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  1. psnet.ahrq.gov/issue/does-teamwork-improve-performance-operating-room-multilevel-evaluation
    July 02, 2014 - Study Does teamwork improve performance in the operating room? A multilevel evaluation. Citation Text: Weaver SJ, Rosen MA, DiazGranados D, et al. Does teamwork improve performance in the operating room? A multilevel evaluation. Jt Comm J Qual Patient Saf. 2010;36(3):133-42. Copy Citat…
  2. psnet.ahrq.gov/issue/improving-accuracy-handoff-implementing-electronic-health-record-generated-tool-improvement
    January 01, 2022 - Study Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit. Citation Text: Koo JK, Moyer L, Castello MA, et al. Improving accuracy of handoff by implementing an electronic health recor…
  3. psnet.ahrq.gov/issue/disparities-after-discharge-association-limited-english-proficiency-and-postdischarge-patient
    October 14, 2020 - Study Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. Citation Text: Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient…
  4. psnet.ahrq.gov/issue/reducing-medication-errors-adults-hospital-settings
    March 09, 2022 - Review Reducing medication errors for adults in hospital settings. Citation Text: Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings. Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2. Copy Cita…
  5. psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks
    July 20, 2022 - Study Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention. Citation Text: McVey L, Alvarado N, Healey F, et al. Talking about falls: a qualitative exploration of spok…
  6. psnet.ahrq.gov/issue/changes-burnout-and-satisfaction-work-life-integration-physicians-over-first-2-years-covid-19
    June 01, 2022 - Study Changes in burnout and satisfaction with work-life integration in physicians over the first 2 years of the COVID-19 pandemic. Citation Text: Shanafelt TD, West CP, Dyrbye LN, et al. Changes in burnout and satisfaction with work-life integration in physicians over the first 2 years …
  7. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
    December 01, 2017 - Briefing and Debriefing Tool AHRQ Safety Program for Surgery Introduction Problem Statement Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010. 1 Usi…
  8. www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2024.xlsx
    January 01, 2024 - Device or Medical/Surgical Supply including Health Information Technology Dashboard Introduction Introduction-Device or Medical/Surgical Supply including Health Information Technology The tables in this workbook present data on Device or Medical/Surgical Supply including Health Information Technology (HIT) reports …
  9. psnet.ahrq.gov/issue/severe-illness-getting-noticed-sooner-signs-kids-developing-illness-recognition-tool-connect
    September 23, 2020 - Study Severe illness getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital. Citation Text: Gilleland J, Bayfield D, Bayliss A, et al. Severe illness getting noticed sooner – SIGNS-for-Kids: developing an illness recognition tool to c…
  10. psnet.ahrq.gov/issue/adverse-outcomes-polypharmacy-older-people-systematic-review-reviews
    May 29, 2019 - Review Classic Adverse outcomes of polypharmacy in older people: systematic review of reviews. Citation Text: Davies LE, Spiers G, Kingston A, et al. Adverse outcomes of polypharmacy in older people: systematic review of reviews. J Am Med Dir Assoc. 2020;21(2):1…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-tubes.pdf
    April 02, 2025 - NICU Family Information Packet, Appendix B, Feeding Tubes Feeding Tubes Types of Devices ■ Nasogastric (NG) tube: non-weighted, polyurethane tube for use more than 10 days. ■ Gastrostomy tube: tube protrudes from anterior abdominal wall; most common initial gastrostomy device. ■ Button/skin-level gastrostomy: …
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
    December 01, 2017 - On-Time Quality Improvement Program: On-Time Pressure Ulcer Prevention Menu of Implementation Strategies The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choose to integrate the pressure ulcer prevention reports into clinical practice. A menu …
  13. psnet.ahrq.gov/issue/patient-safety-culture-space-social-struggle-understanding-infection-prevention-practice-and
    November 30, 2022 - Study Patient safety culture as a space of social struggle: understanding infection prevention practice and patient safety culture within hospital isolation settings - a qualitative study. Citation Text: Hunt J, Gammon J, Williams S, et al. Patient safety culture as a space of social str…
  14. psnet.ahrq.gov/issue/associations-person-related-environment-related-and-communication-related-factors-medication
    January 19, 2022 - Study Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. Citation Text: Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and comm…
  15. psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
    July 15, 2020 - Study The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.  Citation Text: Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical e…
  16. psnet.ahrq.gov/issue/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-diverse-acute-care
    March 16, 2022 - Study What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. Citation Text: Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care se…
  17. psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores
    November 16, 2022 - Study Impact of repeated reimbursement penalties on hospital total quality scores. Citation Text: Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199. Copy Citati…
  18. digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-cancer-survivorship-care-through-survivorlink/annual-summary/2010
    January 01, 2010 - Improving Pediatric Cancer Survivorship Care Through SurvivorLink - 2010 Project Name Improving Pediatric Cancer Survivorship Care Through SurvivorLink Principal Investigator Mertens, Ann Organization Emory University Funding Mechanism RFA: HS08-002: Ambulatory Safe…
  19. psnet.ahrq.gov/issue/mhealth-design-promote-medication-safety-children-medical-complexity
    July 14, 2010 - Study An mHealth design to promote medication safety in children with medical complexity. Citation Text: Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000…
  20. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/implementing-automated-ptquestionnaires.pdf
    April 02, 2025 - Implementing Automated Patient Questionnaires ``` Implementing Automated Patient Questionnaires IT2 Team – Northwestern Medicine This project was funded under grant number U18HS028744 from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services (HHS). The authors…