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psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation
October 19, 2022 - Commentary
The World Health Organization '5 moments of hand hygiene': the scientific foundation.
Citation Text:
Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0…
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psnet.ahrq.gov/issue/radiation-protection-and-dose-monitoring-medical-imaging-journey-awareness-through
May 18, 2022 - Review
Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive?
Citation Text:
Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J Patien…
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www.ahrq.gov/ncepcr/tools/confid-report/foreword.html
February 01, 2016 - This applied resource seeks to address these shortcomings and inform developers of feedback reports about
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psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years
June 20, 2018 - Study
Parenteral nutrition errors and potential errors reported over the past 10 years.
Citation Text:
Guenter P, Ayers P, Boullata JI, et al. Parenteral Nutrition Errors and Potential Errors Reported Over the Past 10 Years. Nutr Clin Pract. 2017;32(6):826-830. doi:10.1177/08845336177158…
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psnet.ahrq.gov/issue/relationship-incorrect-dosing-fibrinolytic-therapy-and-clinical-outcomes
November 10, 2015 - Study
Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes.
Citation Text:
Mehta RH. Relationship of Incorrect Dosing of Fibrinolytic Therapy and Clinical Outcomes. JAMA. 2005;293(14). doi:10.1001/jama.293.14.1746.
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www.ahrq.gov/talkingquality/plan/pay.html
November 01, 2018 - How Will You Pay for a Health Care Quality Report?
A consumer reporting project is not cheap, although there are ways to reduce costs and spread them across multiple parties (including other sponsors and participating health plans or providers). Data collection costs can range from as little as a few thousand…
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psnet.ahrq.gov/issue/impact-teamwork-improvement-training-communication-and-teamwork-climate-ambulatory
October 28, 2020 - Study
Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care.
Citation Text:
Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive healt…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.docx
March 01, 2022 - FAQs (Staff): Wound Cleaning
Decolonization of
Non-ICU Patients With Devices
Section 14-5 – Addressing Questions Asked by Staff:
Wound Cleaning
There are some new nurses and nursing assistants on our unit. How can I ease any concerns related to wound cleaning?
Some nurses and nursing assistants feel comfortable us…
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psnet.ahrq.gov/issue/just-ekgs-should-eegs-undergo-confirmatory-interpretation-clinical-neurophysiologist
November 09, 2022 - Commentary
"Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist?
Citation Text:
Benbadis SR. "Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist? Neurology. 2013;80(1 Suppl 1):S47-51. doi:10.1…
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psnet.ahrq.gov/issue/medication-kit-conundrum-considerations-enhance-safety-and-efficiency
June 07, 2017 - Commentary
The medication kit conundrum: considerations to enhance safety and efficiency.
Citation Text:
Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae23…
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psnet.ahrq.gov/issue/mapping-research-culture-and-safety-high-risk-organizations-arguments-sociotechnical
August 09, 2017 - Commentary
Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding of safety culture.
Citation Text:
Naevestad T-O. Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding of…
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psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
August 12, 2020 - Newspaper/Magazine Article
10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety.
Citation Text:
10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety…
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psnet.ahrq.gov/issue/simulation-enhance-patient-safety-why-arent-we-there-yet
June 17, 2015 - Commentary
Simulation to enhance patient safety: why aren't we there yet?
Citation Text:
Aggarwal R, Darzi A. Simulation to enhance patient safety: why aren't we there yet? Chest. 2011;140(4):854-858. doi:10.1378/chest.11-0728.
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psnet.ahrq.gov/issue/tracing-foundations-conceptual-framework-patient-safety-ontology
March 23, 2011 - Commentary
Tracing the foundations of a conceptual framework for a patient safety ontology.
Citation Text:
Runciman WB, Baker GR, Michel P, et al. Tracing the foundations of a conceptual framework for a patient safety ontology. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2009.035147.
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psnet.ahrq.gov/issue/racial-and-ethnic-disparities-treatment-chronic-pain
December 16, 2020 - Review
Racial and ethnic disparities in the treatment of chronic pain.
Citation Text:
Morales ME, Yong RJ. Racial and ethnic disparities in the treatment of chronic pain. Pain Med. 2020;22(1):75-90. doi:10.1093/pm/pnaa427.
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digital.ahrq.gov/project-background
January 01, 2023 - Let us know the nature of the problem, the Web address of what you want, and your contact information
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psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-patient-care
January 18, 2018 - Review
The nexus of nursing leadership and a culture of safer patient care.
Citation Text:
Murray M, Sundin D, Cope V. The nexus of nursing leadership and a culture of safer patient care. J Clin Nurs. 2018;27(5-6):1287-1293. doi:10.1111/jocn.13980.
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psnet.ahrq.gov/issue/new-paradigm-surgical-procedural-training
December 21, 2014 - Commentary
A new paradigm for surgical procedural training.
Citation Text:
Sachdeva AK, Buyske J, Dunnington GL, et al. A new paradigm for surgical procedural training. Curr Probl Surg. 2011;48(12):854-968. doi:10.1067/j.cpsurg.2011.08.003.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/perioperative_asst.docx
December 01, 2017 - Once defects have been clearly identified, you can design a quality improvement intervention to address
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psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
December 03, 2014 - Study
Implementing root cause analysis in an area health service: views of the participants.
Citation Text:
Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8.
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