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www.ahrq.gov/news/newsroom/case-studies/201512.html
May 01, 2015 - AHRQ’s RED Toolkit Helps VA Hospitals in California and Texas Lower Readmissions, Improve Discharge Process
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May 2015
Thirty-day all-cause hospital readmissions at the Department of Veterans Affairs (VA) Palo Alto (CA) Health Care System dropped 30 percent after administrators …
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psnet.ahrq.gov/issue/striving-zero-error-patient-surgical-journey-through-adoption-aviation-style-challenge-and
July 10, 2017 - Study
Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project.
Citation Text:
Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption …
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psnet.ahrq.gov/issue/ethics-empowering-patients-partners-healthcare-associated-infection-prevention
January 04, 2019 - Commentary
The ethics of empowering patients as partners in healthcare-associated infection prevention.
Citation Text:
Sharp D, Palmore T, Grady C. The ethics of empowering patients as partners in healthcare-associated infection prevention. Infect Control Hosp Epidemiol. 2014;35(3):307-9…
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psnet.ahrq.gov/issue/how-long-does-it-take-train-surgeon
October 16, 2024 - Commentary
How long does it take to train a surgeon?
Citation Text:
Jackson GP, Tarpley JL. How long does it take to train a surgeon? BMJ. 2009;339:b4260. doi:10.1136/bmj.b4260.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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psnet.ahrq.gov/issue/duty-hours-restriction-and-their-effect-resident-education-and-academic-departments-american
November 16, 2022 - Review
Duty hours restriction and their effect on resident education and academic departments: the American perspective.
Citation Text:
Swide CE, Kirsch JR. Duty hours restriction and their effect on resident education and academic departments: the American perspective. Curr Opin Anaes…
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psnet.ahrq.gov/issue/quality-and-safety-orthopaedics-learning-and-teaching-same-time-aoa-critical-issues
July 16, 2015 - Review
Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues.
Citation Text:
Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(…
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psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
March 07, 2018 - Commentary
Quality improvement and patient safety organizations in anesthesiology.
Citation Text:
Dutton RP. Quality improvement and patient safety organizations in anesthesiology. AMA J Ethics. 2015;17(3):248-52. doi:10.1001/journalofethics.2015.17.3.pfor1-1503.
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psnet.ahrq.gov/issue/structural-empowerment-and-patient-safety-culture-among-registered-nurses-working-adult
January 23, 2008 - Study
Structural empowerment and patient safety culture among registered nurses working in adult critical care units.
Citation Text:
Armellino D, Griffin MTQ, Fitzpatrick JJ. Structural empowerment and patient safety culture among registered nurses working in adult critical care units.…
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psnet.ahrq.gov/issue/comparing-safety-climate-naval-aviation-and-hospitals-implications-improving-patient-safety
October 14, 2009 - Study
Comparing safety climate in naval aviation and hospitals: implications for improving patient safety.
Citation Text:
Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010…
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psnet.ahrq.gov/issue/effect-critical-access-hospital-conversion-patient-safety
October 19, 2022 - Study
Effect of critical access hospital conversion on patient safety.
Citation Text:
Li P, Schneider JE, Ward MM. Effect of critical access hospital conversion on patient safety. Health Serv Res. 2007;42(6 Pt 1):2089-108; discussion 2294-323.
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psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve-physician-nurse-communication
September 28, 2016 - Study
Using a computerized sign-out system to improve physician–nurse communication.
Citation Text:
Sidlow R, Katz-Sidlow RJ. Using a computerized sign-out system to improve physician-nurse communication. Jt Comm J Qual Patient Saf. 2006;32(1):32-36.
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psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need
March 01, 2011 - Study
Intensive care unit alarms—how many do we need?
Citation Text:
Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med. 2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888.
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psnet.ahrq.gov/issue/lessons-learned-medical-malpractice-claims-involving-critical-care-nurses
July 15, 2020 - Study
Lessons learned from medical malpractice claims involving critical care nurses.
Citation Text:
Myers LC, Heard L, Mort E. Lessons learned from medical malpractice claims involving critical care nurses. Am J Crit Care. 2020;29(3):174-181. doi:10.4037/ajcc2020341.
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psnet.ahrq.gov/issue/disposal-paper-records-containing-personal-information-hospitals
March 13, 2024 - Study
Disposal of paper records containing personal information in hospitals.
Citation Text:
Ramjist JK, Coburn N, Urbach DR, et al. Disposal of Paper Records Containing Personal Information in Hospitals. JAMA. 2018;319(11):1162-1163. doi:10.1001/jama.2017.21533.
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psnet.ahrq.gov/issue/passing-yo-mama-test
February 15, 2023 - Commentary
Passing the "Yo' Mama" test.
Citation Text:
Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18.
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psnet.ahrq.gov/issue/improving-alarm-performance-medical-intensive-care-unit-using-delays-and-clinical-context
December 31, 2014 - Study
Improving alarm performance in the medical intensive care unit using delays and clinical context.
Citation Text:
Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546…
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psnet.ahrq.gov/issue/awareness-recall-during-general-anaesthesia-prospective-observational-evaluation-4001
March 09, 2022 - Study
Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients.
Citation Text:
Errando CL, Sigl JC, Robles M, et al. Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. Br J Anaesth.…
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psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
July 10, 2024 - Study
Tenfold therapeutic dosing errors in young children reported to US poison control centers.
Citation Text:
Crouch BI, Caravati M, Moltz E. Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. Am J Health Syst Pharm. 2009;66(14):1292-6. doi:10…
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psnet.ahrq.gov/issue/electronic-intervention-improve-safety-pain-patients-co-prescribed-chronic-opioids-and
March 23, 2022 - Study
An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines.
Citation Text:
Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. Subs…
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psnet.ahrq.gov/issue/greatest-impact-safe-harbor-rule-may-be-improve-patient-safety-not-reduce-liability-claims
July 05, 2017 - Study
Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians.
Citation Text:
Kachalia A, Little A, Isavoran M, et al. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by p…