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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence3.html
April 01, 2025 - Four Pillars for Sustainable Centers of Excellence
Alignment
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Table of Contents
Four Pillars for Sustainable Centers of Excellence
Introduction
Center of Excellence Operations
Alignment
Integration
Leadership Support
Windows of Opportunity
Conclusion
Acknowledg…
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psnet.ahrq.gov/issue/impact-work-schedules-senior-resident-physicians-patient-and-resident-physician-safety
May 25, 2022 - Study
Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study.
Citation Text:
Barger LK, Weaver MD, Sullivan JP, et al. Impact of work schedules of senior resident physicians on patient and resident physician s…
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hcup-us.ahrq.gov/db/vars/e_ccsn/nrdnote.jsp
August 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NRD Notes
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psnet.ahrq.gov/issue/impact-closed-loop-electronic-prescribing-and-administration-system-prescribing-errors
November 13, 2009 - Study
The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.
Citation Text:
Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and admin…
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hcup-us.ahrq.gov/db/vars/nchronic/nrdnote.jsp
August 01, 2015 - Healthcare Cost and Utilization Project (HCUP) NRD Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
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Espanol
FAQs…
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psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm
March 28, 2011 - Study
Medication discrepancies in resident sign-outs and their potential to harm.
Citation Text:
Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5.
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psnet.ahrq.gov/issue/multistate-point-prevalence-survey-health-care-associated-infections
November 14, 2018 - Study
Multistate point-prevalence survey of health care-associated infections.
Citation Text:
Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801.
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psnet.ahrq.gov/issue/racial-disparities-preventable-adverse-events-attributed-poor-care-coordination-reported
January 18, 2023 - Study
Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults.
Citation Text:
Pinheiro LC, Reshetnyak E, Safford MM, et al. Racial disparities in preventable adverse events attributed to poor care coordination …
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psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation
February 23, 2022 - Study
Evaluation of communication and safety behaviors during hospital-wide code response simulation.
Citation Text:
Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:…
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psnet.ahrq.gov/issue/association-registered-nurse-and-nursing-support-staffing-inpatient-hospital-mortality
September 09, 2011 - Study
Emerging Classic
Association of registered nurse and nursing support staffing with inpatient hospital mortality.
Citation Text:
Needleman J, Liu J, Shang J, et al. Association of registered nurse and nursing support staffing with inpatient hospital mortali…
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psnet.ahrq.gov/issue/what-quality-and-safety-care-patients-admitted-clinically-inappropriate-wards-systematic
February 15, 2023 - Review
What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review.
Citation Text:
La Regina M, Guarneri F, Romano E, et al. What Quality and Safety of Care for Patients Admitted to Clinically Inappropriate Wards: a Systematic Review. J Ge…
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psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk-management
May 25, 2016 - Government Resource
Promoting Patient Safety Through Effective Health Information Technology Risk Management.
Citation Text:
Promoting Patient Safety Through Effective Health Information Technology Risk Management. Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND…
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psnet.ahrq.gov/issue/impact-statewide-intensive-care-unit-quality-improvement-initiative-hospital-mortality-and
October 16, 2012 - Study
Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.
Citation Text:
Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality improvement…
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psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors
October 20, 2021 - Study
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.
Citation Text:
Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors:…
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psnet.ahrq.gov/issue/partnering-va-stakeholders-develop-comprehensive-patient-safety-data-display-lessons-learned
September 25, 2019 - Study
Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field.
Citation Text:
Chen Q, Shin MH, Chan J, et al. Partnering With VA Stakeholders to Develop a Comprehensive Patient Safety Data Display: Lessons Learned From the Fi…
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psnet.ahrq.gov/issue/influencing-culture-quality-and-safety-through-huddles
April 05, 2023 - Study
Influencing a culture of quality and safety through huddles.
Citation Text:
McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642.
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psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
July 07, 2021 - Review
Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review.
Citation Text:
Hada A, Coyer F. Shift‐to‐shift nursing handover interventions associated with improved …
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psnet.ahrq.gov/issue/medication-reconciliation-geriatric-unit-impact-maintenance-post-hospitalization
December 01, 2021 - Study
Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions.
Citation Text:
Montaleytang M, Correard F, Spiteri C, et al. Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescrip…
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psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
May 11, 2022 - Study
Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.
Citation Text:
Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…
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psnet.ahrq.gov/issue/use-heuristics-during-clinical-decision-process-family-care-physicians-real-conditions
March 09, 2022 - Study
Use of heuristics during the clinical decision process from family care physicians in real conditions.
Citation Text:
Fernández‐Aguilar C, Martín‐Martín JJ, Minué Lorenzo S, et al. Use of heuristics during the clinical decision process from family care physicians in real conditions…