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psnet.ahrq.gov/issue/advanced-auditory-displays-and-head-mounted-displays-advantages-and-disadvantages-monitoring
September 26, 2016 - Study
Advanced auditory displays and head-mounted displays: advantages and disadvantages for monitoring by the distracted anesthesiologist.
Citation Text:
Sanderson P, Watson MO, Russell WJ, et al. Advanced auditory displays and head-mounted displays: advantages and disadvantages for m…
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psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help
June 15, 2012 - Study
Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study.
Citation Text:
Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls…
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psnet.ahrq.gov/issue/inaccuracy-ecg-interpretations-reported-poison-center
January 20, 2021 - Study
Inaccuracy of ECG interpretations reported to the poison center.
Citation Text:
Prosser JM, Smith SW, Rhim ES, et al. Inaccuracy of ECG interpretations reported to the poison center. Ann Emerg Med. 2011;57(2):122-7. doi:10.1016/j.annemergmed.2010.09.019.
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psnet.ahrq.gov/issue/seen-through-patients-eyes-safety-chronic-illness-care
May 16, 2018 - Study
Seen through the patients' eyes: safety of chronic illness care.
Citation Text:
Desmedt M, Petrovic M, Bergs J, et al. Seen through the patients' eyes: Safety of chronic illness care. Int J Qual Health Care. 2017;29(7):916-921. doi:10.1093/intqhc/mzx137.
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psnet.ahrq.gov/issue/potential-preanalytical-and-analytical-vulnerabilities-laboratory-diagnosis-coronavirus
August 10, 2016 - Commentary
Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19).
Citation Text:
Lippi G, Simundic A-M, Plebani M. Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease…
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psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
February 18, 2009 - Study
Is the test result correct? A questionnaire study of blood collection practices in primary health care.
Citation Text:
Söderberg J, Wallin O, Grankvist K, et al. Is the test result correct? A questionnaire study of blood collection practices in primary health care. J Eval Clin Pr…
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psnet.ahrq.gov/issue/perioperative-patient-safety-recommendations-systematic-review-clinical-practice-guidelines
January 08, 2025 - Study
Perioperative patient safety recommendations: systematic review of clinical practice guidelines.
Citation Text:
Martínez-Nicolas I, Arnal-Velasco D, Romero-García E, et al. Perioperative patient safety recommendations: systematic review of clinical practice guidelines. BJS Open. 20…
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www.ahrq.gov/cpi/about/otherwebsites/cds-connect/index.html
June 01, 2019 - CDS Connect: Using Clinical Decision Support To Move Evidence Into Practice
Project Summary
CDS Connect is a key component of AHRQ’s recently launched initiative on clinical decision support (CDS) to move evidence into practice and to make CDS more patient centered. This initiative has four components:
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www.ahrq.gov/practiceimprovement/delivery-initiative/index.html
December 01, 2020 - Delivery System Research Initiative
ARRA Grants Initiative
Findings from a set of 10 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for advancing delivery system research.
Improving the way that care is delivered is critic…
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www.ahrq.gov/news/newsroom/case-studies/202301.html
October 01, 2024 - Ohio Veterans’ Facility Relied on AHRQ Resource to Develop Diabetes Initiative
Search All Impact Case Studies
March 2023
The Dayton (Ohio) Veterans Affairs (VA) Medical Center facility has adopted AHRQ’s SHARE Approach as part of the U.S. Department of Veterans Affairs' national Hypoglycemic Safety Initia…
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psnet.ahrq.gov/issue/undermining-and-bullying-surgical-training-review-and-recommendations-association-surgeons
July 25, 2018 - Review
Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training.
Citation Text:
Wild JRL, Ferguson HJM, McDermott FD, et al. Undermining and bullying in surgical training: a review and recommendations by the Association of Sur…
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psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
September 26, 2016 - Study
Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.
Citation Text:
Westbrook JI, Rob MI, Woods A, et al. Errors in the administration of intravenous medications in hospital and the role of correct procedures a…
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-52c-sample-task-table-erx-renewal
January 01, 2023 - Tool 5.2c: Sample Task Table (eRx Renewal)
Scenario: Refill request received by phone or by fax before e-prescribing
Step No. Step Performer Step Type Deprescription Documents Key Information
E-prescribing enabled renewal request pathway (a)
1a.
Receive renewal reques…
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psnet.ahrq.gov/issue/nurse-physician-teamwork-emergency-department-impact-perceptions-job-environment-autonomy-and
November 04, 2012 - Study
Nurse–physician teamwork in the emergency department: impact on perceptions of job environment, autonomy, and control over practice.
Citation Text:
Ajeigbe DO, McNeese-Smith D, Leach LS, et al. Nurse-physician teamwork in the emergency department: impact on perceptions of job env…
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psnet.ahrq.gov/issue/safety-concerns-hospital-based-new-practice-registered-nurses-and-their-preceptors
September 24, 2016 - Study
Safety concerns of hospital-based new-to-practice registered nurses and their preceptors.
Citation Text:
Myers S, Reidy P, French B, et al. Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. J Contin Educ Nurs. 2010;41(4):163-71. doi:10.3928…
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psnet.ahrq.gov/issue/international-review-patient-safety-measures-radiotherapy-practice
May 22, 2019 - Review
An international review of patient safety measures in radiotherapy practice.
Citation Text:
Shafiq J, Barton M, Noble DJ, et al. An international review of patient safety measures in radiotherapy practice. Radiother Oncol. 2009;92(1):15-21. doi:10.1016/j.radonc.2009.03.007.
Co…
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psnet.ahrq.gov/issue/pay-practices-and-safety-organizing-evidence-hospital-nursing-units
December 21, 2017 - Study
Pay practices and safety organizing: evidence from hospital nursing units.
Citation Text:
Conroy SA, Vogus TJ. Pay practices and safety organizing: evidence from hospital nursing units. Health Care Manage Rev. 2023;49(1):68-73. doi:10.1097/hmr.0000000000000392.
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digital.ahrq.gov/ahrq-funded-projects/patient-intestinal-failure-echo-project-pif-echo
September 30, 2024 - Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Project Description
A live, virtual learning and support system connecting patients and family caregivers with a team of experts and peers will enhance patient knowledge of best practices and confidence in self-care for chronic…
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psnet.ahrq.gov/issue/development-medical-checklists-improved-quality-patient-care
March 23, 2011 - Review
Development of medical checklists for improved quality of patient care.
Citation Text:
Hales B, Terblanche M, Fowler R, et al. Development of medical checklists for improved quality of patient care. International Journal for Quality in Health Care. 2007;20(1). doi:10.1093/intqhc…
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www.ahrq.gov/teamstepps-program/evidence-base/hospital.html
June 01, 2023 - TeamSTEPPS Research/Evidence Base: Hospital
Baloh J, Zhu X, Ward MM. What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS. Med Care Res Rev. 2021;78(2):146-56. Epub 2019/05/17. doi: 10.1177/10775587…