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psnet.ahrq.gov/issue/clostridium-difficile-infection-united-states-national-study-assessing-preventive-practices
July 03, 2014 - Study
Clostridium Difficile infection in the United States: a national study assessing preventive practices used and perceptions of practice evidence.
Citation Text:
Saint S, Fowler KE, Krein SL, et al. Clostridium Difficile Infection in the United States: A National Study Assessing Prev…
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psnet.ahrq.gov/issue/preventing-device-associated-infections-us-hospitals-national-surveys-2005-2013
June 21, 2023 - Study
Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013.
Citation Text:
Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/…
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psnet.ahrq.gov/issue/what-counts-voiceable-concern-decisions-about-speaking-out-hospitals-qualitative-study
June 16, 2021 - Study
What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study.
Citation Text:
Dixon-Woods M, Aveling EL, Campbell A, et al. What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. J Health Serv Res…
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psnet.ahrq.gov/issue/comparative-effectiveness-serious-game-and-e-module-support-patient-safety-knowledge-and
September 08, 2010 - Study
Comparative effectiveness of a serious game and an e-module to support patient safety knowledge and awareness.
Citation Text:
Dankbaar MEW, Richters O, Kalkman CJ, et al. Comparative effectiveness of a serious game and an e-module to support patient safety knowledge and awareness. …
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psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital-unit-types
April 14, 2011 - Study
Unit-based incident reporting and root cause analysis: variation at three hospital unit types.
Citation Text:
Wagner C, Merten H, Zwaan L, et al. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. BMJ Open. 2016;6(6):e011277. doi:10.1136/…
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psnet.ahrq.gov/issue/use-unit-based-interventions-improve-quality-care-hospitalized-medical-patients-national
November 01, 2023 - Study
Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey.
Citation Text:
O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A Natio…
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psnet.ahrq.gov/issue/nurse-workload-and-inexperienced-medical-staff-members-are-associated-seasonal-peaks-severe
June 28, 2013 - Study
Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study.
Citation Text:
Faisy C, Davagnar C, Ladiray D, et al. Nurse workload and inexperienced medica…
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psnet.ahrq.gov/issue/intervention-study-reduction-medication-errors-elderly-trauma-patients
December 18, 2019 - Study
Intervention study for the reduction of medication errors in elderly trauma patients.
Citation Text:
Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(…
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psnet.ahrq.gov/issue/are-surgeons-and-anesthesiologists-lying-each-other-or-gaming-system-national-random-sample
June 29, 2022 - Study
Are surgeons and anesthesiologists lying to each other or gaming the system? A national random sample survey about "truth-telling practices" in the perioperative setting in the United States.
Citation Text:
Nurok M, Lee Y-Y, Ma Y, et al. Are surgeons and anesthesiologists lying to …
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psnet.ahrq.gov/issue/organizational-culture-team-climate-and-diabetes-care-small-office-based-practices
April 01, 2010 - Study
Organizational culture, team climate and diabetes care in small office-based practices.
Citation Text:
Bosch M, Dijkstra R, Wensing M, et al. Organizational culture, team climate and diabetes care in small office-based practices. BMC Health Serv Res. 2008;8:180. doi:10.1186/1472-…
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psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts
February 25, 2015 - Study
Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project.
Citation Text:
Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Proje…
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psnet.ahrq.gov/issue/modification-potentially-inappropriate-prescribing-following-fall-related-hospitalizations
January 19, 2022 - Study
Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults.
Citation Text:
Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. Drugs …
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psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-care-transitions-insights-project-achieve-site-visits
September 23, 2020 - Study
Classic
Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits.
Citation Text:
Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights from Project ACHIEV…
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psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental
March 18, 2020 - Study
Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study.
Citation Text:
van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Jt …
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psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics-oversight-and-patient
January 15, 2014 - Commentary
Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research.
Citation Text:
Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/141-cusp-tip-sheet-assembling-team.docx
April 01, 2025 - CUSP Tip Sheet:
Assembling the CUSP Team
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Purpose
Teamwork and interprofessional collaboration are important to high-quality patient care. A culture of teamwork and learning from mistakes helps improve patient safety. The Compre…
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psnet.ahrq.gov/issue/medication-reconciliation-during-hospitalization-and-hospital-home-interface-observational
June 16, 2021 - Study
Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study.
Citation Text:
Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital-home interface: an observational retrosp…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-standardized-quality-measures.pdf
June 02, 2025 - Job Aid: Standardized Quality Measures
Primary Care Practice Facilitator
Training Series
1
Job Aid: Standardized Quality Measures
Familiarity with the standardized quality measures that payers and regulatory groups use is an
important part of a practice facilitator's core knowledge.
Standar…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/fed-IWG-dxsafety-Nov19mtg.pdf
November 15, 2019 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care November Meeting Summary
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Health Car…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-2.html
March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes
Foundations of Diagnosis Education
Previous Page Next Page
Table of Contents
Improving Education—A Key to Better Diagnostic Outcomes
Introduction
Foundations of Diagnosis Education
Current State of Diagnosis Education
Competencies To Im…