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psnet.ahrq.gov/issue/cusp-stop-bsi-evaluating-relationship-between-central-line-associated-bloodstream-infection
January 30, 2013 - Study
On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile.
Citation Text:
Weaver SJ, Weeks K, Pham JC, et al. On the CUSP: Stop BSI: evaluating the relationship between central line-associated bl…
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psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
February 18, 2009 - Study
Is the test result correct? A questionnaire study of blood collection practices in primary health care.
Citation Text:
Söderberg J, Wallin O, Grankvist K, et al. Is the test result correct? A questionnaire study of blood collection practices in primary health care. J Eval Clin Pr…
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psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution
March 01, 2023 - Review
The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution?
Citation Text:
Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Co…
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psnet.ahrq.gov/issue/unintentionally-retained-foreign-objects-descriptive-study-308-sentinel-events-and
March 20, 2019 - Study
Emerging Classic
Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors.
Citation Text:
Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentine…
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psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies
March 15, 2016 - Review
The effect of bedrails on falls and injury: a systematic review of clinical studies.
Citation Text:
Healey F, Oliver D, Milne A, et al. The effect of bedrails on falls and injury: a systematic review of clinical studies. Age Ageing. 2008;37(4):368-78. doi:10.1093/ageing/afn112. …
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psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items
July 10, 2024 - Commentary
Stop the line: interventions to prevent retained surgical items.
Citation Text:
Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190.
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Format:
DOI Google Scholar BibTeX EndNot…
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psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current
November 17, 2010 - Review
Making use of mortality data to improve quality and safety in general practice: a review of current approaches.
Citation Text:
Baker R, Sullivan E, Camosso-Stefinovic J, et al. Making use of mortality data to improve quality and safety in general practice: a review of current ap…
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psnet.ahrq.gov/issue/implementation-and-spread-simple-and-effective-way-improve-accuracy-medicines-reconciliation
March 04, 2009 - Study
Implementation and spread of a simple and effective way to improve the accuracy of medicines reconciliation on discharge: a hospital-based quality improvement project and success story.
Citation Text:
Botros S, Dunn J. Implementation and spread of a simple and effective way to impr…
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psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers
April 13, 2022 - Study
Proactive risk assessment of surgical site infections in ambulatory surgery centers.
Citation Text:
Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.000000000…
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psnet.ahrq.gov/issue/patient-safety-toolkit-general-practice
April 25, 2018 - Commentary
Building a Patient Safety Toolkit for use in general practice.
Citation Text:
Bell BG, Spencer R, Marsden K, et al. Building a Patient Safety Toolkit for use in general practice. InnovAiT. 2016;9(9):557-562. doi:10.1177/1755738016650468.
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DOI…
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psnet.ahrq.gov/issue/increasing-vigilance-medicalsurgical-floor-improve-patient-safety
January 18, 2011 - Study
Increasing vigilance on the medical/surgical floor to improve patient safety.
Citation Text:
Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x.
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…
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psnet.ahrq.gov/issue/patient-safety-climate-study-southern-california-healthcare-organizations
June 26, 2019 - Study
Patient safety climate: a study of Southern California healthcare organizations.
Citation Text:
Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004.
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psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
September 02, 2020 - Study
Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice?
Citation Text:
Kelcikova S, Mazuchova L, Bielena L, et al. Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice? J Clin Nurs. 2019;28(11-12):226…
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psnet.ahrq.gov/issue/see-one-sim-one-do-one-national-pre-internship-boot-camp-ensure-safer-student-doctor
February 16, 2011 - Study
"See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition.
Citation Text:
Minha S'ar, Shefet D, Sagi D, et al. "See One, Sim One, Do One"- A National Pre-Internship Boot-Camp to Ensure a Safer "Student to Doctor" Transition. PLo…
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www.ahrq.gov/topics/hospital-discharge.html
Topic: Hospital Discharge
AHRQ has research, tools and resources for clinicians to improve the hospital discharge process, including the Re-Engineered Discharge Toolkit.
Improving Hospital Discharge Through Medication Reconciliation and Education
Improving the Emerg…
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www.ahrq.gov/topics/methicillin-resistant-staphylococcus-aureus-mrsa.html
Topic: Methicillin-Resistant Staphylococcus aureus (MRSA)
Methicillin resistant Staphylococcus aureus (MRSA), is a healthcare-associated infection (HAI). HAIs are among the leading threats to patient safety, affecting one out of every 31 hospital patients at any one time. AHRQ has research, tools, programs and reso…
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psnet.ahrq.gov/node/38153/psn-pdf
October 15, 2008 - Geisinger Health System's plan to fix America's health
care.
October 15, 2008
Carbonara P. Fast Company. October 2008.
https://psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
This magazine article describes how one health system is using an evidence-based, pay-for-performance
program t…
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psnet.ahrq.gov/node/39661/psn-pdf
November 02, 2010 - The value of 'gentle reminder' on safe medical behaviour.
November 2, 2010
Erev I, Rodensky D, Levi M-A, et al. The value of 'gentle reminder' on safe medical behaviour. Qual Saf
Health Care. 2010;19(5):e49. doi:10.1136/qshc.2009.032763.
https://psnet.ahrq.gov/issue/value-gentle-reminder-safe-medical-behaviour
Pee…
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psnet.ahrq.gov/node/35824/psn-pdf
July 24, 2008 - New standards for hospitals call for patients to get private
rooms.
July 24, 2008
Landro L.
https://psnet.ahrq.gov/issue/new-standards-hospitals-call-patients-get-private-rooms
This article reports on design guidelines that will require newly constructed hospitals to have only private
rooms. Single-patient rooms …
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psnet.ahrq.gov/node/38315/psn-pdf
October 24, 2018 - Defusing Disruptive Behavior. A Workbook for Health
Care Leaders.
October 24, 2018
Oakbrook, IL: Joint Commission Resources; 2007. ISBN: 9781599400846.
https://psnet.ahrq.gov/issue/defusing-disruptive-behavior-workbook-health-care-leaders
This workbook includes background on disruptive behaviors and provides tools…