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psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
December 06, 2023 - Study
A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.
Citation Text:
Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qu…
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psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care
January 20, 2016 - Study
Repeat prescribing of medications: a system-centred risk management model for primary care organisations.
Citation Text:
Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract. …
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psnet.ahrq.gov/issue/qualitative-perspectives-emergency-nurses-electronic-health-record-behavioral-flags-promote
January 25, 2023 - Study
Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety.
Citation Text:
Seeburger EF, Gonzales R, South EC, et al. Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote work…
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psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
June 22, 2016 - Study
Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study.
Citation Text:
Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…
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www.ahrq.gov/funding/training-grants/rsrchtng.html
July 01, 2021 - Research Training Programs
Financial aid from the Agency for Healthcare Research and Quality for health care research training and career development (pre- and post-doctoral fellowships, and dissertations).
The Agency for Healthcare Research and Quality (AHRQ) provides an array of intramural and extramural pr…
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www.ahrq.gov/patient-safety/reports/engage/interventions/handoff-slides.html
May 01, 2017 - Warm Handoff
Patient and Family Engagement in Primary Care
Slide 1: Warm Handoff
AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Slide 2: Speaker
Kelly Smith, PhD
Scientific Director, Quality & Safety
Co-PI, AHRQ Guide to Improve Patient Safety in …
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psnet.ahrq.gov/issue/multifaceted-interventions-improve-adherence-surgical-checklist
November 07, 2012 - Study
Multifaceted interventions improve adherence to the surgical checklist.
Citation Text:
Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist. Surgery. 2014;156(2):336-344. doi:10.1016/j.surg.2014.03.032.
Copy Citation
Forma…
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psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed-methods-study
January 19, 2022 - Study
Differences in hospitals' workplace violence incident reporting practices: a mixed methods study.
Citation Text:
Odes R, Chapman SM, Ackerman SL, et al. Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. Policy Polit Nurs Pract. 2022;2…
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psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study-using-global
December 09, 2020 - Study
Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method.
Citation Text:
Rutberg H, Risberg MB, Sjödahl R, et al. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global…
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psnet.ahrq.gov/issue/out-sight-out-mind-prospective-observational-study-estimate-duration-hawthorne-effect-hand
September 09, 2020 - Study
Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events.
Citation Text:
Vaisman A, Bannerman G, Matelski J, et al. Out of sight, out of mind: a prospective observational study to estimate the duration of t…
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psnet.ahrq.gov/issue/burnout-and-sources-stress-among-health-care-risk-managers-and-patient-safety-personnel
May 26, 2021 - Study
Burnout and sources of stress among health care risk managers and patient safety personnel during the COVID-19 pandemic: a pilot study.
Citation Text:
Card AJ. Burnout and sources of stress among health care risk managers and patient safety personnel during the COVID-19 pandemic: a…
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psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer-assessment-hazard
May 24, 2012 - Study
Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.
Citation Text:
Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Survei…
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psnet.ahrq.gov/issue/effects-rudeness-experience-and-perspective-taking-challenging-premature-closure-after
February 16, 2022 - Study
The effects of rudeness, experience, and perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong diagnosis: a randomized controlled simulation trial.
Citation Text:
Avesar M, Erez A, Essakow J, et al. The effects of rudenes…
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psnet.ahrq.gov/issue/primary-care-closed-claims-experience-massachusetts-malpractice-insurers
August 14, 2017 - Study
Classic
Primary care closed claims experience of Massachusetts malpractice insurers.
Citation Text:
Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013;173(22):206…
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psnet.ahrq.gov/issue/hindsight-foresight-effect-outcome-knowledge-judgment-under-uncertainty
July 08, 2020 - Study
Classic
Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty.
Citation Text:
Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psycholo…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-kickoff.pdf
June 02, 2025 - Kick-off Visit Check List
KICK-OFF VISIT CHECK LIST
PRACTICE ENHANCEMENT ASSISTANT ACADEMIC DETAILER
Four weeks before visit
Contact AD and introduce yourself
Determine ABCS assignment
Print Baseline Reports & send to AD
Four weeks before visit
Negotiate with Nicole Travis date/time
Record ABCS …
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psnet.ahrq.gov/issue/readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american
September 22, 2021 - Study
Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program.
Citation Text:
Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a…
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www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
October 01, 2014 - Project Overview: Designing Consumer Reporting Systems for Patient Safety Events
Current patient safety event reporting systems are aimed at obtaining information from health care providers. However, patients and their family members are in a unique position to identify gaps in care that may have co…
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psnet.ahrq.gov/issue/multiprofessional-team-simulation-training-based-obstetric-model-can-improve-teamwork-other
January 12, 2022 - Study
Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care.
Citation Text:
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an obstetric model, can improve teamwor…
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psnet.ahrq.gov/issue/health-care-associated-infections-among-critically-ill-children-us-2007-2012
April 05, 2013 - Study
Health care-associated infections among critically ill children in the US, 2007-2012.
Citation Text:
Patrick SW, Kawai AT, Kleinman K, et al. Health care-associated infections among critically ill children in the US, 2007-2012. Pediatrics. 2014;134(4):705-712. doi:10.1542/peds.2014…