings.
Citation Text:
AHRQ Announces Interest in Research About the Epidemiology of Patient Safety Risks and Harms in Ambulatory Health Care Setti…
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psnet.ahrq.gov/issue/identifying-safety-hazards-associated-intravenous-vancomycin-through-analysis-patient-safety
January 25, 2023 - Study
Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports.
Citation Text:
Krukas A, Franklin ES, Bonk C, et al. Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety even…
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www.ahrq.gov/news/newsroom/case-studies/201511.html
May 01, 2015 - St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools
Search All Impact Case Studies
May 2015
St. Joseph's Hospital, a 72-bed facility in Breese, Illinois, has improved care and increased satisfaction among patients by using three evidence-based resources from AHRQ:
The Hospital Consumer Asses…
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psnet.ahrq.gov/issue/evaluation-nurse-interaction-bar-code-medication-administration-technology-work-environment
April 15, 2020 - Study
Evaluation of nurse interaction with bar code medication administration technology in the work environment.
Citation Text:
Carayon P, Wetterneck TB, Hundt AS, et al. Evaluation of Nurse Interaction With Bar Code Medication Administration Technology in the Work Environment. J Pati…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyapc.html
July 01, 2018 - Guide to Patient and Family Engagement
Appendix C: List of Web Sites Reviewed
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next Steps
References
App…
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psnet.ahrq.gov/issue/phso-review-quality-nhs-complaints-investigations
November 16, 2015 - Book/Report
PHSO Review: Quality of NHS Complaints Investigations.
Citation Text:
PHSO Review: Quality of NHS Complaints Investigations. First Report of Session 2016–17 Report. House of Commons Public Administration and Constitutional Affairs Committee. London, England: The Stationery Of…
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn11.jsp
August 01, 2014 - Next Steps to AHRQ Lab/Pharmacy Participation.
An official website of the Department of Health & Human Services
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Careers
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hcup-us.ahrq.gov/reports/factsandfigures/2009/citation.jsp
January 01, 2009 - HCUP Facts and Figures 2009: Statistics on Hospital-Based Care in the United States
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
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psnet.ahrq.gov/issue/effective-strategies-increase-reporting-medication-errors-hospitals
October 19, 2010 - Commentary
Effective strategies to increase reporting of medication errors in hospitals.
Citation Text:
Force MVO, Deering L, Hubbe J, et al. Effective strategies to increase reporting of medication errors in hospitals. J Nurs Adm. 2006;36(1):34-41.
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