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psnet.ahrq.gov/issue/there-evidence-july-effect-among-patients-undergoing-hysterectomy-surgery
April 24, 2018 - Study
Is there evidence of a July effect among patients undergoing hysterectomy surgery?
Citation Text:
Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.aj…
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psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
March 02, 2011 - Study
Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.
Citation Text:
Grimes T, Delaney T, Duggan C, et al. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.…
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psnet.ahrq.gov/issue/factors-affecting-medical-residents-decisions-work-after-call
October 19, 2022 - Study
Factors affecting medical residents' decisions to work after call.
Citation Text:
Carr MM, Foreman AM, Friedel JE, et al. Factors affecting medical residents' decisions to work after call. J Patient Saf. 2024;20(1):16-21. doi:10.1097/pts.0000000000001175.
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psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports
March 30, 2011 - Study
Inter-rater reliability of a classification system for hospital adverse drug event reports.
Citation Text:
Haynes K, Hennessy S, Morales KH, et al. Inter-rater reliability of a classification system for hospital adverse drug event reports. Clin Pharmacol Ther. 2008;83(3):485-8.
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psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting
March 23, 2011 - Study
Cultural and associated enablers of, and barriers to, adverse incident reporting.
Citation Text:
Braithwaite J, Westbrook MT, Travaglia J, et al. Cultural and associated enablers of, and barriers to, adverse incident reporting. Qual Saf Health Care. 2010;19(3):229-233. doi:10.113…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project
January 01, 2023 - Privacy and Security Project (2005-2007)
The Privacy and Security Project
RTI International has subcontracted with 33 states and 1 territory to create the Health Information Security and Privacy Collaboration (HISPC). These subcontractors have leveraged input from state leadership and a br…
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psnet.ahrq.gov/issue/sleep-and-circadian-misalignment-hospitalist-review
July 15, 2020 - Review
Sleep and circadian misalignment for the hospitalist: a review.
Citation Text:
Schaefer EW, Williams M, Zee PC. Sleep and circadian misalignment for the hospitalist: a review. J Hosp Med. 2012;7(6):489-96. doi:10.1002/jhm.1903.
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www.ahrq.gov/pqmp/implementation-qi/lessons.html
August 01, 2021 - Lessons from the Field Reports
The Pediatric Quality Measures Program (PQMP) was established to increase the portfolio of evidence-based, consensus pediatric quality measures available to public and private purchasers of children's health care services. It was established following enactment of the Children's H…
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psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists
November 16, 2022 - Review
Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists.
Citation Text:
Kripalani S, Jackson AT, Schnipper JL, et al. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. J Hosp Med. …
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psnet.ahrq.gov/issue/impact-pharmacist-previsit-input-providers-chronic-opioid-prescribing-safety
November 16, 2022 - Study
Impact of pharmacist previsit input to providers on chronic opioid prescribing safety.
Citation Text:
Cox N, Tak CR, Cochella SE, et al. Impact of Pharmacist Previsit Input to Providers on Chronic Opioid Prescribing Safety. The Journal of the American Board of Family
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psnet.ahrq.gov/issue/multiple-drawer-medication-layout-problem-automated-dispensing-cabinets
December 21, 2017 - Study
A multiple-drawer medication layout problem in automated dispensing cabinets.
Citation Text:
Pazour JA, Meller RD. A multiple-drawer medication layout problem in automated dispensing cabinets. Health Care Manag Sci. 2012;15(4). doi:10.1007/s10729-012-9197-8.
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psnet.ahrq.gov/issue/impact-world-health-organization-surgical-safety-checklist-patient-safety
November 03, 2015 - Review
Impact of the World Health Organization surgical safety checklist on patient safety.
Citation Text:
Haugen AS, Sevdalis N, Søfteland E. Impact of the World Health Organization Surgical Safety Checklist on Patient Safety. Anesthesiology. 2019;131(2):420-425. doi:10.1097/ALN.0000000…
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psnet.ahrq.gov/issue/patient-involvement-patient-safety-health-care-professionals-perspective
July 06, 2012 - Study
Patient involvement in patient safety: the health-care professional's perspective.
Citation Text:
Davis R, Sevdalis N, Vincent CA. Patient involvement in patient safety: the health-care professional's perspective. J Patient Saf. 2012;8(4):182-8. doi:10.1097/PTS.0b013e318267c4aa. …
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psnet.ahrq.gov/issue/mistaken-identity-skin-cleansing-solution-leading-extensive-chemical-burns-extremely-preterm
October 19, 2022 - Commentary
Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant.
Citation Text:
Mannan K, Chow P, Lissauer T, et al. Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infan…
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psnet.ahrq.gov/issue/engineered-solution-maladministration-spinal-injections
March 14, 2022 - Study
An engineered solution to the maladministration of spinal injections.
Citation Text:
Lawton R, Gardner P, Green B, et al. An engineered solution to the maladministration of spinal injections. Qual Saf Health Care. 2009;18(6):492-5. doi:10.1136/qshc.2007.025767.
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psnet.ahrq.gov/issue/ehr-safety-way-forward-safe-and-effective-systems
December 12, 2012 - Commentary
EHR safety: the way forward to safe and effective systems.
Citation Text:
Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618.
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psnet.ahrq.gov/issue/development-icu-safety-reporting-system
May 27, 2011 - Study
Development of the ICU safety reporting system.
Citation Text:
Development of the ICU safety reporting system. Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32.
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psnet.ahrq.gov/issue/foundational-science-learning-health-systems
June 26, 2019 - Commentary
The foundational science of learning health systems.
Citation Text:
Kilbourne AM, Borsky AE, O'Brien RW, et al. The foundational science of learning health systems. Health Serv Res. 2024;59(6):e14374. doi:10.1111/1475-6773.14374.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/goetz-goldberg-d-kuzel
January 01, 2023 - Goetz Goldberg D, Kuzel AJ, Feng LB, et al. "EHRs in primary care practices: benefits, challenges, and successful strategies."
Reference
Goetz Goldberg D, Kuzel AJ, Feng LB, et al. EHRs in primary care practices: benefits, challenges, and successful strategies. Am J Manag Care 2012 Feb 1;18(2):e48-54.…
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/key-strategies.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
The Four Key Strategies of MRSA Prevention
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Table of Contents
MRSA Prevention Toolkit: ICUs & Non-ICUs
The Four Key Strategies of MRSA Prevention
The Importance of MRSA Prevention
Decolonization
Tools & Resources for Decolonizat…