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psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center
January 11, 2017 - Study
Classic
Safety of overlapping surgery at a high-volume referral center.
Citation Text:
Hyder JA, Hanson KT, Storlie CB, et al. Safety of Overlapping Surgery at a High-volume Referral Center. Ann Surg. 2017;265(4):639-644. doi:10.1097/SLA.0000000000002084. …
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psnet.ahrq.gov/issue/systematic-review-simulation-multidisciplinary-team-training-operating-rooms
November 17, 2014 - Review
A systematic review of simulation for multidisciplinary team training in operating rooms.
Citation Text:
Cumin D, Boyd MJ, Webster CS, et al. A systematic review of simulation for multidisciplinary team training in operating rooms. Simul Healthc. 2013;8(3):171-179. doi:10.1097/S…
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psnet.ahrq.gov/issue/understanding-clinical-implications-resident-involvement-uncommon-operations
October 26, 2022 - Study
Understanding the clinical implications of resident involvement in uncommon operations.
Citation Text:
Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328. doi:10.1016/j…
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psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during
April 24, 2018 - Study
Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission.
Citation Text:
Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…
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psnet.ahrq.gov/issue/two-year-longitudinal-assessment-physicians-perceptions-after-replacement-longstanding
December 31, 2014 - Study
Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist?
Citation Text:
Hanauer DA, Branford GL, Greenberg G, et al. Two-year longitudinal assessment of physician…
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psnet.ahrq.gov/issue/prevalence-and-predictors-delayed-clinical-diagnosis-type-2-diabetes-longitudinal-cohort
August 04, 2021 - Study
Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study.
Citation Text:
Gopalan A, Mishra P, Alexeeff SE, et al. Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study. Diabet Med. 2018…
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psnet.ahrq.gov/issue/effect-emergency-department-boarding-order-completion
January 29, 2018 - Study
The effect of emergency department boarding on order completion.
Citation Text:
Coil CJ, Flood JD, Belyeu BM, et al. The Effect of Emergency Department Boarding on Order Completion. Ann Emerg Med. 2016;67(6):730-736.e2. doi:10.1016/j.annemergmed.2015.09.018.
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psnet.ahrq.gov/issue/systematic-narrative-review-coroners-prevention-future-deaths-reports-pfds-tool-patient
October 19, 2022 - Review
A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient safety in hospitals.
Citation Text:
Bremner BT, Heneghan CJ, Aronson JK, et al. A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool f…
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psnet.ahrq.gov/issue/enhancing-resident-education-embedding-improvement-specialists-quality-and-safety-curriculum
April 24, 2018 - Study
Enhancing resident education by embedding improvement specialists into a quality and safety curriculum.
Citation Text:
Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. J Grad Med Educ. 202…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/long-covid-protocol.pdf
February 18, 2023 - Are there special considerations for implementing these models for adults,
children and disadvantaged … perspectives relevant to long COVID models of care, including persons
with experience in developing and implementing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes
Intravenous Infusion Safety Initiative: Collaboration,
Evidence-Based Best Practices, and “Smart”
Technology Help Avert High-Risk Adverse…
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www.ahrq.gov/patient-safety/reports/hotline/preface.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
Preface
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
Preface
…
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www.ahrq.gov/practiceimprovement/delivery-initiative/abstract-magill.html
December 01, 2017 - Primary Care Practice Redesign–Successful Strategies
Abstract
Principal Investigator: Michael K. Magill, M.D.
University of Utah, School of Medicine, Department of Family and Preventive Medicine
Purpose
This study evaluated the impact of a comprehensive care management program targeting patients with mu…
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www.ahrq.gov/news/newsroom/case-studies/201607.html
January 01, 2018 - South Carolina Hospital’s Use of AHRQ Patient Safety Program Leads to Significant Drop in Urinary Infections
Search All Impact Case Studies
July 2016
Implementation of an AHRQ patient safety program helped the Medical University of South Carolina (MUSC) hospital reduce catheter-associated urinary tract infe…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-5.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.5. Chronology of Quality Improvement and Lean at Lakeview Healthcare
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. La…
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreenfig1-1.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Figure 1.1. Timeline for Implementation, Assessment, and Dissemination of the SATIS-PHI/CRC Intervention
Previous Page Next Page
Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary…
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/culture.html
April 01, 2022 - Culture
A strong patient safety culture supports a learning environment and invites diverse input from teams to support wise decisions and system improvements. Use these tools to help your team make lowering infections part of your culture. Examples of common barriers that inhibit developing this culture are i…
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www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/share-fact-sheet.pdf
October 01, 2024 - The SHARE Approach: A Flexible Training Program for Shared Decision Making
The SHARE Approach:
A Flexible Training Program for
Shared Decision Making
The SHARE Approach is a training program developed by the Agency for Healthcare
Research and Quality to help healthcare professionals work with patients to …
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www.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
October 01, 2014 - Massachusetts Hospital Improves Medication Reconciliation With AHRQ Toolkit
Search All Impact Case Studies
March 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Masspro, the Massachusetts Quality Improvement Organization (QIO), worked with New England Rehabilitation …
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/surgical-roles.html
December 01, 2017 - Surgical Safety Team Roles and Responsibilities Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
This tool will help your safety program team understand the core tasks of this project and will help you organize your team to complete the work. Just like clinical teams, effect…