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7961. Trial of Decision Support to Improve Diabetes Outcomes (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs015123-cebul-final-report-2008.pdf
      January 01, 2008 - Trial of Decision Support to Improve Diabetes Outcomes Grant Final Report Grant ID: HS-015123 Trial of Decision Support to Improve Diabetes Outcomes Inclusive dates: 08/31/05 - 02/29/08 Principal Investigator: Randall D. Cebul, MD Team members: Neal V. Dawson, MD* Douglas Einstadt…

7962. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. | PSNet
      psnet.ahrq.gov/issue/safe-and-appropriate-use-insulin-and-other-antihyperglycemic-agents-hospital
      April 18, 2016 - Review Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Citation Text: Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002. Copy Citation …

7963. Assessing the safety culture of care homes: a multimethod evaluation of the adaptation, face validity and feasibility of the Manchester Patient Safety Framework. | PSNet
      psnet.ahrq.gov/issue/assessing-safety-culture-care-homes-multimethod-evaluation-adaptation-face-validity-and
      June 28, 2017 - Study Assessing the safety culture of care homes: a multimethod evaluation of the adaptation, face validity and feasibility of the Manchester Patient Safety Framework. Citation Text: Marshall M, Cruickshank L, Shand J, et al. Assessing the safety culture of care homes: a multimethod eval…

7964. Medical error disclosure training: evidence for values-based ethical environments. | PSNet
      psnet.ahrq.gov/issue/medical-error-disclosure-training-evidence-values-based-ethical-environments
      October 15, 2016 - Study Medical error disclosure training: evidence for values-based ethical environments. Citation Text: Rathert C, Phillips W. Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments. Journal of Business Ethics. 2010;97(3). doi:10.1007/s10551-010-0520-3. Cop…

7965. Using simulation to improve systems-based practices. | PSNet
      psnet.ahrq.gov/issue/using-simulation-improve-systems-based-practices
      January 22, 2016 - Review Using simulation to improve systems-based practices. Citation Text: Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006. Copy Citation Format: …

7966. Supporting perioperative safety during a disaster through clinical crisis education. | PSNet
      psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
      July 05, 2017 - Commentary Supporting perioperative safety during a disaster through clinical crisis education. Citation Text: Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. Co…

7967. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-acute-surgical-ward-exploratory-cohort-study-process-and-outcome
      March 03, 2011 - Study Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Citation Text: Kreckler S, Catchpole K, New SJ, et al. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Ann Surg. 2009;250(6):1035-40…

7968. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. | PSNet
      psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-safety-ii-approach
      September 28, 2016 - Commentary Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. Citation Text: McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex syst…

7969. Medication reconciliation to facilitate transitions of care after hospitalization. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-facilitate-transitions-care-after-hospitalization
      December 02, 2015 - Commentary Medication reconciliation to facilitate transitions of care after hospitalization. Citation Text: Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133. Copy C…

7970. Extraneous tissue a potential source for diagnostic error in surgical pathology. | PSNet
      psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
      October 27, 2010 - Study Extraneous tissue a potential source for diagnostic error in surgical pathology. Citation Text: Layfield LJ, Witt BL, Metzger KG, et al. Extraneous tissue: a potential source for diagnostic error in surgical pathology. Am J Clin Pathol. 2011;136(5):767-72. doi:10.1309/AJCP4FFSBPHA…

7971. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. | PSNet
      psnet.ahrq.gov/issue/nursing-assessment-continuous-vital-sign-surveillance-improve-patient-safety-medicalsurgical
      May 01, 2019 - Study Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. Citation Text: Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nu…

7972. Medicines safety in anaesthetic practice. | PSNet
      psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice
      February 02, 2022 - Review Medicines safety in anaesthetic practice. Citation Text: Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157. doi:10.1016/j.bjae.2019.01.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

7973. CDSiC 2024 Project Summary | CDSiC
      cdsic.ahrq.gov/cdsic/project-summary-2024
      October 02, 2024 - : Skip to main content HHS.gov Menu Main navigation CDS Home About CDS Connect CDS Innovation Collaborative CEDAR Evaluation Funding Opportunities Resources Contact Us …

7974. CDSiC Project Summary | CDSiC
      cdsic.ahrq.gov/cdsic/project-summary
      October 31, 2022 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …

7975. CDSiC 2022 Project Summary | CDSiC
      cdsic.ahrq.gov/cdsic/project-summary-2022
      October 31, 2023 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …

7976. 037-Ss-Bed-Bathing-Chg-Cloths-Protocol (doc file)
      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…

7977. Practical-Methods-Care-Coordination-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/practical-methods-care-coordination-slides.pdf
      June 02, 2025 - Practical Methods for Improving Care Coordination for Cardiac Rehabilitation Patients K a t h e B r i g g s , CEP, MS S t a c e y G r e e n w a y, MA, MPH​ V i r g i n i a M o r r i s , OTR/L, MIPH, FACHE H i c h a m S k a l i , MD, MSc 1 Chat Function HOW TO ASK QUESTIONS To ask a question or make a …

7978. Designing Consumer Reporting Systems for Patient Safety Events: Project Overview (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/system-design_0.pdf
      July 01, 2011 - Designing Consumer Reporting Systems for Patient Safety Events: Project Overview Advancing Excellence in Health Care • www.ahrq.gov Agency for Healthcare Research and Quality PATIENT SAFETY Designing Consumer Reporting Systems for Patient Safety Events Background It’s been nearly a decade since the Institute of M…

7979. 066-Dec-Staff-Faqs-Safety-Side-Effects (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/066-dec-staff-faqs-safety-side-effects.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Decolonization: Staff Frequently Asked Questions Safety & Side Effects This document provides questions and answers to commonly asked questions. Some questions and answers may not be relevant to your unit. You should remove or edit information to match your unit’s protocols. The…

7980. TeamSTEPPS Research and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/evidence-base/research.html
      June 01, 2023 - TeamSTEPPS Research and Tools Agency for Healthcare Research and Quality. (2006).  TeamSTEPPS™ Guide to Action: Creating a Safety Net for your Healthcare Organization . AHRQ Publication No. 06-0020-4. Castner, J. (2012). Validity and reliability of the Brief  TeamSTEPPS Teamwork Perceptions Questionnaire.  Jo…