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psnet.ahrq.gov/node/45014/psn-pdf
July 18, 2016 - Improving patient safety through simulation training in
anesthesiology: where are we?
July 18, 2016
Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology:
Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.
https://psnet.ahrq.gov/issue/impro…
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psnet.ahrq.gov/node/46506/psn-pdf
October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About
Proactive Analysis for Improving Surgical Care Safety.
October 11, 2017
Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.
https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-
surgical-car…
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psnet.ahrq.gov/node/46690/psn-pdf
December 20, 2017 - Quality, safety, and outcomes in anaesthesia: what's to be
done? An international perspective.
December 20, 2017
Peden CJ, Campbell M, Aggarwal G. Quality, safety, and outcomes in anaesthesia: what's to be done? An
international perspective. Br J Anaesth. 2017;119. doi:10.1093/bja/aex346.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/43905/psn-pdf
March 04, 2015 - Suboptimal compliance with surgical safety checklists in
Colorado: a prospective observational study reveals
differences between surgical specialties.
March 4, 2015
Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in
Colorado: A prospective observational study revea…
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psnet.ahrq.gov/node/866640/psn-pdf
September 04, 2024 - Improving resident physician participation in reporting
patient safety and quality concerns.
September 4, 2024
Craig SR, Smith HL, Shaeffer PJ. Improving resident physician participation in reporting patient safety and
quality concerns. Ochsner J. 2024;24(2):118-123. doi:10.31486/toj.24.0016.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/74705/psn-pdf
January 26, 2022 - 20 years after To Err Is Human: a bibliometric analysis of
‘the IOM report’s’ impact on research on patient safety.
January 26, 2022
St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the
IOM report’s’ impact on research on patient safety. Safety Sci. 2021;147:1055…
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digital.ahrq.gov/funding-mechanism/accelerating-change-and-transformation-organizations-and-networks-action-iii
January 01, 2023 - Accelerating Change and Transformation in Organizations and Networks (ACTION) III
Patient-Centered Outcomes Research Clinical Decision Support: Current State and Future Directions
Description
This research will assess the impact of AHRQ’s 2016 clinical decision support (CDS) i…
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psnet.ahrq.gov/node/73890/psn-pdf
September 29, 2021 - Why do systems for responding to concerns and
complaints so often fail patients, families and healthcare
staff?
September 29, 2021
Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often
fail patients, families and healthcare staff? A qualitative study. Soc Sci Med. 2021…
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psnet.ahrq.gov/node/838252/psn-pdf
October 05, 2022 - A longitudinal study of a multifaceted intervention to
reduce newborn falls while preserving rooming-in on a
mother-baby unit.
October 5, 2022
Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce
newborn falls while preserving rooming-in on a mother-baby unit. Jt Co…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-intro.pdf
January 01, 2021 - Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey - INTRO
Participating in the 2021 CAHPS® Home and
Community-Based Services (HCBS CAHPS)
Survey Database: What You Need to Know
A Webcast Presented by the AHRQ CAHPS User Network
April 21, 2021
1:30 – 2:30 pm ET…
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psnet.ahrq.gov/node/866859/psn-pdf
October 02, 2024 - Severe hypertension in pregnancy: progress made and
future directions for patient safety, quality improvement,
and implementation of a patient safety bundle.
October 2, 2024
Prior A, Taylor I, Gibson KS, et al. Severe hypertension in pregnancy: progress made and future directions
for patient safety, quality improv…
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psnet.ahrq.gov/node/866433/psn-pdf
August 07, 2024 - Sepsis alert systems, mortality, and adherence in
emergency departments: a systematic review and meta-
analysis.
August 7, 2024
Kim H-J, Ko R-E, Lim SY, et al. Sepsis alert systems, mortality, and adherence in emergency departments:
a systematic review and meta-analysis. JAMA Netw Open. 2024;7(7):e2422823.
doi:10…
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psnet.ahrq.gov/node/836821/psn-pdf
March 30, 2022 - Biasing influence of 'mental shortcuts' on diagnostic
decision-making: radiologists can overlook breast cancer
in mamograms when prior diagnostic information is
available.
March 30, 2022
Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-making:
radiologists can overlook …
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 3
Sample Policy
[NAME OF NURSING HOME]
RE: Antibiogram Program
[DATE]
Antibiotics are among the most commonly prescribed pharmaceuticals in long-term care settings, yet reports indicate that a high proportion of antibiotic prescriptions are inappropriate. The adverse consequ…
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psnet.ahrq.gov/node/47216/psn-pdf
July 11, 2018 - Progress Made Towards Improving Opioid Safety, But
Further Efforts to Assess Progress and Reduce Risk Are
Needed.
July 11, 2018
Washington, DC: United States Government Accountability Office; May 2018. Publication GAO-18-380.
https://psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-effort…
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psnet.ahrq.gov/node/37640/psn-pdf
April 02, 2008 - An observational analysis of surgical team compliance
with perioperative safety practices after crew resource
management training.
April 2, 2008
France DJ, Leming-Lee S, Jackson T, et al. An observational analysis of surgical team compliance with
perioperative safety practices after crew resource management traini…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2. Factors Considered in Organization Selection
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Cas…
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psnet.ahrq.gov/node/848813/psn-pdf
May 10, 2023 - Blood and blood products transfusion errors: what can
we do to improve patient safety.
May 10, 2023
Brown C, Brown M. Blood and blood products transfusion errors: what can we do to improve patient
safety? Br J Nurs. 2023;32(7):326-332. doi:10.12968/bjon.2023.32.7.326.
https://psnet.ahrq.gov/issue/blood-and-blood-p…
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psnet.ahrq.gov/node/47269/psn-pdf
August 15, 2018 - AHRQ Announces Interest in Health Services Research to
Address the Opioids Crisis.
August 15, 2018
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. August 2, 2018.
Publication No. NOT-HS-18-015.
https://psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-address…
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www.ahrq.gov/cpi/centers/cepi/miller-bio.html
September 01, 2023 - Therese Miller, Dr.P.H.
Therese (Tess) Miller, Dr.P.H., is the Director of the Center for Evidence and Practice Improvement (CEPI), having served as the Center’s Deputy Director for 8 years. Tess joined the Agency in 2004 to serve as the Senior Coordinator for the U.S. Preventive Services Task Force. In 200…