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psnet.ahrq.gov/issue/tallman-lettering-strategy-differentiation-look-alike-sound-alike-drug-names-role-familiarity
May 27, 2020 - Study
Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers.
Citation Text:
DeHenau C, Becker MW, Bello NM, et al. Tallman lettering as a strategy for differentiation in look-alike, sound-a…
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psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric
March 07, 2018 - Study
National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths.
Citation Text:
Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and error" model…
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psnet.ahrq.gov/issue/identification-common-themes-never-events-data-published-nhs-england
April 07, 2021 - Study
Identification of common themes from never events data published by NHS England.
Citation Text:
Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7.
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psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
March 13, 2013 - Review
Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events.
Citation Text:
Hempel S, Maggard-Gibbons M, Nguyen DK, et al. Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Even…
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psnet.ahrq.gov/issue/interventions-reduce-medication-dispensing-administration-and-monitoring-errors-pediatric
June 23, 2021 - Review
Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare settings: a systematic review.
Citation Text:
Koeck JA, Young NJ, Kontny U, et al. Interventions to reduce medication dispensing, administration, and monitorin…
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psnet.ahrq.gov/issue/anticipating-patient-safety-events-psychiatric-care
March 10, 2021 - Study
Anticipating patient safety events in psychiatric care.
Citation Text:
Yerstein MC, SUNDARARAJ DEEPIKA, McClean M, et al. Anticipating patient safety events in psychiatric care. J Psychiatr Pract. 2024;30(1):68-72. doi:10.1097/pra.0000000000000760.
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psnet.ahrq.gov/issue/impact-team-performance-surgical-safety-checklist-patient-outcomes-operating-room-black-box
March 20, 2024 - Study
Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis.
Citation Text:
Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box …
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/intro.html
September 01, 2015 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Previous Page Next Page
Table of Contents
Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Module 1: Overview
Module 2: Urinary Catheter Maintenance
Module 3: Conversations Around Device Necessity
Mo…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-slides.html
December 01, 2017 - Patient and Family Engagement in the Emergency Department
Slide Presentation
Slide 1
Patient and Family Engagement in the ED
Sue Collier, RN, MSN, FABC
Clinical Content Development Lead
Health Research & Education Trust
American Hospital Association
Image: Photo of Sue Collier, RN.
Slide 2
Le…
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psnet.ahrq.gov/issue/strategies-prevent-central-line-associated-bloodstream-infections-acute-care-hospitals-2022
February 07, 2022 - Organizational Policy/Guidelines
Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.
Citation Text:
Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: …
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psnet.ahrq.gov/issue/intravenous-smart-pumps-point-care-descriptive-observational-study
February 24, 2021 - Study
Intravenous smart pumps at the point of care: a descriptive, observational study.
Citation Text:
Giuliano KK, Blake JWC, Bittner NP, et al. Intravenous smart pumps at the point of care: a descriptive, observational study. J Patient Saf. 2022;18(6):553-558. doi:10.1097/pts.000000000…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/_CqYnP2r9XUSuDgkPpF9y8
May 01, 2025 - Summary of USPSTF Final Recommendation: Screening for Syphilis Infection During Pregnancy
Clinicians
Summary of USPSTF Final Recommendation
Screening for Syphilis Infection During Pregnancy
May 2025
What does the USPSTF recommend?
A
Grade
For pregnant women:
Provi…
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psnet.ahrq.gov/issue/veterans-health-administration-response-covid-19-crisis-surveillance-action
November 17, 2021 - Commentary
Veterans Health Administration response to the COVID-19 crisis: surveillance to action.
Citation Text:
Charles MA, Yackel EE, Mills PD, et al. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. J Patient Saf. 2022;18(7):686-691. doi:10.1097…
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www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
April 01, 2025 - Quality and Safety Review System (QSRS)
Retrospectively Reviewing Inpatient Health Records To Identify Adverse Events Medical errors are an ongoing challenge to the healthcare system in the United States. The extent of medical errors in U.S. hospitals was revealed in 2000 when the Institute of Medicine (now the…
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psnet.ahrq.gov/issue/safety-surgical-telehealth-outpatient-and-inpatient-setting
September 13, 2023 - Review
Safety of surgical telehealth in the outpatient and inpatient setting.
Citation Text:
Purnell S, Zheng F. Safety of Surgical Telehealth in the Outpatient and Inpatient Setting. Surg Clin North Am. 2020;101(1):109-119. doi:10.1016/j.suc.2020.09.003.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Xm5_jgUrXXGAJe8WJh_9KK
June 01, 2024 - Summary of USPSTF Final Recommendation: Interventions to Prevent Falls in Community-Dwelling Older Adults
Clinicians
Summary of USPSTF Final Recommendation
Interventions to Prevent Falls in Community-Dwelling Older Adults
June 2024
What does the USPSTF recommend?
B
Grade
…
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psnet.ahrq.gov/issue/patient-safety-when-receiving-telephone-advice-primary-care-swedish-qualitative-interview
October 13, 2021 - Study
Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study.
Citation Text:
Berntsson K, Eliasson M, Beckman L. Patient safety when receiving telephone advice in primary care – a Swedish qualitative interview study. BMC Nurs. 2022;21(1):24…
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digital.ahrq.gov/program-overview/research-stories/clinical-decision-support-tool-preventing-falls
January 01, 2023 - A Clinical Decision Support Tool for Preventing Falls
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Scaling Effective and Interoperable CDS to Improve Care and Decision Making
Tools like ASPIRE that integrate fall prevention clinical decision support and patient resources may be…
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psnet.ahrq.gov/issue/engaging-patients-vigilant-partners-safety-systematic-review
February 06, 2019 - Review
Classic
Engaging patients as vigilant partners in safety: a systematic review.
Citation Text:
Schwappach DLB. Engaging patients as vigilant partners in safety: a systematic review. Med Care Res Rev. 2010;67(2):119-148. doi:10.1177/1077558709342254.
Co…
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psnet.ahrq.gov/issue/engaging-patient-observer-promote-hand-hygiene-compliance-ambulatory-care
September 02, 2020 - Study
Engaging the patient as observer to promote hand hygiene compliance in ambulatory care.
Citation Text:
Bittle MJ, LaMarche S. Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Jt Comm J Qual Patient Saf. 2009;35(10):519-25.
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