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www.ahrq.gov/topics/catheter-associated-urinary-tract-infection-cauti.html
January 01, 2013 - Catheter-Associated Urinary Tract Infection (CAUTI)
Catheter-associated urinary tract infections (CAUTIs) are among the most common types of healthcare-associated infections. Most cases of CAUTI are preventable. Since October 2008, the Centers for Medicare & Medicaid Services no longer reimburses…
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psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-breast-radiotherapy
May 25, 2022 - Study
Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy.
Citation Text:
doi:10.1001/jamaoncol.2022.0114.
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DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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digital.ahrq.gov/ahrq-funded-projects/understanding-how-social-influence-and-social-networks-affect-electronic
January 01, 2023 - Understanding How Social Influence and Social Networks Affect Electronic Medical Record Implementation
Project Final Report ( PDF , 367.9 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and…
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psnet.ahrq.gov/issue/medical-error-second-victim
March 23, 2011 - Commentary
Classic
Medical error: the second victim.
Citation Text:
Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727.
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psnet.ahrq.gov/issue/incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital
March 11, 2019 - Study
Classic
The incidence and severity of adverse events affecting patients after discharge from the hospital.
Citation Text:
Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients after discharge from the hos…
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psnet.ahrq.gov/issue/examining-copy-and-paste-function-use-electronic-health-records
October 21, 2015 - Book/Report
Examining the Copy and Paste Function in the Use of Electronic Health Records.
Citation Text:
Examining the Copy and Paste Function in the Use of Electronic Health Records. Lowry SZ, Ramaiah M, Prettyman SS, et al. Gaithersburg, MD: National Institute of Standards and Technol…
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psnet.ahrq.gov/issue/evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions
June 23, 2021 - Review
An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions.
Citation Text:
Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. d…
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psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
June 21, 2010 - Study
An intervention to enhance nursing staff teamwork and engagement.
Citation Text:
Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J Nurs Adm. 2007;37(2):77-84.
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psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
October 19, 2011 - Commentary
Identifying resilience: a system safety review of trauma and orthopaedic theatres.
Citation Text:
Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chaudhry-b-et-al-2006
January 01, 2006 - Chaudhry B et al. 2006 "Systematic review: impact of health information technology on quality, efficiency, and costs of medical care."
Reference
Chaudhry B, Wang J, Wu SY, et al. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Me…
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psnet.ahrq.gov/issue/caregivers-perception-drug-administration-safety-pediatric-oncology-patients
August 14, 2024 - Study
Caregivers' perception of drug administration safety for pediatric oncology patients.
Citation Text:
Harris N, Badr LK, Saab R, et al. Caregivers' perception of drug administration safety for pediatric oncology patients. J Pediatr Oncol Nurs. 2014;31(2):95-103. doi:10.1177/10434542…
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psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
July 13, 2010 - Study
Liability associated with obstetric anesthesia: a closed claims analysis.
Citation Text:
Davies JM, Posner KL, Lee LA, et al. Liability associated with obstetric anesthesia: a closed claims analysis. Anesthesiology. 2009;110(1):131-139. doi:10.1097/ALN.0b013e318190e16a.
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psnet.ahrq.gov/issue/planning-and-implementing-systems-based-patient-safety-curriculum-medical-education
June 29, 2009 - Commentary
Planning and implementing a systems-based patient safety curriculum in medical education.
Citation Text:
Thompson DA, Cowan J, Holzmueller CG, et al. Planning and implementing a systems-based patient safety curriculum in medical education. Am J Med Qual. 2008;23(4):271-8. do…
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www.ahrq.gov/sites/default/files/2024-07/cox-carayon-report.pdf
January 01, 2024 - The following describes results that informed the checklist’s development
and implementation. … aBeta describes the change in the number of utterances or decision-making events associated with a 1% … aBeta describes the change in parent perceptions for each of the 4 safety domains associated with a 1%
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
May 01, 2011 - Designing Consumer Reporting Systems for Patient Safety Events: Final Report
Contract Final Report
Designing Consumer Reporting
Systems for Patient Safety Events
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850…
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www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
May 01, 2011 - Designing Consumer Reporting Systems for Patient Safety Events: Final Report
Contract Final Report
Designing Consumer Reporting
Systems for Patient Safety Events
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/hemorrhage-postpartum_research-protocol.pdf
June 11, 2014 - hemorrhage-postpartum-protocol-140611
Evidence-based Practice Center Systematic Review Protocol
Project Title: Management of Postpartum Hemorrhage
I. Background and Objectives for the Systematic Rev…
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www.ahrq.gov/sites/default/files/2024-07/cebul-report.pdf
January 01, 2024 - Final Progress Report: Trial of Decision Support To Improve Diabetes Outcomes
Trial of Decision Support to Improve Diabetes Outcomes
Randall D. Cebul, MD, PI, MetroHealth Medical System
Neal V. Dawson, MD, Investigator
Douglas Einstadter, MD, Investigator
Peter Greco, MD, Investigator
Thomas Love, PhD, Investi…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-brief-ai-wave.pdf
June 01, 2025 - AHRQ Issue Brief: Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Understanding the AI Wave:
Foundational Knowledge for Improving
Diagnosis and Beyond
Issue Brief 27
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Issue Brief 27
Understanding the AI Wave:
Foundational Knowl…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cad-women-diagnosis_executive.pdf
June 01, 2012 - 1
Comparative Effectiveness Review
Number 58
Noninvasive Technologies for the Diagnosis of
Coronary Artery Disease in Women
Executive Summary
Background
Cardiovascular disease is the leading
cause of mortality for women in the
United States.1 Coronary heart disease—
which includes coronary artery (or
atheroscl…