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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2ref.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Tool 2: How to Begin the Re-engineered Discharge Implementation At Your Hospital (continued)
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Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Y…
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www.ahrq.gov/es/tools/index.html
December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
November 01, 2016 - Toolkit 2. Common Suspected Infections: Communication and Decisionmaking for Four Infections
Toolkit Effectiveness
When tested in six nursing homes in an intervention group and six in a comparison group, this toolkit demonstrated a small reduction in prescribing in the intervention group relative to the compa…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d-emerging.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
Emerging Research Spotlights
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Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in Primary Ca…
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psnet.ahrq.gov/issue/reducing-serious-safety-events-and-priority-hospital-acquired-conditions-pediatric-hospital
July 19, 2023 - Study
Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program.
Citation Text:
Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in…
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psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and
October 19, 2022 - Study
Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice.
Citation Text:
Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to …
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psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital-reduced-cardiac
January 02, 2017 - Study
Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests.
Citation Text:
Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anes…
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psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
April 22, 2013 - Study
Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic.
Citation Text:
Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7.
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psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning
July 08, 2015 - Study
Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline.
Citation Text:
Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the front…
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psnet.ahrq.gov/issue/house-overnight-physician-staffing-cross-sectional-survey-canadian-adult-and-pediatric
December 04, 2015 - Study
In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units.
Citation Text:
Parshuram CS, Kirpalani H, Mehta S, et al. In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intens…
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psnet.ahrq.gov/issue/computerized-surveillance-adverse-drug-events-hospital-patients
March 27, 2005 - Study
Classic
Computerized surveillance of adverse drug events in hospital patients.
Citation Text:
Classen DC, Pestotnik SL, Evans RS, et al. Computerized surveillance of adverse drug events in hospital patients. JAMA. 1991;266(20):2847-51.
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psnet.ahrq.gov/issue/qualities-and-attributes-safe-practitioner-identification-safety-skills-healthcare
September 26, 2012 - Study
Qualities and attributes of a safe practitioner: identification of safety skills in healthcare.
Citation Text:
Long S, Arora S, Moorthy K, et al. Qualities and attributes of a safe practitioner: identification of safety skills in healthcare. BMJ Qual Saf. 2011;20(6):483-490. doi:…
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psnet.ahrq.gov/issue/risk-adjusted-morbidity-teaching-hospitals-correlates-reported-levels-communication-and
July 12, 2010 - Study
Classic
Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions.
Citation Text:
Davenport DL…
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psnet.ahrq.gov/issue/failure-rescue-and-30-day-hospital-mortality-hospitals-and-without-crew-resource-management
January 26, 2022 - Study
Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training.
Citation Text:
Bacon CT, McCoy TP, Henshaw DS. Failure to rescue and 30‐day in‐hospital mortality in hospitals with and without crew‐resource‐management safety…
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psnet.ahrq.gov/issue/iatrogenic-illness-general-medical-service-university-hospital
August 17, 2017 - Study
Classic
Iatrogenic illness on a general medical service at a university hospital.
Citation Text:
Steel K, Gertman PM, Crescenzi C, et al. Iatrogenic illness on a general medical service at a university hospital. N Engl J Med. 1981;304(11):638-42.
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psnet.ahrq.gov/innovation/improving-formal-incivility-reporting-ambulatory-oncology-implementing-civic-duty
March 14, 2022 - EMERGING INNOVATIONS
Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program.
Citation Text:
Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23…
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psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
July 19, 2023 - Study
Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events.
Citation Text:
Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safe…
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psnet.ahrq.gov/issue/increasing-compliance-world-health-organization-surgical-safety-checklist-regional-health
September 12, 2018 - Study
Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience.
Citation Text:
Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health sys…
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psnet.ahrq.gov/issue/physician-evaluation-after-medical-errors-does-having-computer-decision-aid-help-or-hurt
May 19, 2021 - Study
Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight?
Citation Text:
Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Med Decis Making. 2006;26(1):48-56…
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psnet.ahrq.gov/issue/streamlining-care-crisis-rapid-creation-and-implementation-digital-support-tool-covid-19
October 21, 2020 - Commentary
Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19.
Citation Text:
Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. West J Emerg Med. …