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  1. psnet.ahrq.gov/issue/taking-aim-infusion-confusion
    June 06, 2018 - Commentary Taking aim at infusion confusion. Citation Text: Burdeu G, Crawford R, Van de Vreede M, et al. Taking aim at infusion confusion. J Nurs Care Qual. 2006;21(2):151-159. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
  2. psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im-neurologist
    April 27, 2022 - Newspaper/Magazine Article A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist. Citation Text: A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist. Horowitz SH. Washington Post. October 4, 2020…
  3. psnet.ahrq.gov/issue/surveys-patient-safety-culture
    December 24, 2008 - Measurement Tool/Indicator Classic Surveys on Patient Safety Culture. Citation Text: Surveys on Patient Safety Culture. Rockville MD: Agency for Healthcare Research and Quality Copy Citation Save Save to your library Print Downl…
  4. psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals
    May 29, 2019 - Newspaper/Magazine Article Medicare failed to investigate suspicious infection cases from 96 hospitals. Citation Text: Medicare failed to investigate suspicious infection cases from 96 hospitals. Jewett C. Kaiser Health News. May 9, 2017. Copy Citation Save Save t…
  5. psnet.ahrq.gov/issue/patient-safety-ambulatory-obgyn-setting
    November 16, 2022 - Commentary Patient safety in the ambulatory OB/GYN setting. Citation Text: Weiss PM, Swisher E. Patient safety in the ambulatory OB/GYN setting. Clin Obstet Gynecol. 2012;55(3):613-9. doi:10.1097/GRF.0b013e31825ca6e6. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
  6. psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-environment
    July 02, 2014 - Commentary Assessing teamwork and communication in the authentic patient care learning environment. Citation Text: Haftel HM, Hicks PJ. Assessing teamwork and communication in the authentic patient care learning environment. Pediatrics. 2011;127(4):601-3. doi:10.1542/peds.2010-3767. Co…
  7. psnet.ahrq.gov/issue/cutting-out-human-error
    February 25, 2009 - Commentary Cutting out human error. Citation Text: Feinmann J. Cutting out human error. BMJ. 2008;337:a2370. doi:10.1136/bmj.a2370. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  8. psnet.ahrq.gov/issue/lax-oversight-leaves-surgery-center-regulators-and-patients-dark
    May 17, 2017 - Newspaper/Magazine Article Lax oversight leaves surgery center regulators and patients in the dark. Citation Text: Lax oversight leaves surgery center regulators and patients in the dark. Jewett C, Alesia M. Kaiser Health News. August 9, 2018. Copy Citation Save S…
  9. digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
    January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with a pharmacist to monitor patient medications during the transition may improve care co…
  10. www.uspreventiveservicestaskforce.org/home/getfilebytoken/BEqfaqsota4EqjZDZkEHMm
    August 01, 2020 - Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: Clinician Summary of USPSTF Recommendation 1 www.uspreventiveservicestaskforce.org Clinician Summary of USPSTF Recommendation Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections August 2020 The USPSTF rec…
  11. digital.ahrq.gov/research-method/case-control-study
    January 01, 2023 - Case Control Study Prediction of GutCheck NEC and its relation to severity of illness and measures of deterioration in necrotizing enterocolitis. Citation Gephart SM, Fleiner M, Msowoya A, Rothers J. Prediction of GutCheck NEC and its relation to severity of illness and measur…
  12. digital.ahrq.gov/organization/university-washington
    January 01, 2023 - University of Washington Preventing Medication-Related Problems in Care Transitions to Skilled Nursing Facilities Description This research aims to determine the effectiveness of a program designed to reduce medication-related issues among patients during the hospital-to-skill…
  13. www.ahrq.gov/priority-populations/observances/hispanic-heritage/index.html
    October 01, 2021 - Grantees Focusing on Hispanic and Latino Populations   Peter Yellowlees, M.D. “I have found it fascinating to see the way that almost all patients speak differently, using simpler phrases and less words, when using an interpreter. Their descriptions of clinical symptoms and histories is much ric…
  14. psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
    July 25, 2018 - Commentary Peer support for clinicians: a programmatic approach. Citation Text: Shapiro J, Galowitz P. Peer Support for Clinicians: A Programmatic Approach. Acad Med. 2016;91(9):1200-4. doi:10.1097/ACM.0000000000001297. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
  15. psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
    March 27, 2019 - Toolkit Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Citation Text: Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…
  16. psnet.ahrq.gov/issue/no-bad-apples
    May 15, 2019 - Newspaper/Magazine Article No bad apples. Citation Text: Thrall TH. No bad apples. Hospitals & health networks. 2008;82(12):42-4, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  17. psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
    September 27, 2023 - Study Eight-year experience with a neurosurgical checklist. Citation Text: Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …
  18. psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
    January 12, 2022 - Review Spinal surgery and patient safety: a systems approach. Citation Text: Wong DA. Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  19. psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
    April 17, 2024 - Newspaper/Magazine Article Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. Citation Text: Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…
  20. www.ahrq.gov/talkingquality/translate/labels/describe.html
    January 01, 2023 - Describe How a Plan or Provider Can Influence a Quality Measure For some measures, it may be necessary to explain what the plan or provider can do to improve its performance. Providers are often concerned that they are being rated on measures over which they believe they have limited influence. When the public …