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psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature
May 20, 2020 - Book/Report
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature.
Citation Text:
Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. Wong J, Beglaryan H. Toronto, ON: The Change Foundation; February 2004.
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psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
January 22, 2020 - Book/Report
Inadvertent Administration of an Oral Liquid Medicine into a Vein.
Citation Text:
Inadvertent Administration of an Oral Liquid Medicine into a Vein. Farnborough, UK; Healthcare Safety Investigation Branch: April 2019.
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psnet.ahrq.gov/issue/pediatric-patient-safety-emergency-department
October 26, 2022 - Book/Report
Pediatric Patient Safety in the Emergency Department.
Citation Text:
Pediatric Patient Safety in the Emergency Department. Krug SE, ed. Oakbrook Terrace, IL: Joint Commission Resources and the American Academy of Pediatrics; 2010. ISBN: 9781599402123.
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psnet.ahrq.gov/issue/making-complaints-count-supporting-complaints-handling-nhs-and-uk-government-departments
July 19, 2023 - Book/Report
Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments.
Citation Text:
Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments. Manchester, UK: The Parliamentary and Health Service Ombudsman; J…
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psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
October 30, 2019 - Newspaper/Magazine Article
Lessons learned from a death outside a hospital's doorstep.
Citation Text:
Lessons learned from a death outside a hospital's doorstep. Palmer J. Patient Saf Qual Healthc. May/June 2019.
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effectivehealthcare.ahrq.gov/sites/default/files/15_crosscutting_potential_high_impact_2012-12-11.pdf
January 01, 2012 - EMS staff are minimally trained professionals and could provide only marginal primary
care services … 27
The patient advocates are members of the ED staff who are recruited from the community and
trained … the
center includes (in addition to physicians) a geriatric nurse practitioner, registered nurses trained
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-fullreport.pdf
November 01, 2019 - Trained medical record abstractors collected and entered information from paper copies of the
medical … To help ensure consistency of data
collection, the medical record abstractors were trained on the study … the medical chart was assessed by identifying a subset of the charts to be re-
abstracted by another trained
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
January 01, 2020 - receiving an MRI and 124 charts for
children receiving a CT scan) were abstracted.
15
Trained … To help ensure consistency of data
collection, the medical record abstractors were trained on the study … the medical chart was assessed by identifying a subset of the charts to be re-
abstracted by another trained
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effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/alcohol-pharma-final-protocol.pdf
January 01, 2023 - searches will be independently reviewed for eligibility against our
inclusion/exclusion criteria by two trained … Each full-text article will be
independently reviewed by two trained members of the team using the … Trained reviewers will extract the
relevant data from each included article into the evidence tables
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/T6Tquunynv3tWM65BFash2
October 01, 2015 - cessation counselors
• Telephone counseling: professional counselors or health care
providers who are trained … GUIDELINE
www.annals.org Annals of Internal Medicine • Vol. 163 No. 8 • 20 October 2015 625
who are trained … tion interventions often have behavioral components
delivered by specialized cessation counselors or
trained
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/study-methods.html
June 01, 2020 - test algorithm accuracy and identify false positives and false negatives, leaving the algorithm to be trained
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/aggression_disposition-comments.pdf
July 14, 2016 - Strategies to De-escalate Aggressive Behavior in Psychiatric Patients
Source: https://www.effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/
?pageaction=displayproduct&productid=2256
Published Online: July 14, 2016
Comparative Effectiveness Review Disposition of Comments Report
Res…
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hcup-us.ahrq.gov/db/state/sedddist/SEDD_Introduction.jsp
June 01, 2022 - INTRODUCTION TO THE HCUP STATE EMERGENCY DEPARTMENT DATABASES (SEDD)
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espano…
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hcup-us.ahrq.gov/db/state/sedddist/Introduction_to_SEDD.pdf
January 01, 2025 - Introduction to the SEDD
HEALTHCARE COST AND UTILIZATION PROJECT — HCUP
A FEDERAL-STATE-INDUSTRY PARTNERSHIP IN HEALTH DATA
Sponsored by the Agency for Healthcare Research and Quality
INTRODUCTION TO
THE HCUP STATE EMERGENCY DEPARTMENT DATABASES (SEDD)
These pages provide only an introduction to the SEDD pac…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/autism-adolescents_research-protocol.pdf
March 29, 2011 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: March 29, 2011
1
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Interventions for Adolescents and Young Adults
With Autism Spect…
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effectivehealthcare.ahrq.gov/sites/default/files/cer-241-physical-activity-wheelchair-evidence-summary-updated.pdf
October 01, 2021 - Comparative Effectiveness Review No. 241_Physical Activity and the Health of Wheelchair Users: A Systematic Review in Multiple Sclerosis, Cerebral Palsy, and Spinal Cord Injury
Comparative Effectiveness Review
Number 241
Physical Activity and the Health of Wheelchair
Users: A Systematic Review in Multiple Scle…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspximplsteps.pdf
June 02, 2025 - Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Implementation Steps and Timeline
The goal of On-Time is that a facility staff will incorporate the On-Time reports into day-to-day
prevention…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/timeline.html
June 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Implementation Materials: Implementation Steps and Timeline
The goal of the On-Time program is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input in…
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psnet.ahrq.gov/node/49460/psn-pdf
September 01, 2004 - Security Lapse
September 1, 2004
Mason D. Security Lapse. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/security-lapse
The Case
A medical student learned that the hospital's radiology image library was accessible throughout the
university's computer system, meaning that patient x-rays could be viewed in d…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/implementing-cms-measure-slides.pdf
May 13, 2025 - Implementing the CMS Patient Safety Structural Measure: Slide Presentation
Implementing the CMS Patient Safety
Structural Measure
NATIONAL WEBINAR SERIES
May 13, 2025
Housekeeping Instructions
• This webinar will be recorded and available for viewing on the National Action
Alliance website.
• Please use the ‘…