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psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training
September 09, 2015 - Study
Classic
National cluster-randomized trial of duty-hour flexibility in surgical training.
Citation Text:
Bilimoria KY, Chung JW, Hedges L, et al. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. New Engl J Med. 2016;374(8):71…
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psnet.ahrq.gov/issue/management-and-patient-safety-complex-elderly-patients-primary-care-during-covid-19-pandemic
April 20, 2022 - Study
Management and patient safety of complex elderly patients in primary care during the COVID-19 pandemic in the UK-Qualitative assessment.
Citation Text:
Alboksmaty A, Kumar S, Parekh R, et al. Management and patient safety of complex elderly patients in primary care during the COVID…
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psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
March 10, 2021 - Review
Diagnostic errors in the intensive care unit: a systematic review of autopsy studies.
Citation Text:
Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmj…
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psnet.ahrq.gov/issue/concordance-urgent-referral-guidelines-patients-presenting-any-six-alarm-features-possible
February 17, 2021 - Study
Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records.
Citation Text:
Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral gui…
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psnet.ahrq.gov/issue/multi-method-exploratory-evaluation-service-designed-improve-medication-safety-patients
July 22, 2020 - Study
A multi-method exploratory evaluation of a service designed to improve medication safety for patients with monitored dosage systems following hospital discharge.
Citation Text:
Alqenae FA, Steinke DT, Belither H, et al. A multi-method exploratory evaluation of a service designed to…
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psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-medications-chronic
November 06, 2015 - Study
Classic
Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases.
Citation Text:
Bell CM, Brener SS, Gunraj N, et al. Association of ICU or hospital admission with unintentional discontinuation of me…
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psnet.ahrq.gov/issue/relationship-between-patients-perception-care-and-measures-hospital-quality-and-safety
February 13, 2019 - Study
Classic
The relationship between patients' perception of care and measures of hospital quality and safety.
Citation Text:
Isaac T, Zaslavsky AM, Cleary PD, et al. The relationship between patients' perception of care and measures of hospital quality and …
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digital.ahrq.gov/ahrq-funded-projects/enhancing-emr-based-real-time-sepsis-alert-system-performance-through-machine
January 01, 2023 - Enhancing an EMR-Based Real-Time Sepsis Alert System Performance Through Machine Learning
Project Final Report ( PDF , 705.19 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necess…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-nishisaki.html
July 01, 2025 - Grantee Profile
Eliminating Preventable Harms During Pediatric Intubation
Akira Nishisaki, M.D., M.S.C.E. Attending Physician, Critical Care Medicine, Children’s Hospital of Philadelphia Co-Medical Director for Center for Simulation, Advanced Education and Innovation, Children’s Hospital of Philadelphia Cha…
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www.ahrq.gov/news/blog/ahrqviews/heart-month-tools.html
February 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
For American Heart Month, AHRQ Offers New Tools for Expanding Cardiac Rehabilitation
FEB
21
2023
By
Tess Miller, Dr.P.H., and
Michael I. Harrison, Ph.D.
Tess Miller, Dr.P.H.
In healthcare, few things are more regrettable than …
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/index.html
February 01, 2024 - Preventing Hospital-Associated Venous Thromboembolism
Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. Outline the Evidence and Identify Best Practi…
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psnet.ahrq.gov/issue/improving-patient-safety-and-efficiency-medication-reconciliation-through-development-and
May 20, 2020 - Study
Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project.
Citation Text:
Tamblyn R, Winslade N, Lee TC, et…
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psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
December 07, 2011 - Study
Emerging Classic
Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial.
Citation Text:
Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…
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psnet.ahrq.gov/issue/feasibility-and-added-value-executive-walkrounds-long-term-care-organizations-netherlands
January 07, 2015 - Study
Feasibility and added value of Executive WalkRounds in long term care organizations in the Netherlands.
Citation Text:
van Dusseldorp L, de Waal GH-, Hamers H, et al. Feasibility and Added Value of Executive WalkRounds in Long Term Care Organizations in the Netherlands. Jt Comm J Q…
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psnet.ahrq.gov/issue/assessment-safety-discharging-select-patients-directly-home-intensive-care-unit-multicenter
May 20, 2020 - Study
Assessment of the safety of discharging select patients directly home from the intensive care unit: a multicenter population-based cohort study.
Citation Text:
Stelfox HT, Soo A, Niven DJ, et al. Assessment of the Safety of Discharging Select Patients Directly Home From the Intensi…
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psnet.ahrq.gov/issue/providing-feedback-following-leadership-walkrounds-associated-better-patient-safety-culture
February 01, 2023 - Study
Classic
Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.
Citation Text:
Sexton B, Adair KC, Leonard MW, et al. Providing feedback following Leadership WalkRou…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/child-maltreatment-interventions-final-rec-bulletin.pdf
March 19, 2024 - U.S. Preventive Services Task Force Issues Final Reccomendation on Primary Care Interventions to Prevent Child Maltreatment
www.uspreventiveservicestaskforce.org 1
U.S. Preventive Services Task Force Issues Final Recommendation
Statement on Primary Care Interventions to Prevent Child
Maltreatment
Task For…
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digital.ahrq.gov/ahrq-funded-projects/imatter2-ai-driven-approach-supercharge-novel-digital-patient-reported
July 01, 2023 - iMatter2 - An AI-Driven Approach to Supercharge a Novel Digital Patient-Reported Outcomes Tool for Diabetes Management
Project Description
Publications
Events
Implementing an artificial intelligence-supported tool to collect patient-reported outcomes for patients wi…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/_GZ-JwUgQJykdbvhgpTNph
January 21, 2025 - Summary of USPSTF Draft Recommendation: Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Falls and Fractures in Community Dwelling Adults
1
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The Task Force is an independent, volunteer panel of national experts in preventio…
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psnet.ahrq.gov/issue/effect-delays-2-week-wait-cancer-referral-pathway-during-covid-19-pandemic-cancer-survival-uk
October 21, 2020 - Study
Emerging Classic
Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study.
Citation Text:
Sud A, Torr B, Jones ME, et al. Effect of delays in the 2-week-wait cancer referral pa…