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psnet.ahrq.gov/issue/effects-electronic-nursing-handover-patient-safety-general-non-covid-19-and-covid-19
February 26, 2020 - Study
The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study.
Citation Text:
Tataei A, Rahimi B, Afshar HL, et al. The effects of electronic nursing handover on patient safety in the general…
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psnet.ahrq.gov/issue/identifying-hospital-wide-harm-set-icd-9-cm-coded-conditions-associated-increased-cost-length
September 07, 2016 - Study
Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality.
Citation Text:
Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions associated with increase…
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psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm
August 10, 2022 - Study
Classic
Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm.
Citation Text:
Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm…
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psnet.ahrq.gov/issue/reduction-hospital-mortality-over-time-hospital-without-pediatric-medical-emergency-team
August 20, 2018 - Study
Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs.
Citation Text:
Joffe AR, Anton NR, Burkholder SC. Reduction in hospital mortality over time in a hospital without a pediatric medical e…
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www.ahrq.gov/teamstepps-program/evidence-base/labor.html
May 01, 2023 - TeamSTEPPS Research/Evidence Base: Labor and Delivery
Block M., Ehrenworth J. F., et al. (2013). Measuring handoff quality in labor and delivery: Development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). Joint Commission Journal on Quality and Patient Safety 3…
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psnet.ahrq.gov/issue/implementation-and-impact-rapid-response-team-childrens-hospital
April 24, 2018 - Study
Implementation and impact of a rapid response team in a children's hospital.
Citation Text:
Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425.
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psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review
March 11, 2011 - Review
Classic
The impact of electronic health records on time efficiency of physicians and nurses: a systematic review.
Citation Text:
Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide.html
May 01, 2017 - Implementation Guide
The Implementation Guide discusses the importance of using the safe surgery checklist as a teamwork and communication tool to improve patient safety.
Implementation Guide ( PDF , 441 KB; Text Version )
Appendixes
Appendix A. Facility Spreadsheet for One-on-One Conversations ( Word …
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psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community-mental-health
February 07, 2024 - Review
The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis.
Citation Text:
Haylor H, Sparkes T, Armitage G, et al. The process and perspective of serious incident investigations in adult community ment…
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psnet.ahrq.gov/issue/understanding-causes-medication-errors-and-adverse-drug-events-patients-mental-illness
July 17, 2024 - Study
unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study.
Citation Text:
Ayre MJ, Lewis PJ, Phipps DL, et al. unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for pa…
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www.ahrq.gov/priority-populations/observances/bhm/grantees.html
February 01, 2021 - Grantees Focusing on African Americans
Brian William Jack, M.D.
"Maternal health disparities begin well before a positive pregnancy test. Our work aims to offer Black women useful healthcare tools tailored specifically to their needs. Gabby is one such tool."
Implementation and Dissemination of Ga…
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psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
September 23, 2020 - Study
Classic
Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers.
Citation Text:
Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending re…
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psnet.ahrq.gov/issue/associations-physicians-prescribing-experience-work-hours-and-workload-prescription-errors
July 21, 2021 - Study
Associations of physicians’ prescribing experience, work hours, and workload with prescription errors.
Citation Text:
Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform A…
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psnet.ahrq.gov/issue/using-clinical-simulation-study-how-improve-quality-and-safety-healthcare
March 31, 2021 - Review
Classic
Using clinical simulation to study how to improve quality and safety in healthcare.
Citation Text:
Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2)…
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psnet.ahrq.gov/issue/potentiality-algorithms-and-artificial-intelligence-adoption-improve-medication-management
July 27, 2022 - Review
Potentiality of algorithms and artificial intelligence adoption to improve medication management in primary care: a systematic review.
Citation Text:
Damiani G, Altamura G, Zedda M, et al. Potentiality of algorithms and artificial intelligence adoption to improve medication manage…
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psnet.ahrq.gov/issue/investigating-long-term-consequences-adverse-medical-events-among-older-adults
March 24, 2019 - Study
Investigating the long-term consequences of adverse medical events among older adults.
Citation Text:
Carter MW, Zhu M, Xiang J, et al. Investigating the long-term consequences of adverse medical events among older adults. Inj Prev. 2014;20(6):408-15. doi:10.1136/injuryprev-2013-04…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/measures5.html
June 01, 2018 - Chartbook on Person- and Family-Centered Care
End-of-Life Care Measures
Previous Page
Table of Contents
Chartbook on Person- and Family-Centered Care
Acknowledgments
Person- and Family-Centered Care
Summary of Trends
Measures of Person- and Family- Centered Care
Communication Measures: H…
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psnet.ahrq.gov/issue/reduced-effectiveness-interruptive-drug-drug-interaction-alerts-after-conversion-commercial
May 20, 2019 - Study
Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record.
Citation Text:
Wright A, Aaron S, Seger DL, et al. Reduced Effectiveness of Interruptive Drug-Drug Interaction Alerts after Conversion to a Commercial Elect…
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psnet.ahrq.gov/issue/communicating-patient-safety-information-through-video-and-oral-formats-comparison
November 16, 2022 - Study
Communicating patient safety information through video and oral formats-a comparison.
Citation Text:
Bånnsgård M, Nouri A, Finizia C, et al. Communicating patient safety information through video and oral formats-a comparison. J Patient Saf. 2023;19(2):137-142. doi:10.1097/pts.0000…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/twomorees-slides/Two-More-Es-and-How-to-Spread-Dec-13-2011-508.ppt
January 01, 2011 - Project Report - Lean Sigma
Two More E’s and How to Spread
Learning Objectives
To think ahead about ways to make your investment of time and improvements in BSI rates last forever
To make sure all patients in your institution have access to the same level of safety in their care
Implementation Framework
Al…