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hcup-us.ahrq.gov/datainnovations/clinicaldata/tkfeedback.jsp
July 01, 2016 - Enhancing the Clinical Content of Administrative Data - Present on Admission (POA) Toolkit: Feedback and Reporting Tools
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psnet.ahrq.gov/issue/diagnosing-crime-and-diagnosing-disease-part-1-and-part-2
December 05, 2018 - Review
Diagnosing crime and diagnosing disease—part 1 and part 2.
Citation Text:
Lockhart JJ, Satya-Murti S. Diagnosing Crime and Diagnosing Disease: Bias Reduction Strategies in the Forensic and Clinical Sciences. J Forensic Sci. 2017;62(6):1534-1541. doi:10.1111/1556-4029.13453.
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psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes
July 31, 2008 - Study
Rework and workarounds in nurse medication administration process: implications for work processes and patient safety.
Citation Text:
Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes…
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psnet.ahrq.gov/issue/between-choice-and-chance-role-human-factors-acute-care-equipment-decisions
February 22, 2023 - Study
Between choice and chance: the role of human factors in acute care equipment decisions.
Citation Text:
Nemeth CP, Nunnally M, Bitan Y, et al. Between choice and chance: the role of human factors in acute care equipment decisions. J Patient Saf. 2009;5(2):114-21. doi:10.1097/PTS.0…
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psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems
October 16, 2019 - Study
Errors prevented by and associated with bar-code medication administration systems.
Citation Text:
Cochran GL, Jones KJ, Brockman J, et al. Errors prevented by and associated with bar-code medication administration systems. Jt Comm J Qual Patient Saf. 2007;33(5):293-301, 245.
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psnet.ahrq.gov/issue/investigating-safety-medication-administration-adult-critical-care-settings
June 01, 2022 - Review
Investigating the safety of medication administration in adult critical care settings.
Citation Text:
Mansour M, James V, Edgley A. Investigating the safety of medication administration in adult critical care settings. Nurs Crit Care. 2012;17(4):189-97. doi:10.1111/j.1478-5153.2…
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psnet.ahrq.gov/issue/beyond-service-quality-mediating-role-patient-safety-perceptions-patient-experience
January 14, 2011 - Study
Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship.
Citation Text:
Rathert C, May DR, Williams E. Beyond service quality: the mediating role of patient safety perceptions in the patient experience-satisfac…
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psnet.ahrq.gov/issue/interprofessional-education-team-communication-working-together-improve-patient-safety
April 24, 2018 - Study
Interprofessional education in team communication: working together to improve patient safety.
Citation Text:
Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi…
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psnet.ahrq.gov/issue/role-registered-nurses-error-prevention-discovery-and-correction
August 04, 2021 - Study
Role of registered nurses in error prevention, discovery and correction.
Citation Text:
Rogers AE, Dean GE, Hwang W-T, et al. Role of registered nurses in error prevention, discovery and correction. Qual Saf Health Care. 2008;17(2):117-21. doi:10.1136/qshc.2007.022699.
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psnet.ahrq.gov/issue/experiences-lean-six-sigma-improvement-strategy-reduce-parenteral-medication-administration
October 13, 2021 - Commentary
Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm.
Citation Text:
van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to reduce pa…
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psnet.ahrq.gov/issue/making-surgery-safe-it-should-be-qualitative-study
July 02, 2014 - Study
Making surgery as safe as it should be: a qualitative study.
Citation Text:
Robinson DJ, Beaumont G. Making surgery as safe as it should be: a qualitative study. Am J Med Qual. 2023;38(5):238-244. doi:10.1097/jmq.0000000000000139.
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psnet.ahrq.gov/node/50689/psn-pdf
November 20, 2019 - States Targeting Reduction in Infections via Engagement
(STRIVE).
November 20, 2019
Ann Intern Med. 2019;171(7_Suppl):s1-s82.
https://psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
The States Targeting Reduction in Infections via Engagement (STRIVE) initiative was 3-year hospital-
ba…
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psnet.ahrq.gov/issue/training-operating-room-teams-damage-control-surgery-trauma-followup-study-norwegian-model
December 29, 2014 - Study
Training operating room teams in damage control surgery for trauma: a followup study of the Norwegian model.
Citation Text:
Hansen KS, Uggen PE, Brattebø G, et al. Training operating room teams in damage control surgery for trauma: a followup study of the Norwegian model. J Am Co…
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psnet.ahrq.gov/issue/healthcare-professionals-views-smart-glasses-intensive-care-qualitative-study
October 23, 2024 - Study
Healthcare professionals' views of smart glasses in intensive care: a qualitative study.
Citation Text:
Romare C, Hass U, Skär L. Healthcare professionals' views of smart glasses in intensive care: A qualitative study. Intensive Crit Care Nurs. 2018;45:66-71. doi:10.1016/j.iccn.201…
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psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events
June 07, 2023 - Study
Inadequate preoperative team briefings lead to more intraoperative adverse events.
Citation Text:
Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181.
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psnet.ahrq.gov/issue/systematic-review-antimicrobial-urinary-catheters-prevent-catheter-associated-urinary-tract
October 19, 2022 - Review
Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients.
Citation Text:
Johnson JR, Kuskowski MA, Wilt TJ. Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract i…
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psnet.ahrq.gov/issue/effects-bar-coding-technology-medication-errors-systematic-literature-review
March 20, 2024 - Review
The effects of bar-coding technology on medication errors: a systematic literature review.
Citation Text:
Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic Literature Review. J Patient Saf. 2021;17(3):e192-e206. doi:10.1097/PTS.00…
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hcup-us.ahrq.gov/reports/admindata.jsp
April 01, 2022 - Enhancing Administrative Data
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
September 20, 2011 - Book/Report
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm.
Citation Text:
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 201…
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www.ahrq.gov/news/newsroom/case-studies/201901.html
March 01, 2019 - Georgetown University Family Nurse Practitioner Program Trains Hundreds of Students Using AHRQ App to Improve Primary Care
Search All Impact Case Studies
March 2019
Approximately 600 students who have completed a Georgetown University masters’ level course for family nurse practitioners use an electronic ap…