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9481. Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/impl-guide/index.html
      October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overview Frameworks for Change and Improvement Technical…

9482. Improvement Methods Overview (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pdf
      June 02, 2025 - Improvement Methods Overview Pediatric Toolkit for Using the AHRQ Quality Indicators How to Improve Hospital Quality and Safety Tool D.1 Slide 1 • Use these PowerPoint slides for any presentations for which they may be useful. • These slides may be useful earlier on in the process than during implementation; fe…

9483. Tampa Hospital Uses AHRQ Tools to Reduce Emergency Department CAUTI Rates by 75 Percent | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201808.html
      December 01, 2018 - Tampa Hospital Uses AHRQ Tools to Reduce Emergency Department CAUTI Rates by 75 Percent Search All Impact Case Studies December 2018 Tampa General Hospital staff participated in an AHRQ project and implemented several elements from AHRQ’s Comprehensive Unit-based Safety Program (CUSP) to reduce healthcare…

9484. Improvement Methods Overview (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pdf
      June 02, 2025 - Improvement Methods Overview Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool D.1 Slide 1 • Use these PowerPoint slides for any presentations for which they may be useful. • These slides may be useful earlier on in the process than during implementation; feel free t…

9485. Improving Heart Health in Manufacturing Communities | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/grantee-profiles/grtprofile-mchugh.html
      May 01, 2025 - Grantee Profile Improving Heart Health in Manufacturing Communities Megan McHugh, Ph.D. Professor of Emergency Medicine Feinberg School of Medicine Northwestern University “Manufacturing workers have historically earned higher wages than similar workers in other industries and are more likely to be offered …

9486. Improving Guidelines for Nursing Home-Associated Viral Respiratory Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/grantee-profiles/grtprofile-vogelmeier.html
      December 01, 2023 - Grantee Profile Improving Guidelines for Nursing Home-Associated Viral Respiratory Infections Amy Vogelsmeier, Ph.D., R.N., FAAN. Associate Professor Sinclair School of Nursing University of Missouri–Colombia Amy Vogelsmeier, Ph.D., R.N., FAAN “AHRQ as a funding agency has provided an imp…

9487. Failed spinal anaesthesia: mechanisms, management, and prevention. | PSNet
      psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-management-and-prevention
      August 04, 2021 - Review Failed spinal anaesthesia: mechanisms, management, and prevention. Citation Text: Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096. Copy Citation Format: …

9488. Medication safety in primary care practice: results from a PPRNet quality improvement intervention. | PSNet
      psnet.ahrq.gov/issue/medication-safety-primary-care-practice-results-pprnet-quality-improvement-intervention
      April 23, 2008 - Study Medication safety in primary care practice: results from a PPRNet quality improvement intervention. Citation Text: Wessell AM, Ornstein SM, Jenkins RG, et al. Medication Safety in Primary Care Practice: results from a PPRNet quality improvement intervention. Am J Med Qual. 2013;2…

9489. Creating effective quality-improvement collaboratives: a multiple case study. | PSNet
      psnet.ahrq.gov/issue/creating-effective-quality-improvement-collaboratives-multiple-case-study
      December 19, 2012 - Study Creating effective quality-improvement collaboratives: a multiple case study. Citation Text: Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives: a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159. …

9490. A cognitive forcing tool to mitigate cognitive bias—a randomised control trial. | PSNet
      psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial
      November 07, 2018 - Study A cognitive forcing tool to mitigate cognitive bias—a randomised control trial. Citation Text: O'Sullivan ED, Schofield SJ. A cognitive forcing tool to mitigate cognitive bias - a randomised control trial. BMC Med Educ. 2019;19(1):12. doi:10.1186/s12909-018-1444-3. Copy Citation …

9491. Next Steps to AHRQ Lab/Pharmacy Participation.
      hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn11.jsp
      August 01, 2014 - Next Steps to AHRQ Lab/Pharmacy Participation. An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs …

9492. Cognitive bias in clinical medicine. | PSNet
      psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine
      February 20, 2019 - Commentary Classic Cognitive bias in clinical medicine. Citation Text: O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48(3):225-232. doi:10.4997/JRCPE.2018.306. Copy Citation Format: DOI Google Sch…

9493. Identifying organizational cultures that promote patient safety. | PSNet
      psnet.ahrq.gov/issue/identifying-organizational-cultures-promote-patient-safety
      June 16, 2011 - Study Identifying organizational cultures that promote patient safety. Citation Text: Singer SJ, Falwell A, Gaba DM, et al. Identifying organizational cultures that promote patient safety. Health Care Manag Rev. 2009;34(4):300-311. doi:10.1097/HMR.0b013e3181afc10c. Copy Citation …

9494. Use of the common gas outlet for supplementary oxygen during Caesarean section. | PSNet
      psnet.ahrq.gov/issue/use-common-gas-outlet-supplementary-oxygen-during-caesarean-section
      August 04, 2021 - Commentary Use of the common gas outlet for supplementary oxygen during Caesarean section. Citation Text: Edsell MEG, Erasmus PD. Use of the common gas outlet for supplementary oxygen during Caesarean section. Anaesthesia. 2005;60(11):1152-3. Copy Citation Format: Google …

9495. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. | PSNet
      psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
      June 27, 2012 - Commentary Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Citation Text: Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…

9496. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. | PSNet
      psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors
      March 24, 2011 - Study Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Citation Text: Knudsen P, Herborg H, Mortensen AR, et al. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Qual Saf Health Care. 2007;1…

9497. Pagliari C et al. 2004 "Electronic Clinical Communications Implementation (ECCI) in Scotland: a mixed-methods programme evaluation." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/pagliari-c-et-al-2004
      January 01, 2004 - Pagliari C et al. 2004 "Electronic Clinical Communications Implementation (ECCI) in Scotland: a mixed-methods programme evaluation." Reference Pagliari C, Gilmour M, Sullivan F. Electronic Clinical Communications Implementation (ECCI) in Scotland: a mixed-methods programme evaluation. J Eval Clin Prac…

9498. Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. | PSNet
      psnet.ahrq.gov/issue/addressing-delays-medication-administration-patients-transferred-hospital-nursing-home-pilot
      November 16, 2022 - Study Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. Citation Text: Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred …

9499. Johns Hopkins University | Digital Healthcare Research
      digital.ahrq.gov/organization/johns-hopkins-university
      January 01, 2023 - Johns Hopkins University Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain Description This research examines whether remote therapeutic monitoring can imp…

9500. Federally Qualified Health Center | Digital Healthcare Research
      digital.ahrq.gov/care-setting/federally-qualified-health-center
      January 01, 2023 - Federally Qualified Health Center Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care Description This study will develop a prototype guide for the safe and effective integration of ambient digital scribes into primary care, providing insigh…