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psnet.ahrq.gov/issue/effect-health-information-exchange-recognition-medication-discrepancies-interrupted-when-data
November 16, 2022 - Study
Effect of health information exchange on recognition of medication discrepancies is interrupted when data charges are introduced: results of a cluster-randomized controlled trial.
Citation Text:
Boockvar K, Ho W, Pruskowski J, et al. Effect of health information exchange on recogni…
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www.ahrq.gov/hai/cusp/toolkit/shadowing.html
December 01, 2012 - Shadowing Another Professional Tool
CUSP Toolkit
Learn about other disciplines to improve the coordination of patient care.
Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care provide…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
June 02, 2025 - Shadowing Another Professional Tool
Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care providers often do not understand other disciplines’ daily responsibilities, teamwork, and communication iss…
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psnet.ahrq.gov/issue/iatroref-study-medical-errors-are-associated-symptoms-depression-icu-staff-not-burnout-or
April 12, 2011 - Study
The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture.
Citation Text:
Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but…
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www.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
February 01, 2023 - Major Hospital Quality Measurement Sets
The list of valid and reliable indicators of inpatient quality of care continues to grow and evolve as measures are refined, introduced, and retired. The National Quality Forum has endorsed nearly 200 measures in the inpatient setting , many of which are used for public …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standard-protocol-iodophor.pdf
March 01, 2022 - Standardized Nursing Protocol: Use of Nasal Iodophor (10% Povidone-Iodine)
Decolonization of
Non-ICU Patients With Devices
Section 9-4 – Standardized Nursing Protocol:
Use of Nasal Iodophor (10% Povidone-Iodine)
The following is a standing order protocol for implementing nasal decolonization in adult non-
i…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standard-protocol-iodophor.docx
March 01, 2022 - Standardized Nursing Protocol for Iodophor
Decolonization of
Non-ICU Patients With Devices
Section 9-4 – Standardized Nursing Protocol:
Use of Nasal Iodophor (10% Povidone-Iodine)
The following is a standing order protocol for implementing nasal decolonization in adult non-intensive care unit (ICU) patients who are m…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standing-order-protocol-mupirocin.pdf
March 01, 2022 - Standing Order Protocol: Nasal Mupirocin
Decolonization of
Non-ICU Patients With Devices
Section 9-3 – Standing Order Protocol:
Nasal Mupirocin
The following is a standing order protocol for implementing nasal decolonization in adult non-
intensive care unit (ICU) patients who are methicillin-resistant S…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/professional-tool.html
July 01, 2023 - Shadowing Another Professional Tool
AHRQ Safety Program for Perinatal Care
Problem Statement: Health care delivery is a multidisciplinary practice that requires coordination of care among different professions and provider types. However, health care providers often do not understand other discip…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/multidiscplinary-rounding.pdf
April 01, 2022 - Making It Work Tip Sheet: Multidisciplinary Rounding for Patient Safety
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Multidisciplinary Rounding for Patient Safety
This “Making It Work” tip sheet provides additional information to help intensive car…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/respiratory-one-pager.pdf
September 01, 2022 - Upper Respiratory Tract Infection: The Common Cold
Diagnosis
• Upper respiratory tract infections or “the common cold” are caused by viruses and present with symptoms
such as rhinorrhea, sneezing, sinus congestion, sore throat, cough, low-grade fever, headache, and
fatigue.
• The common cold occurs…
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psnet.ahrq.gov/issue/hospital-staff-should-use-more-one-method-detect-adverse-events-and-potential-adverse-events
November 12, 2014 - Study
Hospital staff should use more than one method to detect adverse events and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review may all have a place.
Citation Text:
Olsen S, Neale G, Schwab K, et al. Hospital staff should use mo…
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psnet.ahrq.gov/issue/health-disparities-impact-health-disparities-and-treatment-decision-making-biases-cancer
October 14, 2020 - Commentary
Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors.
Citation Text:
Vo J, Gillman A, Mitchell K, et al. Health disparities: impact of health disparities and treatment decision-making biase…
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psnet.ahrq.gov/issue/minding-gaps-assessing-communication-outcomes-electronic-preconsultation-exchange
November 30, 2016 - Study
Minding the gaps: assessing communication outcomes of electronic preconsultation exchange.
Citation Text:
Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54.
…
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digital.ahrq.gov/2018-year-review/research-dissemination/web-conferences
January 01, 2018 - Reaching the Research Community through Web Conferences
Go to the Events page to see the most recent Health IT Web Conferences.
AHRQ convenes web-based conferences to showcase recent health IT research developments and further the dialogue on future research. In 2018, AHRQ convened …
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psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english-hospitals
December 21, 2022 - Study
Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals.
Citation Text:
Cresswell K, Mozaffar H, Lee L, et al. Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. BMJ Qual Saf. 2017;26(7):542-551…
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psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review
May 18, 2022 - Study
Patient safety and telephone medicine: some lessons from closed claim case review.
Citation Text:
Katz HP, Kaltsounis D, Halloran L, et al. Patient safety and telephone medicine : some lessons from closed claim case review. J Gen Intern Med. 2008;23(5):517-22. doi:10.1007/s11606-…
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psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
January 11, 2023 - Study
Classic
A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.
Citation Text:
Avery A, Rodgers S, Cantrill JA, et al. A pharmacist-led info…
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hcup-us.ahrq.gov/db/vars/dxccsn/nisnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs…
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
August 10, 2022 - Study
Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses.
Citation Text:
Maierhofer CN, Ran…