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psnet.ahrq.gov/issue/are-med-school-grads-prepared-practice-medicine
April 04, 2012 - Newspaper/Magazine Article
Are med school grads prepared to practice medicine?
Citation Text:
Angus S, Vu R, Halvorsen AJ, et al. What skills should new internal medicine interns have in july? A national survey of internal medicine residency program directors. Academic medicine : journal…
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psnet.ahrq.gov/issue/consequences-running-more-operating-theatres-anaesthetists-staff-them-stochastic-simulation
October 19, 2022 - Study
Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study.
Citation Text:
Paoletti X, Marty J. Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Br J Anaesth. 2007…
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psnet.ahrq.gov/issue/accidental-iatrogenic-pneumothorax-hospitalized-patients
April 03, 2005 - Study
Accidental iatrogenic pneumothorax in hospitalized patients.
Citation Text:
Zhan C, Smith M, Stryer D. Accidental iatrogenic pneumothorax in hospitalized patients. Med Care. 2006;44(2):182-186.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNot…
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psnet.ahrq.gov/issue/surgical-count-process-prevention-retained-surgical-items-integrative-review
March 09, 2022 - Review
Surgical count process for prevention of retained surgical items: an integrative review.
Citation Text:
Freitas PS, Silveira RC de CP, Clark AM, et al. Surgical count process for prevention of retained surgical items: an integrative review. J Clin Nurs. 2016;25(13-14):1835-47. doi…
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psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events
March 23, 2011 - Study
Ambulance stretcher adverse events.
Citation Text:
Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care. 2009;18(3):213-216. doi:10.1136/qshc.2007.024562.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
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www.ahrq.gov/news/newsroom/case-studies/201708.html
May 01, 2017 - Albuquerque Police Department Uses AHRQ Resources for Crisis Intervention Team Training
Search All Impact Case Studies
May 2017
In 2016, Albuquerque Police Department (APD) became the first law enforcement agency in the Nation to train its officers through videoconferencing with psychiatrists, based on the …
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psnet.ahrq.gov/issue/feasibility-first-developing-public-performance-indicators-patient-safety-and-clinical
February 27, 2014 - Study
Feasibility first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals.
Citation Text:
Berg M, Meijerink Y, Gras M, et al. Feasibility first: developing public performance indicators on patient safety and clinical effectivenes…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/037-ss-bed-bathing-chg-cloths-protocol.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Pre-Op Surgical Decolonization Protocol for Staff: Bathing With 2 Percent Chlorhexidine No-Rinse Cloths
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
The following protocol details the process for performing skin decol…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
June 02, 2025 - Infographic Poster: Did you know...Patient safety issues in primary care are real.
Did you know...
Patient safety issues in
primary care are real.
Annually,
1 in 20 outpatients experiences a diagnostic error
55%
of patients said
diagnostic errors
were a chief concern
in outpatient visits
1 in 9
ED admissi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.pdf
June 02, 2025 - Strategy 3: Nurse Bedside Shift Report (Tool 1)
Nurse Bedside
Shift Report
What is it?
How can you
get involved?
Being a partner in your care helps you get
the best care possible in the hospital.
Taking part in nurse bedside shift report is
one way you can be a partner.
This brochure explains …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html
May 01, 2017 - Appendix K. Quality Improvement Study Framework - Implementation Guide
Study Elements
Element
Definition
Things To Keep in Mind
The Purpose
Define the problem and why it is important.
Avoid suggesting causes in the purpose statement. Cause determination will come later afte…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.docx
April 01, 2022 - CAUTI Learning From Defects Tool
Learn From Defects Tool Worksheet:
Catheter-Associated Urinary Tract Infection (CAUTI)
This worksheet is designed to be used near the bedside and is the shortened version of the CAUTI Event Report Tool: Data for Event Analysis. This worksheet will help your team learn what happened,…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
April 01, 2022 - CLABSI Learning From Defects Tool
Learn From Defects Tool Worksheet:
Central Line-Associated Bloodstream Infection (CLABSI)
This worksheet is designed to be used near the bedside and is the shortened version of the CLABSI Event Report Tool: Data for Event Analysis. This worksheet will help your team learn what happ…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
March 01, 2017 - Appendix J.
Long-Term Care CAUTI Surveillance Worksheet
The purpose of the Long-Term Care CAUTI Surveillance Worksheet is to use it to streamline the surveillance process with reviewing a resident’s chart for a suspected catheter-associated urinary tract infection (CAUTI). The form combines the resident’s health asses…
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psnet.ahrq.gov/issue/corridor-care-emergency-department-managing-patient-care-non-clinical-areas-safely-and
May 19, 2021 - Commentary
'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently.
Citation Text:
Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently. Emerg Nurse. 2023;31(6):…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/blood-pressure-flowchart.pdf
June 02, 2025 - controlling high blood pressure
Controlling High Blood
Pressure
Was the patient aged 18 years or
older on the first day of the
measurement period?
Yes
Was the patient aged 85 years or
younger on the last day of the
measurement period?
Yes
No
Did the patient have at least one
face to face visit with an e…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/suppl-access_items_cg-cahps-child-survey_2358-1a.docx
June 02, 2025 - CAHPS® Clinician & Group Survey 3.0 Supplemental Items: Access
Population Version: Child
Supplemental Access Items for the CAHPS® Clinician & Group Survey 3.0
Population Version: Child
Language: English
Users of the CAHPS® Clinician & Group Survey are free to incorporate supplemental items in order to meet the n…
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www.ahrq.gov/news/newsroom/case-studies/201709.html
June 01, 2017 - St. Jude Children's Research Hospital Uses AHRQ Survey to Promote Patient Safety
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June 2017
St. Jude Children's Research Hospital uses AHRQ's Hospital Survey on Patient Safety Culture to obtain employee feedback on ways to improve medical care and safety for the approximately…
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psnet.ahrq.gov/issue/lingering-safety-menace-10-year-review-enteral-misconnection-adverse-events-and-narrative
January 06, 2017 - Review
The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review.
Citation Text:
Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10‐year review of enteral misconnection adverse events and narrative review. Nutr Clin …
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psnet.ahrq.gov/issue/medication-errors-resulting-computer-entry-nonprescribers
January 02, 2017 - Study
Medication errors resulting from computer entry by nonprescribers.
Citation Text:
Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208.
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