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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
January 01, 2023 - Evaluation of AHRQ's On-time Pressure Ulcer Program
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-06-0011-8
Funding Mechanism(s)
Accelerating Change and Transformation in O…
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psnet.ahrq.gov/issue/why-do-systems-responding-concerns-and-complaints-so-often-fail-patients-families-and
June 16, 2021 - Study
Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff?
Citation Text:
Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? A qualita…
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psnet.ahrq.gov/issue/improving-perceptions-patient-safety-through-standardizing-handoffs-emergency-department
December 21, 2022 - Review
Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review.
Citation Text:
Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from t…
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psnet.ahrq.gov/issue/quality-management-and-perceptions-teamwork-and-safety-climate-european-hospitals
May 26, 2014 - Study
Quality management and perceptions of teamwork and safety climate in European hospitals.
Citation Text:
Kristensen S, Hammer A, Bartels P, et al. Quality management and perceptions of teamwork and safety climate in European hospitals. Int J Qual Health Care. 2015;27(6):499-506. doi…
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes
October 07, 2020 - Study
Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study.
Citation Text:
Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…
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psnet.ahrq.gov/issue/changes-prescription-and-over-counter-medication-and-dietary-supplement-use-among-older
May 06, 2020 - Study
Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011.
Citation Text:
Qato DM, Wilder J, Schumm P, et al. Changes in Prescription and Over-the-Counter Medication and Dietary Supplement Use Among Olde…
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psnet.ahrq.gov/issue/automated-identification-antibiotic-overdoses-and-adverse-drug-events-analysis-prescribing
May 08, 2017 - Study
Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records.
Citation Text:
Kirkendall ES, Kouril M, Dexheimer JW, et al. Automated identification of antibiotic overdoses and adverse drug events v…
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psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses
March 28, 2012 - Study
Classic
Clinical impact and frequency of anatomic pathology errors in cancer diagnoses.
Citation Text:
Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13.…
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psnet.ahrq.gov/issue/green-cross-method-postanaesthesia-care-unit-qualitative-study-healthcare-professionals
September 04, 2024 - Study
Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including the COVID-19 pandemic period.
Citation Text:
Birkeli GH, Ballangrud R, Jacobsen HK, et al. Green Cross method in a postanaesthesia care unit:…
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psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration
January 17, 2019 - Study
The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration.
Citation Text:
Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. J Pat…
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psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis
December 16, 2020 - Study
Medication errors in the outpatient setting: classification and root cause analysis.
Citation Text:
Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284.
Cop…
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psnet.ahrq.gov/issue/electromagnetic-interference-radio-frequency-identification-inducing-potentially-hazardous
February 14, 2024 - Study
Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment.
Citation Text:
van der Togt R, van Lieshout EJ, Hensbroek R, et al. Electromagnetic interference from radio frequency identification indu…
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psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie
February 14, 2024 - Study
Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model.
Citation Text:
Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification o…
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psnet.ahrq.gov/issue/successful-implementation-unit-based-quality-nurse-reduce-central-line-associated-bloodstream
September 23, 2020 - Study
Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections.
Citation Text:
Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J …
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psnet.ahrq.gov/issue/effectiveness-different-nursing-handover-styles-ensuring-continuity-information-hospitalised
May 19, 2018 - Review
Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients.
Citation Text:
Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. …
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psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-systematic-review
May 15, 2024 - Review
Comparing VA and Non-VA quality of care: a systematic review.
Citation Text:
O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2.
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psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
October 12, 2018 - EMERGING INNOVATIONS
Let us to the TWISST; Plan, Simulate, Study and Act.
Citation Text:
Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664.
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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-educational-interventions-designed-improve-medication
June 24, 2020 - Review
Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses.
Citation Text:
Härkänen M, Voutilainen A, Turunen E, et al. Systematic review and meta-analysis of educational interventions desig…
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psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due
June 01, 2016 - Study
SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study.
Citation Text:
Randmaa M, Mårtensson G, Swenne CL, et al. SBAR improves communication and safety climate and decreas…
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hcup-us.ahrq.gov/news/exhibit_booth/SASDBrochure_050218.pdf
May 16, 2018 - What are the SASD?
The State Ambulatory Surgery and Services
Databases (SASD) are part of the family of
databases and software tools developed for the
Healthcare Cost and Utilization Project (HCUP).
The SASD are State-specific files that include
data for ambulatory surgery and other outpatient
services from hospital-ow…