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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015096-davison-final-report-2008.pdf
January 01, 2008 - Tulare District Hospital Rural Health EMR Consortium
Grant Final Report
Grant ID: 5UC1HS015096-03 REVISED
Tulare District Hospital Rural Health EMR Consortium
Inclusive dates: 09/30/04 - 09/29/08
Principal Investigator:
Rod Davison, Tulare District Hospital, Director of Information Syste…
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psnet.ahrq.gov/node/843051/psn-pdf
February 01, 2023 - Respiratory Distress after Neck Surgery: Two Cases of
Postoperative Cervical Hematoma.
February 1, 2023
Graves CE, Kuhn MA. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical
Hematoma. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-…
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery
Citation Text:
Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Improving Communication and Teamwork in the Surgical Environment Module
Facilitator Notes
SAY:
The Improving Communication and Teamwork in the Surgical Environment module helps an organization improve teamwork and communication. This module is meant to augment the exist…
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psnet.ahrq.gov/node/60057/psn-pdf
March 18, 2020 - How does the WHO Surgical Safety Checklist fit with
existing perioperative risk management strategies? An
ethnographic study across surgical specialties.
March 18, 2020
Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing
perioperative risk management strategies? An ethn…
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psnet.ahrq.gov/issue/when-doctor-too-old-job
March 04, 2020 - Newspaper/Magazine Article
When is a doctor too old for the job?
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September 18, 2019
Potential deterioration of an aging surgeon's…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumgurs.html
October 01, 2014 - Gurses, Ayse
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: Johns Hopkins University, Baltimore
Grant Title: Improving the Safety of Care Transitions for Cardiac Surgery Pati…
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psnet.ahrq.gov/node/43694/psn-pdf
November 17, 2015 - Relationships within inpatient physician housestaff teams
and their association with hospitalized patient outcomes.
November 17, 2015
McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and
their association with hospitalized patient outcomes. J Hosp Med. 2014;9(12):7…
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psnet.ahrq.gov/node/50370/psn-pdf
January 01, 2020 - Debunking the myth that the majority of medical errors
are attributed to communication.
September 25, 2019
Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to
communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821.
https://psnet.ahrq.gov/issue/debunking-myth-maj…
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psnet.ahrq.gov/node/41993/psn-pdf
April 21, 2015 - Simulation-based trial of surgical-crisis checklists.
April 21, 2015
Arriaga AF, Bader AM, Wong JM, et al. Simulation-based trial of surgical-crisis checklists. N Engl J Med.
2013;368(3):246-53. doi:10.1056/NEJMsa1204720.
https://psnet.ahrq.gov/issue/simulation-based-trial-surgical-crisis-checklists
Surgical check…
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psnet.ahrq.gov/node/44462/psn-pdf
January 22, 2016 - An overview of research priorities in surgical simulation:
what the literature shows has been achieved during the
21st century and what remains.
January 22, 2016
Johnston MJ, Paige JT, Aggarwal R, et al. An overview of research priorities in surgical simulation: what
the literature shows has been achieved during t…
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psnet.ahrq.gov/node/866583/psn-pdf
August 28, 2024 - Assessing the STOPS framework for coping with
intraoperative errors: evidence of efficacy, hints of hubris,
and a bridge to abridging burnout.
August 28, 2024
D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative
errors: evidence of efficacy, hints of hubris, and …
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psnet.ahrq.gov/node/41325/psn-pdf
October 06, 2016 - How reliable are clinical systems in the UK NHS? A study
of seven NHS organisations.
October 6, 2016
Burnett S, Franklin BD, Moorthy K, et al. How reliable are clinical systems in the UK NHS? A study of
seven NHS organisations. BMJ Qual Saf. 2012;21(6):466-72. doi:10.1136/bmjqs-2011-000442.
https://psnet.ahrq.gov/…
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www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
January 01, 2024 - Team huddles each shift to quickly brief staff on unit operational issues
SCOPE
Background
Current … strategies aim to improve team communication and
patient safety and care, huddles have a primarily operational … Huddles are interdisciplinary and
include operational and care personnel.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
January 01, 2003 - Operational definition of clinical inertia
In instances of clinical inertia, both of the following … Clinical Inertia
305
Second, the operational definition of clinical inertia is necessarily time- … Abstract
Introduction
Operational definition of clinical inertia
Prevalence and cost of clinical inertia
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - is remarkable that the Virginia Mason has integrated innovation and lean at
both the strategic and operational … The organization
has also developed an innovative culture that encourages clinical and operational associates
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hcup-us.ahrq.gov/reports/natstats/his95/appdb.htm
January 01, 1999 - Clinical Classifications for Health Policy Research: Hospital Inpatient Statistics, 1995
Appendix D. Expanded procedure
categories ( 1 ) (NOTE: You
may need to scroll your browser to the right to see all the data.) _________________________________________________________________________________________________…
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psnet.ahrq.gov/node/49734/psn-pdf
May 01, 2015 - Departure From Central Line Ritual
May 1, 2015
Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/departure-central-line-ritual
The Case
A 55-year-old man with a history of poorly controlled diabetes mellitus, pancreatic insufficiency, and alco…
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digital.ahrq.gov/sites/default/files/docs/page/ImprovingQualityofHealthcareThruHIE.pdf
January 01, 2007 - 45 are in the implementation stage (stage four) and 26 have identified
themselves as fully operational … HIE efforts expected to be in implementation within six months, and 25 expected to be fully
operational
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Pilot%20Report_Final_0.docx
March 01, 2018 - and timely execution of CDS artifacts.
2) Utilize the pilot organization’s technical, clinical, and operational … Identification and support of clinical, operational, and technical staff.
4. … Organizational commitment and operational resources to meet pilot needs pre, during, and post implementation … There is substantial value in clinical, operational, and technical validation of newly developed CDS … Through collaboration with Alliance, MITRE benefitted from Alliance’s technical, clinical, and operational