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psnet.ahrq.gov/issue/improving-patient-safety-and-communication-through-care-rounds-pediatric-oncology-outpatient
January 14, 2011 - Commentary
Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic.
Citation Text:
Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. J Nurs Care Qual. 2007;22…
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psnet.ahrq.gov/issue/improving-medication-safety-high-risk-medicare-beneficiaries-toolkit
October 23, 2019 - Government Resource
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit.
Citation Text:
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD: Agen…
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psnet.ahrq.gov/issue/surgical-safety-checklists-do-they-improve-outcomes
July 13, 2010 - Review
Surgical safety checklists: do they improve outcomes?
Citation Text:
Walker IA, Reshamwalla S, Wilson IH. Surgical safety checklists: do they improve outcomes? Br J Anaesth. 2012;109(1):47-54. doi:10.1093/bja/aes175.
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psnet.ahrq.gov/issue/spike-fatal-medication-errors-beginning-each-month
January 26, 2022 - Study
Spike in fatal medication errors at the beginning of each month.
Citation Text:
Phillips DP, Jarvinen JR, Phillips RR. A spike in fatal medication errors at the beginning of each month. Pharmacotherapy. 2005;25(1):1-9.
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psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug-reports
October 19, 2022 - Commentary
Nurses improve medication safety with medication allergy and adverse drug reports.
Citation Text:
Valente S, Murray L, Fisher D. Nurses improve medication safety with medication allergy and adverse drug reports. J Nurs Care Qual. 2007;22(4):322-7.
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psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach
November 16, 2022 - Newspaper/Magazine Article
Reporting adverse events to patients: a step-by-step approach.
Citation Text:
Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician Executive. 2010;36(3):4-6, 8-9.
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psnet.ahrq.gov/issue/workplace-violence-against-anesthesiologists-we-are-not-immune-patient-safety-threat
March 06, 2005 - Study
Workplace violence against anesthesiologists: we are not immune to this patient safety threat.
Citation Text:
Workplace violence against anesthesiologists: we are not immune to this patient safety threat. Udoji MA, Ifeanyi-Pillette IC, Miller TR, Lin DM. Int Anesthesiol Clin. 2019;…
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psnet.ahrq.gov/issue/interview-peter-pronovost
July 01, 2017 - Award Recipient
An interview with Peter Pronovost
Citation Text:
Pronovost P. An interview with Peter Pronovost. Jt Comm J Qual Saf. 2004;30(12):659-64.
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Dow…
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digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program
Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with a pharmacist to monitor patient medications during the transition may improve care co…
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www.ahrq.gov/news/newsroom/case-studies/202302.html
September 01, 2023 - American College of Obstetricians and Gynecologists Creates Perinatal Mental Health Clinical Practice Guidelines Using AHRQ Research
Search All Impact Case Studies
September 2023
The American College of Obstetricians and Gynecologists (ACOG) relies on AHRQ’s Effective Health Care Program systematic reviews…
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digital.ahrq.gov/principal-investigator/lacson-ronilda
January 01, 2023 - Lacson, Ronilda
Frequency and outcomes of BI-RADS category 3 assessments in patients with a personal history of breast cancer: Full-field digital mammography versus digital breast tomosynthesis.
Citation
Offit LR, Chikarmane SA, Lacson RC, Giess CS. Frequency and outcomes of B…
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digital.ahrq.gov/location/usa-mi-ann-arbor
January 01, 2023 - USA, MI, Ann Arbor
Development and Implementation of the REmote Telehealth User-Reported caNcer Surveillance (RETURNS) Program for Lung Cancer
Description
This research will improve upon and evaluate a telehealth lung cancer surveillance program that combines patient-reported …
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digital.ahrq.gov/organization/university-michigan-ann-arbor
January 01, 2023 - University of Michigan at Ann Arbor
Development and Implementation of the REmote Telehealth User-Reported caNcer Surveillance (RETURNS) Program for Lung Cancer
Description
This research will improve upon and evaluate a telehealth lung cancer surveillance program that combines …
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digital.ahrq.gov/principal-investigator/blumenfeld-barry-h
January 01, 2023 - Blumenfeld, Barry H.
A Stakeholder-driven Action Plan for Improving Pain Management, Opioid Use and Opioid Use Disorder Treatment Through Patient-Centered Clinical Decision Support.
Citation
Osheroff JA, Blumenfeld BH, Richardson JE, Lasater B and the Opioid Action Plan Worki…
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psnet.ahrq.gov/issue/national-imperative-improve-nursing-home-quality-honoring-our-commitment-residents-families
November 15, 2022 - Book/Report
The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff.
Citation Text:
The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff. National Academies of Science…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_pc-pamphlet.pdf
January 01, 2018 - Community-Acquired Pneumonia in the Primary Care Setting
Community-Acquired Pneumonia in the
Primary Care Setting
Background on Community-Acquired Pneumonia
Community-acquired pneumonia (CAP) is the eighth leading cause of death in the United States.1 Approximately
6 million cases are reported annually, resulting i…
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psnet.ahrq.gov/issue/planning-mr-suite-what-can-be-done-enhance-safety
September 12, 2016 - Commentary
Planning an MR suite: what can be done to enhance safety?
Citation Text:
Gilk TB, Kanal E. Planning an MR suite: What can be done to enhance safety? J Magn Reson Imaging. 2015;42(3):566-71. doi:10.1002/jmri.24794.
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psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review
March 01, 2023 - Review
Cognitive biases associated with medical decisions: a systematic review.
Citation Text:
Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138.
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psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
January 12, 2022 - Review
Spinal surgery and patient safety: a systems approach.
Citation Text:
Wong DA. Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32.
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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-prevention-retained-surgical-items
January 05, 2017 - Commentary
Implementing AORN recommended practices for prevention of retained surgical items.
Citation Text:
Goldberg JL, Feldman DL. Implementing AORN recommended practices for prevention of retained surgical items. AORN J. 2012;95(2):205-16; quiz 217-9. doi:10.1016/j.aorn.2011.11.010…