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psnet.ahrq.gov/node/836999/psn-pdf
April 27, 2022 - Toolkit for Preventing CLABSI and CAUTI in ICUs.
April 27, 2022
Rockville, MD: Agency for Healthcare Research and Quality; April 2022.
https://psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus
Healthcare-associated infections can result in significant morbidity and mortality. Developed by AHRQ, this
cu…
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psnet.ahrq.gov/node/33718/psn-pdf
October 01, 2011 - Shekelle is director of the Southern California Evidence-Based Practice Center at RAND
Corporation,
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psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety
February 08, 2017 - Book/Report
Ways to Improve Electronic Health Record Safety.
Citation Text:
Ways to Improve Electronic Health Record Safety. Philadelphia, PA: Pew Charitable Trusts, American Medical Association, and Medstar Health; 2018.
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psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
June 26, 2019 - Review
What have we learned about interventions to reduce medical errors?
Citation Text:
Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497. doi:10.1146/annurev.publhealth.0…
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psnet.ahrq.gov/node/858172/psn-pdf
January 01, 2024 - Quality and reporting of large-scale improvement
programmes: a review of maternity initiatives in the
English NHS, 2010–2023.
December 13, 2023
McGowan JE, Attal B, Kuhn I, et al. Quality and reporting of large-scale improvement programmes: a
review of maternity initiatives in the English NHS, 2010–2023. BMJ Qual …
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psnet.ahrq.gov/node/40036/psn-pdf
November 24, 2010 - Integrating CUSP and TRIP to improve patient safety.
November 24, 2010
Romig M, Goeschel CA, Pronovost P, et al. Integrating CUSP and TRIP to improve patient safety. Hosp
Pract (1995). 2010;38(4):114-21. doi:10.3810/hp.2010.11.348.
https://psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
This …
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psnet.ahrq.gov/issue/universal-surveillance-methicillin-resistant-staphylococcus-aureus-3-affiliated-hospitals
December 23, 2008 - Study
Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals.
Citation Text:
Robicsek A, Beaumont JL, Paule SM, et al. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Ann Intern Med. 2008;148(6)…
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psnet.ahrq.gov/node/44374/psn-pdf
August 12, 2015 - ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2014.
August 12, 2015
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: Dispensing and administration--2014. Am J Health Syst Pharm. 2015;72(13):1119-37.
doi:10.21…
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psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve
June 08, 2011 - Book/Report
Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes.
Citation Text:
Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture To Improve Equitable …
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psnet.ahrq.gov/node/50445/psn-pdf
October 09, 2019 - A demonstration project on the impact of safety culture
on infection control practices in hemodialysis
October 9, 2019
Millson T, Hackbarth D, Bernard HL. A demonstration project on the impact of safety culture on infection
control practices in hemodialysis. Am J Infect Control. 2019;47(9):1122-1129.
doi:10.1016/j…
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psnet.ahrq.gov/issue/new-york-presbyterian-hospital-translating-innovation-practice
October 19, 2022 - Award Recipient
New York-Presbyterian Hospital: translating innovation into practice.
Citation Text:
Johnson T, Currie G, Keill P, et al. NewYork-Presbyterian Hospital: translating innovation into practice. Jt Comm J Qual Patient Saf. 2005;31(10):554-60.
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psnet.ahrq.gov/node/39662/psn-pdf
April 30, 2014 - Patient record review of the incidence, consequences,
and causes of diagnostic adverse events.
April 30, 2014
Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes
of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21.
doi:10.1001/archinternmed.2010.…
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psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operating-room-personnel
January 09, 2014 - Study
Time-out and checklists: a survey of rural and urban operating room personnel.
Citation Text:
Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10.
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psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-intensive-care-unit
June 30, 2021 - Study
Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit.
Citation Text:
Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. Jt Comm J Qual Patient …
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psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs
March 28, 2011 - Commentary
A theoretical framework and competency-based approach to improving handoffs.
Citation Text:
Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.0189…
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psnet.ahrq.gov/node/44065/psn-pdf
July 16, 2015 - Nurses' use of computerized clinical guidelines to
improve patient safety in hospitals.
July 16, 2015
Hovde B, Jensen KH, Alexander GL, et al. Nurses' Use of Computerized Clinical Guidelines to Improve
Patient Safety in Hospitals. West J Nurs Res. 2015;37(7):877-98. doi:10.1177/0193945915577430.
https://psnet.ahrq…
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psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient
December 16, 2020 - Study
Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices.
Citation Text:
Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities in diagnosis: lon…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.272_slideshow.ppt
July 01, 2012 - Spotlight Case July 2008
Spotlight Case
Not-So-Therapeutic Tap
*
*
Source and Credits
This presentation is based on the July 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jeffrey H. Barsuk, MD, MS; Northwestern University Feinberg Scho…
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psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy-studies
February 15, 2023 - Review
Evidence of bias and variation in diagnostic accuracy studies.
Citation Text:
Rutjes AWS, Reitsma JB, Di Nisio M, et al. Evidence of bias and variation in diagnostic accuracy studies. CMAJ. 2006;174(4):469-476. doi:10.1503/cmaj.050090.
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psnet.ahrq.gov/issue/medication-prescribing-and-monitoring-errors-primary-care-report-practice-partner-research
January 18, 2013 - Study
Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network.
Citation Text:
Wessell AM, Litvin C, Jenkins RG, et al. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Net…