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psnet.ahrq.gov/issue/making-electronic-prescribing-alerts-more-effective-scenario-based-experimental-study-junior
November 16, 2022 - Study
Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors.
Citation Text:
Scott GPT, Shah P, Wyatt JC, et al. Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. J Am Med Inform Ass…
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psnet.ahrq.gov/issue/maintaining-and-sustaining-cusp-stop-bsi-model-hawaii
March 21, 2012 - Study
Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.
Citation Text:
Lin D, Weeks K, Holzmueller CG, et al. Maintaining and Sustaining the On the CUSP: Stop BSI Model in Hawaii. Jt Comm J Qual Patient Saf. 2016;39(2):51-60, AP3. doi:10.1016/s1553-7250(13)39008-4. …
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psnet.ahrq.gov/issue/identifying-hospitalized-patients-risk-harm-comparison-nurse-perceptions-vs-electronic-risk
November 03, 2015 - Study
Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores.
Citation Text:
Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perc…
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psnet.ahrq.gov/issue/doing-well-doing-good-assessing-cost-savings-intervention-reduce-central-line-associated
March 21, 2012 - Study
Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstream infections in a Hawaii hospital.
Citation Text:
Hsu E, Lin D, Evans SJ, et al. Doing well by doing good: assessing the cost savings of an intervention to reduce c…
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psnet.ahrq.gov/issue/identifying-and-prioritizing-educational-content-malpractice-claims-database-clinical
September 20, 2023 - Study
Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners.
Citation Text:
van Sassen CGM, van den Berg PJ, Mamede S, et al. Identifying and prioritizing educational conten…
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psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
August 24, 2022 - Study
Emerging Classic
Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare.
Citation Text:
Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality measurement on n…
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psnet.ahrq.gov/issue/handling-anticipated-exceptions-clinical-care-investigating-clinician-use-exit-strategies
March 24, 2019 - Study
Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system.
Citation Text:
Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…
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psnet.ahrq.gov/issue/report-information-technology-and-health-deficiencies-us-nursing-homes
October 28, 2020 - Study
A report of information technology and health deficiencies in U.S. nursing homes.
Citation Text:
Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390.
Copy …
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/step.html
June 01, 2023 - Tool: STEP
STEP is a mnemonic tool that can help individuals monitor critical elements of a situation and the overall environment. It is suitable for use by teams supporting acutely ill patients in a hospital (e.g., an ICU patient the team hopes to wean off a ventilator as quickly as possible), for teams in lon…
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psnet.ahrq.gov/issue/assessing-impact-real-time-random-safety-audits-through-full-propensity-score-matching
March 09, 2022 - Study
Assessing the impact of real-time random safety audits through full propensity score matching on reliable data from the clinical information system.
Citation Text:
Bodí M, Samper MA, Sirgo G, et al. Assessing the impact of real-time random safety audits through full propensity scor…
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psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events
February 11, 2015 - Study
Is physician mentorship associated with the occurrence of adverse patient safety events?
Citation Text:
Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
February 01, 2024 - Preventing Pressure Ulcers in Hospitals
Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure ulcer prevention that we want to use?
4. How…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
June 02, 2025 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process
Integrating Teamwork Tools into CUSP Efforts
Shannon Davila, RN, MSN, CIC, CPQH
New Jersey Hospital Association
Slides adapted from original source:
Barbara Edson, RN, MBA, MHA
VP, Clinical Quality, Health Research &…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix L. Intensive Care Unit Infographic Poster
…
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psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety-incidents-effects
August 19, 2020 - Study
Reporting of health information technology system-related patient safety incidents: the effects of organizational justice.
Citation Text:
Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related patient safety incidents: the effects of…
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psnet.ahrq.gov/issue/potentially-severe-incidents-during-interhospital-transport-critically-ill-patients
October 26, 2022 - Study
Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study.
Citation Text:
Eiding H, Røise O, Kongsgaard UE. Potentially severe incidents during interhospital transport of critically ill pati…
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psnet.ahrq.gov/issue/long-term-follow-evaluation-electronic-health-record-prescribing-safety
November 26, 2014 - Study
A long-term follow-up evaluation of electronic health record prescribing safety.
Citation Text:
Abramson EL, Malhotra S, Osorio N, et al. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc. 2013;20(e1):e52-8. doi:10.1136/amiajnl…
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psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and
September 01, 2018 - Study
The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes.
Citation Text:
Lambert BL, Centomani NM, Smith KM, et al. The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and Outcomes. He…
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psnet.ahrq.gov/issue/multifaceted-intervention-improve-patient-safety-incident-reporting-intensive-care-units
January 18, 2023 - Study
Multifaceted intervention to improve patient safety incident reporting in intensive care units.
Citation Text:
Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting in intensive care units. J Patient Saf. 2023;19(7):422-428.…
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www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwpap.html
August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions
Appendix 1. Definitions of High-Performance Work Practices
Previous Page
Table of Contents
High-Performance Work Practices in CLABSI Prevention Interventions
Case Studies
Key Findings
Conclusions
References
Table 1. Case…