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www.ahrq.gov/news/newsroom/case-studies/202501.html
June 01, 2025 - Henry Ford Hospital Unit Lowers C. diff Infections by 90 Percent Using AHRQ Safety Program
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June 2025
Using AHRQ’s Comprehensive Unit-based Safety Program (CUSP ), Henry Ford Hospital in Detroit reduced the incidence of Clostridioides difficile (C. diff) infections in its ne…
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psnet.ahrq.gov/issue/debiasing-health-related-judgments-and-decision-making-systematic-review
January 04, 2010 - Review
Debiasing health-related judgments and decision making: a systematic review.
Citation Text:
Ludolph R, Schulz PJ. Debiasing Health-Related Judgments and Decision Making: A Systematic Review. Med Decis Making. 2018;38(1):3-13. doi:10.1177/0272989X17716672.
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psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology
September 23, 2020 - Study
Improving standardization of paging communication using quality improvement methodology.
Citation Text:
Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…
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digital.ahrq.gov/principal-investigator/shiffman-richard-n
January 01, 2023 - Shiffman, Richard N.
Comprehensive categorization of guideline recommendations: creating an action palette for implementers.
Citation
Essaihi A, Michel G, Shiffman RN. Comprehensive categorization of guideline recommendations: creating an action palette for implementers. AMIA …
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digital.ahrq.gov/funding-mechanism/inter-agency-agreement
January 01, 2023 - Inter-Agency Agreement
Comprehensive categorization of guideline recommendations: creating an action palette for implementers.
Citation
Essaihi A, Michel G, Shiffman RN. Comprehensive categorization of guideline recommendations: creating an action palette for implementers. AMI…
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digital.ahrq.gov/health-care-theme/preventive-medicine
January 01, 2023 - Preventive Medicine
Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse
Description
This research tests the effectiveness of MedSMA℞T Mobi…
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psnet.ahrq.gov/issue/misreading-injectable-medications-causes-and-solutions-integrative-literature-review
May 04, 2010 - Review
Misreading injectable medications—causes and solutions: an integrative literature review.
Citation Text:
Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020…
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psnet.ahrq.gov/issue/afraid-hospital-parental-concern-errors-during-childs-hospitalization
April 21, 2011 - Study
Classic
Afraid in the hospital: parental concern for errors during a child's hospitalization.
Citation Text:
Tarini BA, Lozano P, Christakis DA. Afraid in the hospital: parental concern for errors during a child's hospitalization. J Hosp Med. 2009;41(9):…
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psnet.ahrq.gov/issue/evaluation-design-and-structure-electronic-medication-labels-improve-patient-health-knowledge
October 16, 2024 - Review
Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review.
Citation Text:
Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels to improve patien…
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psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists
November 16, 2022 - Review
Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists.
Citation Text:
Kripalani S, Jackson AT, Schnipper JL, et al. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. J Hosp Med. …
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psnet.ahrq.gov/issue/posthospital-medication-discrepancies-prevalence-and-contributing-factors
July 10, 2008 - Study
Classic
Posthospital medication discrepancies: prevalence and contributing factors.
Citation Text:
Coleman EA, Smith JD, Raha D, et al. Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med. 2005;165(16):1842-1847.
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psnet.ahrq.gov/issue/racism-and-electronic-health-records-ehrs-perspectives-research-and-practice
March 27, 2024 - Commentary
Racism and electronic health records (EHRs): perspectives for research and practice.
Citation Text:
Emani S, Rodriguez JA, Bates DW. Racism and electronic health records (EHRs): perspectives for research and practice. J Am Med Inform Assoc. 2023;30(5):995-999. doi:10.1093/jami…
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psnet.ahrq.gov/issue/joint-commissions-new-and-revised-workplace-violence-prevention-standards-hospitals-major
April 27, 2022 - Commentary
The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety.
Citation Text:
Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a majo…
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psnet.ahrq.gov/issue/addressing-opioid-epidemic-united-states-lessons-department-veterans-affairs
September 07, 2022 - Commentary
Classic
Addressing the opioid epidemic in the United States: lessons from the Department of Veterans Affairs.
Citation Text:
Gellad WF, Good CB, Shulkin DJ. Addressing the Opioid Epidemic in the United States: Lessons From the Department of Veterans A…
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psnet.ahrq.gov/issue/qi-initiative-implementing-patient-handoff-checklist-pediatric-hospitalist-attendings
July 28, 2021 - Commentary
A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings.
Citation Text:
Lo H-Y, Mullan PC, Lye C, et al. A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings. BMJ Qual Improv Rep. 2016;5(1). doi:1…
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psnet.ahrq.gov/issue/checking-all-boxes-checklist-when-and-how-use-checklists-effectively
June 29, 2022 - Commentary
Checking all the boxes: a checklist for when and how to use checklists effectively.
Citation Text:
Alfred M, Barg-Walkow LH, Keebler JR, et al. Checking all the boxes: a checklist for when and how to use checklists effectively. BMJ Qual Saf. 2024;33(10):673-681. doi:10.1136/bm…
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psnet.ahrq.gov/issue/error-management-lessons-aviation
September 13, 2011 - Commentary
Classic
On error management: lessons from aviation.
Citation Text:
Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785.
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psnet.ahrq.gov/issue/ability-intensive-care-units-maintain-zero-central-line-associated-bloodstream-infections
January 29, 2020 - Study
The ability of intensive care units to maintain zero central line–associated bloodstream infections.
Citation Text:
Lipitz-Snyderman A. The Ability of Intensive Care Units to Maintain Zero Central Line–Associated Bloodstream Infections. Arch Intern Med. 2011;171(9). doi:10.1001/a…
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psnet.ahrq.gov/issue/implementation-parent-centered-approach-preinduction-checklist-pediatric-surgery
October 05, 2022 - Study
Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery.
Citation Text:
Arshad SA, Ferguson DM, Garcia EI, et al. Implementation of a Parent-centered Approach to the Preinduction Checklist in Pediatric Surgery. J Surg Res. 2021;257:455-461. d…
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psnet.ahrq.gov/issue/alliance-innovation-maternal-health-consensus-bundle-sepsis-obstetric-care
August 21, 2024 - Organizational Policy/Guidelines
Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care.
Citation Text:
Bauer ME, Albright C, Prabhu M, et al. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Obstet Gynecol. 2023;…