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psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
October 07, 2013 - Review
Team-based care: the changing face of cardiothoracic surgery.
Citation Text:
Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003.
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psnet.ahrq.gov/issue/perceived-adverse-patient-outcomes-correlated-nurses-workload-medical-and-surgical-wards
February 01, 2013 - Study
Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait.
Citation Text:
Al-Kandari F, Thomas D. Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected ho…
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psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies
March 15, 2016 - Review
The effect of bedrails on falls and injury: a systematic review of clinical studies.
Citation Text:
Healey F, Oliver D, Milne A, et al. The effect of bedrails on falls and injury: a systematic review of clinical studies. Age Ageing. 2008;37(4):368-78. doi:10.1093/ageing/afn112. …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary4.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Improving service systems for youth with serious emotional disorders and their families
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Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Gr…
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psnet.ahrq.gov/issue/role-advice-medication-administration-errors-pediatric-ambulatory-setting
February 06, 2008 - Study
The role of advice in medication administration errors in the pediatric ambulatory setting.
Citation Text:
Lemer C, Bates DW, Yoon CS, et al. The role of advice in medication administration errors in the pediatric ambulatory setting. J Patient Saf. 2009;5(3):168-75. doi:10.1097/P…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-bestpractices-web-sopssurveys-yount.pdf
June 02, 2025 - Best Practices for Web-based SOPS Surveys - Yount Slides
Fielding Your Survey
Naomi Yount, Ph.D.
Westat
41
Promoting the Survey
• Publicize on flyers or posters
• Send emails with a letter of support from leadership
• Post information on your intranet
• Discuss at staff meetings
42
Information to Inclu…
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psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography
March 04, 2015 - Study
A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors.
Citation Text:
Tridandapani S, Ramamurthy S, Provenzale J, et al. A multiobserver study of the effects of including point-of-care p…
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psnet.ahrq.gov/issue/quality-improvement-through-implementation-discharge-order-reconciliation
September 23, 2020 - Commentary
Quality improvement through implementation of discharge order reconciliation.
Citation Text:
Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050. …
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Epidemiology of Invasive Devices and Complications
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Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devic…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
April 01, 2022 - CLABSI Learning From Defects Tool
Learn From Defects Tool Worksheet:
Central Line-Associated Bloodstream Infection (CLABSI)
This worksheet is designed to be used near the bedside and is the shortened version of the CLABSI Event Report Tool: Data for Event Analysis. This worksheet will help your team learn what happ…
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psnet.ahrq.gov/issue/case-mistaken-identity-staff-input-patient-id-errors
March 27, 2024 - Study
A case of mistaken identity: staff input on patient ID errors.
Citation Text:
Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag. 2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d.
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psnet.ahrq.gov/issue/patient-safety-dentistry-state-play-revealed-national-database-errors
August 29, 2018 - Study
Patient safety in dentistry—state of play as revealed by a national database of errors.
Citation Text:
Thusu S, Panesar S, Bedi R. Patient safety in dentistry - state of play as revealed by a national database of errors. Br Dent J. 2012;213(3):E3. doi:10.1038/sj.bdj.2012.669.
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psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation
June 07, 2023 - Commentary
Evolution of a rapid response system from voluntary to mandatory activation.
Citation Text:
Jones CM, Bleyer AJ, Petree B. Evolution of a rapid response system from voluntary to mandatory activation. Jt Comm J Qual Patient Saf. 2010;36(6):266-70, 241.
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psnet.ahrq.gov/issue/mental-models-basic-concept-human-factors-design-infection-prevention
April 26, 2017 - Commentary
Mental models: a basic concept for human factors design in infection prevention.
Citation Text:
Sax H, Clack L. Mental models: a basic concept for human factors design in infection prevention. J Hosp Infect. 2015;89(4):335-9. doi:10.1016/j.jhin.2014.12.008.
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psnet.ahrq.gov/issue/consumer-perceptions-safety-hospitals
June 15, 2011 - Study
Consumer perceptions of safety in hospitals.
Citation Text:
Evans S, Berry JG, Smith B, et al. Consumer perceptions of safety in hospitals. BMC Public Health. 2006;6:41.
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psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
May 27, 2011 - Study
Computer physician order entry: benefits, costs, and issues.
Citation Text:
Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9.
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psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
June 28, 2017 - Study
Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making.
Citation Text:
Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9.
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psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric
September 28, 2010 - Study
Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit.
Citation Text:
Grant MJC, Larsen GY. Clinical Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric Intensive Care U…
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psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
September 23, 2020 - Study
Risk factors for i.v. compounding errors when using an automated workflow management system.
Citation Text:
Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…
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psnet.ahrq.gov/issue/nonopioid-directives-unintended-consequences-operating-room
September 07, 2022 - Commentary
Nonopioid directives: unintended consequences in the operating room.
Citation Text:
Bicket MC, Waljee JF, Hilliard P. Nonopioid directives: unintended consequences in the operating room. JAMA Health Forum. 2022;3(6):e221356. doi:10.1001/jamahealthforum.2022.1356.
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