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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/report-15-years-clinical-negligence-claims-rhinology
November 30, 2011 - Study
A report on 15 years of clinical negligence claims in rhinology.
Citation Text:
Geyton T, Odutoye T, Mathew R. A report on 15 years of clinical negligence claims in rhinology. Am J Rhinol Allergy. 2014;28(6):219-23. doi:10.2500/ajra.2014.28.4118.
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psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-complications
June 20, 2011 - Study
Mortality related to anaesthesia in France: analysis of deaths related to airway complications.
Citation Text:
Auroy Y, Benhamou D, Péquignot F, et al. Mortality related to anaesthesia in France: analysis of deaths related to airway complications. Anaesthesia. 2009;64(4):366-70. …
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T6-Sample_Vignettes_Phase_3_final.pdf
May 01, 2014 - Sample Vignettes
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 3
Sample Vignettes
The following series of vignettes are similar to cases that a prescribing clinician may be pr…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
Learning From Antibiotic-Associated Adverse Events
An antibiotic-associated adverse event is any event or situation that you would not want to happen again because it either caused your patient harm or had the potential to cause harm. The purpose of this tool is to provi…
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psnet.ahrq.gov/issue/recognizing-and-responding-toxic-work-environment-worker-safety-patient-safety-and
July 02, 2019 - Study
Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes.
Citation Text:
Pickering CEZ, Nurenberg K, Schiamberg L. Recognizing and Responding to the "Toxic" Work Environment: Worker Safety, Patient Safety, and Abu…
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psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
April 12, 2011 - Study
Patient risk factors for medical injury: a case–control study.
Citation Text:
Marbella AM, Laud PW, Brasel KJ, et al. Patient risk factors for medical injury: a case-control study. BMJ Qual Saf. 2011;20(2):187-93. doi:10.1136/bmjqs.2009.032664.
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psnet.ahrq.gov/issue/nursing-home-safety-does-financial-performance-matter
November 05, 2008 - Study
Nursing home safety: does financial performance matter?
Citation Text:
Oetjen RM, Zhao M, Liu D, et al. Nursing home safety: does financial performance matter? J Health Care Finance. 2011;37(3):51-61.
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Google Scholar PubMed BibTeX EndNote X3 XML…
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psnet.ahrq.gov/issue/sustained-improvement-neonatal-intensive-care-unit-safety-attitudes-after-teamwork-training
March 26, 2015 - Study
Sustained improvement in neonatal intensive care unit safety attitudes after teamwork training.
Citation Text:
Murphy T, Laptook A, Bender J. Sustained Improvement in Neonatal Intensive Care Unit Safety Attitudes After Teamwork Training. J Patient Saf. 2018;14(3):174-180. doi:10.10…
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psnet.ahrq.gov/issue/balancing-patient-centered-and-safe-pain-care-nonsurgical-inpatients-clinical-and-managerial
March 12, 2025 - Study
Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical and managerial perspectives.
Citation Text:
Mazurenko O, Andraka-Christou BT, Bair MJ, et al. Balancing Patient-Centered and Safe Pain Care for Nonsurgical Inpatients: Clinical and Managerial Perspec…
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digital.ahrq.gov/care-setting/hospital-intensive-care-unit
January 01, 2023 - Intensive Care Unit
ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization
Description
The study will develop, validate, implement, and assess the usability of a machine learning based clinical decision support tool designed to reduce laboratory testing overutili…
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psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
January 09, 2018 - Book/Report
Classic
The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age.
Citation Text:
The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. Wachter R. New York, NY: McGraw-Hill; 2015. ISBN: 9780071849463. …
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psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care
March 13, 2013 - Commentary
Classic
Complexity science: the challenge of complexity in health care.
Citation Text:
Plsek PE, Greenhalgh T. Complexity science: The challenge of complexity in health care. BMJ. 2001;323(7313):625-628.
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psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victims
December 22, 2021 - Commentary
Support strategies for health care professionals who are second victims.
Citation Text:
Hauk L. Support strategies for health care professionals who are second victims. AORN J. 2018;107(6):P7-P9. doi:10.1002/aorn.12291.
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DOI Google Scholar Pu…
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psnet.ahrq.gov/issue/effectiveness-radiofrequency-detection-system-adjunct-manual-counting-protocols-tracking
October 19, 2022 - Study
Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients.
Citation Text:
Rupp CC, Kagarise MJ, Nelson SM, et al. Effectiveness of a radiofrequency detection system as an adju…
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www.ahrq.gov/sops/databases/research-datasets.html
May 01, 2024 - SOPS Research Datasets
In response to requests from researchers interested in using data from the AHRQ Surveys on Patient Safety Culture® (SOPS®) Program for research purposes, AHRQ has established a process whereby researchers can request de-identified data files and hospital-identifiable SOPS Hospital Survey …
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psnet.ahrq.gov/issue/drone-delivery-medications-review-landscape-and-legal-considerations
May 18, 2022 - Commentary
Emerging Classic
Drone delivery of medications: review of the landscape and legal considerations.
Citation Text:
Lin CA, Shah K, Mauntel LCC, et al. Drone delivery of medications: Review of the landscape and legal considerations. Am J Health Syst Phar…
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psnet.ahrq.gov/issue/mind-sentinel-applying-patient-safety-paradigms-clinician-well-being
October 19, 2022 - Commentary
Mind the sentinel - applying patient-safety paradigms to clinician well-being.
Citation Text:
Humikowski CA. Mind the sentinel - applying patient-safety paradigms to clinician well-being. N Engl J Med. 2024;391(20):1870-1872. doi:10.1056/nejmp2406074.
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psnet.ahrq.gov/issue/teaching-nursing-students-ethical-and-legal-consequences-medical-errors-insights-radonda
July 05, 2017 - Study
Teaching nursing students the ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw technique.
Citation Text:
Geiselman EL, Opsahl A, Townsend C. Teaching nursing students the ethical and legal consequences of medical errors: insig…
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psnet.ahrq.gov/issue/association-between-surgeon-stress-and-major-surgical-complications
November 29, 2023 - Study
Association between surgeon stress and major surgical complications.
Citation Text:
Awtry J, Skinner S, Polazzi S, et al. Association between surgeon stress and major surgical complications. JAMA Surg. 2025;160(3):332-340. doi:10.1001/jamasurg.2024.6072.
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