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AHRQ: Agency for Healthcare Research and Quality

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Showing results for "developing".

  1. The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. | PSNet

    psnet.ahrq.gov/issue/safe-patient-flow-initiative-collaborative-quality-improvement-journey-yale-new-haven
    June 07, 2023 - Study The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Citation Text: Jweinat J, Damore P, Morris V, et al. The safe patient flow initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Jt Comm J Q…

  2. The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. | PSNet

    psnet.ahrq.gov/issue/impact-2011-accreditation-council-graduate-medical-education-duty-hour-reform-quality-and
    April 05, 2013 - Study The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on quality and safety in trauma care. Citation Text: Marwaha JS, Drolet BC, Maddox SS, et al. The Impact of the 2011 Accreditation Council for Graduate Medical Education Duty Hour Reform on…

  3. Preventability of hospital-acquired venous thromboembolism. | PSNet

    psnet.ahrq.gov/issue/preventability-hospital-acquired-venous-thromboembolism
    December 21, 2014 - Study Classic Preventability of hospital-acquired venous thromboembolism. Citation Text: Haut ER, Lau BD, Kraus PS, et al. Preventability of Hospital-Acquired Venous Thromboembolism. JAMA Surg. 2015;150(9):912-5. doi:10.1001/jamasurg.2015.1340. Copy Citation …

  4. Identification of common themes from never events data published by NHS England. | PSNet

    psnet.ahrq.gov/issue/identification-common-themes-never-events-data-published-nhs-england
    April 07, 2021 - Study Identification of common themes from never events data published by NHS England. Citation Text: Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7. C…

  5. Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. | PSNet

    psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-implications-learning
    January 31, 2018 - Study Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. Citation Text: Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. Acad Med. 2017;92(7):976-983…

  6. A critical appraisal of AHRQ's "Diagnostic Errors" report. | PSNet

    psnet.ahrq.gov/issue/critical-appraisal-ahrqs-diagnostic-errors-report
    July 13, 2016 - Commentary A critical appraisal of AHRQ's "Diagnostic Errors" report. Citation Text: Carpenter C, Jotte R, Griffey RT, et al. A critical appraisal of AHRQ's "Diagnostic Errors" report. Mo Med. 2023;120(2):114-120. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

  7. Saving lives: a meta-analysis of team training in healthcare. | PSNet

    psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-healthcare
    October 31, 2017 - Review Saving lives: a meta-analysis of team training in healthcare. Citation Text: Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120. Copy Citation Format: DOI …

  8. Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
    March 13, 2013 - Review Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. Citation Text: Hempel S, Maggard-Gibbons M, Nguyen DK, et al. Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Even…

  9. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. | PSNet

    psnet.ahrq.gov/issue/restricted-duty-hours-surgeons-and-impact-residents-quality-life-education-and-patient-care
    October 08, 2008 - Review Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. Citation Text: Pape H-C, Pfeifer R. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature…

  10. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. | PSNet

    psnet.ahrq.gov/issue/nearly-all-thirty-most-frequently-used-emergency-department-drugs-experienced-shortages-2006
    April 27, 2022 - Study Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. Citation Text: Lin MP, Vargas-Torres C, Shin-Kim J, et al. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006–2019. Am J Emerg Med.…

  11. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. | PSNet

    psnet.ahrq.gov/issue/orders-file-no-labs-drawn-investigation-machine-and-human-errors-caused-interface
    April 29, 2018 - Commentary Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. Citation Text: Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncras…

  12. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. | PSNet

    psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability
    April 24, 2017 - Study Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. Citation Text: Jha V, Winterbottom A, Symons J, et al. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability …

  13. Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. | PSNet

    psnet.ahrq.gov/issue/understanding-knowledge-gaps-whistleblowing-and-speaking-health-care-narrative-reviews
    September 11, 2018 - Book/Report Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. Citation Text: Understanding the knowledge gaps in whistleblowing and speaking up…

  14. Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. | PSNet

    psnet.ahrq.gov/issue/supporting-error-management-and-safety-climate-ambulatory-care-practices-cirsforte-study
    September 07, 2022 - Study Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. Citation Text: Müller BS, Lüttel D, Schütze D, et al. Supporting error management and safety climate in ambulatory care practices: the CIRSforte study. J Patient Saf. 2024;20(5):314-32…

  15. Parents' perspective on safety in neonatal intensive care: a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/parents-perspective-safety-neonatal-intensive-care-mixed-methods-study
    November 08, 2017 - Study Parents' perspective on safety in neonatal intensive care: a mixed-methods study. Citation Text: Lyndon A, Jacobson CH, Fagan KM, et al. Parents' perspectives on safety in neonatal intensive care: a mixed-methods study. BMJ Qual Saf. 2014;23(11):902-9. doi:10.1136/bmjqs-2014-003009…

  16. The trigger tool as a method to measure harmful medication errors in children. | PSNet

    psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children
    August 03, 2022 - Study The trigger tool as a method to measure harmful medication errors in children. Citation Text: Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177.…

  17. Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. | PSNet

    psnet.ahrq.gov/issue/are-informed-policies-place-promote-safe-and-usable-ehrs-cross-industry-comparison
    September 19, 2018 - Study Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. Citation Text: Savage EL, Fairbanks RJ, Ratwani RM. Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. J Am Med Inform Assoc. 2017;24(4):769-775. d…

  18. Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. | PSNet

    psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related
    October 17, 2018 - Study Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. Citation Text: Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of patient safety event rep…

  19. Implementing standardized operating room briefings and debriefings at a large regional medical center. | PSNet

    psnet.ahrq.gov/issue/implementing-standardized-operating-room-briefings-and-debriefings-large-regional-medical
    January 03, 2017 - Study Implementing standardized operating room briefings and debriefings at a large regional medical center. Citation Text: Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qua…

  20. Healthcare-associated infections: a national patient safety problem and the coordinated response. | PSNet

    psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response
    May 20, 2016 - Commentary Healthcare-associated infections: a national patient safety problem and the coordinated response. Citation Text: Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.109…
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