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  1. psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement
    April 05, 2023 - Study Rapid response teams and continuous quality improvement. Citation Text: Rapid response teams and continuous quality improvement. Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31. Copy Citation Save Save to your l…
  2. psnet.ahrq.gov/issue/innovative-approach-surgical-time-out-patient-focused-model
    July 10, 2008 - Commentary An innovative approach to the surgical time out: a patient-focused model. Citation Text: Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient-Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. Copy Citatio…
  3. psnet.ahrq.gov/issue/effect-workload-reduction-quality-residents-discharge-summaries
    February 17, 2011 - Study The effect of workload reduction on the quality of residents' discharge summaries. Citation Text: Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z. Co…
  4. www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-conversation-starters.pdf
    October 01, 2024 - The SHARE Approach: Conversation Starters The SHARE Approach: Conversation Starters The SHARE Approach provides five elements to guide shared decision-making discussions with patients. These can be used in any order, and you may need to use some of the elements multiple times to reach a decision with your…
  5. psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
    September 02, 2020 - Commentary Three perspectives on changes in resident work environment and duty hours. Citation Text: Three perspectives on changes in resident work environment and duty hours. Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908. Copy Citation S…
  6. psnet.ahrq.gov/issue/evidence-and-efficacy-time-think-beyond-traditional-randomised-controlled-trial-patient
    January 24, 2024 - Commentary Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Citation Text: Webster CS. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Br J Anaesth. 2019;1…
  7. psnet.ahrq.gov/issue/venous-thromboembolism-after-trauma-never-event
    January 12, 2022 - Study Venous thromboembolism after trauma: a never event? Citation Text: Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60. Copy Citation Format: DOI Google …
  8. psnet.ahrq.gov/issue/complexity-and-safety
    February 01, 2012 - Commentary Complexity and safety. Citation Text: Carrillo RA. Complexity and safety. J Safety Res. 2011;42(4):293-300. doi:10.1016/j.jsr.2011.06.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  9. www.ahrq.gov/evidencenow/projects/heart-health/evidence/aspirin.html
    March 01, 2021 - Aspirin Use Evidence and Resources A substantial body of evidence shows that taking aspirin can help patients lower their risk of heart attack or stroke. Patients with heart disease or who have had a stroke in the past are at high risk for having a heart attack or another stroke. Taking an aspirin every day can…
  10. 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…
  11. 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 …
  12. 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…
  13. 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 …
  14. 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: …
  15. 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…
  16. 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:…
  17. 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…
  18. 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 …
  19. 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…
  20. 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…