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9401. Long-term reduction in adverse drug events: an evidence-based improvement model. | PSNet
      psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
      August 28, 2024 - Study Long-term reduction in adverse drug events: an evidence-based improvement model. Citation Text: Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902. Copy Citation …

9402. Data as a catalyst for change: stories from the frontlines. | PSNet
      psnet.ahrq.gov/issue/data-catalyst-change-stories-frontlines
      July 28, 2023 - Commentary Data as a catalyst for change: stories from the frontlines. Citation Text: Siegal D, Ruoff G. Data as a catalyst for change: stories from the frontlines. J Healthc Risk Manag. 2015;34(3):18-25. doi:10.1002/jhrm.21161. Copy Citation Format: DOI Google Scholar PubM…

9403. TeamSTEPPS® Helps St. Louis Hospital Keep C-Section Rate Low | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201904.html
      June 01, 2019 - TeamSTEPPS® Helps St. Louis Hospital Keep C-Section Rate Low Search All Impact Case Studies June 2019 Staff at SSM Health St. Mary's Hospital in St. Louis used AHRQ’s TeamSTEPPS training to improve their teamwork and communication, helping them to reduce the Cesarean section (C-section) rate for low-risk,…

9404. Explaining ethnic disparities in patient safety: a qualitative analysis. | PSNet
      psnet.ahrq.gov/issue/explaining-ethnic-disparities-patient-safety-qualitative-analysis
      April 14, 2021 - Study Explaining ethnic disparities in patient safety: a qualitative analysis. Citation Text: Suurmond J, Uiters E, de Bruijne M, et al. Explaining ethnic disparities in patient safety: a qualitative analysis. Am J Public Health. 2010;100 Suppl 1:S113-7. doi:10.2105/AJPH.2009.167064. …

9405. U.S. Preventive Services Task Force Issues Final Recommendation Statement on Serologic Screening for Genital Herpes Infection (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/genital-herpes-screening-final-rec-bulletin.pdf
      February 14, 2023 - U.S. Preventive Services Task Force Issues Final Recommendation Statement on Serologic Screening for Genital Herpes Infection www.uspreventiveservicestaskforce.org 1 USPSTF Bulletin U.S. Preventive Services Task Force Issues Final Recommendation Statement on Serologic Screening for Genital Herpes Infecti…

9406. Health Information Exchange Streamlines Communication Between Poison Control Centers and Emergency Departments | Digital Healthcare Research
      digital.ahrq.gov/2019-year-review/research-summary/health-information-exchange-streamlines-communication-between
      January 01, 2019 - Health Information Exchange Streamlines Communication Between Poison Control Centers and Emergency Departments The research team created the first HIE capability between a poison control center (PCC) and ED to reduce errors, improve decision making, and improve continuity of care for poisonings, including drug ove…

9407. Integrating Primary Care Practices and Community-based Resources to Manage Obesity | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/obesity/index.html
      May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Next Page Table of Contents Integrating Primary Care Practices and Community-based Resources to Manage Obesity Acknowledgements Support Foreword Oregon Rural Practice-based Research Network (ORPRN) Why Was Thi…

9408. Learning from errors and resilience. | PSNet
      psnet.ahrq.gov/issue/learning-errors-and-resilience
      December 18, 2019 - Review Learning from errors and resilience. Citation Text: Arnal-Velasco D, Heras-Hernando V. Learning from errors and resilience. Curr Opin Anaesthesiol. 2023;36(3):376-381. doi:10.1097/aco.0000000000001257. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…

9409. Nursing Home Health IT Reduces Pressure Ulcers and Increases Staff’s Job Satisfaction (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesHorn2010.pdf
      June 16, 2021 - Nursing Home Health IT Reduces Pressure Ulcers and Increases Staff’s Job Satisfaction                                                                                                                                                                                                                               …

9410. The coronavirus and the risks to the elderly in long-term care. | PSNet
      psnet.ahrq.gov/issue/coronavirus-and-risks-elderly-long-term-care
      July 15, 2020 - Commentary The coronavirus and the risks to the elderly in long-term care. Citation Text: Gardner W, States D, Bagley N. The coronavirus and the risks to the elderly in long-term care. J Aging Soc Policy. 2020;32(4-5):310-315. doi:10.1080/08959420.2020.1750543. Copy Citation Format…

9411. Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. | PSNet
      psnet.ahrq.gov/issue/making-surgical-wards-safer-patients-diabetes-reducing-hypoglycaemia-and-insulin-errors
      February 18, 2019 - Commentary Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. Citation Text: Singh A, Adams A, Dudley B, et al. Making surgical wards safer for patients with diabetes: reducing hypoglycaemia and insulin errors. BMJ Open Qual. 2018;7(3):e000…

9412. Patient Safety Awareness Week 2024 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/news-events/psaw-2024/index.html
      March 01, 2024 - Patient Safety Awareness Week 2024 As we celebrate Patient Safety Awareness Week 2024, the Agency for Healthcare Research and Quality (AHRQ) also marks its 35th anniversary. This milestone, under the banner "Today's Research, Tomorrow's Healthcare," highlights our dedication to transforming healthcare through…

9413. AHRQ's Guide to Evaluating Health Information Exchange Projects - Appendix D (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-appendix-d.pdf
      June 16, 2021 - AHRQ's Guide to Evaluating Health Information Exchange Projects - Appendix D D-1 Appendix D: The Importance of Sample Size To conduct an effective and efficient study, it is important to calculate an appropriate sample size. Sample size determines resource requirements and the relevance of findings. If a sample…

9414. Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/complexity-incidence-and-costs-related-delayed-diagnosis-venous
      September 01, 2024 - Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Project Description Using a mixed method approach including machine learning (ML) to improve early detection of venous thromboembolism (VT…

9415. Tools To Improve Diagnostic Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/tools/index.html
      June 01, 2025 - Tools To Improve Diagnostic Safety AHRQ tools to reduce diagnostic errors include: Calibrate Dx is a self-evaluation tool for clinicians to improve their diagnostic decision making. This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical practice. Anyone who…

9416. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. | PSNet
      psnet.ahrq.gov/issue/tiered-daily-huddles-power-teamwork-managing-large-healthcare-organisations
      December 09, 2020 - Commentary Tiered daily huddles: the power of teamwork in managing large healthcare organisations. Citation Text: Mihaljevic T. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. BMJ Qual Saf. 2020;29(12):1050-1052. doi:10.1136/bmjqs-2019-010575. Co…

9417. Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. | PSNet
      psnet.ahrq.gov/issue/five-strategies-how-patients-and-families-can-improve-patient-safety-world-patient-safety-day
      July 07, 2021 - Commentary Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. Citation Text: Wu AW, Papieva I, Sheridan S, et al. Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. J Patient Saf R…

9418. The elephant of patient safety: what you see depends on how you look. | PSNet
      psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look
      June 22, 2022 - Commentary Classic The elephant of patient safety: what you see depends on how you look. Citation Text: Shojania KG. The elephant of patient safety: what you see depends on how you look. Jt Comm J Qual Patient Saf. 2010;36(9):399-401. Copy Citation Format:…

9419. CHOICE: Coalition of Hospices Organized to Investigate Comparative Effectiveness | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/choice-coalition-hospices-organized-investigate-comparative-effectiveness
      January 01, 2023 - CHOICE: Coalition of Hospices Organized to Investigate Comparative Effectiveness Project Final Report ( PDF , 68.71 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 re…

9420. Improving Quality Care for Children with Special Needs (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016133-lozzio-final-report-2010.pdf
      January 01, 2010 - Improving Quality Care for Children with Special Needs Grant Final Report Grant ID: 5UC1HS016133 Improving Quality Care for Children with Special Needs Inclusive Dates: 09/30/05 - 01/31/10 Principal Investigator: Carmen B. Lozzio, MD, FACMG Team Members: John A. Phillips III, M…