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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
June 02, 2025 - PowerPoint Presentation
Aseptic catheter insertion practices in the ED: A Focus on Engagement
Milisa Manojlovich PhD, RN, CCRN
Associate Professor
University of Michigan, School of Nursing
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Learning Objectives
Discuss barriers to ED staff engagement
Describe strategies to engage ED staff in aseptic ins…
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psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department
March 18, 2020 - Study
Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department.
Citation Text:
Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:…
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psnet.ahrq.gov/issue/homenet-ensuring-patient-safety-medical-device-use-home
June 18, 2014 - Commentary
HomeNet: ensuring patient safety with medical device use in the home.
Citation Text:
Kaufman D, Weick-Brady M. HomeNet: ensuring patient safety with medical device use in the home. Home Healthc Nurse. 2009;27(5):300-7.
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psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
February 01, 2023 - Commentary
Independent double-checks for high-alert medications: essential practice.
Citation Text:
Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing (Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc.
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psnet.ahrq.gov/issue/effectiveness-computerized-provider-order-entry-dose-range-checking-prescribing-errors
October 23, 2024 - Study
Effectiveness of computerized provider order entry with dose range checking on prescribing errors.
Citation Text:
Boling B, McKibben M, Hingl J, et al. Effectiveness of Computerized Provider Order Entry with Dose Range Checking on Prescribing Errors. J Patient Saf. 2008;1(4). doi…
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psnet.ahrq.gov/issue/internal-medicine-work-hours-trends-associations-and-implications-future
February 03, 2016 - Study
Internal medicine work hours: trends, associations, and implications for the future.
Citation Text:
Shiotani LM, Parkerton PH, Wenger N, et al. Internal medicine work hours: trends, associations, and implications for the future. Am J Med. 2008;121(1):80-5. doi:10.1016/j.amjmed.20…
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psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
December 03, 2014 - Study
Implementing root cause analysis in an area health service: views of the participants.
Citation Text:
Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8.
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psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event
October 05, 2015 - Commentary
The health implications of apologizing after an adverse event.
Citation Text:
Allan A, McKillop D. The health implications of apologizing after an adverse event. Int J Qual Health Care. 2010;22(2):126-31. doi:10.1093/intqhc/mzq001.
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psnet.ahrq.gov/issue/enhanced-morbidity-and-mortality-meeting-and-patient-safety-education-specialty-trainees
December 31, 2012 - Study
Enhanced morbidity and mortality meeting and patient safety education for specialty trainees.
Citation Text:
Singh HP, Durani P, Dias JJ. Enhanced Morbidity and Mortality Meeting and Patient Safety Education for Specialty Trainees. J Patient Saf. 2019;15(1):37-48. doi:10.1097/PTS.0…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-tech-specs.pdf
June 02, 2025 - CHIPRA 236: Technical Specifications
Rate of participating child psychiatrists, neurodevelopmental pediatricians, and developmental-behavioral
pediatricians who have seen ≥1 enrolled child, aged <18 years, for an outpatient visit during the
measurement year. A higher rate indicates better performance, as…
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psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years
December 20, 2023 - Study
Trend analysis of radiation therapy incidents over seven years.
Citation Text:
Bissonnette J-P, Medlam G. Trend analysis of radiation therapy incidents over seven years. Radiother Oncol. 2010;96(1):139-44. doi:10.1016/j.radonc.2010.05.002.
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psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care-complex-pediatric
October 19, 2022 - Commentary
How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients?
Citation Text:
Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care fo…
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psnet.ahrq.gov/issue/can-technology-improve-intershift-report-what-research-reveals
October 02, 2024 - Review
Can technology improve intershift report? What the research reveals.
Citation Text:
Strople B, Ottani P. Can Technology Improve Intershift Report? What the Research Reveals. Journal of Professional Nursing. 2006;22(3). doi:10.1016/j.profnurs.2006.03.007.
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psnet.ahrq.gov/issue/inside-closed-loop-medication-strategy-medication-management-targets-stages-which-errors
January 30, 2013 - Study
Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step.
Citation Text:
Williams CT. Inside a closed-loop medication strategy. Nurs Manag. 2004;35 Suppl 5:8-9, 24.
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psnet.ahrq.gov/issue/effect-pharmacists-medication-errors-emergency-department
September 23, 2020 - Study
Effect of pharmacists on medication errors in an emergency department.
Citation Text:
Brown JN, Barnes CL, Beasley B, et al. Effect of pharmacists on medication errors in an emergency department. Am J Health Syst Pharm. 2008;65(4):330-3. doi:10.2146/ajhp070391.
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4tab4-4.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table 4-4: Language Categories in Selected Collection Instruments
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Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
Revi…
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psnet.ahrq.gov/issue/electronic-prescribing-systems-pediatrics-rationale-and-functionality-requirements
November 25, 2013 - Organizational Policy/Guidelines
Electronic prescribing systems in pediatrics: the rationale and functionality requirements.
Citation Text:
Technology AA of PC on CI, Gerstle RS. Electronic prescribing systems in pediatrics: the rationale and functionality requirements. Pediatrics. 200…
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psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
November 16, 2022 - Study
Managing patients with identical names in the same ward.
Citation Text:
Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23.
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psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large
January 16, 2019 - Study
Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital.
Citation Text:
Sacks GS, Rough S, Kudsk KA. Frequency and severity of harm of medication errors related to the parenteral nutrition process in a…
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psnet.ahrq.gov/issue/diagnostic-overshadowing-dentistry
March 13, 2024 - Commentary
Diagnostic overshadowing in dentistry.
Citation Text:
Clough S, Handley P. Diagnostic overshadowing in dentistry. Br Dent J. 2019;227(4):311-315. doi:10.1038/s41415-019-0623-x.
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