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psnet.ahrq.gov/issue/achieving-perfect-handoff-patient-transfers-building-teamwork-and-trust
October 08, 2016 - Commentary
Achieving the 'perfect handoff' in patient transfers: building teamwork and trust.
Citation Text:
Clarke D, Werestiuk K, Schoffner A, et al. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. J Nurs Manag. 2012;20(5):592-8. doi:10.1111/j.1365-…
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www.ahrq.gov/hai/cauti-tools/impl-guide/index.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
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Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Overview
Frameworks for Change and Improvement
Technical…
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www.ahrq.gov/evidencenow/projects/heart-health/evidence/aspirin.html
March 01, 2021 - Aspirin Use Evidence and Resources
A substantial body of evidence shows that taking aspirin can help patients lower their risk of heart attack or stroke. Patients with heart disease or who have had a stroke in the past are at high risk for having a heart attack or another stroke. Taking an aspirin every day can…
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psnet.ahrq.gov/issue/nurses-practice-environments-error-interception-practices-and-inpatient-medication-errors
December 15, 2011 - Study
Nurses' practice environments, error interception practices, and inpatient medication errors.
Citation Text:
Flynn L, Liang Y, Dickson GL, et al. Nurses' practice environments, error interception practices, and inpatient medication errors. J Nurs Scholarsh. 2012;44(2):180-6. doi:…
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psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety
January 05, 2012 - Commentary
Crossing to safety: transforming healthcare organizations for patient safety.
Citation Text:
Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J Postgrad Med. 2005;51(1):61-67.
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psnet.ahrq.gov/issue/minimising-medication-errors-children
August 04, 2021 - Review
Minimising medication errors in children.
Citation Text:
Wong ICK, Wong LYL, Cranswick NE. Minimising medication errors in children. Arch Dis Child. 2009;94(2):161-4. doi:10.1136/adc.2007.116442.
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psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety
November 16, 2022 - Commentary
Using the ABCs of situational awareness for patient safety.
Citation Text:
Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82.
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psnet.ahrq.gov/issue/environmental-changes-increase-hospital-safety-dementia-patients
January 10, 2011 - Commentary
Environmental changes increase hospital safety for dementia patients.
Citation Text:
Goodall D. Environmental changes increase hospital safety for dementia patients. Holist Nurs Pract. 2006;20(2):80-84.
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www.ahrq.gov/news/newsroom/case-studies/201525.html
September 01, 2015 - AHRQ’s Medical Office Survey Helps Colorado Hospital Provide Better Care
Search All Impact Case Studies
September 2015
Yuma District Hospital and Clinics, a 15-bed hospital with two rural health clinics in northeast Colorado, has used results from an AHRQ-developed patient safety survey, the Medical Office…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-japan-jade-study
September 25, 2019 - Study
Incidence of adverse drug events and medication errors in Japan: the JADE Study.
Citation Text:
Sakuma M, Bates DW, Morimoto T. Clinical prediction rule to identify high-risk inpatients for adverse drug events: the JADE Study. Pharmacoepidemiol Drug Saf. 2012;21(11). doi:10.1002/pd…
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psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery
March 02, 2011 - Review
Fatal errors in nitrous oxide delivery.
Citation Text:
Herff H, Paal P, Von Goedecke A, et al. Fatal errors in nitrous oxide delivery. Anaesthesia. 2007;62(12):1202-1206. doi:10.1111/j.1365-2044.2007.05193.x.
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psnet.ahrq.gov/issue/effectiveness-clinical-knowledge-support-system-reducing-diagnostic-errors-outpatient-care
July 31, 2019 - Study
Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: a retrospective study.
Citation Text:
Shimizu T, Nemoto T, Tokuda Y. Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient ca…
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psnet.ahrq.gov/issue/emergency-medical-and-health-providers-perceptions-key-issues-prehospital-patient-safety
January 11, 2017 - Study
Emergency medical and health providers' perceptions of key issues in prehospital patient safety.
Citation Text:
Atack L, Maher J. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Prehosp Emerg Care. 2010;14(1):95-102. doi:10.3109/10…
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psnet.ahrq.gov/issue/human-factors-curriculum-surgical-clerkship-students
September 24, 2008 - Study
A human factors curriculum for surgical clerkship students.
Citation Text:
Cahan MA, Larkin AC, Starr S, et al. A human factors curriculum for surgical clerkship students. Arch Surg. 2010;145(12):1151-7. doi:10.1001/archsurg.2010.252.
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psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error
October 25, 2023 - Commentary
Disclosure programmes in the US--an inadequate response to medical error.
Citation Text:
Handley GM. Disclosure programmes in the US—an inadequate response to medical error. BMJ. 2024;385:q1318. doi:10.1136/bmj.q1318.
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psnet.ahrq.gov/issue/towards-safer-neonatal-transfer-importance-critical-incident-review
October 02, 2019 - Study
Towards safer neonatal transfer: the importance of critical incident review.
Citation Text:
Moss SJ. Towards safer neonatal transfer: the importance of critical incident review. Arch Dis Child. 2005;90(7). doi:10.1136/adc.2004.066639.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/ui-screening-language-english-spanish.pdf
January 11, 2024 - Urinary Incontinence EHR Screening Tools Tip Sheets
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Urinary Incontinence
EHR Screening Tools
Tip Sheets
IT2 Team – Northwestern Medicine
This project was funded unde…
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psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
February 22, 2010 - Study
Clinical alarms: improving efficiency and effectiveness.
Citation Text:
Phillips J, Barnsteiner JH. Clinical alarms: improving efficiency and effectiveness. Crit Care Nurs Q. 2005;28(4):317-323.
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psnet.ahrq.gov/issue/pediatric-medical-errors-part-1-case-pediatric-drug-overdose-case
April 22, 2020 - Study
Pediatric medical errors part 1: the case. A pediatric drug overdose case.
Citation Text:
Dowdell EB. Pediatric medical errors part 1: the case. A pediatric drug overdose case. Pediatr Nurs. 2004;30(4):328-30.
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-lvhhn-patient-safety-video-patients-partners-safe-care
January 02, 2017 - Commentary
John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery.
Citation Text:
Anthony R, Miranda F, Mawji Z, et al. John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care …