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digital.ahrq.gov/ahrq-funded-projects/improving-guideline-development-and-implementation/annual-summary/2011
January 01, 2011 - Improving Guideline Development and Implementation - 2011
Project Name
Improving Guideline Development and Implementation
Principal Investigator
Shiffman, Richard N.
Organization
Yale University
Contract Number
09-587F-07
Project Period
September 2006 - Febr…
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psnet.ahrq.gov/issue/electronic-prescription-writing-errors-pediatric-emergency-department
November 16, 2022 - Study
Electronic prescription writing errors in the pediatric emergency department.
Citation Text:
Nelson CE, Selbst SM. Electronic prescription writing errors in the pediatric emergency department. Pediatr Emerg Care. 2015;31(5):368-72. doi:10.1097/PEC.0000000000000428.
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digital.ahrq.gov/principal-investigator/payne-thomas-h
February 07, 2017 - Payne, Thomas H.
A randomized trial of voice-generated inpatient progress notes: Effects on professional fee billing.
Citation
White AA, Lee T, Garrison MM, Payne TH. A randomized trial of voice-generated inpatient progress notes: Effects on professional fee billing. Appl Cli…
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psnet.ahrq.gov/issue/implementation-electronic-system-medication-reconciliation
December 02, 2020 - Study
Implementation of an electronic system for medication reconciliation.
Citation Text:
Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506.
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psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes
April 08, 2011 - Study
Classic
Surgical team behaviors and patient outcomes.
Citation Text:
Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002.
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psnet.ahrq.gov/issue/evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions
June 23, 2021 - Review
An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions.
Citation Text:
Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. d…
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psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices
July 24, 2019 - Review
A scoping review of clinical handover mnemonic devices.
Citation Text:
Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065.
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DOI Google Scholar…
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psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents
August 14, 2018 - Study
Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation.
Citation Text:
Farnan JM, Gaffney S, Poston JT, et al. Patient safety room of horrors: a novel method to assess medical students and ent…
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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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DOI Google Scholar PubMed BibTeX …
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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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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hunt-dl-et-al-1998
January 01, 1998 - Hunt DL et al. 1998 "Effects of computer-based clinical decision support systems on physician performance and patient outcomes - a systematic review."
Reference
Hunt DL, Haynes RB, Hanna SE, et al. Effects of computer-based clinical decision support systems on physician performance and patient outcome…
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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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psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery
July 16, 2015 - Study
Sharing lessons learned to prevent incorrect surgery.
Citation Text:
Neily J, Mills PD, Paull DE, et al. Sharing lessons learned to prevent incorrect surgery. Am Surg. 2012;78(11):1276-1280.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…
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psnet.ahrq.gov/issue/effect-genetic-diagnosis-patients-previously-undiagnosed-disease
October 19, 2022 - Study
Effect of genetic diagnosis on patients with previously undiagnosed disease.
Citation Text:
Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458.
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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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psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
January 17, 2019 - Commentary
Root cause analysis of reported patient falls in ORs in the Veterans Health Administration.
Citation Text:
Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…