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psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
September 23, 2020 - Study
"SWARMing" to improve patient care: a novel approach to root cause analysis.
Citation Text:
Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501.
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psnet.ahrq.gov/issue/patient-specific-electronic-decision-support-reduces-prescription-excessive-doses
November 02, 2010 - Study
Patient-specific electronic decision support reduces prescription of excessive doses.
Citation Text:
Seidling HM, Schmitt SPW, Bruckner T, et al. Patient-specific electronic decision support reduces prescription of excessive doses. Qual Saf Health Care. 2010;19(5):e15. doi:10.113…
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psnet.ahrq.gov/innovation/standardized-marking-procedure-ent-operations-prevent-wrong-site-surgery-development
February 01, 2013 - EMERGING INNOVATIONS
A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel.
Citation Text:
Rohrmeier C, Abudan Al-Masry N, Keerl R, et al. A standardized marking procedure for ENT…
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psnet.ahrq.gov/issue/disentangling-quality-and-safety-indicator-data-longitudinal-comparative-study-hand-hygiene
March 23, 2011 - Study
Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance and accreditation outcomes in 96 Australian hospitals.
Citation Text:
Mumford V, Greenfield D, Hogden A, et al. Disentangling quality and safety indicator data: a longitudi…
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psnet.ahrq.gov/issue/failure-utilize-functions-electronic-prescribing-system-and-subsequent-generation-technically
February 15, 2012 - Study
Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts.
Citation Text:
Baysari M, Reckmann MH, Li L, et al. Failure to utilize functions of an electronic prescribing system and the subsequent g…
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digital.ahrq.gov/research-method/time-series
January 01, 2024 - Time Series
Changes in the appropriateness of US outpatient antibiotic prescribing after the COVID-19 outbreak: An interrupted time series analysis of 2016-2021 data.
Citation
Chua KP, Fischer MA, Rahman M, Linder JA. Changes in the appropriateness of US outpatient antibiotic …
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psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
February 27, 2019 - Study
Classic
Vital signs: improving antibiotic use among hospitalized patients.
Citation Text:
Fridkin SK, Baggs J, Fagan R, et al. Vital signs: improving antibiotic use among hospitalized patients. MMWR Morb Mortal Wkly Rep. 2014;63(9):194-200.
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psnet.ahrq.gov/issue/toward-zero-harm-mackenzie-healths-journey-toward-becoming-high-reliability-organization-and
September 14, 2022 - Study
Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm.
Citation Text:
Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and e…
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digital.ahrq.gov/2018-year-review/research-spotlights/leveraging-health-it-test-solutions-are-replicable-scalable-and
January 01, 2018 - Leveraging Health IT to Test Solutions That Are Replicable, Scalable, and Improve Patient Safety
Impact
“Studies like that by Adelman and colleagues point the way to the creation of a digital learning health care system, in which the results of the interactions between clinicians (and, increasingly, patients …
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digital.ahrq.gov/funding-mechanism/accelerating-change-and-transformation-organizations-and-networks-action
January 01, 2023 - Accelerating Change and Transformation in Organizations and Networks (ACTION)
How hospitals reengineer their discharge processes to reduce readmissions.
Citation
Mitchell SE, Martin J, Holmes S, et al. How hospitals reengineer their discharge processes to reduce readmissions. …
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psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-clinical-decision-support-adverse-drug-events-long
February 26, 2009 - Study
Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.
Citation Text:
Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision support on adverse drug events …
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psnet.ahrq.gov/issue/psychological-impact-and-coping-strategies-frontline-medical-staff-hunan-between-january-and
May 31, 2023 - Study
Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of Coronavirus Disease 2019 (COVID‑19) in Hubei, China.
Citation Text:
Cai H, Tu B, Ma J, et al. Psychological impact and coping strategies of frontline…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/obesity-child_disposition-comments.pdf
June 10, 2013 - Disposition of Comments Report for Childhood Obesity Prevention Programs: A Comparative Effectiveness Review and Meta-Analysis
Comparative Effectiveness Research Review Disposition of Comments Report
Research Review Title: Childhood Obesity Prevention Programs: A Comparative Effectiveness
Review and Meta-…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/c-diff-infections-surveillance-140925.pdf
January 01, 2014 - AHRQ Comparative Effectiveness Review
Surveillance Program
CER #31:
Effectiveness of Early Diagnosis, Prevention, and Treatment of Clostridium difficile
Infection
Original release date:
December 2011
Surveillance Report (1st assessment/cycle 1):
October 2012
Surveillance Report (2nd assessment/cycle 2): …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/implementation.pdf
May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
AHRQ Safety Program for Ambulatory Surgery AHRQ Safety Program for Ambulatory Surgery
Creating a Culture of Safety in the Ambulatory
Surgery Environment: Implementation Guide
AHRQ Publication No. 16(17)-0019-3-EF
May 2017
…
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psnet.ahrq.gov/node/34718/psn-pdf
August 05, 2008 - How can we save the next victim?
August 5, 2008
Belkin L
https://psnet.ahrq.gov/issue/how-can-we-save-next-victim
In this article, Belkin examines how the medical field has recently shifted away from blaming individuals for
medical error toward a model that searches for systems problems and solutions for preventio…
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psnet.ahrq.gov/node/47176/psn-pdf
June 06, 2018 - Report faults Children's Hospital for medication errors.
June 6, 2018
Kowalczyk L. Boston Globe. May 27, 2018.
https://psnet.ahrq.gov/issue/report-faults-childrens-hospital-medication-errors
Pediatric patients are particularly vulnerable to medication errors. This news article reports on serious
medication errors …
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/indication-based
January 01, 2023 - Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE).
Citation
Galanter W, Falck S, Burns M, et al. Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). J Am Med Inform Assoc 2013…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/enhancing
January 01, 2023 - Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors.
Citation
Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, et al. Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. Expert Opin Drug Saf 2017 Oct;…
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psnet.ahrq.gov/issue/quality-special-issue
April 13, 2022 - Special or Theme Issue
Quality Special Issue.
Citation Text:
Quality Special Issue. J Med Imaging Radiat Oncol. 2022;66(2):165-309.
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