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psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - Prior to HIPAA, the United States had no national standards for health information privacy, in contrast … impose more stringent privacy burdens than those required by HIPAA itself.( 10 ) For example, in some states
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psnet.ahrq.gov/node/49813/psn-pdf
January 01, 2018 - Dementia is common in the United States, and Alzheimer disease is the most common form of dementia. … Currently, POLST
registries are being developed or are available in many states.(18) Improving the documentation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Galt.pdf
January 01, 2005 - Healthcare Research and Quality (AHRQ) as lead agency,
published its report to the President of the United … States, Doing What Counts for
Patient Safety: Federal Actions to Reduce Medical Errors and Their Impact … is able to prevent errors is the
prescriber.3 A 1992 study involving 89 community pharmacists in 5 States … The majority of physicians in the United States practice in independent,
small groups of five or fewer21 … Report to the President of the
United States; Feb 2000.
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effectivehealthcare.ahrq.gov/sites/default/files/ch_5-user-guide-to-ocer_130129.pdf
January 01, 2012 - Hormone
replacement therapy and cardiovascular health in
the United States. Med Care. … Evaluation of response-time
data involving transient states: An illustration
using heart-transplant … Surgeon volume and operative mortality in
the United States. N Engl J Med. … Hospital volume and surgical mortality
in the United States. N Engl J Med.
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hcup-us.ahrq.gov/reports/ataglance/HCUPanalysisPedEDVisitsSuicide.pdf
November 05, 2019 - Emergency Department Visits,
2010–2014 and 2016
Suicide is a major preventable health concern for in the United … States, especially in the pediatric
population. … In Fiscal Year 2016, the United States transitioned from the International Classification of Diseases … www.surgeongeneral.gov/library/reports/national-strategy-suicide-prevention/.
2 In October 2015, the United … States transitioned coding systems for reporting diagnoses and inpatient procedures
from the International
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effectivehealthcare.ahrq.gov/sites/default/files/pulmonary_hi_impact.pdf
April 01, 2012 - developed for
technologies and programs that appear to be closer to diffusion into practice in the United … States. … trial with some preliminary efficacy data on
the target population for devices and programs) in the United … States or that have just begun diffusing
and that have completed an expert feedback loop. … to 51 clinical sites in 24 states by November 2011.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiig.html
June 01, 2010 - States Currently Using: Nevada
Psychometric Testing: Not specified
Summary: Areas tracked are: … States Currently Using: New Hampshire
Psychometric Testing: Not specified. … States Currently Using: Study completed
Psychometric Testing: Not specified
Summary: Interviews … States Currently Using: New Jersey
Psychometric Testing: Not specified
Summary: Items generally … States Currently Using: New Jersey
Psychometric Testing: Not specified
Summary: Oversight tool
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effectivehealthcare.ahrq.gov/sites/default/files/dementia_hi_impact.pdf
January 01, 2012 - developed for
technologies and programs that appear to be closer to diffusion into practice in the United … States. … trial with some preliminary efficacy data on
the target population for devices and programs) in the United … States or that have just begun diffusing
and that have completed an expert feedback loop.
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www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
March 01, 2013 - Identify Defects Module Alternate Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The "Identify Defects Through Sensemaking" module of the Comprehensive Unit-Based Safety Program (CUSP) Toolkit. The CUSP Toolk…
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - In most of the institutions I've ever worked, both in the United States and Canada, probably the single … In Australia, they've invested in call centers—which would probably never work in the United States—where … 2023
Implementing computerized provider order entry in acute care hospitals in the United … States could generate substantial savings to society.
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psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing-errors-resulting
August 05, 2020 - Press Release/Announcement
FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor).
Citation Text:
FDA Drug Safety Communication: FDA warns ab…
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psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-requires-labeling-changes-prescription-opioid-cough-and
January 25, 2017 - Government Resource
FDA Drug Safety Communication: FDA requires labeling changes for prescription opioid cough and cold medicines to limit their use to adults 18 years and older.
Citation Text:
FDA Drug Safety Communication: FDA requires labeling changes for prescription opioid cough and…
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psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-procedures-performed-during
April 13, 2022 - Commentary
A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.
Citation Text:
Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.…
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psnet.ahrq.gov/issue/apotex-corp-issues-voluntary-nationwide-recall-enoxaparin-sodium-injection-usp-due
March 22, 2010 - Press Release/Announcement
Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection, USP due to mislabeling of syringe barrel measurement markings.
Citation Text:
Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection, USP due to mislabeling …
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psnet.ahrq.gov/issue/communication-elements-supporting-patient-safety-psychiatric-inpatient-care
July 01, 2013 - Study
Communication elements supporting patient safety in psychiatric inpatient care.
Citation Text:
Kanerva A, Kivinen T, Lammintakanen J. Communication elements supporting patient safety in psychiatric inpatient care. J Psychiatr Ment Health Nurs. 2015;22(5):298-305. doi:10.1111/jpm.12…
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psnet.ahrq.gov/issue/automation-i-pass-tool-improve-transitions-care
August 04, 2021 - Study
Automation of the I-PASS tool to improve transitions of care.
Citation Text:
Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174.
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psnet.ahrq.gov/issue/excess-dosing-antiplatelet-and-antithrombin-agents-treatment-non-st-segment-elevation-acute
November 10, 2015 - May 11, 2014
Infant deaths associated with cough and cold medications—two states, 2005
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psnet.ahrq.gov/issue/team-experiences-root-cause-analysis-process-after-sentinel-event-qualitative-case-study
October 07, 2020 - Study
Team experiences of the root cause analysis process after a sentinel event: a qualitative case study.
Citation Text:
Liepelt S, Sundal H, Kirchhoff R. Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. BMC Health Serv Res. 2023;23(…
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psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
December 31, 2018 - Study
Emerging Classic
The influence of organizational culture, climate and commitment on speaking up about medical errors.
Citation Text:
Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical…
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psnet.ahrq.gov/issue/health-care-workers-second-victims-medical-errors
April 07, 2021 - Study
Health care workers as second victims of medical errors.
Citation Text:
Edrees HH, Paine LA, Feroli R, et al. Health care workers as second victims of medical errors. Pol Arch Med Wewn. 2011;121(4):101-108.
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