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psnet.ahrq.gov/issue/evaluating-implementation-rapid-response-team-considering-alternative-outcome-measures
October 19, 2022 - Study
Evaluating implementation of a rapid response team: considering alternative outcome measures.
Citation Text:
Moriarty JP, Schiebel NE, Johnson MG, et al. Evaluating implementation of a rapid response team: considering alternative outcome measures. Int J Qual Health Care. 2014;26(1)…
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psnet.ahrq.gov/issue/interventions-improve-hand-hygiene-compliance-patient-care
September 09, 2020 - Review
Interventions to improve hand hygiene compliance in patient care.
Citation Text:
Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4.
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psnet.ahrq.gov/issue/minimizing-bias-when-using-artificial-intelligence-critical-care-medicine
September 23, 2020 - Review
Minimizing bias when using artificial intelligence in critical care medicine.
Citation Text:
Ranard BL, Park S, Jia Y, et al. Minimizing bias when using artificial intelligence in critical care medicine. J Crit Care. 2024;82:154796. doi:10.1016/j.jcrc.2024.154796.
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psnet.ahrq.gov/issue/impact-interruptions-medication-errors-hospitals-observational-study-nurses
November 15, 2017 - Study
The impact of interruptions on medication errors in hospitals: an observational study of nurses.
Citation Text:
Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507.…
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psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
April 12, 2011 - Study
Risk management, or just a different risk: a national survey of newborn units following a patient safety alert.
Citation Text:
Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.08954…
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psnet.ahrq.gov/issue/recommendations-national-panel-quality-improvement-obstetrics
July 12, 2023 - Commentary
Recommendations from a national panel on quality improvement in obstetrics.
Citation Text:
Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.…
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psnet.ahrq.gov/issue/eleven-basic-procedurespractices-dental-patient-safety
March 27, 2013 - Commentary
Eleven basic procedures/practices for dental patient safety.
Citation Text:
Perea-Pérez B, Labajo-González E, Acosta-Gío AE, et al. Eleven basic procedures/practices for dental patient safety. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000234.
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www.ahrq.gov/news/newsroom/case-studies/201507.html
April 01, 2015 - Memorial Hospital Uses AHRQ Resources to Cut Readmissions, Promote Patient Self-Management
Search All Impact Case Studies
April 2015
Memorial Hospital, a 97-bed community hospital in Marysville, Ohio, uses strategies from AHRQ's Re-Engineered Discharge (RED) toolkit to help newly discharged patients follo…
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psnet.ahrq.gov/issue/color-coded-medication-safety-system-reduces-community-pediatric-emergency-nursing-medication
April 05, 2023 - Study
Color coded medication safety system reduces community pediatric emergency nursing medication errors.
Citation Text:
Feleke R, Kalynych CJ, Lundblom B, et al. Color coded medication safety system reduces community pediatric emergency nursing medication errors. J Patient Saf. 2009…
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - We then systematically reduced the workload, repeating the
experimental runs, and determined that, … proactive safety interventions on overall systemic risk in a hospital and the
unintended consequences of reduced
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/dL4dSze-jDjCPgDAzQ_Byj
January 01, 2015 - Breast Cancer Screening Final Recommendation Statement
Frequently Asked Questions
About the 2016 Final Recommendations
What are the Task Force’s breast cancer screening recommendations?
With these final recommendations, the Task Force recognizes that mammography is an important tool
in the fight against breas…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/jaK5cMrYT_E3QkSzf93qbo
January 01, 2015 - Breast Cancer Screening Final Recommendation Statement
Frequently Asked Questions
About the 2016 Final Recommendations
What are the Task Force’s breast cancer screening recommendations?
With these final recommendations, the Task Force recognizes that mammography is an important tool
in the fight against breas…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-slides.html
October 01, 2020 - Implementing Your Surgical Site Infection Prevention Bundle: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Implementing Your Surgical Site Infection Prevention Bundle
Slide 2: Learning Objectives
After this session, you will be able to–
…
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psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - Care Managers Use Software-Aided Medication Review
Protocol for Frail, Community-Dwelling Seniors, Leading
to More Appropriate Medication Use
March 31, 2021
https://psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-
community-dwelling
Summary
Care management staff (such …
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Value and Patient Safety
Curated Library
Foundations
Safety is the preservation of value.
Vandeskog B. J Safety Res. 2024;89:105-115.
Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among safety
resea…
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psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
May 01, 2016 - in alarms.( 11-12 ) One study showed that lowering SpO2 alarm limits to 88% with a 15-second delay reduced
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effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1406.pdf
June 01, 2014 - The approved indication is “as an adjunct to a reduced-calorie diet and increased physical
ES- … Similarly, participants with hypertension at baseline
7
showed reduced systolic blood pressure … The approved indication is as “an adjunct to a reduced-calorie diet and increased physical
activity … However, the long-term healthcare cost may be reduced if this drug improves diabetes,
hyperlipidemia … of the drug suggested that lorcaserin acts
through increasing satiety; patients taking lorcaserin reduced
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/mk-eb9VtB_jx885wnjuzk3
January 01, 2024 - RELEVANCE In adults at increased CVD risk but without prior CVD events,
statin therapy was associated with reduced … Statins were associated with reduced risk vs placebo of
all-cause mortality (15 trials; RR, 0.86 after … clear association between
statin use and increased risk of diabetes, with 1 trial (WOSCOPS)
reporting reduced … increased cardiovascular risk but without prior cardio-
vascular events, statin therapy was associated with reduced … patients with prior cardiovascular events, found an
association between the degree of LDL-C lowering and reduced
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation-ablation_surveillance.pdf
May 16, 2013 - findings, 2 non-RCTs9,10 showed female gender was associated
with either a significantly increased10 or reduced … Conversely, increased levels of
AF cycle length9 and monocyte CD36FL11 were associated with significantly reduced … Other)
In 2 studies,9,10
female gender was
associated with
either a significantly
increased10 or
reduced … volume,35
pericardial fat,36 %
of continuous
electrical activity,41
BMI,40 plasma ET,39
DROM,38 reduced … #10 (#6 OR #7 OR #8 OR #9) (2542)
#11 (#5 AND #10) (377)
#12 (#11), from 2008 to 2011(164)
Reduced
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
October 01, 2014 - As a clinician, you can call the tobacco quitline and ask about any sources of free or reduced cost medication … Improved appearance including reduced wrinkling/aging of skin and whiter teeth.