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hcup-us.ahrq.gov/db/vars/injury_machinery/nedsnote.jsp
May 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NEDS Notes
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hcup-us.ahrq.gov/db/vars/injury_firearm/nedsnote.jsp
May 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NEDS Notes
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/db/vars/injury_poison/nedsnote.jsp
May 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NEDS Notes
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/db/vars/prccsr_version/nedsnote.jsp
May 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NEDS Notes
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
February 24, 2011 - Study
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?
Citation Text:
Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Arch Surg. 2006;141(9):931-9.
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psnet.ahrq.gov/issue/surgical-never-events-united-states
September 10, 2014 - Study
Surgical never events in the United States.
Citation Text:
Mehtsun WT, Ibrahim AM, Diener-West M, et al. Surgical never events in the United States. Surgery. 2013;153(4):465-472. doi:10.1016/j.surg.2012.10.005.
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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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psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
May 08, 2024 - Commentary
Patient falls in the operating room: why is this still a problem in 2024?
Citation Text:
Pellegrino A, Brook K. Patient falls in the operating room: why is this still a problem in 2024? J Patient Saf. 2024;20(6):e87-e90. doi:10.1097/pts.0000000000001248.
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psnet.ahrq.gov/issue/prevalence-wrong-level-surgery-among-spine-surgeons
March 09, 2022 - Study
The prevalence of wrong level surgery among spine surgeons.
Citation Text:
Mody MG, Nourbakhsh A, Stahl DL, et al. The prevalence of wrong level surgery among spine surgeons. Spine (Phila Pa 1976). 2008;33(2):194-198. doi:10.1097/BRS.0b013e31816043d1.
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psnet.ahrq.gov/issue/impact-patient-safety-culture-missed-nursing-care-and-adverse-patient-events
March 16, 2022 - Study
Emerging Classic
Impact of patient safety culture on missed nursing care and adverse patient events.
Citation Text:
Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. J Nurs Care Qua…
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psnet.ahrq.gov/issue/using-situ-simulation-identify-latent-safety-threats-emergency-medicine-systematic-review
November 03, 2015 - Review
Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review.
Citation Text:
Grace MA, O'Malley R. Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. Simul Healthc. 2023;19(4):243-253. doi…
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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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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Pre-Op Surgical Decolonization Protocol for Staff: Bathing With 2 Percent Chlorhexidine No-Rinse Cloths
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
The following protocol details the process for performing skin decol…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/048-talking-points-patients-chg-bathing.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Talking Points for Patients:
Chlorhexidine Bathing
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Patients may have questions regarding chlorhexidine (CHG) bathing to prevent surgical site infections (SSI). B…
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psnet.ahrq.gov/issue/prevalence-inappropriate-antibiotic-prescriptions-among-us-ambulatory-care-visits-2010-2011
November 12, 2014 - Study
Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011.
Citation Text:
Fleming-Dutra KE, Hersh AL, Shapiro DJ, et al. Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011. JAMA. 2016;315(17):1864-18…
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hcup-us.ahrq.gov/reports/infographics/inpt_outpt.jsp
March 01, 2015 - Inpatient vs. Outpatient Surgeries in U.S. Hospitals
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/chemotherapy-medication-errors-pediatric-cancer-treatment-center-prospective-characterization
January 22, 2017 - Study
Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate.
Citation Text:
Watts RG, Parsons K. Chemotherapy medication errors in a pe…
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hcup-us.ahrq.gov/reports/infographics/psych_readmissions.jsp
October 01, 2017 - Hospital Readmissions for Psychiatric Conditions
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/organizational-culture-important-context-addressing-and-improving-hospital-community-patient
December 30, 2014 - Study
Organizational culture: an important context for addressing and improving hospital to community patient discharge.
Citation Text:
Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for addressing and improving hospital to community pa…
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psnet.ahrq.gov/issue/veterans-affairs-shift-change-physician-physician-handoff-project
April 30, 2014 - Study
The Veterans Affairs shift change physician-to-physician handoff project.
Citation Text:
Anderson J, Shroff D, Curtis A, et al. The Veterans Affairs shift change physician-to-physician handoff project. Jt Comm J Qual Patient Saf. 2010;36(2):62-71.
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