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psnet.ahrq.gov/issue/error-reduction-through-team-leadership-applying-aviations-crm-model-or
September 25, 2013 - Commentary
Error reduction through team leadership: applying aviation's CRM model in the OR.
Citation Text:
Healy GB, Barker J, Madonna G. Error reduction through team leadership: applying aviation's CRM model in the OR. Bull Am Coll Surg. 2006;91(2):10-5.
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psnet.ahrq.gov/issue/rapid-response-teams-whats-latest
December 12, 2012 - Commentary
Rapid response teams: what's the latest?
Citation Text:
Jackson SA. Rapid response teams: What's the latest? Nursing (Brux). 2017;47(12):34-41. doi:10.1097/01.NURSE.0000526885.10306.21.
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury-prevention
September 24, 2010 - Commentary
Failure mode and effects analysis: a useful tool for risk identification and injury prevention.
Citation Text:
Paparella S. Failure mode and effects analysis: a useful tool for risk identification and injury prevention. Journal of emergency nursing: JEN : official publicatio…
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psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
November 15, 2023 - Study
Audibility of patient clinical alarms to hospital nursing personnel.
Citation Text:
Sobieraj J, Ortega C, West I, et al. Audibility of patient clinical alarms to hospital nursing personnel. Mil Med. 2006;171(4):306-10.
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www.ahrq.gov/patient-safety/reports/engage/appc.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Appendix C. Sample Search Strategies
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Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introductio…
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psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
November 03, 2021 - Study
A transdisciplinary team acting on evidence through analyses of moot malpractice cases.
Citation Text:
Constantino RE. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Dimens Crit Care Nurs. 2007;26(4):150-5.
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psnet.ahrq.gov/issue/workplace-violence-and-its-effects-patient-safety
January 19, 2011 - Commentary
Workplace violence and its effects on patient safety.
Citation Text:
McNamara SA. Workplace violence and its effects on patient safety. AORN J. 2010;92(6):677-82. doi:10.1016/j.aorn.2010.07.012.
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psnet.ahrq.gov/issue/designing-safer-radiology-department
March 04, 2015 - Commentary
Designing a safer radiology department.
Citation Text:
Johnson D, Miranda R, Osborn HH, et al. Designing a safer radiology department. AJR Am J Roentgenol. 2012;198(2):398-404. doi:10.2214/AJR.11.7234.
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psnet.ahrq.gov/issue/antiretroviral-medication-errors-among-hospitalized-patients-hiv-infection
April 12, 2023 - Study
Antiretroviral medication errors among hospitalized patients with HIV infection.
Citation Text:
Rastegar DA, Knight AM, Monolakis JS. Antiretroviral medication errors among hospitalized patients with HIV infection. Clin Infect Dis. 2006;43(7):933-8.
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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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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 …