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psnet.ahrq.gov/issue/electronic-handoff-instruments-truly-multidisciplinary-tool
September 26, 2012 - Study
Electronic handoff instruments: a truly multidisciplinary tool?
Citation Text:
Schuster KM, Jenq GY, Thung SF, et al. Electronic handoff instruments: a truly multidisciplinary tool? J Am Med Inform Assoc. 2014;21(e2):e352-e357. doi:10.1136/amiajnl-2013-002361.
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psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
January 12, 2011 - Commentary
Classic
A 38-year-old woman with fetal loss and hysterectomy.
Citation Text:
Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833.
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www.ahrq.gov/news/blog/ahrqviews/voice-of-women.html
May 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
Working Together to Tackle Inequities—Centering the Voices of Women
MAY
13
2024
By
Kamila B. Mistry, Ph.D., M.P.H.,
Emily M. Chew, M.P.H., and Kisha I. Coa, Ph.D., M.P.H.
Kamila B. Mistry, Ph.D., M.P.H.
The theme for this year'…
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psnet.ahrq.gov/issue/variability-diagnostic-error-rates-10-mri-centers-performing-lumbar-spine-mri-examinations
March 14, 2022 - Study
Classic
Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period.
Citation Text:
Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI cen…
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psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
August 10, 2011 - Study
Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.
Citation Text:
Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions o…
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psnet.ahrq.gov/issue/using-data-matrix-coded-sponge-counting-system-across-surgical-practice-impact-after-18
January 02, 2017 - Study
Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months.
Citation Text:
Cima RR, Kollengode A, Clark J, et al. Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/issue/crossing-communication-chasm-challenges-and-opportunities-transitions-care-hospital-primary
October 23, 2024 - Study
Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic.
Citation Text:
Rattray NA, Sico JJ, Cox LAM, et al. Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hos…
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psnet.ahrq.gov/issue/actions-and-implementation-strategies-reduce-suicidal-events-veterans-health-administration
January 05, 2017 - Study
Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration.
Citation Text:
Mills PD, Neily J, Luan D, et al. Actions and Implementation Strategies to Reduce Suicidal Events in the Veterans Health Administration. The Joint Commission Journa…
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psnet.ahrq.gov/issue/are-physicians-safely-prescribing-opioids-chronic-noncancer-pain-systematic-review-current
November 07, 2018 - Review
Are physicians safely prescribing opioids for chronic noncancer pain? A systematic review of current evidence.
Citation Text:
Tournebize J, Gibaja V, Muszczak A, et al. Are Physicians Safely Prescribing Opioids for Chronic Noncancer Pain? A Systematic Review of Current Evidence. P…
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psnet.ahrq.gov/issue/impact-clinical-pharmacy-admission-medication-reconciliation-program-medication-errors-high
August 30, 2017 - Study
Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients.
Citation Text:
Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "hig…
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psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
September 15, 2021 - Study
Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action.
Citation Text:
Harris CK, Chen Y, Yarsky B, et al. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Acad Pathol. 2022…
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psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
August 20, 2018 - Study
Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality.
Citation Text:
Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complicati…
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psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year
November 12, 2014 - Study
Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis.
Citation Text:
Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…
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psnet.ahrq.gov/issue/analysis-adverse-events-pediatric-surgery-using-criteria-validated-adult-population
May 06, 2009 - Study
Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures.
Citation Text:
Rice-Townsend S, Hall M, Jenkins KJ, et al. Analysis of adverse events in pediatric surgery using criteri…
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www.ahrq.gov/news/blog/ahrqviews/digital-healthcare-research-program.html
September 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ’s Digital Healthcare Research Program Is Identifying the Technology To Advance Care Quality, Safety, and Effectiveness
SEP
19
2023
By
Chris
Dymek,
Ed.D.
Chris Dymek, Ed.D.
We know that digital healthcare techn…
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www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html
September 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
For World Patient Safety Day 2023, AHRQ Recognizes the Imperative of Engaging Patients in Their Care
SEP
14
2023
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
The theme of World Patient Safety Day…
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psnet.ahrq.gov/issue/educational-targets-reduce-medication-errors-general-surgery-residents
October 19, 2022 - Study
Educational targets to reduce medication errors by general surgery residents.
Citation Text:
Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009.
C…
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psnet.ahrq.gov/issue/use-daily-goals-checklist-morning-icu-rounds-mixed-methods-study
November 21, 2021 - Study
Use of a daily goals checklist for morning ICU rounds: a mixed-methods study.
Citation Text:
Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331.
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www.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
October 01, 2023 - Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes
Press Release Date: October 10, 2023
A new study funded by the Agency for Healthcare Research and Quality (AHRQ) found that nursing homes using a chlorhexidine bathing routine to clean the skin and nose with over-the-counter antiseptic solutions pr…
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psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures
February 14, 2018 - Study
Classic
Risks of complications by attending physicians after performing nighttime procedures.
Citation Text:
Rothschild JM. Risks of Complications by Attending Physicians After Performing Nighttime Procedures. JAMA. 2009;302(14):1565-1572. doi:10.1001/ja…