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psnet.ahrq.gov/issue/teamwork-during-resuscitation
January 21, 2017 - Review
Teamwork during resuscitation.
Citation Text:
Weinstock P, Halamek LP. Teamwork during resuscitation. Pediatr Clin North Am. 2008;55(4):1011-24, xi-xii. doi:10.1016/j.pcl.2008.04.001.
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psnet.ahrq.gov/issue/patient-safety-public-health
July 19, 2023 - Commentary
Patient safety: this is public health.
Citation Text:
Card AJ. Patient safety: this is public health. J Healthc Risk Manag. 2014;34(1):6-12. doi:10.1002/jhrm.21145.
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psnet.ahrq.gov/issue/paramedics-and-effects-shift-work-sleep-literature-review
July 24, 2017 - Review
Paramedics and the effects of shift work on sleep: a literature review.
Citation Text:
Sofianopoulos S, Williams B, Archer F. Paramedics and the effects of shift work on sleep: a literature review. Emerg Med J. 2012;29(2):152-5. doi:10.1136/emj.2010.094342.
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psnet.ahrq.gov/issue/approaching-evidence-basis-aviation-derived-teamwork-training-medicine
August 09, 2023 - Review
Approaching the evidence basis for aviation-derived teamwork training in medicine.
Citation Text:
Zeltser M, Nash DB. Approaching the evidence basis for aviation-derived teamwork training in medicine. Am J Med Qual. 2010;25(1):13-23. doi:10.1177/1062860609345664.
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psnet.ahrq.gov/issue/implementation-modified-bedside-handoff-postpartum-unit
November 16, 2022 - Commentary
Implementation of a modified bedside handoff for a postpartum unit.
Citation Text:
Wollenhaup CA, Stevenson EL, Thompson J, et al. Implementation of a Modified Bedside Handoff for a Postpartum Unit. J Nurs Admin. 2017;47(6):320-326. doi:10.1097/NNA.0000000000000487.
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psnet.ahrq.gov/issue/approach-assessing-patient-safety-hospitals-low-income-countries
July 22, 2020 - Study
An approach to assessing patient safety in hospitals in low-income countries.
Citation Text:
Lindfield R, Knight A, Bwonya D. An approach to assessing patient safety in hospitals in low-income countries. PLoS One. 2015;10(3):e0121628. doi:10.1371/journal.pone.0121628.
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psnet.ahrq.gov/issue/classification-and-detection-errors-minimally-invasive-surgery
June 17, 2014 - Review
Classification and detection of errors in minimally invasive surgery.
Citation Text:
Rassweiler MC, Mamoulakis C, Kenngott HG, et al. Classification and detection of errors in minimally invasive surgery. J Endourol. 2011;25(11):1713-21. doi:10.1089/end.2011.0068.
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psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact-variable-patient-outcomes
June 17, 2015 - Study
Surgical ward round quality and impact on variable patient outcomes.
Citation Text:
Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes. Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/059-nursing-protocol-nasal-mupirocin.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Nursing Decolonization Protocol:
Nasal Mupirocin
ICU & Non-ICU
Note: Mupirocin should generally be chosen over iodophor when possible. A recent study showed a mupirocin & chlorhexidine gluconate (CHG) decolonization strategy to be more effective at reducing Staphylococcus aureus …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/131-what-are-the-4-es-one-pager.docx
May 24, 2024 - The aim is to Engage hearts and minds and thus, change attitudes and behaviors.1-6
Raise awareness of the problem, communicate benefits of the solution, and lay out the goals for the intervention.
· Use unit data, published literature, and national benchmarks. Storytelling is an underrated tool.
Engagement is not a on…
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www.ahrq.gov/news/newsroom/case-studies/cquips1301.html
November 01, 2012 - Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey
Search All Impact Case Studies
November 2012
Newman Memorial Hospital, a 79-bed acute hospital in Oklahoma, first implemented AHRQ's "Hospital Survey on Patient Safety Culture" in 2006, when concern about the hospital's patient safety …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool10_dc_checklist.docx
November 01, 2015 - Tool 10: Discharge Process Checklist
Tool 10: Discharge PROCESS Checklist
Purpose
Provide updated guidance to readmission reduction teams for updating discharge processes, based on Centers for Medicare & Medicaid Services (CMS) documents.
Description
This tool, adapted from the CMS Conditions of Participation (CO…
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psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
February 18, 2011 - Study
Weekend versus weekday admission and mortality from myocardial infarction.
Citation Text:
Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.…
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psnet.ahrq.gov/issue/clinical-impact-associated-corrected-results-clinical-microbiology-testing
December 03, 2008 - Study
Clinical impact associated with corrected results in clinical microbiology testing.
Citation Text:
Yuan S, Astion ML, Schapiro J, et al. Clinical impact associated with corrected results in clinical microbiology testing. J Clin Microbiol. 2005;43(5):2188-93.
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psnet.ahrq.gov/issue/are-we-missing-near-misses-or-underreporting-safety-incidents-pediatric-surgery
October 05, 2022 - Study
Are we missing the near misses in the OR? Underreporting of safety incidents in pediatric surgery.
Citation Text:
Hamilton EC, Pham DH, Minzenmayer AN, et al. Are we missing the near misses in the OR?-underreporting of safety incidents in pediatric surgery. J Surg Res. 2018;221:336…
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www.ahrq.gov/prevention/resources/depression/depsumtab2.html
April 01, 2013 - Table 2. Studies on the Effect of Screening and Feedback
Screening for Depression in Adults: Summary of the Evidence
The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, counseling, and chemopr…
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psnet.ahrq.gov/issue/perceptions-preventable-medical-errors-alberta-canada
January 21, 2019 - Study
Perceptions of preventable medical errors in Alberta, Canada.
Citation Text:
Northcott H, Vanderheyden L, Northcott J, et al. Perceptions of preventable medical errors in Alberta, Canada. Int J Qual Health Care. 2007;20(2):115-122. doi:10.1093/intqhc/mzm067.
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psnet.ahrq.gov/issue/antibiotic-prescribing-ambulatory-pediatrics-united-states
May 25, 2016 - Study
Antibiotic prescribing in ambulatory pediatrics in the United States.
Citation Text:
Hersh AL, Shapiro DJ, Pavia AT, et al. Antibiotic prescribing in ambulatory pediatrics in the United States. Pediatrics. 2011;128(6):1053-61. doi:10.1542/peds.2011-1337.
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psnet.ahrq.gov/issue/her-husband-died-suicide-she-sued-his-pain-doctors-rare-challenge-over-opioid-dose-reduction
September 15, 2021 - Newspaper/Magazine Article
Her husband died by suicide. She sued his pain doctors—a rare challenge over an opioid dose reduction.
Citation Text:
Her husband died by suicide. She sued his pain doctors—a rare challenge over an opioid dose reduction. Joseph A. STAT. November 22, 2021
Co…
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psnet.ahrq.gov/issue/relationship-incorrect-dosing-fibrinolytic-therapy-and-clinical-outcomes
November 10, 2015 - Study
Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes.
Citation Text:
Mehta RH. Relationship of Incorrect Dosing of Fibrinolytic Therapy and Clinical Outcomes. JAMA. 2005;293(14). doi:10.1001/jama.293.14.1746.
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