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  1. digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2010
    January 01, 2010 - Enhancing Complex Care through an Integrated Care Coordination Information System - 2010 Project Name Enhancing Complex Care through an Integrated Care Coordination Information System Principal Investigator Dorr, David Organization Oregon Health and Science University …
  2. psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration
    August 21, 2024 - Study Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. Citation Text: Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:…
  3. psnet.ahrq.gov/issue/assessing-stops-framework-coping-intraoperative-errors-evidence-efficacy-hints-hubris-and
    June 14, 2023 - Study Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. Citation Text: D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of…
  4. psnet.ahrq.gov/issue/situ-simulation-adoption-new-technology-improve-sepsis-care-rural-emergency-departments
    November 10, 2021 - Study In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. Citation Text: Powell ES, Bond WF, Barker LT, et al. In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. J Patient Saf. 2022…
  5. psnet.ahrq.gov/issue/factors-influencing-second-victim-experiences-and-support-needs-obgyn-and-pediatric
    January 31, 2024 - Study Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. Citation Text: Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support needs of OB/GYN and…
  6. psnet.ahrq.gov/issue/multi-team-shared-expectations-tool-mt-set-exercise-improve-teamwork-across-health-care-teams
    May 22, 2019 - Commentary Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. Citation Text: Marsteller JA, Rosen MA, Wyskiel R, et al. Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. Jt Comm J Q…
  7. psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison
    May 24, 2012 - Study Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. Citation Text: Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…
  8. effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0398_06-17-2008.pdf
    January 01, 2008 - Effective Health Care Topic Number: 0174 Document Completion Date: 7-28-10 1 Results of Topic Selection Process & Next Steps  Biomarkers to guide treatment for iron-deficiency anemia in renal dialysis patients will go forward for refinement as a systematic review. The scope of this topic, incl…
  9. 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. …
  10. psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
    December 23, 2020 - Study Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). Citation Text: Finney RE, Czinski S, Fjerstad K, et al. Evaluation …
  11. psnet.ahrq.gov/issue/screening-medication-errors-using-outlier-detection-system
    December 18, 2019 - Study Screening for medication errors using an outlier detection system. Citation Text: Schiff G, Volk LA, Volodarskaya M, et al. Screening for medication errors using an outlier detection system. J Am Med Inform Assoc. 2017;24(2):281-287. doi:10.1093/jamia/ocw171. Copy Citation Fo…
  12. psnet.ahrq.gov/issue/evaluation-extended-releaselong-acting-opioid-prescribing-risk-evaluation-and-mitigation
    March 06, 2019 - Study Evaluation of the extended-release/long-acting opioid prescribing Risk Evaluation and Mitigation Strategy Program by the US Food and Drug Administration: a review. Citation Text: Heyward J, Olson L, Sharfstein JM, et al. Evaluation of the Extended-Release/Long-Acting Opioid Prescri…
  13. psnet.ahrq.gov/issue/integrating-patient-safety-health-professionals-curricula-qualitative-study-medical-nursing
    February 14, 2015 - Study Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives. Citation Text: Tregunno D, Ginsburg LR, Clarke B, et al. Integrating patient safety into health professionals' curricula: a qualitative study…
  14. psnet.ahrq.gov/issue/assessing-national-electronic-injury-surveillance-system-cooperative-adverse-drug-event
    February 27, 2019 - Government Resource Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004. Citation Text: Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-C…
  15. psnet.ahrq.gov/issue/integration-prospective-and-retrospective-methods-risk-analysis-hospitals
    June 23, 2010 - Study Integration of prospective and retrospective methods for risk analysis in hospitals. Citation Text: Kessels-Habraken M, van der Schaaf TW, De Jonge J, et al. Integration of prospective and retrospective methods for risk analysis in hospitals. Int J Qual Health Care. 2009;21(6):42…
  16. 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…
  17. psnet.ahrq.gov/issue/mortality-review-tool-assess-contribution-healthcare-associated-infections-death-results
    August 10, 2022 - Study Mortality review as a tool to assess the contribution of healthcare-associated infections to death: results of a multicentre validity and reproducibility study, 11 European Union countries, 2017 to 2018. Citation Text: van der Kooi T, Lepape A, Astagneau P, et al. Mortality review …
  18. psnet.ahrq.gov/issue/identifying-and-categorising-patient-safety-hazards-cardiovascular-operating-rooms-using
    August 25, 2015 - Study Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. Citation Text: Gurses AP, Kim G, Martinez EA, et al. Identifying and categorising patient safety hazards in cardiovascular operating rooms u…
  19. psnet.ahrq.gov/issue/lost-information-during-handover-critically-injured-trauma-patients-mixed-methods-study
    October 04, 2023 - Study Lost information during the handover of critically injured trauma patients: a mixed-methods study. Citation Text: Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(1…
  20. digital.ahrq.gov/ahrq-funded-projects/rural-health-information-technology-cooperative-promote-clinical-improvement
    January 01, 2023 - A Rural Health Information Technology Cooperative to Promote Clinical Improvement Project Final Report ( PDF , 203.76 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily …