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psnet.ahrq.gov/issue/distraction-operating-room-narrative-review-environmental-and-self-initiated-distractions-and
August 28, 2024 - Review
Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers.
Citation Text:
Gui JL, Nemergut EC, Forkin KT. Distraction in the operating room: a narrative review of environmental and self-initiated…
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psnet.ahrq.gov/issue/market-based-control-mechanisms-patient-safety
June 30, 2010 - Commentary
Market-based control mechanisms for patient safety.
Citation Text:
Coiera E, Braithwaite J. Market-based control mechanisms for patient safety. Qual Saf Health Care. 2009;18(2):99-103. doi:10.1136/qshc.2007.025833.
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DOI Google Scholar PubMe…
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psnet.ahrq.gov/issue/roxane-laboratories-initiates-nationwide-voluntary-recall-single-manufacturing-lot
June 22, 2011 - Press Release/Announcement
Roxane Laboratories initiates a nationwide voluntary recall of a single manufacturing lot of Azathioprine tablets in the U.S. and Puerto Rico.
Citation Text:
Roxane Laboratories initiates a nationwide voluntary recall of a single manufacturing lot of Azathiop…
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psnet.ahrq.gov/issue/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
December 20, 2023 - Study
Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods.
Citation Text:
Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;…
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psnet.ahrq.gov/issue/role-remediation-cases-serious-misconduct-uk-healthcare-regulators-qualitative-study
June 02, 2021 - Study
Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study.
Citation Text:
Price T, Reynolds E, O’Brien T, et al. Role of remediation in cases of serious misconduct before UK healthcare regulators: a qualitative study. BMJ Qual Saf. 2025…
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psnet.ahrq.gov/issue/quality-and-safety-initiatives-future-practice-surgery-meeting-patient-demands-enhanced
August 04, 2021 - Commentary
Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism.
Citation Text:
Russell TR. Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism. Surg Tod…
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psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality
October 14, 2020 - Commentary
The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Imp…
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psnet.ahrq.gov/issue/grand-rounds-methodology-key-considerations-implementing-machine-learning-solutions-quality
July 26, 2023 - Commentary
Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives.
Citation Text:
Verma AA, Trbovich PL, Mamdani MM, et al. Grand rounds in methodology: key considerations for implementing machine learning solutions …
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psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
July 11, 2018 - Commentary
Making the Patient Safety and Quality Improvement Act of 2005 work.
Citation Text:
Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J Healthc Qual. 2007;29(4):6-10.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T2b-SBAR_LRI_Final.pdf
June 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
HAIs
Healthcare-
Associated
Infections
PREVENT
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
HAIs
Healthcare-
Associated
Infections
PREVENT
¨ No ¨ Yes Other active diagno…
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-dyslipidemia/statin-use-in-adults-preventive-medication-november-2016
November 13, 2016 - [PMID: 24239921] doi:10.1016/j.jacc.2013.11.005
National Diabetes Education Initiative.
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www.ahrq.gov/sites/default/files/2024-01/greenwald-report.pdf
January 01, 2024 - A majority of the participants
committed to continued involvement in a medication reconciliation initiative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-nc.pdf
April 01, 2015 - This initiative fostered partnerships
between payers, provider organizations, and patient groups across
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/menopause-protocol-130612.pdf
June 12, 2013 - results from the randomized comparison of estrogen and progestin to placebo in the
Women’s Health Initiative … estrogen plus progestin
in healthy postmenopausal women: principal results From the Women's Health Initiative … cardiovascular disease: toward resolving the discrepancy between observational studies and the
Women's Health Initiative … Observational studies, clinical trials, and the women's health initiative.
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digital.ahrq.gov/sites/default/files/docs/page/e-prescribing-toolset-pharmacy.pdf
January 01, 2020 - For more information about
this initiative, go to http://www.ahrq.gov/research/action.htm. … If there is already a local e-prescribing initiative for your community, consider becoming
involved … At the outset of such an initiative, it is important to involve all the parties who
will be important … The following example
illustrates a successful regional initiative. … The
initiative is a collaboration among 9 non-profit pharmacy professional
organizations (Academy of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
May 01, 2017 - . ≥75), and participation of the L&D unit in a perinatal safety or quality initiative at
baseline. … adverse events based on whether the unit was participating in an
existing perinatal quality or safety initiative … Such coaching was integral to the
success of AHRQ’s Patient Safety and Medical Liability Reform Initiative … grantees, a perinatal safety
initiative that served as the model and evidence for the AHRQ SPPC.14,16,17
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - Unit-based Safety Program (CUSP) for central line-associated bloodstream
infections and a diabetes care initiative … The implementation
team saw the initiative as an opportunity to create a platform for subsequent improvements … He recognized that it would take time to build support for the initiative,
and for physicians and staff … During a previous initiative, the unit tracked how many debriefing
forms were filled out, which did … WakeMed Cary team had two TeamSTEPPS master trainers and was
involved in a statewide perinatal quality initiative
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - Network of Patient Safety Databases Chartbook, 2021
Network of
Patient Safety
Databases
Chartbook, 2021
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook,
2021. Rockvi…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/by8VJVre6h6BmadrGxaFMM
April 01, 2016 - Additional Approaches to Prevention
Million Hearts (millionhearts.hhs.gov) is a national
initiative
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psnet.ahrq.gov/web-mm/failure-reevaluate
February 01, 2014 - Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury.