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psnet.ahrq.gov/issue/systematic-review-effectiveness-interruptive-medication-prescribing-alerts-hospital-cpoe
August 17, 2016 - Review
A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety.
Citation Text:
Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medic…
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psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety
September 15, 2021 - Study
A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety.
Citation Text:
Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a computerized provider order entry system on patient safet…
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digital.ahrq.gov/ahrq-funded-projects/improving-outpatient-medication-lists-using-temporal-reasoning-and-clinical/annual-summary/2010
January 01, 2010 - Improving Outpatient Medication Lists Using Temporal Reasoning and Clinical Texts - 2010
Project Name
Improving Outpatient Medication Lists Using Temporal Reasoning and Clinical Texts
Principal Investigator
Zhou, Li
Organization
Brigham and Women's Hospital
Funding Me…
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psnet.ahrq.gov/issue/effectiveness-improving-healthcare-teams-human-factor-skills-using-simulation-based-training
June 08, 2022 - Review
The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review.
Citation Text:
Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’ human factor skills using simulation-based t…
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psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
March 21, 2012 - Study
Determinants of adverse events in vascular surgery.
Citation Text:
Hernandez-Boussard T, McDonald KM, Morton J, et al. Determinants of adverse events in vascular surgery. J Am Coll Surg. 2012;214(5):788-97. doi:10.1016/j.jamcollsurg.2012.01.045.
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psnet.ahrq.gov/issue/readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american
September 22, 2021 - Study
Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program.
Citation Text:
Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a…
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psnet.ahrq.gov/issue/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically
February 01, 2023 - Study
Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis.
Citation Text:
Vanneman MW, Balakrishna A, Lang AL, et al. Impro…
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psnet.ahrq.gov/issue/psychological-safety-intensive-care-unit-rounding-teams
May 05, 2021 - Study
Psychological safety in intensive care unit rounding teams.
Citation Text:
Diabes MA, Ervin JN, Davis BS, et al. Psychological safety in intensive care unit rounding teams. Ann Am Thorac Soc. 2021;18(6):1027-1033. doi:10.1513/annalsats.202006-753oc.
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psnet.ahrq.gov/issue/changes-default-alarm-settings-and-standard-service-are-insufficient-improve-alarm-fatigue
May 29, 2019 - Study
Changes in default alarm settings and standard in-service are insufficient to improve alarm fatigue in an intensive care unit: a pilot project.
Citation Text:
Sowan AK, Gomez TM, Tarriela AF, et al. Changes in Default Alarm Settings and Standard In-Service are Insufficient to Impro…
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psnet.ahrq.gov/issue/time-series-evaluation-improvement-interventions-reduce-alarm-notifications-paediatric
October 27, 2021 - Study
Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital.
Citation Text:
Pater CM, Sosa TK, Boyer J, et al. Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. BMJ Qual Saf. 20…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
January 01, 2017 - Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients
AHRQ Safety Program for
Mechanically Ventilated Patients
Early Mobility Guide for Reducing
Ventilator-Associated Events in
Mechanically Ventilated Patients
AHRQ Publication No. 16(17)-001…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-codebook-baseline.pdf
January 01, 2014 - Practice Member Survey Code Book
Practice Member Survey Code Book
1
1 NOTE: AR1-AR14 constitutes the 14 item adaptive reserve scale. On your collaborative’s survey, AR1-AR14 are to remain in their exact order shown in the codebook.
2 For details on s…
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psnet.ahrq.gov/node/33709/psn-pdf
July 01, 2011 - What Have We Learned About Safe Inpatient Handovers?
March 1, 2011
Kripalani S. What Have We Learned About Safe Inpatient Handovers? PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
Perspective
The care of hospitalized patients is marked by numerous tra…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
March 30, 2008 - Christiana Care Health System: Safety Mentor Program
Christiana Care Health System: Safety
Mentor Program
Michele Campbell, RN, MSM, CPHQ; Christine Carrico, RN, MSN, CPHQ; Carol Kerrigan
Moore, RN, MS, FNP-BC; Terri Lynn Palmer, MPA
Abstract
According to the Institute of Medicine, as many as 98,000 patients…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs020846-fricton-final-report-2016.pdf
January 01, 2016 - Decision Support to Improve Dental Care for Medically Compromised Patients - Final Report
AHRQ Final Report
1. TITLE PAGE
Project Title: Decision Support to Improve Dental Care for Medically
Compromised Patients
Principal Investigator: James Fricton DDS, MS
Team Members: Neil …
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www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
April 01, 2013 - Learn Module Alternate Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The ‘Learn About CUSP’ module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to pati…
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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - Reconciling Doses
November 1, 2005
Federico F. Reconciling Doses. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/reconciling-doses
Case Objectives
List the steps involved in medication reconciliation.
Describe the role of each of the stakeholders in medication reconciliation.
Discuss how medication reconc…
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - Annual Perspective
Handoffs and Transitions
Niraj Sehgal, MD, MPH | January 22, 2014
View more articles from the same authors.
Citation Text:
Sehgal NL. Handoffs and Transitions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
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psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
February 26, 2025 - Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes
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March 29, 2023
Innovation
Co…
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www.ahrq.gov/evidencenow/tools/reduce-disparities.html
February 01, 2025 - Using Data to Reduce Disparities and Improve Quality
Resource: Using Data to Reduce Disparities and Improve Quality: A Guide for Health Care Organizations (PDF, 1 MB; 14 pages) This brief recommends strategies that primary care practices and health care organizations can use to effectively organize and inter…