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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/131-what-are-the-4-es-one-pager.docx
    May 24, 2024 - The aim is to Engage hearts and minds and thus, change attitudes and behaviors.1-6 Raise awareness of the problem, communicate benefits of the solution, and lay out the goals for the intervention. · Use unit data, published literature, and national benchmarks. Storytelling is an underrated tool. Engagement is not a on…
  2. psnet.ahrq.gov/issue/promethazine-adverse-events-after-implementation-medication-shortage-interchange
    October 26, 2010 - Study Promethazine adverse events after implementation of a medication shortage interchange. Citation Text: Sheth HS, Verrico MM, Skledar S, et al. Promethazine adverse events after implementation of a medication shortage interchange. Ann Pharmacother. 2005;39(2):255-61. Copy Citation …
  3. psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
    February 22, 2010 - Study Clinical alarms: improving efficiency and effectiveness. Citation Text: Phillips J, Barnsteiner JH. Clinical alarms: improving efficiency and effectiveness. Crit Care Nurs Q. 2005;28(4):317-323. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…
  4. psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds
    August 14, 2013 - Newspaper/Magazine Article Learning safe prescribing during post-take ward rounds. Citation Text: Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x. Copy Citation …
  5. psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors
    April 12, 2023 - Study Characteristics associated with postdischarge medication errors. Citation Text: Mixon A, Myers AP, Leak CL, et al. Characteristics associated with postdischarge medication errors. Mayo Clin Proc. 2014;89(8):1042-51. doi:10.1016/j.mayocp.2014.04.023. Copy Citation Format: …
  6. psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and
    August 12, 2020 - Commentary Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Citation Text: Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Ravitz AD, Sapirstein A, Pha…
  7. www.ahrq.gov/evidencenow/projects/heart-health/about/origin.html
    March 01, 2021 - Origin Origins of EvidenceNOW The ability to integrate and implement new discoveries into patient care creates a stronger, more effective health care system. But not all discoveries are equal. We turn to evidence to understand what works and how best to integrate effective approaches and treatments into pat…
  8. psnet.ahrq.gov/issue/getting-moving-patient-safety-harnessing-electronic-data-safer-care
    April 05, 2013 - Commentary Getting moving on patient safety—harnessing electronic data for safer care. Citation Text: Jha AK, Classen D. Getting moving on patient safety--harnessing electronic data for safer care. N Engl J Med. 2011;365(19):1756-8. doi:10.1056/NEJMp1109398. Copy Citation Format:…
  9. psnet.ahrq.gov/issue/outcomes-card-development-systems-based-practice-educational-tool
    July 13, 2010 - Study The outcomes card: development of a systems-based practice educational tool. Citation Text: Tomolo A, Caron A, Perz ML, et al. The outcomes card. J Gen Intern Med. 2005;20(8). doi:10.1111/j.1525-1497.2005.0168.x. Copy Citation Format: DOI Google Scholar BibTeX EndNo…
  10. www.ahrq.gov/research/findings/evidence-based-reports/nutritn6tp.html
    April 01, 2018 - Vol 6: Concordance Between the Findings of Epidemiological Studies and Randomized Trials in Nutrition: An Empirical Evaluation and Analysis Structured Abstract Full Title: Nutritional Research Series: Advancing the Role of Evidence-based Reviews in Nutrition Research and Applications To facilitate a better …
  11. psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
    April 27, 2019 - Study Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. Citation Text: Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):1…
  12. psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
    December 31, 2014 - Study Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. Citation Text: Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…
  13. psnet.ahrq.gov/issue/twelve-tips-implementing-patient-safety-curriculum-undergraduate-programme-medicine
    June 19, 2018 - Commentary Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Citation Text: Armitage G, Cracknell A, Forrest K, et al. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Med Teach. 2011;3…
  14. psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
    May 01, 2014 - Study Developing a tool for assessing competency in root cause analysis. Citation Text: Gupta P, Varkey P. Developing a tool for assessing competency in root cause analysis. Jt Comm J Qual Patient Saf. 2009;35(1):36-42. Copy Citation Format: Google Scholar PubMed BibTeX E…
  15. psnet.ahrq.gov/issue/implementation-perioperative-checklist-increases-patients-perioperative-safety-and-staff
    April 03, 2013 - Study The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. Citation Text: Böhmer AB, Wappler F, Tinschmann T, et al. The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfacti…
  16. psnet.ahrq.gov/issue/minimizing-surgical-error-incorporating-objective-assessment-surgical-education
    January 12, 2022 - Review Minimizing surgical error by incorporating objective assessment into surgical education. Citation Text: Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsu…
  17. psnet.ahrq.gov/issue/antibiotic-prescribing-ambulatory-pediatrics-united-states
    May 25, 2016 - Study Antibiotic prescribing in ambulatory pediatrics in the United States. Citation Text: Hersh AL, Shapiro DJ, Pavia AT, et al. Antibiotic prescribing in ambulatory pediatrics in the United States. Pediatrics. 2011;128(6):1053-61. doi:10.1542/peds.2011-1337. Copy Citation Format:…
  18. psnet.ahrq.gov/issue/full-work-analysis-resident-work-hours
    June 06, 2018 - Study Full work analysis of resident work hours. Citation Text: Dassinger MS, Eubanks JW, Langham MR. Full work analysis of resident work hours. J Surg Res. 2008;147(2):178-81. doi:10.1016/j.jss.2008.03.010. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…
  19. psnet.ahrq.gov/issue/effects-critical-care-nurses-work-hours-vigilance-and-patients-safety
    February 19, 2010 - Study Effects of critical care nurses' work hours on vigilance and patients' safety. Citation Text: Scott LD, Rogers AE, Hwang W-T, et al. Effects of critical care nurses' work hours on vigilance and patients' safety. Am J Crit Care. 2006;15(1):30-7. Copy Citation Format: …
  20. www.ahrq.gov/talkingquality/plan/pay.html
    November 01, 2018 - How Will You Pay for a Health Care Quality Report? A consumer reporting project is not cheap, although there are ways to reduce costs and spread them across multiple parties (including other sponsors and participating health plans or providers). Data collection costs can range from as little as a few thousand…