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psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool
February 19, 2020 - Review
High fidelity simulation as a research tool.
Citation Text:
Littlewood KE. High fidelity simulation as a research tool. Best Pract Res Clin Anaesthesiol. 2011;25(4):473-87. doi:10.1016/j.bpa.2011.08.001.
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psnet.ahrq.gov/issue/impact-nursing-hospital-patient-mortality-focused-review-and-related-policy-implications
September 21, 2011 - Review
Impact of nursing on hospital patient mortality: a focused review and related policy implications.
Citation Text:
Tourangeau AE, Cranley LA, Jeffs L. Impact of nursing on hospital patient mortality: a focused review and related policy implications. Qual Saf Health Care. 2006;15(…
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psnet.ahrq.gov/issue/or-and-just-culture
February 01, 2017 - Commentary
The OR and a "just culture."
Citation Text:
Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003.
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psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
July 02, 2019 - Commentary
Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model.
Citation Text:
Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J H…
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psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
August 17, 2017 - Commentary
From heroism to safe design: leveraging technology.
Citation Text:
Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127.
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psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
August 04, 2021 - Study
Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward.
Citation Text:
Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…
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psnet.ahrq.gov/issue/consensus-based-recommendations-standardizing-terminology-and-reporting-adverse-events
December 22, 2018 - Commentary
Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children.
Citation Text:
Bhatt M, Kennedy RM, Osmond MH, et al. Consensus-Based Recommendations for Standardizing Terminol…
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/self-assessment-checklist-medication-assisted-treatment-opioid-use-disorder/online-self-assessment
March 01, 2021 - An official website of the Department of Health & Human Services
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www.ahrq.gov/hai/cauti-tools/impl-guide/index.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
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Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Overview
Frameworks for Change and Improvement
Technical…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Module 4: Sustainability
Sustainability Tool
Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts.
How to use this tool: The Implementation Team leader (or individual designated by the leader) should comple…
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digital.ahrq.gov/program-overview/research-stories/optimizing-care-delivery-for-clinicians
January 01, 2023 - Optimizing Care Delivery for Clinicians
2023 Research Stories
An App to Help Rural Paramedics Improve Timeliness to Deliver Life-Saving Care for Patients Experiencing Heart Attacks Developing and implementing a point-of-care clinical decision support mobile application fo…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
November 17, 2020 - Transforming Care for People Living with Multiple Chronic Conditions
Transforming Care for People Living with
Multiple Chronic Conditions
Arlene Bierman, M.D., M.S.
Director, Center for Evidence and Practice Improvement
Agency for Healthcare Research and Quality
November 17, 2020
Why MCC?
• Common, Costly
• H…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/114-fvc-aspects-steps-one-pager.docx
April 01, 2025 - When starting or improving an environmental cleaning (EVC) monitoring program, there are five essential steps to address, which are outlined below. This document focuses on the implementation of fluorescent gel (FG) monitoring, which is generally easier to use and implement, especially when starting a new monitoring pr…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/136-ss-premortem-tool.docx
April 01, 2025 - Comprehensive Unit-based Safety Program (CUSP) Premortem Project Assessment
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Projects often fail, and many factors may contribute to this failure. Understanding potential implementation barriers and challenges before launching a …
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www.ahrq.gov/ncepcr/tools/confid-report/foreword.html
February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Previous Page Next Page
Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Part One: Physician Feedback Report Fundamentals
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-1.html
June 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Previous Page Next Page
Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurement of Diagnostic Safety
Getting Ready for Measurement: O…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/communication-material-guide.docx
May 01, 2017 - Overview
Communication and Teamwork Defined
· Slides 4-11
Improving Surgical Team Communication With Briefings*
· Slides 12-17
· Example Briefing* (2 min 14)
Improving Surgical Team Communication With Debriefings*
· Slides 18-25
· Example Debriefing* (1 min 24)
The Surgical Checklist as a Communication and Teamwork …
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www.ahrq.gov/funding/grantee-profiles/grtprofile-mchugh.html
May 01, 2025 - Grantee Profile
Improving Heart Health in Manufacturing Communities
Megan McHugh, Ph.D. Professor of Emergency Medicine Feinberg School of Medicine Northwestern University “Manufacturing workers have historically earned higher wages than similar workers in other industries and are more likely to be offered …
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psnet.ahrq.gov/issue/variation-emergency-medical-services-workplace-safety-culture
December 07, 2011 - Study
Variation in emergency medical services workplace safety culture.
Citation Text:
Patterson PD, Huang DT, Fairbanks RJ, et al. Variation in Emergency Medical Services Workplace Safety Culture. Prehospital Emergency Care. 2010;14(4). doi:10.3109/10903127.2010.497900.
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psnet.ahrq.gov/issue/safety-stop-valuable-addition-pediatric-universal-protocol
June 21, 2015 - Commentary
Safety stop: a valuable addition to the pediatric universal protocol.
Citation Text:
Caruso TJ, Munshey F, Aldorfer B, et al. Safety Stop: A Valuable Addition to the Pediatric Universal Protocol. Jt Comm J Qual Patient Saf. 2018;44(9):552-556. doi:10.1016/j.jcjq.2018.03.015.
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