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  1. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. | PSNet

    psnet.ahrq.gov/issue/clinical-pharmacist-led-integrated-approach-evaluation-medication-errors-among-medical
    December 09, 2020 - Study A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. Citation Text: Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical inte…

  2. Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. | PSNet

    psnet.ahrq.gov/issue/residents-perspectives-acgme-regulation-supervision-and-duty-hours-national-survey
    December 02, 2014 - Study Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey. Citation Text: Drolet BC, Spalluto LB, Fischer SA. Residents' perspectives on ACGME regulation of supervision and duty hours--a national survey. N Engl J Med. 2010;363(23):e34. doi:10.105…

  3. What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? | PSNet

    psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder
    October 09, 2024 - Study What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? Citation Text: Hogan H, Olsen S, Scobie S, et al. What can we learn about patient safety from information sources within an acute hospital…

  4. Briefing and Debriefing Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
    December 01, 2017 - Briefing and Debriefing Tool AHRQ Safety Program for Surgery Introduction Problem Statement Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010. 1 Usi…

  5. Identification of in-hospital complications from claims data. Is it valid? | PSNet

    psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
    June 13, 2011 - Study Classic Identification of in-hospital complications from claims data. Is it valid? Citation Text: Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is it valid? Med Care. 2000;38(8):785-95. Copy Cit…

  6. The incidence of opioid misuse among the surgical patients with persistent opioid use. | PSNet

    psnet.ahrq.gov/issue/incidence-opioid-misuse-among-surgical-patients-persistent-opioid-use
    October 13, 2018 - Study The incidence of opioid misuse among the surgical patients with persistent opioid use. Citation Text: Namiranian, MD, PhD K. The incidence of opioid misuse among the surgical patients with persistent opioid use. J Opioid Manag. 2023;19(1):69-76. doi:10.5055/jom.2023.0760. Copy Ci…

  7. Tool: Briefing and Debriefing Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/briefing_debriefing.docx
    December 01, 2017 - Tool: Briefing and Debriefing Tool Briefing and Debriefing Tool Introduction Problem Statement Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010.1 Using National Healthcare S…

  8. Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. | PSNet

    psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during-oncology
    October 30, 2024 - Study Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. Citation Text: Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implement…

  9. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. | PSNet

    psnet.ahrq.gov/issue/impact-inpatient-electronic-prescribing-system-prescribing-error-causation-qualitative
    February 16, 2022 - Study Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. Citation Text: Puaar SJ, Franklin BD. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation …

  10. Info FAQs | Agency for Healthcare Research and Quality

    www.ahrq.gov/faqs/index.html?page=26
    May 26, 2025 - Frequently Asked Questions Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ) programs and activities. You can search by category or key words. You can also send us your questions or website feedback here. We will respond to your requests based on the bes…

  11. Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical center. | PSNet

    psnet.ahrq.gov/issue/resident-and-rn-perceptions-impact-medical-emergency-team-education-and-patient-safety
    September 24, 2010 - Study Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical center. Citation Text: Sarani B, Sonnad SS, Bergey MR, et al. Resident and RN perceptions of the impact of a medical emergency team on education and patien…

  12. Time to listen: a review of methods to solicit patient reports of adverse events. | PSNet

    psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events
    November 23, 2016 - Review Time to listen: a review of methods to solicit patient reports of adverse events. Citation Text: King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.0301…

  13. Academic half day improves resident perception of education without compromising patient safety. | PSNet

    psnet.ahrq.gov/issue/academic-half-day-improves-resident-perception-education-without-compromising-patient-safety
    April 10, 2024 - Study Academic half day improves resident perception of education without compromising patient safety. Citation Text: Spence MC, Sugarman A, Uong A, et al. Academic half day improves resident perception of education without compromising patient safety. Acad Pediatr. 2024;24(6):1010-1016.…

  14. A 7-year analysis of attributable costs of healthcare-associated infections in a network of community hospitals in the southeastern United States. | PSNet

    psnet.ahrq.gov/issue/7-year-analysis-attributable-costs-healthcare-associated-infections-network-community
    April 24, 2018 - Study A 7-year analysis of attributable costs of healthcare-associated infections in a network of community hospitals in the southeastern United States. Citation Text: Zhang HL, Crane L, Cromer AL, et al. A 7-year analysis of attributable costs of healthcare-associated infections in a ne…

  15. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured
    September 07, 2022 - Review Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. Citation Text: Fuller G, Pandor A, Essat M, et al. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patient…

  16. System-based interprofessional simulation-based training program increases awareness and use of rapid response teams. | PSNet

    psnet.ahrq.gov/issue/system-based-interprofessional-simulation-based-training-program-increases-awareness-and-use
    December 01, 2011 - Study System-based interprofessional simulation-based training program increases awareness and use of rapid response teams. Citation Text: Wehbe-Janek H, Pliego J, Sheather S, et al. System-based interprofessional simulation-based training program increases awareness and use of rapid res…

  17. Transforming Primary Care Practice in North Carolina | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/donahue.html
    August 01, 2018 - Transforming Primary Care Practice in North Carolina Principal Investigator: Katrina E. Donahue, MD, MPH Institution: University of North Carolina at Chapel Hill AHRQ Grant Number: R18 HS019131 Number and Type of Practices This project included 76 primary care practices across Nor…

  18. Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA. | PSNet

    psnet.ahrq.gov/issue/cost-effectiveness-quality-improvement-programme-reduce-central-line-associated-bloodstream
    January 02, 2017 - Study Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA. Citation Text: Herzer KR, Niessen L, Constenla DO, et al. Cost-effectiveness of a quality improvement programme to reduce central line-…

  19. Comparative Reports on Nursing Homes | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/resources/comparative-reports/nursing-homes.html
    October 01, 2022 - Comparative Reports on Nursing Homes The following reports are examples of comparative information on the quality of care provided by nursing homes. Report Title: Nursing Home Compare Website: https://www.medicare.gov/nursinghomecompare/search.html . Accessed July 21, 2022. Developer: Centers for Medic…

  20. Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. | PSNet

    psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm-canadian-hospital
    June 05, 2013 - Study Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study. Citation Text: Shennan S, Coyle N, Lockwood B, et al. Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital…
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