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psnet.ahrq.gov/issue/classification-and-detection-errors-minimally-invasive-surgery
June 17, 2014 - Review
Classification and detection of errors in minimally invasive surgery.
Citation Text:
Rassweiler MC, Mamoulakis C, Kenngott HG, et al. Classification and detection of errors in minimally invasive surgery. J Endourol. 2011;25(11):1713-21. doi:10.1089/end.2011.0068.
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psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
July 19, 2023 - Commentary
Clinical nurse specialists as leaders in rapid response.
Citation Text:
Jenkins SD, Lindsey PL. Clinical nurse specialists as leaders in rapid response. Clin Nurse Spec. 2010;24(1):24-30. doi:10.1097/NUR.0b013e3181c4abe9.
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psnet.ahrq.gov/issue/deciphering-harm-measurement
December 01, 2010 - Commentary
Deciphering harm measurement.
Citation Text:
Parry G, Cline A, Goldmann D. Deciphering harm measurement. JAMA. 2012;307(20):2155-6. doi:10.1001/jama.2012.3649.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…
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psnet.ahrq.gov/issue/improving-quality-discharge-communication-educational-intervention
April 24, 2018 - Study
Improving the quality of discharge communication with an educational intervention.
Citation Text:
Key-Solle M, Paulk E, Bradford K, et al. Improving the quality of discharge communication with an educational intervention. Pediatrics. 2010;126(4):734-9. doi:10.1542/peds.2010-0884.
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psnet.ahrq.gov/issue/quality-and-safety-intensive-care-unit
January 19, 2011 - Review
Quality and safety in the intensive care unit.
Citation Text:
Stockwell DC, Slonim A. Quality and safety in the intensive care unit. J Intensive Care Med. 2006;21(4):199-210.
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psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward-rounds
August 14, 2013 - Newspaper/Magazine Article
Learning safe prescribing during post-take ward rounds.
Citation Text:
Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x.
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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-outside-intensive-care-unit-expanding
January 18, 2023 - Commentary
Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings.
Citation Text:
Kallen AJ, Patel PR, O'Grady NP. Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention …
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psnet.ahrq.gov/issue/infection-control-hazards-and-near-misses-reported-nursing-students
February 11, 2009 - Study
Infection control hazards and near misses reported by nursing students.
Citation Text:
Geller NF, Bakken S, Currie LM, et al. Infection control hazards and near misses reported by nursing students. Am J Infect Control. 2010;38(10):811-6. doi:10.1016/j.ajic.2010.06.001.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-m.html
May 01, 2017 - Appendix M. Endoscopy Infographic - Implementation Guide
Preventing Infections in Endoscopic Procedures
More than 20 million gastrointestinal (GI) endoscopic procedures are performed annually in the United States. While rare, patients have acquired infections from these procedures due to:
Poor…
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psnet.ahrq.gov/issue/physician-practice-patient-safety-assessment
April 24, 2018 - Measurement Tool/Indicator
The Physician Practice Patient Safety Assessment.
Citation Text:
Pohl JM, Nath R, Zheng K, et al. Use of a comprehensive patient safety tool in primary care practices. Journal of the American Association of Nurse Practitioners. 2013;25(8):415-8. doi:10.1111/174…
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psnet.ahrq.gov/issue/epidemiology-prescribing-errors-potential-impact-computerized-prescriber-order-entry
May 04, 2010 - Study
The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry.
Citation Text:
Bobb A, Gleason KM, Husch M, et al. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Arch Intern Med. 2004;164(7…
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psnet.ahrq.gov/issue/outcomes-card-development-systems-based-practice-educational-tool
July 13, 2010 - Study
The outcomes card: development of a systems-based practice educational tool.
Citation Text:
Tomolo A, Caron A, Perz ML, et al. The outcomes card. J Gen Intern Med. 2005;20(8). doi:10.1111/j.1525-1497.2005.0168.x.
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www.ahrq.gov/prevention/resources/depression/depsumtab2.html
April 01, 2013 - Table 2. Studies on the Effect of Screening and Feedback
Screening for Depression in Adults: Summary of the Evidence
The summaries of the evidence briefly present evidence of effectiveness for preventive health services used in primary care clinical settings, including screening tests, counseling, and chemopr…
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psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers
May 07, 2008 - Study
Enhancing medication use safety: benefits of learning from your peers.
Citation Text:
Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938.
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psnet.ahrq.gov/issue/systematic-review-patient-tracking-systems-use-pediatric-emergency-department
August 03, 2022 - Review
A systematic review of patient tracking systems for use in the pediatric emergency department.
Citation Text:
Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jem…
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psnet.ahrq.gov/issue/mortality-rate-after-nonelective-hospital-admission
January 22, 2016 - Study
Mortality rate after nonelective hospital admission.
Citation Text:
Ricciardi R, Roberts PL, Read TE, et al. Mortality rate after nonelective hospital admission. Arch Surg. 2011;146(5):545-51. doi:10.1001/archsurg.2011.106.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/measurespec-code-tables.pdf
June 05, 2025 - Transcranial Doppler Ultrasonography Screening among Children with Sickle Cell Anemia
1
Transcranial Doppler Ultrasonography Screening among
Children with Sickle Cell Anemia
Description
The percentage of children ages 2 through 15 years old with sickle cell anemia (SCA; hemoglobin [Hb]
SS or HbSβ0-thalas…
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psnet.ahrq.gov/issue/implementing-commercial-rule-base-medication-order-safety-net
January 03, 2017 - Study
Implementing a commercial rule base as a medication order safety net.
Citation Text:
Reichley RM, Seaton TL, Resetar E, et al. Implementing a commercial rule base as a medication order safety net. J Am Med Inform Assoc. 2005;12(4):383-9.
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psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmissions-reduction-program
August 20, 2018 - Commentary
Unintended harm associated with the Hospital Readmissions Reduction Program.
Citation Text:
Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-slides.html
December 01, 2017 - Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement
Slide Presentation
Slide 1
Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement
Milisa Manojlovich PhD, RN, CCRN
Associate Professor
University of Michigan, School of Nursing
Slide 2
Learning Objectives
Di…