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psnet.ahrq.gov/issue/one-intensive-care-nurserys-experience-enhancing-patient-safety
June 21, 2006 - Commentary
One intensive care nursery's experience with enhancing patient safety.
Citation Text:
Alton M, Mericle J, Brandon D. One intensive care nursery's experience with enhancing patient safety. Adv Neonatal Care. 2006;6(3):112-9.
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psnet.ahrq.gov/issue/drug-shortages-0
February 22, 2023 - Review
Drug shortages.
Citation Text:
Drug shortages. Aronson JK, Heneghan C, Ferner RE. Br J Clin Pharmacol. 2023;89(10):2950-2963.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.2. Lakeview Healthcare
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.2. Horizon Hospital—Lakeview Healthcare
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. C…
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psnet.ahrq.gov/issue/avoiding-medical-emergencies
April 07, 2021 - Commentary
Avoiding medical emergencies.
Citation Text:
Omar Y. Avoiding medical emergencies. Br Dent J. 2013;214(5):255-9. doi:10.1038/sj.bdj.2013.217.
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psnet.ahrq.gov/issue/national-prescription-drug-take-back-day
May 20, 2020 - Press Release/Announcement
National Prescription Drug Take Back Day.
Citation Text:
National Prescription Drug Take Back Day. Drug Enforcement Administration. April 22, 2023.
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psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
June 17, 2015 - Commentary
Simulation for ward processes of surgical care.
Citation Text:
Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg. 2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013.
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psnet.ahrq.gov/issue/night-and-day-shedding-light-hours-care
September 28, 2010 - Commentary
Like night and day — shedding light on off-hours care.
Citation Text:
Shulkin DJ. Like night and day--shedding light on off-hours care. N Engl J Med. 2008;358(20):2091-3. doi:10.1056/NEJMp0707144.
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psnet.ahrq.gov/issue/reducing-cognitive-errors-dermatology-can-anything-be-done
September 29, 2010 - Commentary
Reducing cognitive errors in dermatology: can anything be done?
Citation Text:
Dunbar M, Helms SE, Brodell RT. Reducing cognitive errors in dermatology: can anything be done? J Am Acad Dermatol. 2013;69(5):810-813. doi:10.1016/j.jaad.2013.07.008.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/guide.html
March 01, 2017 - Module 3: Staff Empowerment: Material Use Guide
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Learning Objectives:
Cite staff empowerment concepts.
Discuss how staff empowerment contributes to a culture of resident safety, leading to improved outcomes and quality of life.
Illustrate t…
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psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors
April 26, 2023 - Newspaper/Magazine Article
New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors.
Citation Text:
New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. Lovelace Jr, B. NBC News. September 7, 2022.
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www.ahrq.gov/research/findings/evidence-based-reports/gapkaleidtp.html
April 01, 2018 - Through the Quality Kaleidoscope
Reflections on the Science and Practice of Improving Health Care Quality
In 2004, AHRQ launched a collection of evidence reports, Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies , to bring data to bear on quality improvement opportunities. These …
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www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/trainover.pdf
January 01, 2009 - AHRQ Research Training and Career Development Opportunities
AHRQ Research
Training and Career
Development
Opportunities
Mentored
Research Scientist
Development
Awards
Mentored Research
Scientist Development
Awards foster the
career development of
promising new
investigators who have research doctoral
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/guide.html
March 01, 2017 - Module 2: Senior Leader Engagement: Material Use Guide
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Learning Objectives:
Identify characteristics of successful senior leaders.
List five practices of effective leaders.
Describe the responsibilities of senior leaders.
Explain the rol…
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psnet.ahrq.gov/issue/assessing-performance-aging-surgeons
September 07, 2016 - Commentary
Assessing the performance of aging surgeons.
Citation Text:
Katlic MR, Coleman JA, Russell MM. Assessing the Performance of Aging Surgeons. JAMA. 2019;321(5):449-450. doi:10.1001/jama.2018.22216.
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psnet.ahrq.gov/issue/barcode-identification-transfusion-safety
September 09, 2020 - Review
Barcode identification for transfusion safety.
Citation Text:
Murphy MF, Kay JDS. Barcode identification for transfusion safety. Curr Opin Hematol. 2004;11(5):334-338.
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psnet.ahrq.gov/issue/mother-claims-hospital-error-kept-her-newborn-daughter
June 13, 2011 - Newspaper/Magazine Article
Mother claims hospital error kept her from newborn daughter.
Citation Text:
Mother claims hospital error kept her from newborn daughter. Barbella M. Drug Topics. October 8, 2007.
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psnet.ahrq.gov/issue/embedding-quality-and-safety-otolaryngology-head-and-neck-surgery-education
August 11, 2010 - Commentary
Embedding quality and safety in otolaryngology–head and neck surgery education.
Citation Text:
McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/019459…
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psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
November 15, 2023 - Study
Audibility of patient clinical alarms to hospital nursing personnel.
Citation Text:
Sobieraj J, Ortega C, West I, et al. Audibility of patient clinical alarms to hospital nursing personnel. Mil Med. 2006;171(4):306-10.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B8: Unsafe Behavior Worksheet
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview …