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psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism
November 16, 2022 - Commentary
National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism.
Citation Text:
D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-…
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psnet.ahrq.gov/issue/systematic-integrative-review-specialized-nurses-role-establish-culture-patient-safety
July 10, 2024 - Review
A systematic integrative review of specialized nurses' role to establish a culture of patient safety: a modelling perspective.
Citation Text:
Glarcher M, Vaismoradi M. A systematic integrative review of specialized nurses' role to establish a culture of patient safety: a modelling…
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psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
February 28, 2024 - Commentary
Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance.
Citation Text:
Wiig S, Calderwood CJ, O’Hara J. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acc…
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psnet.ahrq.gov/issue/family-alert-implementing-direct-family-activation-pediatric-rapid-response-team
December 16, 2009 - Study
Family alert: implementing direct family activation of a pediatric rapid response team.
Citation Text:
Ray EM, Smith R, Massie S, et al. Family alert: implementing direct family activation of a pediatric rapid response team. Jt Comm J Qual Patient Saf. 2009;35(11):575-580.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/5-red-light-green-light.docx
June 01, 2023 - AHRQ Safety Program for Improving
Surgical Care and Recovery
Red Light, Green Light: An Overview of Common Implementation Barriers and Facilitators
Purpose of this tool: To help team leaders identify barriers to and facilitators of implementing Improving Surgical Care and Recovery (ISCR), an enhanced recovery program…
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psnet.ahrq.gov/issue/teaching-students-administer-medications-safely
December 04, 2019 - Commentary
Teaching students to administer medications safely.
Citation Text:
Koharchik L, Flavin PM. Teaching Students to Administer Medications Safely. Am J Nurs. 2017;117(1):62-66. doi:10.1097/01.NAJ.0000511573.73435.72.
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psnet.ahrq.gov/issue/developing-reporting-and-tracking-tool-nursing-student-errors-and-near-misses
September 21, 2009 - Commentary
Developing a reporting and tracking tool for nursing student errors and near misses.
Citation Text:
Disch J, Barnsteiner J. Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. J Nurs Reg. 2015;5(1):4-10. doi:10.1016/s2155-8256(15)30093-4.
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psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through-pragmatic
May 23, 2018 - Study
Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis.
Citation Text:
Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a …
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psnet.ahrq.gov/issue/systems-approach-suicide-prevention-strengthening-culture-practice-and-education
July 10, 2024 - Commentary
Systems approach to suicide prevention: strengthening culture, practice, and education.
Citation Text:
Pisani AR, Boudreaux ED. Systems approach to suicide prevention: strengthening culture, practice, and education. Focus (Am Psychiatr Publ). 2023;21(2):152-159. doi:10.1176/ap…
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psnet.ahrq.gov/issue/chasing-zero-harm-radiation-oncology-using-pre-treatment-peer-review
January 12, 2022 - Commentary
Chasing zero harm in radiation oncology: using pre-treatment peer review.
Citation Text:
Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre-treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302.
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psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-ambulatory-surgery-center-survey-user-database-report
February 28, 2024 - Book/Report
Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: User Database Report.
Citation Text:
Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: User Database Report. Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthc…
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digital.ahrq.gov/ahrq-funded-projects/choice-coalition-hospices-organized-investigate-comparative-effectiveness/annual-summary/2012
January 01, 2012 - CHOICE: Coalition of Hospices Organized to Investigate Comparative Effectiveness - 2012
Project Name
CHOICE: Coalition of Hospices Organized to Investigate Comparative Effectiveness
Principal Investigator
Casarett, David J.
Organization
University of Pennsylvania
Fund…
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psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
February 17, 2011 - Meeting/Conference Proceedings
Use of electronic health records in US hospitals.
Citation Text:
Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592.
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digital.ahrq.gov/ahrq-funded-projects/promoting-patient-safety-web-based-patient-profiles
January 01, 2023 - Promoting Patient Safety with Web-based Patient Profiles
Project Description
Publications
Project Details -
Completed
Grant Number
P20 HS014885
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (T…
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psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
August 09, 2023 - Study
Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis.
Citation Text:
Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…
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psnet.ahrq.gov/issue/medicare-and-medicaid-programs-reform-requirements-long-term-care-facilities-proposed-rule
October 21, 2015 - Government Resource
Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule.
Citation Text:
Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. Washington, DC: US Department of Health and Human S…
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psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-estimates-ahrq-patient-safety-indicators
April 03, 2005 - Study
Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators.
Citation Text:
Coffey RM, Andrews RM, Moy E. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. Med Care. 2005;43(3 Suppl):I48-I57.
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psnet.ahrq.gov/issue/effects-work-hour-limitations-resident-well-being-patient-care-and-education-internal
January 13, 2021 - Study
The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program.
Citation Text:
Goitein L, Shanafelt TD, Wipf JE, et al. The effects of work-hour limitations on resident well-being, patient care, and education in …
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digital.ahrq.gov/ahrq-funded-projects/2011-2013-workshop-health-it-and-economics/annual-summary/2012
January 01, 2013 - 2011-2013 Workshop on Health Information Technology and Economics - 2012
Project Name
2011-2013 Workshop on Health Information Technology and Economics
Principal Investigator
Agarwal, Ritu
Organization
University of Maryland
Funding Mechanism
PAR: HS09-257: AHRQ Gra…
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psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
September 12, 2012 - Study
Incorrect surgical counts: a qualitative analysis.
Citation Text:
Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9. doi:10.1016/j.aorn.2010.01.019.
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