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psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping
October 29, 2017 - Review
Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model.
Citation Text:
Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections…
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psnet.ahrq.gov/issue/qualitative-content-analysis-coworkers-safety-reports-unprofessional-behavior-physicians-and
February 14, 2017 - Study
Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals.
Citation Text:
Martinez W, Pichert JW, Hickson GB, et al. Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by …
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psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-risks
December 21, 2017 - Study
Use of temporary names for newborns and associated risks.
Citation Text:
Adelman JS, Aschner JL, Schechter CB, et al. Use of Temporary Names for Newborns and Associated Risks. Pediatrics. 2015;136(2):327-333. doi:10.1542/peds.2015-0007.
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psnet.ahrq.gov/issue/what-does-safe-care-mean-context-community-based-mental-health-services-qualitative
December 07, 2022 - Study
What does 'safe care' mean in the context of community-based mental health services? A qualitative exploration of the perspectives of service users, carers, and healthcare providers in England.
Citation Text:
Averill P, Bowness B, Henderson C, et al. What does ‘safe care’ mean in t…
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psnet.ahrq.gov/issue/paper-and-computer-based-workarounds-electronic-health-record-use-three-benchmark
June 06, 2012 - Study
Paper- and computer-based workarounds to electronic health record use at three benchmark institutions.
Citation Text:
Flanagan ME, Saleem JJ, Millitello LG, et al. Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. J Am Med Inform…
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psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
May 23, 2018 - Review
Potential consequences of patient complications for surgeon well-being: a systematic review.
Citation Text:
Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamas…
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psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
May 24, 2015 - Study
Medication errors involving patient-controlled analgesia.
Citation Text:
Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194.
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psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
June 13, 2011 - Study
Classic
Identification of in-hospital complications from claims data. Is it valid?
Citation Text:
Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is it valid? Med Care. 2000;38(8):785-95.
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psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts
July 06, 2022 - Commentary
Analysis of results from event investigations in industrial and patient safety contexts.
Citation Text:
Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019.
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psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
July 19, 2023 - Study
Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events.
Citation Text:
Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safe…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/vtstateataglance.pdf
March 01, 2012 - Vermont State at a Glance
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psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
June 07, 2023 - Study
Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project.
Citation Text:
Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement projec…
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psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals
February 17, 2021 - Study
Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals.
Citation Text:
Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Am J Health Syst Pharm. 2010;6…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/vchip-strategies-for-kdd.pdf
February 01, 2015 - Strategies to Improve Asthma Care and Treatment in Primary Care Practices
Strategies to Improve Asthma Care and Treatment in Primary Care Practices*
The following are strategies that healthcare professionals and primary care practices used to improve office systems to address and
promote optimal asthma treatment as…
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psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care
December 29, 2014 - Study
Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center.
Citation Text:
McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…
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psnet.ahrq.gov/issue/infections-and-interaction-rituals-organisation-clinician-accounts-speaking-or-remaining
November 03, 2015 - Study
Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety.
Citation Text:
Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-resources-help-quit.pptx
June 02, 2025 - PowerPoint Presentation
New Resources to Help Providers
Help Smokers Quit
STEPHEN BABB
Office on Smoking and Health
July 26th, 2016
1
Table of Contents
The Opportunity
The Problem
The Solution
Advantages of a Protocol
The Package
Tobacco Treatment Protocol
Tobacco Treatment Action Guide
Implementation Guidan…
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psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital-reduced-cardiac
January 02, 2017 - Study
Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests.
Citation Text:
Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anes…
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psnet.ahrq.gov/issue/single-parameter-early-warning-criteria-predict-life-threatening-adverse-events
January 06, 2017 - Study
Single-parameter early warning criteria to predict life-threatening adverse events.
Citation Text:
Rothschild JM, Gandara E, Woolf S, et al. Single-Parameter Early Warning Criteria to Predict Life-Threatening Adverse Events. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181dcaf…
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psnet.ahrq.gov/issue/alert-burden-pediatric-hospitals-cross-sectional-analysis-six-academic-pediatric-health
September 29, 2021 - Study
Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics.
Citation Text:
Orenstein EW, Kandaswamy S, Muthu N, et al. Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health …