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psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies
November 27, 2018 - Toolkit
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies.
Citation Text:
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. Oakbrook, IL: Joint Commission Resources; January 2014.
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psnet.ahrq.gov/issue/health-services-safety-investigations-body
February 04, 2015 - Multi-use Website
Health Services Safety Investigations Body.
Citation Text:
Health Services Safety Investigations Body. Lytchett House, 13 Freeland Park, Wareham Road, Poole, Dorset, BH16 6FA.
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psnet.ahrq.gov/issue/ana-cauti-prevention-tool
September 14, 2016 - Toolkit
ANA CAUTI Prevention Tool.
Citation Text:
ANA CAUTI Prevention Tool. Silver Spring, MD: American Nurses Association; 2015.
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digital.ahrq.gov/organization/massachusetts-general-hospital
January 01, 2023 - Massachusetts General Hospital
Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using Large Language Models and Machine Learning
Description
This research uses large language models and machine learning to retrospectively analyze electronic health …
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psnet.ahrq.gov/issue/medical-mistakes-no-longer-billable-bold-steps-taken-state-reduce-hospital-errors
August 06, 2008 - Newspaper/Magazine Article
Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors.
Citation Text:
Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors. Smith S.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0647-13114.pdf
June 21, 2013 - Topic 0548 Comparative Effectiveness of Treatments for MDD NSD FINAL SJ
Comparative Effectiveness of Treatment for
Major Depressive Disorder
Nomination Summary Document
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psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 2022 - Study
Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm.
Citation Text:
Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1)…
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psnet.ahrq.gov/issue/initiative-reduce-insulin-related-adverse-drug-events-childrens-hospital
March 24, 2021 - Study
An initiative to reduce insulin-related adverse drug events in a children's hospital.
Citation Text:
Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds…
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digital.ahrq.gov/ahrq-funded-projects/first-do-no-harm-using-health-information-technology-reduce-use-preventive
January 01, 2023 - "First, Do No Harm": Using Health Information Technology to Reduce Use of Preventive Services with Potential Harms
Project Description
Annual Summaries
Project Details -
Completed
Contract Number
290-09-00032U
Funding Mechanism(s)
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psnet.ahrq.gov/issue/early-prescribing-outcomes-after-exporting-equipped-medication-safety-improvement-programme
September 09, 2020 - Study
Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme.
Citation Text:
Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001…
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psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures
February 02, 2011 - Study
Impact of extended-duration shifts on medical errors, adverse events, and attentional failures.
Citation Text:
Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487.
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psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review
March 08, 2023 - Review
Sitters as a patient safety strategy to reduce hospital falls: a systematic review.
Citation Text:
Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628.
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psnet.ahrq.gov/issue/multifactorial-interventions-reduce-duration-and-variability-delays-identification-serious
July 20, 2022 - Study
Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients.
Citation Text:
Saleem J, Sarma D, Wright H, et al. Multifactorial interventions to reduce duration and variability in delays to identifi…
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psnet.ahrq.gov/issue/supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-randomized-controlled
March 09, 2022 - Study
Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial.
Citation Text:
Belda J, Aguilera L, de la Asunción JG, et al. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. JAMA…
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psnet.ahrq.gov/issue/collaborative-cohort-study-intervention-reduce-ventilator-associated-pneumonia-intensive-care
September 20, 2011 - Study
Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.
Citation Text:
Berenholtz SM, Pham JC, Thompson DA, et al. Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive …
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psnet.ahrq.gov/issue/impact-pharmacist-facilitated-hospital-discharge-program-quasi-experimental-study
December 21, 2014 - Study
Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.
Citation Text:
Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. d…
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www.ahrq.gov/research/publications/search.html?page=13
September 01, 2014 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 131 - 140 of 191 Publications displayed
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psnet.ahrq.gov/issue/do-user-applied-safety-labels-medication-syringes-reduce-incidence-medication-errors-during
February 28, 2024 - Review
Do user-applied safety labels on medication syringes reduce the incidence of medication errors during rapid medical response intervention for deteriorating patients in wards? A systematic search and review.
Citation Text:
Mikhail J, Grantham H, King L. Do User-Applied Safety Label…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/promoting-emotional-wellbeing.pdf
March 01, 2022 - Best Practices for Promoting Emotional Well-Being in Nursing Home Residents
Best Practices for Promoting Emotional Well-Being
in Nursing Home Residents
Efforts to slow the spread of COVID-19 in nursing homes have left many residents socially isolated. Isolation can contribute to anxiety,
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psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-pediatric-oncology-patients
July 19, 2023 - Study
Eliminating central line associated bloodstream infections in pediatric oncology patients: a quality improvement effort.
Citation Text:
Willis DN, Looper K, Malone RA, et al. Eliminating central line associated bloodstream infections in pediatric oncology patients: a quality improv…