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psnet.ahrq.gov/issue/raising-barcode-improving-medication-safety-behaviours-through-behavioural-science-informed
November 01, 2023 - Study
Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis.
Citation Text:
Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving med…
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psnet.ahrq.gov/issue/improving-timely-recognition-and-treatment-sepsis-pediatric-icu
December 09, 2020 - Study
Improving timely recognition and treatment of sepsis in the pediatric ICU.
Citation Text:
Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. …
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psnet.ahrq.gov/issue/cost-benefit-analysis-medical-emergency-team-childrens-hospital
November 06, 2015 - Study
Cost-benefit analysis of a medical emergency team in a children's hospital.
Citation Text:
Bonafide CP, Localio R, Song L, et al. Cost-benefit analysis of a medical emergency team in a children's hospital. Pediatrics. 2014;134(2):235-41. doi:10.1542/peds.2014-0140.
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psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study-using-global
December 09, 2020 - Study
Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method.
Citation Text:
Rutberg H, Risberg MB, Sjödahl R, et al. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global…
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psnet.ahrq.gov/issue/association-rapid-response-teams-hospital-mortality-medicare-patients
September 23, 2020 - Study
Association of rapid response teams with hospital mortality in Medicare patients.
Citation Text:
Girotra S, Jones PG, Peberdy MA, et al. Association of rapid response teams with hospital mortality in Medicare patients. Circ Cardiovasc Qual Outcomes. 2022;15(9):e008901. doi:10.1161/…
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psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project
October 19, 2022 - Study
Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture.
Citation Text:
Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide …
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psnet.ahrq.gov/issue/opioid-prescribing-and-adverse-events-opioid-naive-patients-treated-emergency-physicians
July 18, 2018 - Study
Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study.
Citation Text:
Borgundvaag B, McLeod S, Khuu W, et al. Opioid prescribing and adverse events in opioid-naive patients treated by…
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psnet.ahrq.gov/issue/risk-covid-19-related-bullying-harassment-and-stigma-among-healthcare-workers-analytical
April 25, 2016 - Study
Risk of COVID-19-related bullying, harassment and stigma among healthcare workers: an analytical cross-sectional global study.
Citation Text:
Dye TD, Alcantara L, Siddiqi S, et al. Risk of COVID-19-related bullying, harassment and stigma among healthcare workers: an analytical cros…
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psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective
November 12, 2014 - Study
Classic
Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis.
Citation Text:
Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association wit…
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psnet.ahrq.gov/issue/effect-digital-tools-promote-hospital-quality-and-safety-adverse-events-after-discharge
October 16, 2024 - Study
Effect of digital tools to promote hospital quality and safety on adverse events after discharge.
Citation Text:
Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on adverse events after discharge. J Am Med Inform Assoc. 2024;…
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psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it
February 10, 2015 - Commentary
The social cost of adverse medical events, and what we can do about it.
Citation Text:
Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256.
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psnet.ahrq.gov/issue/impact-surgical-complications-obstetricians-and-gynecologists-wellbeing-and-coping-mechanisms
February 28, 2024 - Study
The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims.
Citation Text:
Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechani…
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psnet.ahrq.gov/issue/prospective-evaluation-medication-related-clinical-decision-support-over-rides-intensive-care
April 07, 2019 - Study
Emerging Classic
Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit.
Citation Text:
Wong A, Amato MG, Seger DL, et al. Prospective evaluation of medication-related clinical decision support over-rid…
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psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-opportunities
April 17, 2024 - Study
Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning.
Citation Text:
Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Impr…
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psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education
June 02, 2021 - Study
Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.
Citation Text:
Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …
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psnet.ahrq.gov/issue/quality-improvement-lessons-learned-national-implementation-patient-safety-events-community
March 15, 2016 - Study
Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook".
Citation Text:
Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementati…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023980-connelly-final-report-2018.pdf
January 01, 2018 - Scope
3.1 Background and context for the project aims
Juvenile Idiopathic Arthritis is an incurable … Work to achieve the aims of this project involved collaboration across multiple stakeholders. … sometimes fragmented coordination of
information technology resources required to support project aims … Scope
3.1 Background and context for the project aims
3.1.1 Rationale for prioritizing dissemination … Work to achieve the aims of this project involved collaboration across multiple stakeholders.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021799-cohen-final-report-2018.pdf
January 01, 2018 - Methods: This project involved 3 aims. … Results: Results from Aims 1 and 2 were presented in a paper and at national conferences. … Based upon the stated project aims, therefore, this overall procedure constituted a sequential
exploratory … mixed method design with core qualitative designs proposed for aims 1 and 2
(interviews to develop … Results
As detailed above, Aims 1 and 2 were completed.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
January 01, 2007 - Rockville, MD 20850
www.ahrq.gov
2
Abstract
Purpose: The project consisted of two aims … other clinical service.
3
Final Report
Purpose
The project consisted of two over-arching aims … and five sub-aims. … Having assembled a strong research team has
enabled successful completion of all aims of this grant. … in process redesign and
adoption of clinical outcomes metrics to align the
Clinic with the Six IOM Aims
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digital.ahrq.gov/ahrq-funded-projects/bringing-measurement-point-care/activity/bringing-measurement-point-care/annual-summary/2010
January 01, 2010 - Specific Aims:
Validate a set of automated clinical quality measures that addresses priority public … Self-Reported Quarterly Status (as of December 2010): The grant ended in September 2010 with all major aims