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psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-work-progress
March 04, 2011 - Study
Deploying Six Sigma in a health care system as a work in progress.
Citation Text:
Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13.
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psnet.ahrq.gov/issue/adoption-order-entry-decision-support-chronic-care-physician-organizations
October 06, 2011 - Study
Adoption of order entry with decision support for chronic care by physician organizations.
Citation Text:
Simon JS, Rundall TG, Shortell SM. Adoption of order entry with decision support for chronic care by physician organizations. J Am Med Inform Assoc. 2007;14(4):432-9.
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psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-review-include-look-alike-packaging-additional-safety-check
March 24, 2021 - Study
Look-alike, sound-alike drugs review: include look-alike packaging as an additional safety check.
Citation Text:
McCoy LK. Look-alike, sound-alike drugs review: include look-alike packaging as an additional safety check. Jt Comm J Qual Patient Saf. 2005;31(1):47-53.
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psnet.ahrq.gov/issue/inadequate-preoperative-team-briefings-lead-more-intraoperative-adverse-events
June 07, 2023 - Study
Inadequate preoperative team briefings lead to more intraoperative adverse events.
Citation Text:
Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181.
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psnet.ahrq.gov/issue/nursing-home-safety-does-financial-performance-matter
November 05, 2008 - Study
Nursing home safety: does financial performance matter?
Citation Text:
Oetjen RM, Zhao M, Liu D, et al. Nursing home safety: does financial performance matter? J Health Care Finance. 2011;37(3):51-61.
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psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers
April 13, 2022 - Study
Proactive risk assessment of surgical site infections in ambulatory surgery centers.
Citation Text:
Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.000000000…
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psnet.ahrq.gov/issue/sleep-and-errors-group-australian-hospital-nurses-work-and-during-commute
February 14, 2024 - Study
Sleep and errors in a group of Australian hospital nurses at work and during the commute.
Citation Text:
Dorrian J, Tolley C, Lamond N, et al. Sleep and errors in a group of Australian hospital nurses at work and during the commute. Appl Ergon. 2008;39(5):605-13. doi:10.1016/…
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www.ahrq.gov/news/newsroom/case-studies/201901.html
March 01, 2019 - Georgetown University Family Nurse Practitioner Program Trains Hundreds of Students Using AHRQ App to Improve Primary Care
Search All Impact Case Studies
March 2019
Approximately 600 students who have completed a Georgetown University masters’ level course for family nurse practitioners use an electronic ap…
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psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events
September 23, 2020 - Study
An improvement approach to integrate teaching teams in the reporting of safety events.
Citation Text:
Dunbar AE, Cupit M, Vath RJ, et al. An Improvement Approach to Integrate Teaching Teams in the Reporting of Safety Events. Pediatrics. 2017;139(2). doi:10.1542/peds.2015-3807.
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psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis
October 19, 2022 - Study
Modes of failure in venous thromboembolism prophylaxis.
Citation Text:
Richie CD, Castle JT, Davis GA, et al. Modes of failure in venous thromboembolism prophylaxis. Angiology. 2022;73(8):712-715. doi:10.1177/00033197221083724.
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psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
November 13, 2024 - Review
Healthcare staff wellbeing, burnout, and patient safety: a systematic review.
Citation Text:
Hall LH, Johnson J, Watt I, et al. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016;11(7):e0159015. doi:10.1371/journal.pone.0159015.
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psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care
March 13, 2013 - Commentary
Classic
Complexity science: the challenge of complexity in health care.
Citation Text:
Plsek PE, Greenhalgh T. Complexity science: The challenge of complexity in health care. BMJ. 2001;323(7313):625-628.
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psnet.ahrq.gov/issue/use-standard-design-medication-room-promote-medication-safety-organizational-implications
July 27, 2022 - Study
The use of a standard design medication room to promote medication safety: organizational implications.
Citation Text:
Rozenbaum H, Gordon L, Brezis M, et al. The use of a standard design medication room to promote medication safety: organizational implications. Int J Qual Health C…
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psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
August 28, 2024 - Study
Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration.
Citation Text:
Dunn EJ, Moga PJ. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis …
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psnet.ahrq.gov/issue/2012-user-comparative-database-report-medical-office-survey-patient-safety-culture
November 30, 2016 - Book/Report
2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture.
Citation Text:
2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healt…
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psnet.ahrq.gov/issue/practical-implementation-artificial-intelligence-technologies-medicine
March 24, 2019 - Commentary
The practical implementation of artificial intelligence technologies in medicine.
Citation Text:
He J, Baxter SL, Xu J, et al. The practical implementation of artificial intelligence technologies in medicine. Nat Med. 2019;25(1):30-36. doi:10.1038/s41591-018-0307-0.
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psnet.ahrq.gov/issue/ensuring-primary-care-diagnostic-quality-era-telemedicine
May 25, 2022 - Commentary
Ensuring primary care diagnostic quality in the era of telemedicine.
Citation Text:
Willis JS, Tyler C, Schiff GD, et al. Ensuring primary care diagnostic quality in the era of telemedicine. Am J Med. 2021;134(9):1101-1103. doi:10.1016/j.amjmed.2021.04.027.
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www.ahrq.gov/topics/emergency-department.html
October 01, 2024 - Emergency Department
AHRQ's resources on emergency departments (EDs) include research studies, data and analytics, and tools designed to improve patient safety and the delivery of care. Topics explored include ED boarding and crowding, infection prevention, and diagnostic safety.
Eme…
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digital.ahrq.gov/program-overview/research-stories/asthmaxcel-pro-mobile-application-support-asthma-chronic-disease-management
January 01, 2023 - ASTHMAXcel PRO Mobile Application to Support Asthma Chronic Disease Management
Theme:
Engaging and Empowering Patients and Caregivers
Subtheme:
Using Digital Healthcare Tools in Chronic Disease Self-Management
A mobile application designed to facilitate asthma self-management and shared de…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/sDvjG49sFm7t3f3CnZUuFw
October 04, 2005 - Patient Health Questionnaire (PHQ-9)
PATIENT HEALTH QUESTIONNAIRE (PHQ-9)DATE:NAME:Over the last 2 weeks, how often have you beenbothered by any of the following problems? Not at all Severaldays More thanhalf thedays Nearlyevery day(use "ⁿ" to indicate your answer) 0 1 2 3Little interest or pleasure in doing things1.…