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psnet.ahrq.gov/issue/medical-crisis-checklists-emergency-department-simulation-based-multi-institutional
February 16, 2022 - Study
Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial.
Citation Text:
Dryver E, Lundager Forberg J, Hård af Segerstad C, et al. Medical crisis checklists in the emergency department: a simulation-based multi-instit…
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psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
March 28, 2011 - Study
Assessment of the implementation of a national patient safety alert to reduce wrong site surgery.
Citation Text:
Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kaushal-r-et-al-2003
January 01, 2003 - Kaushal R et al. 2003 "Effects of computerized physician order entry and clinical decision support systems on medication safety - a systematic review."
Reference
Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision support systems on medication safety: …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/samore-mh-et-al-2005
January 01, 2005 - Samore MH et al. 2005 "Clinical decision support and appropriateness of antimicrobial prescribing - a randomized trial."
Reference
Samore MH, Bateman K, Alder SC, et al. Clinical decision support and appropriateness of antimicrobial prescribing - a randomized trial. JAMA 2005;294(18):2305-2314.
[L…
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psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care-and-safety
July 06, 2022 - Study
Bad things can happen: are medical students aware of patient centered care and safety?
Citation Text:
Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/…
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psnet.ahrq.gov/issue/guidance-health-care-leaders-during-recovery-stage-covid-19-pandemic-consensus-statement
December 21, 2017 - Commentary
Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement.
Citation Text:
Geerts JM, Kinnair D, Taheri P, et al. Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. JAMA Ne…
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psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning
December 15, 2021 - Study
Use of a structured approach and virtual simulation practice to improve diagnostic reasoning.
Citation Text:
Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…
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psnet.ahrq.gov/issue/using-consumer-engagement-strategies-improve-healthcare-safety-young-people-exploration
September 15, 2021 - Study
Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches.
Citation Text:
Newman B, Joseph K, McDonald FEJ, et al. Using consumer engagement strategies to improve healthcare safety for y…
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psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program
April 24, 2018 - Study
Classic
Changes in medical errors after implementation of a handoff program.
Citation Text:
Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…
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psnet.ahrq.gov/issue/effects-i-pass-nursing-handoff-bundle-communication-quality-and-workflow
November 12, 2014 - Study
Effects of the I-PASS nursing handoff bundle on communication quality and workflow.
Citation Text:
Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-0…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/outcomes-privacy-and-security-solutions
January 01, 2023 - Outcomes from the Privacy and Security Solutions for Interoperable Health Information Exchange Project
Below are the final reports produced under RTI International's contract with the Agency for Healthcare Research and Quality (AHRQ). The contract, entitled Privacy and Security…
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psnet.ahrq.gov/issue/multi-stakeholder-consensus-driven-research-agenda-better-understanding-and-supporting
September 01, 2018 - Commentary
A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families.
Citation Text:
Bell SK, Etchegaray J, Gaufberg E, et al. A Multi-Stakeholder Consensus-Driven Research Agenda for Bette…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/065-ssi-prevention-periop-roadmap-checklist.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Date: ______________________________________ Patient Label (or name, MRN and surgeon)
Perioperative Roadmap Tool
Surgical ServicesSSI Prevention Phases
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Adapt the checklist below to your ho…
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psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
January 17, 2012 - Study
Classic
Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system.
Citation Text:
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the V…
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psnet.ahrq.gov/issue/culture-change-infection-control-applying-psychological-principles-improve-hand-hygiene
November 21, 2021 - Study
Culture change in infection control: applying psychological principles to improve hand hygiene.
Citation Text:
Cumbler E, Castillo L, Satorie L, et al. Culture change in infection control: applying psychological principles to improve hand hygiene. J Nurs Care Qual. 2013;28(4):304…
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digital.ahrq.gov/ahrq-funded-projects/understanding-development-methods-other-industries-improve-design-consumer/annual-summary/2011
January 01, 2011 - Understanding Development Methods from Other Industries to Improve the Design of Consumer Health IT - 2011
Project Name
Understanding Development Methods from Other Industries to Improve the Design of Consumer Health Information Technology
Principal Investigator
Montague, Enid
Or…
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psnet.ahrq.gov/issue/qualitative-evaluation-barriers-and-facilitators-toward-implementation-who-surgical-safety
January 19, 2016 - Study
Classic
A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project."
Citation Text:
Russ SJ, Sevdalis N, Moor…
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psnet.ahrq.gov/issue/implementation-world-health-organization-trauma-care-checklist-program-11-centers-across
November 16, 2022 - Study
Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures.
Citation Text:
Lashoher A, Schneider EB, Juillard C, et al. Implementation of the World Health Organization Trauma Care Chec…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2012
January 01, 2012 - Enhancing Complex Care Through an Integrated Care Coordination Information System - 2012
Project Name
Enhancing Complex Care through an Integrated Care Coordination Information System
Principal Investigator
Dorr, David
Organization
Oregon Health and Science University
…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-medical-home-information-model
January 01, 2023 - Patient-Centered Medical Home Information Model
Project Final Report ( PDF , 1.5 MB)
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