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psnet.ahrq.gov/issue/failure-rescue-and-30-day-hospital-mortality-hospitals-and-without-crew-resource-management
January 26, 2022 - Study
Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training.
Citation Text:
Bacon CT, McCoy TP, Henshaw DS. Failure to rescue and 30‐day in‐hospital mortality in hospitals with and without crew‐resource‐management safety…
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psnet.ahrq.gov/issue/detecting-unapproved-abbreviations-electronic-medical-record
August 08, 2018 - Study
Detecting unapproved abbreviations in the electronic medical record.
Citation Text:
Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9.
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psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room
November 21, 2011 - Study
Incorrect surgical procedures within and outside of the operating room.
Citation Text:
Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126.
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psnet.ahrq.gov/issue/impact-hospital-acquired-pneumonia-medicare-program
August 07, 2013 - Study
Impact of hospital-acquired pneumonia on the Medicare program.
Citation Text:
Baker DL, Giuliano KK, Desmarais M, et al. Impact of hospital-acquired pneumonia on the Medicare program. Infect Control Hosp Epidemiol. 2024;45(3):316-321. doi:10.1017/ice.2023.221.
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psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system
January 19, 2022 - Study
Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system.
Citation Text:
Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Q…
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digital.ahrq.gov/ahrq-funded-projects/context-aware-knowledge-delivery-electronic-health-records/annual-summary/2012
January 01, 2012 - Context-Aware Knowledge Delivery into Electronic Health Records - 2012
Project Name
Context-Aware Knowledge Delivery into Electronic Health Records
Principal Investigator
Del Fiol, Guilherme
Organization
University of Utah
Funding Mechanism
PAR: HS09-087: Mentored R…
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psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
July 08, 2008 - Study
Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study.
Citation Text:
Lapointe-Shaw L, Bell CM, Austin PC, et al. Community pharmacy medication review, death and re-admission after hospital discharge: a propen…
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-among-older-persons-meta-analysis-observational-studies
May 27, 2020 - Review
Emerging Classic
Potentially inappropriate prescribing among older persons: a meta-analysis of observational studies.
Citation Text:
Liew TM, Lee CS, Shawn KLG, et al. Potentially Inappropriate Prescribing Among Older Persons: A Meta-Analysis of Observati…
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psnet.ahrq.gov/issue/prevalence-and-impact-potentially-inappropriate-prescribing-among-older-persons-primary-care
July 24, 2019 - Review
Emerging Classic
The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis.
Citation Text:
Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropri…
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psnet.ahrq.gov/issue/effect-computerised-decision-support-alerts-tailored-intensive-care-administration-high-risk
October 18, 2023 - Study
The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial.
Citation Text:
Bakker T, Klopotowska JE, Dongelmans DA, et al. The effect of computeri…
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psnet.ahrq.gov/issue/physicians-views-interventions-reduce-medical-errors-does-evidence-effectiveness-matter
February 18, 2011 - Study
Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter?
Citation Text:
Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):1…
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psnet.ahrq.gov/issue/patient-safety-culture-improves-during-situ-simulation-intervention-repeated-cross-sectional
January 20, 2021 - Study
Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites.
Citation Text:
Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation intervention: a re…
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psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
August 17, 2022 - Study
Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis.
Citation Text:
Paulik O, Hallen J, Lapkin S, et al. Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analys…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-flyer-chcanys-ny.pdf
June 02, 2025 - "Healthy Hearts NYC Recruitment Flyer"
WHAT IS HEALTHYHEARTS NYC?
HealthyHearts NYC is a three-year city wide initiative funded by the Agency for
Healthcare Research and Quality(AHRQ) aiming to build capacity among small tomedium sized
primary care practices in the adoption and implementation of the ABC…
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www.ahrq.gov/ecareplan/past-contributors/index.html
August 01, 2024 - eCare Plan Past Contributors
Technical Expert Panels The Technical Expert Panels (TEP) were created to identify data elements important for care for people with Long COVID, type 2 diabetes, chronic pain and opioid use, cardiovascular diseases, and chronic kidney disease—especially in the context of multiple chr…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-tpq-questionnaire.pdf
June 02, 2025 - TeamSTEPPS Teamwork Perceptions Questionnaire
TeamSTEPPS Teamwork Perceptions
Questionnaire
The Teamwork Perceptions Questionnaire (T-TPQ) is designed to assess Level II Learning and
Level III Behavior. The 35-item self-report tool uses 5-point Likert scales to measure staff
perceptions …
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/index.html
June 01, 2023 - Section 2: Explanation of Mutual Support Key Concepts and Tools
This section contains explanations and illustrations to help you better understand and appreciate the importance of TeamSTEPPS mutual support concepts and tools. If you teach this content or want additional insights into how the material can be mor…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/addressing-emerging-needs-09132023-edgeman-levitan.pdf
October 01, 2023 - AHRQ CAHPS Program: Addressing Emergining Needs for Patient Experience Measurement & Improvement webcast-EDGEMAN-LEVITAN
Responding to Current Needs
and
Using the Surveys to Improve Patient Experience
Susan Edgman-Levitan, PA
MGH Stoeckle Center for Primary Care Innovation
Massachusetts General Hospital/Yale
CA…
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psnet.ahrq.gov/issue/residents-perspectives-acgme-regulation-supervision-and-duty-hours-national-survey
December 02, 2014 - Study
Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey.
Citation Text:
Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. N Engl J Med. 2010;363(23):e34. doi:10.105…
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psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
May 24, 2015 - Study
Medication errors involving patient-controlled analgesia.
Citation Text:
Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194.
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