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psnet.ahrq.gov/issue/medication-errors-associated-documented-allergies
March 18, 2010 - Government Resource
Medication errors associated with documented allergies.
Citation Text:
Medication errors associated with documented allergies. PA-PSRS Patient Saf Advis. September 2008;5:75-80.
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psnet.ahrq.gov/issue/patient-safety-through-teamwork-and-communication-toolkit
October 25, 2013 - Toolkit
Patient Safety Through Teamwork and Communication Toolkit.
Citation Text:
Patient Safety Through Teamwork and Communication Toolkit. Denver Health.
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psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis
May 24, 2017 - Toolkit
Healthcare Failure Mode and Effect Analysis.
Citation Text:
Healthcare Failure Mode and Effect Analysis. National Center for Patient Safety.
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psnet.ahrq.gov/issue/exploring-experience-nurse-practitioners-who-have-committed-medical-errors-phenomenological
April 21, 2021 - Study
Exploring the experience of nurse practitioners who have committed medical errors: a phenomenological approach.
Citation Text:
Delacroix R. Exploring the experience of nurse practitioners who have committed medical errors: A phenomenological approach. J Am Assoc Nurse Pract. 2017;2…
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety
June 21, 2006 - Special or Theme Issue
Human Factors and Ergonomics in Patient Safety.
Citation Text:
Human Factors and Ergonomics in Patient Safety. Carayon P, Buckle P, eds. App Ergon. 2010:41(5):643-718.
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psnet.ahrq.gov/issue/healthcare-industry-representatives-maximizing-benefits-and-reducing-risks
March 18, 2010 - Newspaper/Magazine Article
Healthcare industry representatives: maximizing benefits and reducing risks.
Citation Text:
Healthcare industry representatives: maximizing benefits and reducing risks. PA PSRS Patient Saf Advis 2006 Mar;3(1):13-19.
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psnet.ahrq.gov/issue/making-health-care-safer-stopping-c-difficile-infections
April 06, 2022 - Image/Poster
Making health care safer: stopping C. difficile infections.
Citation Text:
Making health care safer: stopping C. difficile infections. Centers for Disease Control and Prevention.
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psnet.ahrq.gov/issue/mris-and-sandbags-filled-metal-shot
April 26, 2006 - Government Resource
MRIs and sandbags filled with metal shot.
Citation Text:
MRIs and sandbags filled with metal shot. New Jersey Department of Health and Senior Services.
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www.ahrq.gov/es/patient-safety/settings/hospital/match/index.html
April 01, 2023 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Building the Project Foundation: Gaining Leadership Supp…
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psnet.ahrq.gov/issue/hospital-performance-report
September 12, 2016 - Book/Report
Hospital Performance Report.
Citation Text:
Hospital Performance Report. Trenton, NJ: New Jersey Department of Health and Senior Services.
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psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely
March 18, 2010 - Newspaper/Magazine Article
Sterile water should not be given "freely."
Citation Text:
Sterile water should not be given "freely." PA-PSRS Patient Saf Advis. June 2008;5:53-56.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-last10-patients-audit.pdf
June 02, 2025 - Job Aid: “Last 10 Patients” Chart Audit
Primary Care Practice Facilitator
Training Series
1
Job Aid: “Last 10 Patients” Chart Audit
Overview
For a “last 10 patients” chart audit, look at the records of the last 10 patients the practice saw,
who should have received care or a service. Use a “last 10 …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-bpd.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Bronchopulmonary Dysplasia
Bronchopulmonary Dysplasia
Characteristics
■ Need for supplemental oxygen at 36 weeks postmenstrual age, with radiographic changes on
chest x-ray (bilateral, diffuse hazy lungs; interstitial thickening; increased lung inflation).
■ Symptoms: …
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www.ahrq.gov/talkingquality/plan/assess.html
November 01, 2018 - How Will You Assess the Success of a Health Care Quality Report?
One of the most important strategic decisions you can make during the planning process is to determine whether, when, and how you will measure the success of your reporting project. An evaluation plan should be an integral part of your overall w…
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psnet.ahrq.gov/issue/va-interprofessional-fellowship-program-patient-safety
May 24, 2017 - Press Release/Announcement
VA Interprofessional Fellowship Program in Patient Safety.
Citation Text:
VA Interprofessional Fellowship Program in Patient Safety. National Center for Patient Safety.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-164-materials-xiii.pdf
June 02, 2025 - Materials XIII
PMCoE
Dental – Attachment 13.1
Pediatric
Measurement Center of Excellence
(PMCoE) Dental Roster
EXPERT WORK GROUP
William Frese, MD, FAAP
Chairperson,
PMCoE Expert Work Group
Assistant Professor of Clinical Pediatrics
Division of General Pediatrics
Univ of Illinois Hospital
and Hea…
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www.ahrq.gov/evidencenow/research-results/results/infographics/ehr-text.html
April 01, 2019 - A Snapshot of EHR Use in Small Primary Care Practices (Text Description)
AHRQ’s EvidenceNOW: Snapshot of EHR Use in Small Primary Care Practices
EvidenceNOW regional cooperatives worked with more than 1,500 small- and medium-sized primary care practices to improve heart health. Cooperatives assessed practices…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-blank-temp.html
May 01, 2017 - Quality Improvement Study Template - Implementation Guide
Slide 1: Quality Improvement Study Template
Ambulatory Surgery Center
Slide 2: Problem Statement
Slide 3: Improvement Team
Project Leader(s)
– …
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psnet.ahrq.gov/issue/va-takes-lead-paperless-care
March 27, 2013 - Newspaper/Magazine Article
VA takes the lead in paperless care.
Citation Text:
VA takes the lead in paperless care. Brown D.
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pso.ahrq.gov/resources/rule
August 01, 2022 - SHARE:
More topics in this section
Resources
Resources
Resources About the Patient Safety and Quality Improvement Act of 2005
Patient Safety Act
Patient Safety Rule
HHS Guidance
Guides
Other Educational Materials
…