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psnet.ahrq.gov/issue/health-care-associated-infections-meta-analysis-costs-and-financial-impact-us-health-care
July 31, 2013 - Study
Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system.
Citation Text:
Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JA…
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psnet.ahrq.gov/issue/association-safety-program-improving-antibiotic-use-antibiotic-use-and-hospital-onset
July 20, 2022 - Study
Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals
Citation Text:
Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with an…
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psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation
February 23, 2022 - Study
Evaluation of communication and safety behaviors during hospital-wide code response simulation.
Citation Text:
Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:…
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www.ahrq.gov/talkingquality/distribute/promote/social-marketing.html
June 01, 2019 - Applying the Lessons of Social Marketing to a Quality Report
Social marketing is the application of the principles and techniques of commercial marketing to promote socially desirable goals. It has been applied extensively, and with considerable success, in efforts to encourage/discourage specific health beha…
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psnet.ahrq.gov/issue/impact-altering-referral-threshold-out-hours-primary-care-hospital-patient-safety-and-further
February 02, 2022 - Study
Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study.
Citation Text:
Svedahl ER, Pape K, Austad B, et al. Impact of altering referral threshold from out-of-hours primary care to hospital on…
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psnet.ahrq.gov/issue/association-registered-nurse-and-nursing-support-staffing-inpatient-hospital-mortality
September 09, 2011 - Study
Emerging Classic
Association of registered nurse and nursing support staffing with inpatient hospital mortality.
Citation Text:
Needleman J, Liu J, Shang J, et al. Association of registered nurse and nursing support staffing with inpatient hospital mortali…
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psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
December 09, 2020 - Study
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.
Citation Text:
Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…
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psnet.ahrq.gov/issue/demonstrating-high-reliability-accountability-measures-johns-hopkins-hospital
January 27, 2016 - Study
Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital.
Citation Text:
Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
January 01, 2023 - Evaluation of AHRQ's On-time Pressure Ulcer Program
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-06-0011-8
Funding Mechanism(s)
Accelerating Change and Transformation in O…
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psnet.ahrq.gov/issue/complication-rates-hospital-size-and-bias-cms-hospital-acquired-condition-reduction-program
October 19, 2022 - Study
Complication rates, hospital size, and bias in the CMS Hospital-Acquired Condition Reduction Program.
Citation Text:
Koenig L, Soltoff SA, Demiralp B, et al. Complication Rates, Hospital Size, and Bias in the CMS Hospital-Acquired Condition Reduction Program. Am J Med Qual. 2017;32…
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psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors
October 20, 2021 - Study
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 years.
Citation Text:
Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors:…
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digital.ahrq.gov/ahrq-funded-projects/virtual-patient-improving-quality-care-primary-healthcare
January 01, 2023 - The Virtual Patient for Improving Quality of Care in Primary Healthcare
Project Final Report ( PDF , 439.67 KB) 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 …
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digital.ahrq.gov/ahrq-funded-projects/developing-and-using-valid-clinical-quality-metrics-health-information/annual-summary/2010
January 01, 2010 - Developing and Using Valid Clinical Quality Metrics for HIT - 2010
Project Name
Developing and Using Valid Clinical Quality Metrics for Health Information Technology (Health IT) with Health Information Exchange (HIE)
Principal Investigator
Kaushal, Rainu
Organization
Weill Me…
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psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
October 24, 2018 - Study
Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers.
Citation Text:
Neily J, Soncrant C, Mills PD, et al. Assessment of Incorrect Surgical Procedures Within and Outside the Opera…
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psnet.ahrq.gov/issue/covid-19-patient-safety-and-quality-improvement-skills-deploy-during-surge
March 23, 2022 - Commentary
COVID-19: patient safety and quality improvement skills to deploy during the surge.
Citation Text:
Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.…
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digital.ahrq.gov/ahrq-funded-projects/industrial-systems-engineering-and-health-care-critical-areas-research-workshop/industrial-and-systems-engineering-and-health-care-critical-areas-research-workshop-participants
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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digital.ahrq.gov/ahrq-funded-projects/medication-monitoring-vulnerable-populations-information-technology-mmiti
January 01, 2023 - Medication Monitoring for Vulnerable Populations via Information Technology (MMITI)
Project Final Report ( PDF , 323.72 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessaril…
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psnet.ahrq.gov/issue/influencing-culture-quality-and-safety-through-huddles
April 05, 2023 - Study
Influencing a culture of quality and safety through huddles.
Citation Text:
McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642.
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psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk
March 31, 2021 - Study
A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services.
Citation Text:
Berzins K, Baker J, Louch G, et al. A qualitative exploration of mental health service user and carer perspectives on safety issues in UK men…
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psnet.ahrq.gov/issue/healthcare-associated-adverse-events-alternate-level-care-patients-awaiting-long-term-care
March 17, 2021 - Study
Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital.
Citation Text:
Lim Fat GJ, Gopaul A, Pananos AD, et al. Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Geriat…