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www.ahrq.gov/tools/index.html
December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
December 21, 2014 - Study
Clinical triggers: an alternative to a rapid response team.
Citation Text:
Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm J Qual Patient Saf. 2009;35(3):164-74.
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psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents
February 14, 2024 - Study
Using statistical text classification to identify health information technology incidents.
Citation Text:
Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10…
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psnet.ahrq.gov/issue/optimization-drug-drug-interaction-alert-rules-pediatric-hospitals-electronic-health-record
May 20, 2019 - Study
Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard.
Citation Text:
Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electro…
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psnet.ahrq.gov/issue/situ-simulation-adoption-new-technology-improve-sepsis-care-rural-emergency-departments
November 10, 2021 - Study
In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments.
Citation Text:
Powell ES, Bond WF, Barker LT, et al. In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. J Patient Saf. 2022…
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psnet.ahrq.gov/issue/identifying-and-classifying-diagnostic-errors-acute-care-across-hospitals-early-lessons
April 12, 2023 - Study
Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study.
Citation Text:
Dalal AK, Schnipper JL, Raffel K, et al. Identifying and classifying diagnostic errors in acute car…
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psnet.ahrq.gov/issue/design-and-impact-novel-surgery-specific-second-victim-peer-support-program
March 09, 2022 - Study
Emerging Classic
Design and impact of a novel surgery-specific second victim peer support program.
Citation Text:
El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…
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psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review
August 20, 2018 - Review
Medication-related problems in critical care survivors: a systematic review.
Citation Text:
Short A, McPeake J, Andonovic M, et al. Medication-related problems in critical care survivors: a systematic review. Eur J Hosp Pharm. 2023;30(5):250-256. doi:10.1136/ejhpharm-2023-003715. …
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psnet.ahrq.gov/issue/effect-work-hours-regulations-intensive-care-unit-mortality-united-states-teaching-hospitals
August 20, 2018 - Study
Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals.
Citation Text:
Prasad M, Iwashyna TJ, Christie JD, et al. Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals. Crit Care Med. 2…
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psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-analysis-optimize
July 24, 2019 - Study
Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events.
Citation Text:
Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a s…
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psnet.ahrq.gov/issue/one-needle-one-syringe-only-one-time-survey-physician-and-nurse-knowledge-attitudes-and
June 28, 2013 - Study
One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety.
Citation Text:
Kossover-Smith RA, Coutts K, Hatfield KM, et al. One needle, one syringe, only one time? A survey of physician and nurse knowledge, at…
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www.ahrq.gov/cpi/about/nac.html
March 01, 2025 - National Advisory Council for Healthcare Research and Quality
The National Advisory Council (NAC) for Healthcare Research and Quality provides advice and recommendations to AHRQ's director and to the Secretary of the Department of Health and Human Services (HHS) on priorities for a national health services rese…
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www.ahrq.gov/cpi/about/index.html
March 01, 2025 - About AHRQ
The Agency for Healthcare Research and Quality (AHRQ) is the federal agency charged with improving the quality and safety of healthcare delivery. The agency develops and disseminates scientific evidence, tools, and data to help patients and their families, healthcare professionals, and policymakers m…
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psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-persons-serious
August 09, 2017 - Study
Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness.
Citation Text:
Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Ment…
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psnet.ahrq.gov/issue/poking-skunk-ethical-and-medico-legal-concerns-research-about-patients-experiences-medical
May 05, 2021 - Commentary
'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury.
Citation Text:
Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about patients' experiences of medical injury. Bioet…
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psnet.ahrq.gov/issue/avoiding-med-wreck-structured-medication-reconciliation-framework-and-standardized-auditing
May 12, 2021 - Study
Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources.
Citation Text:
Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication …
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psnet.ahrq.gov/issue/association-between-operative-autonomy-surgical-residents-and-patient-outcomes
September 09, 2020 - Study
Association between operative autonomy of surgical residents and patient outcomes.
Citation Text:
Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.64…
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psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
December 21, 2016 - Study
Classic
A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting.
Citation Text:
Burlison JD, Quillivan RR, Kath LM, et al. A Multilevel Analysis of U.S. Hospital Patient Safety Culture Relat…
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psnet.ahrq.gov/issue/development-just-culture-assessment-tool-measuring-perceptions-health-care-professionals
January 12, 2022 - Study
Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals.
Citation Text:
Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the perceptions of health-care professionals i…
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psnet.ahrq.gov/issue/defining-near-misses-towards-sharpened-definition-based-empirical-data-about-error-handling
June 28, 2011 - Study
Defining near misses: towards a sharpened definition based on empirical data about error handling processes.
Citation Text:
Kessels-Habraken M, Van der Schaaf T, De Jonge J, et al. Defining near misses: towards a sharpened definition based on empirical data about error handling pr…