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  1. psnet.ahrq.gov/issue/incidence-nosocomial-covid-19-patients-hospitalized-large-us-academic-medical-center
    October 14, 2020 - Study Emerging Classic Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. Citation Text: Rhee C, Baker M, Vaidya V, et al. Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical cent…
  2. psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
    August 18, 2021 - Study Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. Citation Text: Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…
  3. psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
    September 23, 2020 - Study "SWARMing" to improve patient care: a novel approach to root cause analysis. Citation Text: Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/what-stops-hospital-clinical-staff-following-protocols-analysis-incidence-and-factors-behind
    September 09, 2015 - Study What stops hospital clinical staff from following protocols? An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the rapid response system in a multi-campus Australian metropolitan healthcare service. Citation Text: Shearer B, Marshal…
  5. psnet.ahrq.gov/issue/association-cataract-surgical-outcomes-late-surgeon-career-stages-population-based-cohort
    September 23, 2020 - Study Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study. Citation Text: Campbell RJ, El-Defrawy SR, Gill SS, et al. Association of Cataract Surgical Outcomes With Late Surgeon Career Stages: A Population-Based Cohort Study. JAMA Op…
  6. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
    June 02, 2025 - Suspect a Urinary Tract Infection? How Taking Antibiotics When You Don’t Need Them Can Cause More Harm Than Good Did You Know That… »Up to 50 percent of all antibiotics prescribed are not needed or are not prescribed appropriately? »Confusion or sudden behavior changes don’t necessarily indicate a urinary tra…
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/139-nv-hap-prevention-essential-one-pager.docx
    October 01, 2024 - NV-HAP Prevention Essential Practices1-4 Practice routine oral care.4,5-8 Staphylococcus aureus is a common pathogen in dental plaque. Conduct an individualized assessment and plan for each patient considering their ability to perform self-care independently. At minimum, the oral care regimen should include: toothbrus…
  8. psnet.ahrq.gov/issue/feasibility-and-added-value-executive-walkrounds-long-term-care-organizations-netherlands
    January 07, 2015 - Study Feasibility and added value of Executive WalkRounds in long term care organizations in the Netherlands. Citation Text: van Dusseldorp L, de Waal GH-, Hamers H, et al. Feasibility and Added Value of Executive WalkRounds in Long Term Care Organizations in the Netherlands. Jt Comm J Q…
  9. psnet.ahrq.gov/issue/understanding-differences-electronic-health-record-ehr-use-linking-individual-physicians
    November 17, 2015 - Study Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. Citation Text: Lanham HJ, Sittig DF, Leykum LK, et al. Understanding differences in electronic health record (EHR) u…
  10. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mastateataglance.pdf
    March 01, 2012 - Massachusetts State at a Glance                                                                                                                                                                                                                                                                                       …
  11. psnet.ahrq.gov/issue/effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission-randomized
    September 13, 2023 - Study Classic Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. Citation Text: Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist I…
  12. www.ahrq.gov/research/findings/final-reports/stpra/stpraape.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix E. Study Parameters Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-P…
  13. www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/mental-health-and-emotional-wellbeing.pdf
    March 01, 2022 - Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff Nursing home staff routinely face stressful and emotionally draining working co…
  14. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
    January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray Overview of the SOPS Surveys Laura Gray, MPH Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat 14 What are the SOPS Surveys? • Surveys of providers and staff about the extent to which their organizational …
  15. www.ahrq.gov/ncepcr/care/index.html
    November 01, 2024 - Care Delivery Primary care is a core component of the U.S. health care system and the largest platform of formal health care in the United States. More people seek primary care services than any other type of health care service. A strong primary care foundation is necessary to improve the quality of care, impr…
  16. digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/rhode-island
    January 01, 2023 - Rhode Island Project Overview | Data and Functionality | Technical Design and Architecture   Project Overview The Rhode Island Quality Institute (RIQI) is a non-profit organization founded in 2001 as a collaborative effort among a vast array of members of the health care community to i…
  17. www.ahrq.gov/opioids/implementing-what-works/compendium-intro.html
    January 01, 2024 - Opioid Use in Older Adults Compendium of Resources On this page: Introduction How to use the Compendium Self-Assessment Case Studies Introduction While there have been extensive efforts to address the opioid epidemic, little attention has been given to the risks and effects of opioid use, misu…
  18. www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
    March 11, 2021 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care Workgroup Goa…
  19. digital.ahrq.gov/ahrq-funded-projects/use-patient-buddy-application-disseminate-knowledge-prevent-readmission
    January 01, 2023 - Use of Patient Buddy™ Application to Disseminate Knowledge & Prevent Readmission Project Final Report ( PDF , 818.35 KB) Disclaimer Disclaimer   The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily…
  20. www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary52/vitamin-d-and-calcium-to-prevent-fractures-preventive-medication-2013
    December 10, 2011 - vitamin D 3 of all included RCTs and demonstrated that the megadose increased the risk for fractures and falls … Should older people in residential care receive vitamin D to prevent falls? … Vitamin D supplementation and the prevention of fractures and falls: results of a randomised trial in … Annual high-dose oral vitamin D and falls and fractures in older women: a randomized controlled trial