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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Recommendations and Areas for Future Research
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Table of Contents
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
The The…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mch-ref.html
April 01, 2018 - Chartbook on Healthy Living
Maternal and Child Health Care: References
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Table of Contents
Chartbook on Healthy Living
Acknowledgments
Healthy Living
Summary
Healthy Living Measures
Maternal and Child Health Care
Maternal and Child Health Care: Effectiveness Measu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4k
Selected Best Practices and Suggestions for Improvement
PSI 14: Postoperative Wound Dehiscence
Why Focus on Postoperative Wound Dehiscence?
• Postop…
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www.ahrq.gov/patient-safety/resources/learning-lab/re-engineering-postnatal-unit-care-long-desc.html
April 01, 2025 - Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality
Principal Investigator: Alison Stuebe, M.D., M.Sc., University of North Carolina, Chapel Hill, NC. Co-PIs: Kristin Tully, Ph.D., University of North Carolina, Chapel Hill, NC; Emily Patterson, Ph.D., The Oh…
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digital.ahrq.gov/ahrq-funded-projects/coordinating-transitions-health-information-technology-role-improving-multiple-chronic-disease-outcomes
January 01, 2023 - Coordinating Transitions: Health Information Technology Role in Improving Multiple Chronic Disease Outcomes
Project Final Report ( PDF , 570.62 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its conten…
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digital.ahrq.gov/2020-year-review/executive-summary
January 01, 2020 - Executive Summary
In early 2020, the burdens of the global COVID-19 pandemic forced society to shut down and disrupted our healthcare system within the span of a few weeks. Fortunately, the application of digital healthcare technologies and digital practices in healthcare—such as artificial …
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psnet.ahrq.gov/node/49793/psn-pdf
May 01, 2017 - Hemolysis Holdup
May 1, 2017
Lehman CM. Hemolysis Holdup. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hemolysis-holdup
The Case
A 72-year-old man with congestive heart failure due to nonischemic cardiomyopathy, stage 3 chronic
kidney disease, atrial fibrillation, and type 2 diabetes mellitus presented t…
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psnet.ahrq.gov/node/33781/psn-pdf
March 01, 2015 - In Conversation With… Brian Jarman, PhD
March 1, 2015
In Conversation With… Brian Jarman, PhD. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
Editor's note: Sir Brian Jarman is an emeritus professor at Imperial College School of Medicine and a
past president of the Britis…
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-nsaids/aspirin-nsaids-for-prevention-of-colorectal-cancer-preventive-medication-2007
March 15, 2007 - blood testing can reduce CRC-related death by 21%, and it has been reported that flexible sigmoidoscopy reduces … Misoprostol reduces serious gastrointestinal complications in patients with rheumatoid arthritis receiving
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/vxPM4Bo9RXZGUDH6MWnDht
May 01, 2013 - Attachment-based family therapy reduces suicidal ideation in
adolescents.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary34/lipid-disorders-in-children-screening-2007
July 15, 2007 - studies were identified that directly evaluated whether treatment of idiopathic dyslipidemia in childhood reduces … CHD-related events (Key Question 4), or whether improving dyslipidemia in children and adolescents reduces
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www.ahrq.gov/nursing-home/resources/ventilation-covid-19.html
May 01, 2022 - Ventilation (COVID-19)
Resource: Ventilation (COVID-19)
This page provides an updated version of the Centers for Disease Control and Prevention's recommended strategies for using ventilation to reduce exposures to COVID-19, and features ventilation improvement tools and FAQs.
Source: CDC
Topic(s): Inf…
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www.ahrq.gov/hai/cusp/videos/03a-engage-senior-exec/index.html
June 01, 2018 - Engage the Senior Executive
CUSP Toolkit
The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit.
Engage the Seni…
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www.ahrq.gov/antibiotic-use/acute-care/safety/changes.html
November 01, 2019 - Making Effective Changes in Antibiotic Decision Making
After viewing or presenting this presentation viewers will be able to—
Identify relevant factors that could improve antibiotic use
Identify interventions to reduce future harm associated with unnecessary antibiotic use
Apply interventions to effe…
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psnet.ahrq.gov/node/40299/psn-pdf
April 16, 2018 - Medication errors in the emergency department: need for
pharmacy involvement?
April 16, 2018
https://psnet.ahrq.gov/issue/medication-errors-emergency-department-need-pharmacy-involvement
This piece reports on the prevalence of medication errors in the emergency department and suggests
expanding pharmacy involvemen…
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psnet.ahrq.gov/node/37305/psn-pdf
January 02, 2011 - Medication administration in anesthesia: time for a
paradigm shift.
January 2, 2011
Stabile M; Webster CS; Merry AF.
https://psnet.ahrq.gov/issue/medication-administration-anesthesia-time-paradigm-shift
To reduce anesthesia administration errors, the authors propose changing the organizational culture to
foster a…
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psnet.ahrq.gov/node/37574/psn-pdf
February 27, 2008 - Patient safety: the synergy of technology and behavior.
February 27, 2008
Yarbrough C, Rypkema S. Patient Saf Qual Healthc. January/February 2008.
https://psnet.ahrq.gov/issue/patient-safety-synergy-technology-and-behavior
This article describes how one Veterans Affairs hospital employed teamwork, checklists, and t…
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psnet.ahrq.gov/node/40497/psn-pdf
June 15, 2011 - Are we finally getting serious about medical errors?
June 15, 2011
Burns J.
https://psnet.ahrq.gov/issue/are-we-finally-getting-serious-about-medical-errors
This article explores the challenges to improving patient safety and discusses strategies for reducing
medical errors.
https://psnet.ahrq.gov/issue/are-we-fi…
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psnet.ahrq.gov/node/34905/psn-pdf
February 25, 2009 - On the quest for Six Sigma.
February 25, 2009
Moorman D. On the quest for Six Sigma. Am J Surg. 2005;189(3):253-8.
https://psnet.ahrq.gov/issue/quest-six-sigma
This discussion of patient safety from a surgical perspective highlights issues involving hierarchy, human
factors, and multidisciplinary team training as …
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psnet.ahrq.gov/node/41475/psn-pdf
June 20, 2012 - Behind one hospital's fight against deadly infection.
June 20, 2012
Landro L.
https://psnet.ahrq.gov/issue/behind-one-hospitals-fight-against-deadly-infection
This newspaper article describes how one hospital reduced hospital-acquired infection rates.
https://psnet.ahrq.gov/issue/behind-one-hospitals-fight-against…