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2481. Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program. | PSNet
      psnet.ahrq.gov/issue/mastering-improvement-science-skills-new-era-quality-and-safety-veterans-affairs-national
      December 12, 2012 - Commentary Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National Quality Scholars Program. Citation Text: Estrada CA, Dolansky MA, Singh MK, et al. Mastering improvement science skills in the new era of quality and safety: the Veterans…

2482. Injection practices among clinicians in United States health care settings. | PSNet
      psnet.ahrq.gov/issue/injection-practices-among-clinicians-united-states-health-care-settings
      January 06, 2017 - Study Injection practices among clinicians in United States health care settings. Citation Text: Pugliese G, Gosnell C, Bartley JM, et al. Injection practices among clinicians in United States health care settings. Am J Infect Control. 2010;38(10):789-798. doi:10.1016/j.ajic.2010.09.00…

2483. Using an interactive voice response system to improve patient safety following hospital discharge. | PSNet
      psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
      February 01, 2017 - Study Using an interactive voice response system to improve patient safety following hospital discharge. Citation Text: Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51. …

2484. Barriers and facilitators to communicating nursing errors in long-term care settings. | PSNet
      psnet.ahrq.gov/issue/barriers-and-facilitators-communicating-nursing-errors-long-term-care-settings
      March 27, 2018 - Study Barriers and facilitators to communicating nursing errors in long-term care settings. Citation Text: Wagner LM, Damianakis T, Pho L, et al. Barriers and facilitators to communicating nursing errors in long-term care settings. J Patient Saf. 2013;9(1):1-7. doi:10.1097/PTS.0b013e31…

2485. Differential impact of a crew resource management program according to professional specialty. | PSNet
      psnet.ahrq.gov/issue/differential-impact-crew-resource-management-program-according-professional-specialty
      July 31, 2013 - Study Differential impact of a crew resource management program according to professional specialty. Citation Text: Suva D, Haller G, Lübbeke A, et al. Differential impact of a crew resource management program according to professional specialty. Am J Med Qual. 2012;27(4):313-20. doi:1…

2486. Patient safety and medical malpractice: a case study. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-medical-malpractice-case-study
      May 20, 2015 - Commentary Patient safety and medical malpractice: a case study. Citation Text: Brennan TA, Mello MM. Patient safety and medical malpractice: a case study. Ann Intern Med. 2003;139(4):267-73. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

2487. A middle ground on public accountability. | PSNet
      psnet.ahrq.gov/issue/middle-ground-public-accountability
      March 02, 2011 - Commentary Classic A middle ground on public accountability. Citation Text: Lee TH, Meyer GS, Brennan TA. A middle ground on public accountability. N Engl J Med. 2004;350(23):2409-2412. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

2488. Noise in the operating room—what do we know? A review of the literature. | PSNet
      psnet.ahrq.gov/issue/noise-operating-room-what-do-we-know-review-literature
      August 13, 2014 - Review Noise in the operating room—what do we know? A review of the literature. Citation Text: Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room--what do we know? A review of the literature. J Perianesth Nurs. 2010;25(6):380-6. doi:10.1016/j.jopan.2010.10.001. Copy Cit…

2489. Sleep and alertness in a duty-hour flexibility trial in internal medicine. | PSNet
      psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
      March 13, 2019 - Study Emerging Classic Sleep and alertness in a duty-hour flexibility trial in internal medicine. Citation Text: Sleep and alertness in a duty-hour flexibility trial in internal medicine. Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. …

2490. Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. | PSNet
      psnet.ahrq.gov/issue/identification-root-causes-emergency-diagnostic-imaging-delays-three-canadian-hospitals
      July 02, 2014 - Study Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. Citation Text: Worster A, Fernandes CMB, Malcolmson C, et al. Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. J Emerg Nurs. 2006;3…

2491. Lehigh Valley Hospital: engaging patients and families. | PSNet
      psnet.ahrq.gov/issue/lehigh-valley-hospital-engaging-patients-and-families
      January 04, 2017 - Award Recipient Lehigh Valley Hospital: engaging patients and families. Citation Text: Anthony R, Ritter M, Davis R, et al. Lehigh Valley Hospital: engaging patients and families. Jt Comm J Qual Patient Saf. 2005;31(10):566-72. Copy Citation Format: Google Scholar PubMed Bi…

2492. Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. | PSNet
      psnet.ahrq.gov/issue/adapting-joint-commissions-seven-foundations-safe-and-effective-transitions-care-home
      July 10, 2024 - Commentary Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. Citation Text: Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/N…

2493. Transforming Care for People Living with Multiple Chronic Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-arlene.pdf
      November 17, 2020 - Transforming Care for People Living with Multiple Chronic Conditions Transforming Care for People Living with Multiple Chronic Conditions Arlene Bierman, M.D., M.S. Director, Center for Evidence and Practice Improvement Agency for Healthcare Research and Quality November 17, 2020 Why MCC? • Common, Costly • H…

2494. Data Query Tools
      hcup-us.ahrq.gov/dataquerytools.jsp
      February 01, 2023 - Data Query Tools An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

2495. USA, IL, Chicago | Digital Healthcare Research
      digital.ahrq.gov/location/usa-il-chicago
      January 01, 2023 - USA, IL, Chicago A Machine Learning Health System to Integrate Care for Substance Misuse and HIV Treatment and Prevention Among Hospitalized Patients Description This research will develop, train, test, and evaluate a machine learning classifier to identify risk for HIV acquis…

2496. Revealing Disparities: Health Care Workers’ Observations of Discrimination Against Patients. | PSNet
      psnet.ahrq.gov/issue/revealing-disparities-health-care-workers-observations-discrimination-against-patients
      April 12, 2006 - Book/Report Revealing Disparities: Health Care Workers’ Observations of Discrimination Against Patients. Citation Text: Revealing Disparities: Health Care Workers’ Observations of Discrimination Against Patients. Fernandez H, Ayo-Vaughan M, Zephyrin LC, et al. New York, NY: The Commonwea…

2497. AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. | PSNet
      psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
      May 25, 2016 - Toolkit AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Citation Text: AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. Copy Citation Save Save to your library Print …

2498. How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. | PSNet
      psnet.ahrq.gov/issue/how-discrimination-health-care-affects-older-americans-and-what-health-systems-and-providers
      February 28, 2024 - Book/Report How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Citation Text: How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Doty MM, Horstman C, Shah A et al. Issue Brief. New…

2499. Organizational culture as a source of high reliability. | PSNet
      psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
      December 03, 2018 - Commentary Classic Organizational culture as a source of high reliability. Citation Text: Weick KE. Organizational Culture as a Source of High Reliability. Calif Manage Rev. 2012;29(2):112-127. doi:10.2307/41165243. Copy Citation Format: DOI Google…

2500. Fighting against COVID-19: innovative strategies for clinical pharmacists. | PSNet
      psnet.ahrq.gov/issue/fighting-against-covid-19-innovative-strategies-clinical-pharmacists
      March 24, 2019 - Commentary Fighting against COVID-19: innovative strategies for clinical pharmacists. Citation Text: Li H, Zheng S, Liu F, et al. Fighting against COVID-19: innovative strategies for clinical pharmacists. Res Social Adm Pharm. 2020. doi:10.1016/j.sapharm.2020.04.003. Copy Citation …