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psnet.ahrq.gov/node/34993/psn-pdf
June 22, 2009 - Five system barriers to achieving ultrasafe health care.
June 22, 2009
Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern
Med. 2005;142(9):756-64.
https://psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
This commentary builds on the…
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psnet.ahrq.gov/node/73595/psn-pdf
August 11, 2021 - Safety committees need to proactively address the risk of
accidental cerebral injection of intravenous (IV) drugs.
August 11, 2021
ISMP Medication Safety Alert! Acute care edition. July 29, 2021;26(15);1-5.
https://psnet.ahrq.gov/issue/safety-committees-need-proactively-address-risk-accidental-cerebral-injection-
…
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psnet.ahrq.gov/node/866434/psn-pdf
August 07, 2024 - Measuring the overall development of patient safety in a
new hospital using trigger tools.
August 7, 2024
Adamovic I, Dahlem P, Brachmann J. Measuring the overall development of patient safety in a new
hospital using trigger tools. Int J Qual Health Care. 2024;36(3):mzae064. doi:10.1093/intqhc/mzae064.
https://psn…
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psnet.ahrq.gov/node/49563/psn-pdf
May 01, 2008 - Is It Safe to Be Direct?
May 1, 2008
Kulkarni NS, Williams M. Is It Safe to Be Direct? PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/it-safe-be-direct
The Case
A 92-year-old man with hypertension and heart failure (HF) was evaluated by his primary care physician
(PCP) for progressive shortness of breat…
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hcup-us.ahrq.gov/db/nation/nis/NISChangesBeginningDataYr2016.pdf
September 01, 2022 - NISChangesBeginningDataYr2016
HEALTHCARE COST AND UTILIZATION PROJECT (HCUP)
NATIONAL INPATIENT SAMPLE:
CHANGE IN STRUCTURE DUE TO ICD-10-CM/PCS
BEGINNING WITH 2016 DATA
Recommended Citation: Barrett ML, Hensche MB, Welch J, Ross DN. Healthcare Cost
and Utilization Project (HCUP) National Inpatient Sample: C…
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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - provides a critical role in the prevention of harms, both during patient training and once the patient transitions
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - Then in risk-stratifying all these types of care transitions, there's a series of three questions proposed … And what are some of those types of care transitions? … March 1, 2011
Perspective
The care of hospitalized patients is marked by numerous transitions
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psnet.ahrq.gov/curated-library/opioid-stewardship
December 15, 2024 - Breadcrumb
Home
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Curated Libraries
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Opioid Stewardship
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Created By: AHRQ
Date Created: January 24, 2025
…
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digital.ahrq.gov/population/medically-underserved-populations
January 01, 2024 - Medically Underserved Populations
An evidence-based IT program with chatbot to support caregiving and clinical care for people with dementia: The CareHeroes development and usability pilot.
Citation
Ruggiano N, Brown EL, Clarke PJ, Hristidis V, Roberts L, Framil Suarez CV, All…
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digital.ahrq.gov/population/adolescents-and-young-adults
January 01, 2025 - Adolescents and Young Adults
Trends in pediatric prescription-opioid overdoses in U.S. emergency departments from 2008-2020: An epidemiologic study of pediatric opioid overdose ED visits.
Citation
Lu A, Armstrong M, Alexander R, Vest E, Chang J, Zhu M, Xiang H. Trends in pedia…
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management/annual-summary/2011
January 01, 2011 - Electronic Medication Management - 2011
Project Name
Electronic Medication Management
Principal Investigator
Vawdrey, David Kent
Organization
Columbia University
Funding Mechanism
PAR: HS08-268: Small Research Grant to Improve Health Care Quality Through Health Info…
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digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-integrated-technology
January 01, 2023 - Improving Safety and Quality with Integrated Technology
Project Final Report ( PDF , 171.85 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHR…
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www.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - Hospital Resources
Toolkits, recommendations, and other resources for hospitals and hospital administrators to improve quality, reduce errors, and increase patient safety.
Sign up: CAHPS Database - Hospital Component Email updates
Sign up: Hospital Survey on Patient Safety Culture Email updates
Sign u…
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psnet.ahrq.gov/node/836960/psn-pdf
April 20, 2022 - Effect of a multispecialty faculty handoff initiative on
safety culture and handoff quality.
April 20, 2022
Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety
culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. doi:10.1097/pq9.0000000000000539.
…
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psnet.ahrq.gov/node/60792/psn-pdf
August 12, 2020 - Nurse workarounds in the electronic health record: an
integrative review.
August 12, 2020
Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative
review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050.
https://psnet.ahrq.gov/issue/nurse-workaroun…
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psnet.ahrq.gov/node/60049/psn-pdf
March 18, 2020 - Who gets the benefit of the doubt? Performance
evaluations, medical errors, and the production of gender
inequality in emergency medical education.
March 18, 2020
Brewer A, Osborne M, Mueller AS, et al. Who Gets the Benefit of the Doubt? Performance Evaluations,
Medical Errors, and the Production of Gender Inequal…
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psnet.ahrq.gov/node/43628/psn-pdf
October 29, 2014 - Factors associated with post-intensive care unit adverse
events: a clinical validation study.
October 29, 2014
Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a
clinical validation study. Nurs Crit Care. 2014;19(5):228-35. doi:10.1111/nicc.12091.
https://psnet.…
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psnet.ahrq.gov/node/45374/psn-pdf
April 24, 2018 - Two-year longitudinal assessment of physicians'
perceptions after replacement of a longstanding
homegrown electronic health record: does a J-curve of
satisfaction really exist?
April 24, 2018
Hanauer DA, Branford GL, Greenberg G, et al. Two-year longitudinal assessment of physicians'
perceptions after replacement…
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psnet.ahrq.gov/node/73438/psn-pdf
June 30, 2021 - Implementation of patient safety structures and
processes in the patient-centered medical home.
June 30, 2021
Oberlander T, Scholle SH, Marsteller JA, et al. Implementation of patient safety structures and processes in
the patient-centered medical home. J Healthc Qual. 2021;43(6):324-339.
doi:10.1097/jhq.000000000…
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psnet.ahrq.gov/node/866194/psn-pdf
June 26, 2024 - Patient safety and satisfaction with fully remote
management of radiation oncology care.
June 26, 2024
Cuaron JJ, McBride S, Chino F, et al. Patient safety and satisfaction with fully remote management of
radiation oncology care. JAMA Netw Open. 2024;7(6):e2416570.
doi:10.1001/jamanetworkopen.2024.16570.
https://…