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psnet.ahrq.gov/node/45559/psn-pdf
November 09, 2016 - Differentiating between detrimental and beneficial
interruptions: a mixed-methods study.
November 9, 2016
Myers RA, McCarthy MC, Whitlatch A, et al. Differentiating between detrimental and beneficial
interruptions: a mixed-methods study. BMJ Qual Saf. 2016;25(11):881-888. doi:10.1136/bmjqs-2015-
004401.
https://p…
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psnet.ahrq.gov/node/854988/psn-pdf
November 01, 2023 - Use of design thinking and human factors approach to
improve situation awareness in the pediatric intensive
care unit.
November 1, 2023
Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve
situation awareness in the pediatric intensive care unit. J Hosp Med. 2023;18(1…
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psnet.ahrq.gov/node/35220/psn-pdf
May 14, 2015 - Patient Safety and Quality Improvement Act of 2005.
May 14, 2015
Pub L No. 109-41.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005
This bill amends the Public Health Service Act to encourage a culture of safety in health care organizations.
The bill, signed into law July 29, 2005…
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digital.ahrq.gov/principal-investigator/lenox-michelle
February 07, 2019 - Lenox, Michelle
CDS Connect- Year 8 Final Report
Citation
Final Report (Year 8 of CDS Connect) CDS Connect Maintenance and Update Prepared under Contract No. 75FCMC18D0047. AHRQ Publication No. 24-0067. Rockville, MD: Agency for Healthcare Research and Quality; August 2024.
…
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digital.ahrq.gov/location/usa-va-mclean
January 01, 2023 - USA, VA, Mclean
Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect
Description
This research developed and maintained the CDS Connect platform, including its public repository of CDS resources and tools. Current work explores the potential of public-pr…
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psnet.ahrq.gov/node/40365/psn-pdf
February 12, 2014 - Strategies for learning from failure.
February 12, 2014
Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137.
https://psnet.ahrq.gov/issue/strategies-learning-failure
Failures are inevitable in any industry, especially in one as complex as health care. The ability to learn from
fai…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_postpart-hemorrhage.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Postpartum Hemorrhage In Situ Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Postpartum Hemorrhage In Situ Simulation
Sample Scenario for Postpartum Hemorrhage In Situ Simulation
Purpose of the tool: The Postpartum Hemorrhage In Situ …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-postpart-hemorrhage.html
July 01, 2023 - Sample Scenario for Postpartum Hemorrhage In Situ Simulation
AHRQ Safety Program for Perinatal Care
Purpose of the tool: The Postpartum Hemorrhage In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-anemia_executive.pdf
May 01, 2006 - Layout 1
Background
Anemia (deficiency of red blood cells)
occurs in 13-78 percent of patients
undergoing treatment for solid tumors and
30-40 percent of patients treated for
lymphoma. Tumor type, treatment
regimen, and history of prior cancer
therapy influence the risk and severity of
anemia. For example, among pa…
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www.ahrq.gov/sites/default/files/wysiwyg/funding/policies/single-IRB-plan-elements.pdf
June 02, 2025 - The Single IRB Plan Elements
The Single IRB Plan Elements
The single IRB plan should include the following elements:
• Describe how you will comply with the requirement for single IRB review
under the revised common rule at 45 CFR 46.114.
• If available, provide the name of the IRB that you anticipate wi…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-19.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare …
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www.ahrq.gov/prevention/guidelines/tobacco/smoking-cessation.html
October 01, 2014 - Notice on Smoking Cessation Guideline Products
The 1996 guideline, Smoking Cessation, Clinical Practice Guideline , No. 18, sponsored by the Agency for Health Care Policy and Research, has been superseded by a new, updated Tobacco Cessation Guideline released by the Public Health Service in 2008.
The inf…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/normothermia.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
Normothermia
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of MRSA and SSI Prevention
MRSA Surveillance
The Evidence…
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psnet.ahrq.gov/node/867184/psn-pdf
November 20, 2024 - Adverse mental health inpatient experiences: qualitative
systematic review of international literature.
November 20, 2024
Hallett N, Dickinson R, Eneje E, et al. Adverse mental health inpatient experiences: qualitative systematic
review of international literature. Int J Nurs Stud. 2024;161:104923. doi:10.1016/j.ij…
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psnet.ahrq.gov/node/43319/psn-pdf
July 23, 2014 - ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing—2013.
July 23, 2014
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: Prescribing and transcribing-2013. Am J Health Syst Pharm. 2014;71(11):924-42.
doi:10.2146/ajh…
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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/38436/psn-pdf
February 25, 2009 - The effectiveness of inking needle core prostate biopsies
for preventing patient specimen identification errors: a
technique to address Joint Commission patient safety
goals in specialty laboratories.
February 25, 2009
Raff LJ, Engel G, Beck KR, et al. The effectiveness of inking needle core prostate biopsies for …
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psnet.ahrq.gov/node/37960/psn-pdf
September 24, 2010 - A survey of the impact of disruptive behaviors and
communication defects on patient safety.
September 24, 2010
Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on
patient safety. Jt Comm J Qual Patient Saf. 2008;34(8):464-471.
https://psnet.ahrq.gov/issue/survey-i…
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digital.ahrq.gov/events/national-web-conference-health-it-and-underserved-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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digital.ahrq.gov/health-it-bibliography
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…