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psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care
December 09, 2020 - Study
A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period.
Citation Text:
Kaufmnan J, Twite M, Barrett C, et al. A handoff protocol from the cardiovascular operating room to cardiac I…
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psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices
March 13, 2013 - Book/Report
Classic
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.
Citation Text:
Shekelle PG, Wachter RM, Pronovost PJ, et al. Making Health Care Safer Ii: An Updated Critical Analysis Of The Evidence For…
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psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
January 16, 2019 - Commentary
Classic
Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety.
Citation Text:
Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…
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psnet.ahrq.gov/issue/responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses
February 24, 2011 - Study
Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients.
Citation Text:
Driver TH, Katz PP, Trupin L, et al. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nu…
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digital.ahrq.gov/care-setting/hospital
January 01, 2023 - Hospital
Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children
Description
This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-time access …
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psnet.ahrq.gov/issue/association-nurse-workload-missed-nursing-care-neonatal-intensive-care-unit
September 27, 2017 - Study
Emerging Classic
Association of nurse workload with missed nursing care in the neonatal intensive care unit.
Citation Text:
Tubbs-Cooley HL, Mara CA, Carle AC, et al. Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Uni…
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psnet.ahrq.gov/issue/how-can-never-event-data-be-used-reflect-or-improve-hospital-safety-performance
March 30, 2022 - Study
How can never event data be used to reflect or improve hospital safety performance?
Citation Text:
Olivarius‐McAllister J, Pandit M, Sykes A, et al. How can never event data be used to reflect or improve hospital safety performance? Anaesthesia. 2021;76(12):1616-1624. doi:10.1111/a…
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psnet.ahrq.gov/issue/racial-bias-pain-assessment-and-treatment-recommendations-and-false-beliefs-about-biological
July 20, 2022 - Study
Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites.
Citation Text:
Hoffman KM, Trawalter S, Axt JR, et al. Racial bias in pain assessment and treatment recommendations, and false beliefs about biolo…
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psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-mortality
December 21, 2014 - Study
Classic
Association between implementation of a medical team training program and surgical mortality.
Citation Text:
Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2…
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psnet.ahrq.gov/issue/assessment-global-trigger-tool-measure-monitor-and-evaluate-patient-safety-cancer-patients
April 22, 2015 - Study
Assessment of the global trigger tool to measure, monitor and evaluate patient safety in cancer patients: reliability concerns are raised.
Citation Text:
Mattsson TO, Knudsen JL, Lauritsen J, et al. Assessment of the global trigger tool to measure, monitor and evaluate patient sa…
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digital.ahrq.gov/ahrq-funded-projects/promoting-use-integrated-personal-health-record-prevention/annual-summary/2012
January 01, 2012 - Promoting Use of an Integrated Personal Health Record for Prevention - 2012
Project Name
Promoting Use of an Integrated Personal Health Record for Prevention
Principal Investigator
Krist, Alexander H.
Organization
Virginia Commonwealth University
Funding Mechanism
P…
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psnet.ahrq.gov/issue/rates-medical-errors-and-preventable-adverse-events-among-hospitalized-children-following
November 12, 2014 - Study
Classic
Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle.
Citation Text:
Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events…
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psnet.ahrq.gov/issue/i-pass-handoff-program-use-campaign-effect-transformational-change
April 24, 2018 - Study
I-PASS handoff program: use of a campaign to effect transformational change.
Citation Text:
Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088.
Co…
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psnet.ahrq.gov/issue/assessment-changes-visits-and-antibiotic-prescribing-during-agency-healthcare-research-and
March 10, 2021 - Study
Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic.
Citation Text:
Keller SC, Caballero TM, Tamma PD, et al. Assessment of changes in visits and antib…
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psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
March 15, 2016 - Review
A systematic review of patient safety measures in adult primary care.
Citation Text:
Hatoun J, Chan J, Yaksic E, et al. A Systematic Review of Patient Safety Measures in Adult Primary Care. Am J Med Qual. 2017;32(3):237-245. doi:10.1177/1062860616644328.
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psnet.ahrq.gov/issue/use-and-impact-virtual-primary-care-quality-and-safety-publics-perspectives-during-covid-19
July 08, 2020 - Study
Use and impact of virtual primary care on quality and safety: the public's perspectives during the COVID-19 pandemic.
Citation Text:
Neves AL, van Dael J, O’Brien N, et al. Use and impact of virtual primary care on quality and safety: The public's perspectives during the COVID-19 p…
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psnet.ahrq.gov/issue/patient-safety-skills-primary-care-national-survey-gp-educators
October 05, 2016 - Study
Patient safety skills in primary care: a national survey of GP educators.
Citation Text:
Ahmed M, Arora S, McKay J, et al. Patient safety skills in primary care: a national survey of GP educators. BMC Fam Pract. 2014;15:206. doi:10.1186/s12875-014-0206-5.
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psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
December 21, 2014 - Study
Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme.
Citation Text:
Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration; assessment and im…
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psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
July 21, 2021 - Study
Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis.
Citation Text:
Liberman AL, Holl JL, Romo E, et al. Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. Acad Eme…
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digital.ahrq.gov/principal-investigator/garcia-sofia
January 01, 2024 - Garcia, Sofia
A mixed methods evaluation of patient perspectives on the implementation of an electronic health record-integrated patient-reported symptom and needs monitoring program in cancer care.
Citation
Lyleroehr MJ, Webster KA, Perry LM, Patten EA, Cantoral J, Smith JD, …