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  1. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-flyer-va.pdf
    July 07, 2018 - RecruitmentFlyer_FAQs_VA Frequently Asked Questions 1. Why should my practice participate in the Heart of Virginia Healthcare (HVH) initiative? Your practice will receive personalized coaching on optimizing your practice model and culture; helping you improve cardiovascular care for your patients. Improving func…
  2. psnet.ahrq.gov/issue/pharmacists-and-health-information-technology-emerging-issues-patient-safety
    November 13, 2013 - Review Pharmacists and health information technology: emerging issues in patient safety. Citation Text: Fuji KT, Galt KA. Pharmacists and Health Information Technology: Emerging Issues in Patient Safety. HEC Forum. 2008;20(3). doi:10.1007/s10730-008-9075-4. Copy Citation Format: …
  3. psnet.ahrq.gov/issue/method-addressing-proprietary-name-similarity-us-prescription-drugs
    June 10, 2020 - Commentary A method of addressing proprietary name similarity for US prescription drugs. Citation Text: Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331. Copy Citation …
  4. psnet.ahrq.gov/issue/health-information-exchange-and-patient-safety
    February 03, 2011 - Review Health information exchange and patient safety. Citation Text: Kaelber DC, Bates DW. Health information exchange and patient safety. J Biomed Inform. 2007;40(6 Suppl):S40-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
  5. psnet.ahrq.gov/issue/medication-administration-errors-nurses-adherence-guidelines
    July 08, 2020 - Study Medication administration errors by nurses: adherence to guidelines. Citation Text: Kim J, Bates DW. Medication administration errors by nurses: adherence to guidelines. J Clin Nurs. 2013;22(3-4):590-8. doi:10.1111/j.1365-2702.2012.04344.x. Copy Citation Format: DOI …
  6. psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department
    March 18, 2020 - Study Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. Citation Text: Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:…
  7. psnet.ahrq.gov/issue/another-surgeons-error-must-you-tell-patient
    October 02, 2013 - Commentary Another surgeon's error: must you tell the patient? Citation Text: Moffatt-Bruce SD, Denlinger CE, Sade RM. Another surgeon's error: must you tell the patient? Ann Thorac Surg. 2014;98(2):396-401. doi:10.1016/j.athoracsur.2014.04.073. Copy Citation Format: DOI Go…
  8. www.ahrq.gov/news/newsroom/case-studies/201903.html
    April 01, 2019 - Johns Hopkins Children’s Center Uses AHRQ-Funded I-PASS Tool to Boost Patient Safety Search All Impact Case Studies April 2019 Pediatric residents at Johns Hopkins Children’s Center in Baltimore, MD, changed the way they handed off patients between shift changes by closely adhering—sometimes by as much as …
  9. psnet.ahrq.gov/issue/perceptions-patient-safety-culture-among-physicians-and-rns-perioperative-area
    November 03, 2010 - Study Perceptions of patient safety culture among physicians and RNs in the perioperative area. Citation Text: Scherer D, Fitzpatrick JJ. Perceptions of patient safety culture among physicians and RNs in the perioperative area. AORN J. 2008;87(1):163-175. doi:10.1016/j.aorn.2007.07.003. …
  10. www.uspreventiveservicestaskforce.org/home/getfilebytoken/gcAWT3fYMT8fqfoJVnmqvt
    April 01, 2019 - 1 U.S. Preventive Services Task Force Literature Surveillance Report Title: Screening for Speech and Language Delay and Disorders in Children Aged 5 Years or Younger Literature Surveillance Date: April 2019 Recommendation Summary: In 2015, the USPSTF concluded that the current evidence was insuffic…
  11. psnet.ahrq.gov/issue/comparison-potential-risk-factors-medication-errors-and-without-patient-harm
    March 04, 2011 - Study Comparison of potential risk factors for medication errors with and without patient harm. Citation Text: Zaal RJ, van Doormaal JE, Lenderink AW, et al. Comparison of potential risk factors for medication errors with and without patient harm. Pharmacoepidemiol Drug Saf. 2010;19(8)…
  12. psnet.ahrq.gov/issue/video-technology-advance-safety-operating-room-and-perioperative-environment
    April 27, 2010 - Commentary Video technology to advance safety in the operating room and perioperative environment. Citation Text: Xiao Y, Schimpff S, Mackenzie CF, et al. Video technology to advance safety in the operating room and perioperative environment. Surg Innov. 2007;14(1):52-61. Copy Citati…
  13. psnet.ahrq.gov/issue/bar-code-technology-medication-administration-medication-errors-and-nurse-satisfaction
    July 29, 2020 - Study Bar-code technology for medication administration: medication errors and nurse satisfaction. Citation Text: Fowler SB, Sohler P, Zarillo DF. Bar-code technology for medication administration: medication errors and nurse satisfaction. Medsurg Nurs. 2009;18(2):103-9. Copy Citatio…
  14. www.ahrq.gov/news/newsroom/case-studies/ktcquips82.html
    October 01, 2014 - Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings Search All Impact Case Studies November 2011 Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider …
  15. psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
    December 04, 2019 - Commentary Is it time for safeguards in the adoption of robotic surgery? Citation Text: Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA. 2019;321(20):1971-1972. doi:10.1001/jama.2019.3736. Copy Citation Format: DOI Google Scholar Pub…
  16. psnet.ahrq.gov/issue/serious-hazards-transfusion-shot-haemovigilance-and-progress-improving-transfusion-safety
    April 27, 2019 - Review Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Citation Text: Bolton-Maggs PHB, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Br J Haematol. 2013;163(3):303-14. doi…
  17. psnet.ahrq.gov/issue/transforming-health-care-environment-collaborative
    October 07, 2015 - Commentary Transforming the health care environment collaborative. Citation Text: Burgess C, Curry MP. Transforming the health care environment collaborative. AORN J. 2014;99(4):529-39. doi:10.1016/j.aorn.2014.01.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…
  18. psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text-messaging-quality
    May 08, 2017 - Study Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. Citation Text: Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/…
  19. psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated-recommendations-reprocessing
    March 11, 2015 - Press Release/Announcement FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Citation Text: FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Silver Springs, MD: US Food and Drug Administration: Jun…
  20. psnet.ahrq.gov/issue/nurse-aides-ratings-resident-safety-culture-nursing-homes
    November 27, 2012 - Study Nurse aides' ratings of the resident safety culture in nursing homes. Citation Text: Castle NG. Nurse Aides' ratings of the resident safety culture in nursing homes. Int J Qual Health Care. 2006;18(5):370-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote…