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psnet.ahrq.gov/issue/full-implementation-computerized-physician-order-entry-and-medication-related-quality
September 07, 2011 - Study
Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals.
Citation Text:
Yu FB, Menachemi N, Berner ES, et al. Full implementation of computerized physician order entry and medication-related quality outcomes: a …
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digital.ahrq.gov/track-4-assessing-value-and-evaluating-project-impact
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
May 24, 2015 - Study
Medication errors involving patient-controlled analgesia.
Citation Text:
Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194.
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psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety-breakdowns-mixed
October 30, 2024 - Study
Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study.
Citation Text:
Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. J Patient Saf.…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips99.html
October 01, 2014 - New York Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots
Search All Impact Case Studies
May 2012
Seven New York hospitals revised their protocol for preventing venous thromboembolism (VTE) after their State Quality Improvement Organization (QIO), IPRO, participated in a series of on…
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psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive
November 29, 2023 - Study
Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial.
Citation Text:
Khamali RE, Mouaci A, Valera S, et al. Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Workin…
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www.ahrq.gov/research/findings/final-reports/ptflow/references.html
October 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
References
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Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
Section 1. The Need to Addres…
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psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
July 19, 2023 - Study
Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events.
Citation Text:
Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safe…
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psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
June 07, 2023 - Study
Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project.
Citation Text:
Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement projec…
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psnet.ahrq.gov/issue/physicians-responses-clinical-decision-support-intensive-care-unit-comparison-four-different
February 14, 2024 - Study
Physicians' responses to clinical decision support on an intensive care unit—comparison of four different alerting methods.
Citation Text:
Scheepers-Hoeks A-MJ, Grouls RJ, Neef C, et al. Physicians' responses to clinical decision support on an intensive care unit--comparison of fou…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3tab3-2.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table 3-2: Race and Ethnicity Categories Collected by Various Data Sources
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Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summa…
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psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
January 20, 2021 - Study
Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors.
Citation Text:
Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1tab1-1.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table 1-1. Categories and Definitions Promulgated by the Office of Management and Budget (OMB) and the U.S. Bureau of the Census
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Table of Contents
Race, Ethnicity, and Language Data: Stand…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3tab3-6.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table 3-6. Examples of Instructions, Phrasing, and Terminology to Capture Race and Ethnicity Data
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Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Qual…
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psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-implementation-organizational-patient-safety
April 23, 2014 - Study
The relationship between patient safety culture and the implementation of organizational patient safety defences at emergency departments.
Citation Text:
van Noord I, de Bruijne M, Twisk JWR. The relationship between patient safety culture and the implementation of organizational…
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psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
May 29, 2019 - Study
Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module.
Citation Text:
Le RD, Melanson SEF, Petrides AK, et al. Significant Reduction in Preanalytical Errors for Nonphlebotomy Blood Draws Aft…
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psnet.ahrq.gov/issue/adverse-events-related-accidental-unintentional-ingestions-cough-and-cold-medications
May 06, 2020 - Study
Adverse events related to accidental unintentional ingestions from cough and cold medications in children.
Citation Text:
Wang GS, Reynolds KM, Banner W, et al. Adverse events related to accidental unintentional ingestions from cough and cold medications in children. Pediatr Emerg …
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psnet.ahrq.gov/issue/communication-practices-4-harvard-surgical-services-surgical-safety-collaborative
September 29, 2017 - Study
Communication practices on 4 Harvard surgical services: a surgical safety collaborative.
Citation Text:
Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.…
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psnet.ahrq.gov/issue/automated-surveillance-adverse-drug-events-community-hospital-and-academic-medical-center
September 23, 2020 - Study
Automated surveillance for adverse drug events at a community hospital and an academic medical center.
Citation Text:
Kilbridge PM, Campbell UC, Cozart HB, et al. Automated surveillance for adverse drug events at a community hospital and an academic medical center. J Am Med Infor…
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psnet.ahrq.gov/issue/intensive-care-unit-nurses-perceptions-safety-after-highly-specific-safety-intervention
June 16, 2011 - Study
Intensive care unit nurses' perceptions of safety after a highly specific safety intervention.
Citation Text:
Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Qual Saf Health Care. 2008;17(1):25-3…