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psnet.ahrq.gov/issue/teams-psychologists-helping-teams-evolution-science-team-training
February 26, 2020 - Commentary
Emerging Classic
Teams of psychologists helping teams: the evolution of the science of team training.
Citation Text:
Bisbey TM, Reyes DL, Traylor AM, et al. Teams of psychologists helping teams: The evolution of the science of team training. Am Psycho…
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psnet.ahrq.gov/issue/adverse-drug-reactions-and-therapeutic-errors-older-adults-hazard-factor-analysis-poison
September 09, 2013 - Study
Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data.
Citation Text:
Cobaugh DJ, Krenzelok EP. Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. Am J Health Syst …
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psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
July 24, 2024 - Commentary
Alarm fatigue: use of an evidence-based alarm management strategy.
Citation Text:
Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223.
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psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center
December 05, 2013 - Study
Analysis of laboratory critical value reporting at a large academic medical center.
Citation Text:
Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;125(5):758-64.
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psnet.ahrq.gov/issue/coaching-program-improve-employee-engagement-culture-safety-and-patient-experience
April 05, 2013 - Study
A coaching program to improve employee engagement, culture of safety, and patient experience.
Citation Text:
Scheurer D, Coulter A, Harper K, et al. A coaching program to improve employee engagement, culture of safety, and patient experience. NEJM Catalyst. 2024;6(1):CAT.24.0225. d…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/latent-tb-screening-final-rec-bulletin.pdf
May 02, 2023 - Task Force Issues Final Recommendation Statement on Screening for Latent Tuberculosis Infection
www.uspreventiveservicestaskforce.org 1
Task Force Issues Final Recommendation Statement on
Screening for Latent Tuberculosis Infection
Adults at increased risk for tuberculosis should be screened
WASHINGTON,…
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psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-clabsi-and-cauti-final-report
April 06, 2022 - Book/Report
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report.
Citation Text:
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and …
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit
October 05, 2022 - Study
Medication errors in a neonatal intensive care unit.
Citation Text:
Lerner RB de ME, de Carvalho M, Vieira AA, et al. Medication errors in a neonatal intensive care unit. J Pediatr (Rio J). 2008;84(2):166-70. doi:10.2223/JPED.1757.
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digital.ahrq.gov/2019-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
January 01, 2019 - Supporting Clinicians to Improve Decision Making and Patients' Care
Research funded by AHRQ’s Digital Healthcare Research Program aims to support clinicians and other healthcare professionals in providing health services. In 2019, total program investment in research to support clinical …
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psnet.ahrq.gov/issue/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-transitions
October 19, 2022 - Study
A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.
Citation Text:
Coverdill JE, Carbonell AM, Fryer J, et al. A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Acad Med. 2010;85(10 Suppl):S72-5. doi:1…
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www.ahrq.gov/sops/resources/case-studies.html
March 01, 2025 - Impact Case Studies on the SOPS Surveys
AHRQ’s collection of Impact Case Studies highlights successes of organizations using AHRQ’s evidence-based tools and resources. Below are success stories from organizations that used the SOPS Surveys grouped by year the case study was published. Contact us at ImpactCas…
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digital.ahrq.gov/ahrq-funded-projects/improving-identification-and-coordination-mobility-interventions-icu-using
April 01, 2024 - Improving Identification And Coordination Of Mobility Interventions In The ICU Using Clinical Decision Support
Project Description
The ASSIST-ICU clinical decision support system (CDSS) holds promise for assisting intensive care unit (ICU) nurses and physical therapists to make…
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www.ahrq.gov/talkingquality/plan/pay.html
November 01, 2018 - How Will You Pay for a Health Care Quality Report?
A consumer reporting project is not cheap, although there are ways to reduce costs and spread them across multiple parties (including other sponsors and participating health plans or providers). Data collection costs can range from as little as a few thousand…
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psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
August 12, 2020 - Newspaper/Magazine Article
10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety.
Citation Text:
10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety…
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psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
February 10, 2016 - Book/Report
The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events.
Citation Text:
The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resourc…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.docx
March 01, 2022 - FAQs (Staff): Wound Cleaning
Decolonization of
Non-ICU Patients With Devices
Section 14-5 – Addressing Questions Asked by Staff:
Wound Cleaning
There are some new nurses and nursing assistants on our unit. How can I ease any concerns related to wound cleaning?
Some nurses and nursing assistants feel comfortable us…
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psnet.ahrq.gov/issue/medical-professional-liability-insurance-and-its-relation-medical-error-and-healthcare-risk
December 21, 2014 - Review
Medical professional liability insurance and its relation to medical error and healthcare risk management for the practicing physician.
Citation Text:
Abbott RL, Weber P, Kelley B. Medical professional liability insurance and its relation to medical error and healthcare risk man…
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psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
December 14, 2016 - Commentary
Safe medication management at ambulatory surgery centers.
Citation Text:
Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442. doi:10.1002/aorn.12635.
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psnet.ahrq.gov/issue/when-less-better-physicians-are-afraid-not-intervene
July 29, 2020 - Commentary
When less is better, but physicians are afraid not to intervene.
Citation Text:
Esserman L. When Less Is Better, but Physicians Are Afraid Not to Intervene. JAMA Intern Med. 2016;176(7):888-9. doi:10.1001/jamainternmed.2016.2257.
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psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosing-errors-when-switching-between
April 08, 2020 - Government Resource
FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved.
Citation Text:
FDA Drug Safety Communication: FDA cautions about dosing errors when switchi…