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psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
March 09, 2022 - Study
Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis.
Citation Text:
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…
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psnet.ahrq.gov/issue/technological-distractions-part-1-and-part-2
April 24, 2018 - Review
Technological distractions—part 1 and part 2.
Citation Text:
Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. Crit Care …
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psnet.ahrq.gov/issue/evaluation-hand-hygiene-intensive-care-unit-are-visitors-potential-vector-pathogens
April 22, 2015 - Study
An evaluation of hand hygiene in an intensive care unit: are visitors a potential vector for pathogens?
Citation Text:
Birnbach DJ, Rosen LF, Fitzpatrick M, et al. An evaluation of hand hygiene in an intensive care unit: Are visitors a potential vector for pathogens? J Infect Publi…
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psnet.ahrq.gov/issue/improving-hospital-infant-safe-sleep-compliance-using-safety-prevention-bundle-methodology
March 09, 2022 - Study
Improving hospital infant safe sleep compliance by using safety prevention bundle methodology.
Citation Text:
Batra EK, Lewis ML, Saravana D, et al. Improving hospital infant safe sleep compliance by using safety prevention bundle methodology. Pediatrics. 2021;148(6):e2020033704. d…
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psnet.ahrq.gov/issue/team-based-intervention-reduce-impact-nonactionable-alarms-adult-intensive-care-unit
November 16, 2022 - Study
Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit.
Citation Text:
Yeh J, Wilson R, Young L, et al. Team-Based Intervention to Reduce the Impact of Nonactionable Alarms in an Adult Intensive Care Unit. J Nurs Care Qual. 2019;35(2):1…
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psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and
August 28, 2013 - Study
Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication.
Citation Text:
Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Fa…
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psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
March 04, 2011 - Study
Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.
Citation Text:
Kozer E, Scolnik D, MacPherson A, et al. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency departme…
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psnet.ahrq.gov/issue/bundle-interventions-including-nontechnical-skills-surgeons-can-reduce-operative-time-and
June 24, 2020 - Study
Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety.
Citation Text:
Koike D, Nomura Y, Nagai M, et al. Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safe…
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psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response
May 20, 2016 - Commentary
Healthcare-associated infections: a national patient safety problem and the coordinated response.
Citation Text:
Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.109…
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psnet.ahrq.gov/issue/information-technology-based-approaches-reducing-repeat-drug-exposure-patients-known-drug
December 21, 2022 - Commentary
Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies.
Citation Text:
Cresswell K, Sheikh A. Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. J Allergy Cli…
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psnet.ahrq.gov/issue/medication-errors-and-processes-reduce-them-care-homes-united-kingdom-scoping-review
October 28, 2020 - Review
Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review.
Citation Text:
Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Serv Q.…
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psnet.ahrq.gov/issue/specifications-computerized-provider-order-entry-and-clinical-decision-support-systems-cancer
April 24, 2019 - Review
Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review.
Citation Text:
Rahimi R, Kazemi A, Moghaddasi H, et al. Specifications of Computerized Provider Order Entry and Clinical Deci…
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing
August 02, 2017 - Study
Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting.
Citation Text:
Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient safety risks related to t…
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psnet.ahrq.gov/issue/high-fidelity-simulation-based-interdisciplinary-operating-room-team-training-point-care
September 16, 2009 - Study
High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care.
Citation Text:
Paige JT, Kozmenko V, Yang T, et al. High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. Surgery. 2009;145(2):138…
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psnet.ahrq.gov/issue/automation-i-pass-tool-improve-transitions-care
August 04, 2021 - Study
Automation of the I-PASS tool to improve transitions of care.
Citation Text:
Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174.
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psnet.ahrq.gov/issue/reducing-cardiopulmonary-arrest-rates-three-year-regional-rapid-response-system-collaborative
March 04, 2011 - Study
Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative.
Citation Text:
Rosen MJ, Hoberman AJ, Ruiz RE, et al. Reducing cardiopulmonary arrest rates in a three-year regional rapid response system collaborative. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/addressing-adultification-black-pediatric-patients-emergency-department-framework-decrease
October 27, 2021 - Commentary
Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities.
Citation Text:
Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. He…
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psnet.ahrq.gov/issue/decreasing-misdiagnoses-urinary-tract-infections-pediatric-emergency-department
October 26, 2022 - Study
Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department.
Citation Text:
Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/pe…
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www.ahrq.gov/news/newsroom/press-releases/state-based-health-extension-cooperatives.html
September 01, 2024 - AHRQ Announces Historic Funding Opportunities to Establish State-based Solutions to Accelerate Health Care Improvement
Press Release Date: September 9, 2024
Today, the Agency for Healthcare Research and Quality (AHRQ) at the U.S. Department of Health and Human Services (HHS) announced a Notice of Funding Opportu…
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psnet.ahrq.gov/issue/machine-learning-models-outperform-manual-result-review-identification-wrong-blood-tube
May 13, 2020 - Study
Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results.
Citation Text:
Farrell C‐JL, Giannoutsos J. Machine learning models outperform manual result review for the identification of wrong blood in…