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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/annual-summary/2011
January 01, 2011 - Assessment of Pediatric Look-Alike, Sound-Alike (LASA) Substitution Errors - 2011
Project Name
Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors
Principal Investigator
Basco, William
Organization
Medical University of South Carolina
Funding Mechanism…
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psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays
July 22, 2020 - Study
A strategic solution to preventing the harm associated with ambulance handover delays.
Citation Text:
Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199.
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psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and
January 15, 2014 - Study
Classic
Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system.
Citation Text:
Berry JC, Davis JT, Bartman T, et al. Improved Safety Culture and Teamwork Climate Are Associ…
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psnet.ahrq.gov/issue/hospital-cultural-competency-and-attributes-patient-safety-culture-study-us-hospitals
October 20, 2021 - Study
Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals.
Citation Text:
Upadhyay S, Stephenson AL, Weech-Maldonado R, et al. Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals. J Patient Saf. 202…
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psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team
February 12, 2020 - Study
Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards.
Citation Text:
Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …
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psnet.ahrq.gov/issue/effect-patient-safety-education-interventions-patient-safety-culture-health-care
January 26, 2022 - Review
Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis.
Citation Text:
Agbar F, Zhang S, Wu Y, et al. Effect of patient safety education interventions on patient safety culture of health care pro…
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psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic
July 29, 2020 - Study
Classic
Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study.
Citation Text:
Srigley JA, Furness CD, Baker R, et al. Quantification of the Hawthorne effect in hand …
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psnet.ahrq.gov/issue/unprecedented-solutions-extraordinary-times-helping-long-term-care-settings-deal-covid-19
January 12, 2022 - Commentary
Emerging Classic
Unprecedented solutions for extraordinary times: helping long-term care settings deal with the COVID-19 pandemic.
Citation Text:
Gaur S, Dumyati G, Nace DA, et al. Unprecedented solutions for extraordinary times: helping long-term car…
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psnet.ahrq.gov/issue/differences-rates-patient-safety-events-payer-implications-providers-and-policymakers
November 16, 2022 - Study
Differences in the rates of patient safety events by payer: implications for providers and policymakers.
Citation Text:
Spencer CS, Roberts ET, Gaskin DJ. Differences in the rates of patient safety events by payer: implications for providers and policymakers. Med Care. 2015;53(6):5…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g1_combo_availablecomprehensiveqiguides.pdf
June 02, 2025 - Available Comprehensive Quality Improvement Guides
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Available Comprehensive Quality Improvement Guides
What is the purpose of this tool? This tool provides information on oth…
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psnet.ahrq.gov/issue/communication-incidental-imaging-findings-inpatient-discharge-summaries-after-implementation
August 19, 2020 - Study
Communication of incidental imaging findings on inpatient discharge summaries after implementation of electronic health record notification system.
Citation Text:
Mattay G, Mallikarjun K, Grow P, et al. Communication of incidental imaging findings on inpatient discharge summaries a…
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www.ahrq.gov/pcor/strategic-framework/strategic-priorities.html
July 01, 2023 - AHRQ's PCORTF Strategic Priorities
Previous Page
Next Page
The PCORTF strategic framework identifies four priorities for improving healthcare delivery that are aligned with AHRQ’s mission and core competencies and that have the potential to improve outcomes that are important to patients. As d…
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www.ahrq.gov/news/blog/ahrqviews/opportunity-improve-healthcare.html
May 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
Seizing the Opportunity to Improve Healthcare for All
MAY
10
2022
By
Robert Otto Valdez,
Ph.D., M.H.S.A.
Hello, friends. After many decades of admiring AHRQ—its mission, work, and people—I am deeply honored to lead this organization. I…
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/vap.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
Prevention of Hospital-Acquired Pneumonia: VAP & NV-HAP
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: ICUs & Non-ICUs
The Four Key Strategies of MRSA Prevention
The Importance of MRSA Prevention
Decolonization
Tools & Resources fo…
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digital.ahrq.gov/track-1-patient-safety-and-health-it-across-settings-and-populations
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/identifying-hospitalized-patients-risk-harm-comparison-nurse-perceptions-vs-electronic-risk
November 03, 2015 - Study
Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores.
Citation Text:
Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perc…
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digital.ahrq.gov/sites/default/files/docs/page/2006Gurwitz_051711comp.pdf
January 01, 2005 - Effect of Computerized Physician Order Entry with Clinical Decision Support on Adverse Drug Events in the Long-term Care Setting
Effect of Computerized Physician Order
Entry with Clinical Decision Support on
Adverse Drug Events in the Long-term
Care Setting
Jerry H. Gurwitz, M.D.
Chief, Division of Geriatric Med…
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psnet.ahrq.gov/issue/evaluating-shared-decision-making-lung-cancer-screening
May 25, 2016 - Study
Evaluating shared decision making for lung cancer screening.
Citation Text:
Brenner AT, Malo TL, Margolis M, et al. Evaluating Shared Decision Making for Lung Cancer Screening. JAMA Intern Med. 2018;178(10):1311-1316. doi:10.1001/jamainternmed.2018.3054.
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psnet.ahrq.gov/issue/systematic-biases-group-decision-making-implications-patient-safety
July 24, 2024 - Study
Systematic biases in group decision-making: implications for patient safety.
Citation Text:
Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083.
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/decolonization-training-materials.html
November 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
Tools & Resources for Decolonization: Staff Training Materials
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: ICUs & Non-ICUs
The Four Key Strategies of MRSA Prevention
The Importance of MRSA Prevention
Decolonization
Tools & Resou…