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psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital
June 22, 2017 - Study
Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department.
Citation Text:
Gur-Arieh S, Mendlovic S, Rozenblum R, et al. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergen…
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psnet.ahrq.gov/issue/global-comparators-project-international-comparison-30-day-hospital-mortality-day-week
May 04, 2016 - Study
The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week.
Citation Text:
Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24…
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psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
December 18, 2019 - Study
Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports.
Citation Text:
Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations - text mining analysis usin…
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www.ahrq.gov/talkingquality/explain/numbers.html
November 01, 2018 - Why Aren't Numbers and Graphs Sufficient for a Quality Report?
Quality reports need a brief and compelling explanation of the purpose and value of the information they contain, as well as the trustworthiness of the report’s sponsor. This page discusses why this is necessary.
Quality Information Is New
Som…
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psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
April 22, 2013 - Study
Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic.
Citation Text:
Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix L. Intensive Care Unit Infographic Poster
…
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psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit
November 03, 2015 - Study
Discontinuity of chronic medications in patients discharged from the intensive care unit.
Citation Text:
Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41.
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psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
March 18, 2016 - Study
Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study.
Citation Text:
Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Q…
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psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety-incidents-effects
August 19, 2020 - Study
Reporting of health information technology system-related patient safety incidents: the effects of organizational justice.
Citation Text:
Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related patient safety incidents: the effects of…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/assertion-slides/Assertion-Dec-14-2010-508.ppt
January 01, 2010 - On the CUSP: Stop BSI
On the CUSP: Stop BSI
Appropriate Assertion
David Thompson, DNSc, MS, RN
Jill Marsteller, PhD, MPP
Department of Anesthesiology and Critical Care Medicine
The Johns Hopkins Quality and Safety Research Group
*
Communication Styles
Assertive
Aggressive
Passive or Passive Aggressive ?
© 2004…
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psnet.ahrq.gov/issue/point-prevalence-surgical-checklist-use-europe-relationship-hospital-mortality
January 23, 2019 - Study
Point prevalence of surgical checklist use in Europe: relationship with hospital mortality.
Citation Text:
Jammer I, Ahmad T, Aldecoa C, et al. Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. Br J Anaesth. 2015;114(5):801-807. doi:10.1093…
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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…
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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…
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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.
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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.
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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…
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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…
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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 …
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-table8.pdf
April 21, 2015 - Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Table 8
Table 8: Evidence Regarding Overuse of Computed Tomography Imaging for Atraumatic Headache
in Children
TYPE OF
EVIDENCE
KEY FINDINGS
LEVEL OF
EVIDENCE
(USPSTF
RANKING*)
CITATION(S)
Appropria…
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psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
May 01, 2004 - Study
Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill.
Citation Text:
Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovat…