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psnet.ahrq.gov/node/73427/psn-pdf
June 23, 2021 - Incidence and OR team awareness of “near-miss” and
retained surgical sharps: a national survey on United
States operating rooms.
June 23, 2021
Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical
sharps: a national survey on United States operating rooms. Patient Sa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-formula.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Formula Feedings
Formula Feedings
We recommend breastfeeding for all infants when possible. However, when breastfeeding is
unavailable or undesired, the following formula recommendations apply.
Benefits
■ Premature transitional formulas have higher contents of protein,…
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psnet.ahrq.gov/node/44328/psn-pdf
August 22, 2015 - Accidents and incidents related to intravenous drug
administration: a pre-post study following implementation
of smart pumps in a teaching hospital.
August 22, 2015
Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A
Pre-Post Study Following Implementation of …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/malone.pdf
September 29, 2013 - Innovative Diffusion of Comparative Effectiveness Research
Research to Help Underserved Populations
Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness
Research Products
Innovative Diffusion of Comparative Effectiveness Research
Description
The purpose of this study was to develop and…
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psnet.ahrq.gov/node/41925/psn-pdf
November 26, 2014 - Medication reconciliation accuracy and patient
understanding of intended medication changes on
hospital discharge.
November 26, 2014
Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding
of intended medication changes on hospital discharge. J Gen Intern Med. 2012;2…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-8.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.8. Kaizen Activities
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
C…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-4.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.4. Organizational Goals of Lean
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central H…
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psnet.ahrq.gov/node/50886/psn-pdf
February 12, 2020 - Identifying risks areas related to medication
administrations - text mining analysis using free-text
descriptions of incident reports.
February 12, 2020
Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations -
text mining analysis using free-text descriptions of in…
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psnet.ahrq.gov/node/61116/psn-pdf
November 11, 2020 - Using medication containers during pharmacist
transitional care visits and impact on medication
discrepancies identified and hospital readmission risk.
November 11, 2020
Herges JR, Garrison GM, Mara KC, et al. Using medication containers during pharmacist transitional care
visits and impact on medication discrepan…
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psnet.ahrq.gov/node/848039/psn-pdf
April 26, 2023 - Use of the revised second victim experience and support
tool to examine second victim experiences of respiratory
therapists.
April 26, 2023
Allender EA, Bottema SM, Bosley CL, et al. Use of the revised second victim experience and support tool
to examine second victim experiences of respiratory therapists. Respir …
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-8.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.8. Kaizen Activities
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
C…
-
psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care
setting.
January 2, 2017
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/865811/psn-pdf
May 08, 2024 - Call me Ishmael: addressing the white whale of team
communication in the operating room with labelled
surgical caps at an academic medical centre.
May 8, 2024
Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team
communication in the operating room with labelled surgical c…
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psnet.ahrq.gov/node/74075/psn-pdf
November 17, 2021 - CDC guideline for opioid prescribing associated with
reduced dispensing to certain patients with chronic pain.
November 17, 2021
Townsend T, Cerdá M, Bohnert AS, et al. CDC guideline for opioid prescribing associated with reduced
dispensing to certain patients with chronic pain. Health Aff (Millwood). 2021;40(11):1…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb22.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B22: Suggestions for Further Assessment and/or Interventions
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Int…
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psnet.ahrq.gov/node/46119/psn-pdf
August 15, 2018 - Incidence and predictors of opioid prescription at
discharge after traumatic injury.
August 15, 2018
Chaudhary MA, Schoenfeld AJ, Harlow AF, et al. Incidence and Predictors of Opioid Prescription at
Discharge After Traumatic Injury. JAMA Surg. 2017;152(10):930-936. doi:10.1001/jamasurg.2017.1685.
https://psnet.ahr…
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psnet.ahrq.gov/node/849319/psn-pdf
May 24, 2023 - Attitudes of clinicians and patient safety culture before
and after the ARRIVE trial.
May 24, 2023
White VanGompel E, Carlock F, Singh L, et al. Attitudes of clinicians and patient safety culture before and
after the ARRIVE trial. J Obstet Gynecol Neonatal Nurs. 2023;52(3):211-222.
doi:10.1016/j.jogn.2022.12.007.
…
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psnet.ahrq.gov/node/74030/psn-pdf
November 03, 2021 - Evaluation of a second victim peer support program on
perceptions of second victim experiences and supportive
resources in pediatric clinical specialties using the
second victim experience and support tool (SVEST).
November 3, 2021
Finney RE, Czinski S, Fjerstad K, et al. Evaluation of a second victim peer support…
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psnet.ahrq.gov/node/74258/psn-pdf
January 19, 2022 - Care quality, patient safety, and nurse outcomes at
hospitals serving economically disadvantaged patients: a
case for investment in nursing.
January 19, 2022
Viscardi MK, French R, Brom H, et al. Care quality, patient safety, and nurse outcomes at hospitals serving
economically disadvantaged patients: a case for i…
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psnet.ahrq.gov/node/837763/psn-pdf
August 03, 2022 - Implementation of hand hygiene in health-care facilities:
results from the WHO Hand Hygiene Self-Assessment
Framework global survey 2019.
August 3, 2022
de Kraker MEA, Tartari E, Tomczyk S, et al. Implementation of hand hygiene in health-care facilities:
results from the WHO Hand Hygiene Self-Assessment Framework …