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  1. psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
    March 11, 2020 - Study Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. Citation Text: Wrigstad J, Bergström J, Gusta…
  2. psnet.ahrq.gov/issue/qualitative-positive-deviance-study-explore-exceptionally-safe-care-medical-wards-older
    March 02, 2016 - Study A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. Citation Text: Baxter R, Taylor N, Kellar I, et al. A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. BMJ Qual Saf. …
  3. psnet.ahrq.gov/issue/integrated-approach-reduce-perinatal-adverse-events-standardized-processes-interdisciplinary
    September 01, 2018 - Study Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. Citation Text: Riley W, Begun JW, Meredith L, et al. Integrated Approach to Reduce Perinatal Adverse Events: Standardized Processes, Interd…
  4. psnet.ahrq.gov/issue/interprofessional-collaboration-among-care-professionals-obstetrical-care-are-perceptions
    May 28, 2014 - Study Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? Citation Text: Romijn A, Teunissen PW, de Bruijne M, et al. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? BMJ Qual Saf. 20…
  5. psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
    October 26, 2016 - Study Classic Cost–benefit analysis of a support program for nursing staff. Citation Text: Moran D, Wu AW, Connors C, et al. Cost-Benefit Analysis of a Support Program for Nursing Staff. J Patient Saf. 2020;16(4):e250-e254. doi:10.1097/pts.0000000000000376. Co…
  6. psnet.ahrq.gov/issue/relationship-between-nurse-burnout-patient-and-organizational-outcomes-systematic-review
    December 01, 2021 - Review Relationship between nurse burnout, patient and organizational outcomes: systematic review. Citation Text: Jun J, Ojemeni MM, Kalamani R, et al. Relationship between nurse burnout, patient and organizational outcomes: systematic review. Int J Nurs Stud. 2021;119:103933. doi:10.101…
  7. psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
    December 20, 2017 - Study Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Citation Text: Wallin A, Ringdal M, Ahlberg K, et al. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. Scand J …
  8. psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
    July 12, 2016 - Book/Report Classic Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Citation Text: Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours…
  9. psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-need-improve-measurement
    November 03, 2015 - Commentary Classic Toward a safer health care system: the critical need to improve measurement. Citation Text: Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement. JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448…
  10. psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers
    March 29, 2023 - Study Anesthesia-related closed claims in free-standing ambulatory surgery centers. Citation Text: Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700. C…
  11. psnet.ahrq.gov/issue/didactic-and-simulation-nontechnical-skills-team-training-improve-perinatal-patient-outcomes
    October 21, 2011 - Study Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Citation Text: Riley W, Davis SE, Miller KK, et al. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a commun…
  12. www.ahrq.gov/talkingquality/index.html
    Talking Quality: Reporting to Consumers on Health Care Quality Health Care Quality Report Objectives Be clear on the aims of your report, whether consumer choice, education, or improvement. …
  13. psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey
    December 30, 2014 - Study Adverse-event-reporting practices by US hospitals: results of a national survey. Citation Text: Farley DO, Haviland A, Champagne S, et al. Adverse-event-reporting practices by US hospitals: results of a national survey. Qual Saf Health Care. 2008;17(6):416-23. doi:10.1136/qshc.20…
  14. psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
    July 11, 2012 - Commentary Classic Effectiveness and efficiency of root cause analysis in medicine. Citation Text: Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
    May 24, 2012 - Study Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. Citation Text: Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Co…
  16. psnet.ahrq.gov/issue/application-global-trigger-tool-systematic-review
    December 06, 2023 - Review The application of the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. Copy Citation For…
  17. digital.ahrq.gov/ahrq-funded-projects/decision-support-improve-dental-care-medically-compromised-patients
    January 01, 2023 - Decision Support to Improve Dental Care for Medically Compromised Patients Project Final Report ( PDF , 7.93 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent…
  18. psnet.ahrq.gov/issue/natural-language-processing-and-its-implications-future-medication-safety-narrative-review
    December 21, 2014 - Review Emerging Classic Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges. Citation Text: Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implic…
  19. digital.ahrq.gov/ahrq-funded-projects/decision-support-improve-dental-care-medically-compromised-patients/annual-summary/2012
    January 01, 2012 - Decision Support to Improve Dental Care for Medically Compromised Patients - 2012 Project Name Decision Support to Improve Dental Care for Medically Compromised Patients Principal Investigator Fricton, James Organization HealthPartners Institute Funding Mechanism PA…
  20. hcup-us.ahrq.gov/reports/natstats/rn4.htm
    November 01, 1998 - Most Frequent Diagnoses and Procedures for DRGs, by Insurance Status Most Frequent Diagnoses and Procedures for DRGs, by Insurance Status Below is a summary of HCUP-3 Research Note 4 (AHCPR Pub. No. 97-0006), which is available from the AHCPR Publications Clearinghouse. Call toll free 800-358-9295…