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psnet.ahrq.gov/issue/achieving-climate-patient-safety-focusing-relationships
December 19, 2017 - Study
Achieving a climate for patient safety by focusing on relationships.
Citation Text:
Manojlovich M, Kerr M, Davies B, et al. Achieving a climate for patient safety by focusing on relationships. Int J Qual Health Care. 2014;26(6):579-84. doi:10.1093/intqhc/mzu068.
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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklists-improving-patient-safety
May 29, 2019 - Commentary
Effectiveness of surgical safety checklists in improving patient safety.
Citation Text:
Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02.
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psnet.ahrq.gov/issue/structural-empowerment-magnet-hospital-characteristics-and-patient-safety-culture-making-link
May 28, 2014 - Study
Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link.
Citation Text:
Armstrong KJ, Laschinger H. Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. J Nurs Care Qual. 2006;21(2):124-…
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psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fail
July 31, 2013 - Newspaper/Magazine Article
Hospital checklists are meant to save lives—so why do they often fail?
Citation Text:
Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a.
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Format:
DOI G…
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psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite-surgery
June 17, 2014 - Commentary
A surgical procedure grid for safety and operating room communication in multisite surgery.
Citation Text:
Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.10…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/052-dec-guide-action-chart-implementing-decolonization.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Action Chart for
Implementing Decolonization
Adapted from “Universal ICU Decolonization: An Enhanced Protocol”
https://www.ahrq.gov/hai/universal-icu-decolonization/index.html
and
“Toolkit for Decolonization of Non-ICU Patients With Devices”
https://www.ahrq.gov/hai/tools/ab…
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www.ahrq.gov/topics/methicillin-resistant-staphylococcus-aureus-mrsa.html
Topic: Methicillin-Resistant Staphylococcus aureus (MRSA)
Methicillin resistant Staphylococcus aureus (MRSA), is a healthcare-associated infection (HAI). HAIs are among the leading threats to patient safety, affecting one out of every 31 hospital patients at any one time. AHRQ has research, tools, programs and reso…
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www.ahrq.gov/news/events/qi-listening-session.html
March 01, 2025 - AHRQ QI Listening Session
Registration Open March 12 from 1 to 2:30 p.m. ET: AHRQ Quality Indicators Listening Session will offer an opportunity for hospitals, health systems, accountable care organizations, health and hospital associations, health plans, health departments and federal entities to provide …
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digital.ahrq.gov/principal-investigator/feldman-jonathan-m
January 01, 2023 - Feldman, Jonathan M
A Novel Patient-Facing Mobile Platform to Collect and Implement Patient-Reported Outcomes and Voice Biomarkers in Underserved Adult Patients with Asthma
Description
This research will enhance an existing mobile platform to support self-management and shared…
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digital.ahrq.gov/principal-investigator/chen-jin
January 01, 2023 - Chen, Jin
Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings
Description
This research aims to improve the early detection of venous thromboembolism in primary and urgent care by using mix…
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digital.ahrq.gov/organization/pennsylvania-state-university-hershey-medical-center
January 01, 2023 - Pennsylvania State University Hershey Medical Center
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering …
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digital.ahrq.gov/ahrq-funded-projects/enabling-electronic-prescribing-and-enhanced-management-controlled-medication-2
January 01, 2023 - Prescribers’ expectations and barriers to electronic prescribing of controlled substances.
Citation
Thomas CP, Kim M, McDonald A, et al. Prescribers' expectations and barriers to electronic prescribing of controlled substances. J Am Med Inform Assoc 2012 May-Jun;19(3):375-81.
Link
http://www.n…
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digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/ensuring-safer-prescribing
January 01, 2023 - Ensuring Safer Prescribing for Children: AAP Members Funded to Launch the STEPStools Project
Description
Information sheet that describes an AHRQ-funded project to develop tools to help pediatricians adopt and use electronic prescribing.
Document Type
Information Sheet/Flyer
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psnet.ahrq.gov/node/41383/psn-pdf
May 16, 2012 - Teaming: How Organizations Learn, Innovate, and
Compete in the Knowledge Economy.
May 16, 2012
Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932.
https://psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
This book explores teamwork, includ…
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psnet.ahrq.gov/node/38794/psn-pdf
July 15, 2009 - Patient Safety.
July 15, 2009
Sixth Report of Session 2008–09. House of Commons Health Committee. London, England: The Stationery
Office; July 3, 2009. Publication HC 151-I.
https://psnet.ahrq.gov/issue/patient-safety-7
This government report analyzes the National Health Service's efforts to enhance patient safety…
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psnet.ahrq.gov/node/41783/psn-pdf
October 24, 2012 - How-to Guide: Prevent Obstetrical Adverse Events.
October 24, 2012
Cambridge, MA: Institute for Healthcare Improvement; 2012.
https://psnet.ahrq.gov/issue/how-guide-prevent-obstetrical-adverse-events
This guide highlights strategies to enhance the use of care bundles to prevent errors in obstetric care.
https://ps…
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psnet.ahrq.gov/node/35824/psn-pdf
July 24, 2008 - New standards for hospitals call for patients to get private
rooms.
July 24, 2008
Landro L.
https://psnet.ahrq.gov/issue/new-standards-hospitals-call-patients-get-private-rooms
This article reports on design guidelines that will require newly constructed hospitals to have only private
rooms. Single-patient rooms …
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psnet.ahrq.gov/node/37762/psn-pdf
May 14, 2008 - Revitalizing an established rapid response team.
May 14, 2008
Genardi ME, Cronin SN, Thomas LD. Revitalizing an established rapid response team. Dimens Crit Care
Nurs. 2008;27(3):104-9. doi:10.1097/01.DCC.0000286837.95720.8c.
https://psnet.ahrq.gov/issue/revitalizing-established-rapid-response-team
This commentary…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
April 14, 2008 - Enhancing
post-marketing surveillance: Lessons from the
Veterans Health Administration.
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-2.pdf
March 01, 2018 - Enhancing and Expanding the
Compendium
Recognizing the conceptual and operational
challenges of defining