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psnet.ahrq.gov/issue/associations-physicians-prescribing-experience-work-hours-and-workload-prescription-errors
July 21, 2021 - Study
Associations of physicians’ prescribing experience, work hours, and workload with prescription errors.
Citation Text:
Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform A…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/md.html
March 01, 2019 - State at a Glance: Maryland
Learn more about the CHIPRA quality demonstration projects being implemented in Maryland.
Maryland is featured in the following reports from the National Evaluation:
Evaluation Highlight No . 4: How the CHIPRA quality demonstration elevated children on State health policy agend…
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psnet.ahrq.gov/issue/inpatient-patient-safety-events-vulnerable-populations-retrospective-cohort-study
October 27, 2021 - Study
Inpatient patient safety events in vulnerable populations: a retrospective cohort study.
Citation Text:
Schulson LB, Novack V, Folcarelli PH, et al. Inpatient patient safety events in vulnerable populations: a retrospective cohort study. BMJ Qual Saf. 2021;30(5):372-379. doi:10.113…
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psnet.ahrq.gov/issue/combining-multiple-large-language-models-improves-diagnostic-accuracy
March 02, 2011 - Study
Combining multiple large language models improves diagnostic accuracy.
Citation Text:
Barabucci G, Shia V, Chu ES, et al. Combining multiple large language models improves diagnostic accuracy. NEJM AI. 2024;1(11):AIcs2400502. doi:10.1056/aics2400502.
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psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
March 01, 2023 - Study
Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors.
Citation Text:
Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Healthcare (…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-tubes.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Feeding Tubes
Feeding Tubes
Types of Devices
■ Nasogastric (NG) tube: non-weighted, polyurethane tube for use more than 10 days.
■ Gastrostomy tube: tube protrudes from anterior abdominal wall; most common initial
gastrostomy device.
■ Button/skin-level gastrostomy: …
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psnet.ahrq.gov/issue/potentiality-algorithms-and-artificial-intelligence-adoption-improve-medication-management
July 27, 2022 - Review
Potentiality of algorithms and artificial intelligence adoption to improve medication management in primary care: a systematic review.
Citation Text:
Damiani G, Altamura G, Zedda M, et al. Potentiality of algorithms and artificial intelligence adoption to improve medication manage…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-k.pdf
June 02, 2025 - Appendix K. Infographic Poster on CAUTI Prevention
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix K. Infographic Poster on CAUTI Prevention
The poster on the following page is intended to be printed with dimensions of 28 by 36 inches.
This can be done by sending the PDF out to a printer for large-f…
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psnet.ahrq.gov/issue/implementation-and-adaptation-re-engineered-discharge-red-five-california-hospitals
August 04, 2021 - Study
Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study.
Citation Text:
Mitchell SE, Weigel GM, Laurens V, et al. Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a…
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psnet.ahrq.gov/issue/investigating-long-term-consequences-adverse-medical-events-among-older-adults
March 24, 2019 - Study
Investigating the long-term consequences of adverse medical events among older adults.
Citation Text:
Carter MW, Zhu M, Xiang J, et al. Investigating the long-term consequences of adverse medical events among older adults. Inj Prev. 2014;20(6):408-15. doi:10.1136/injuryprev-2013-04…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-targeted-decolonization.pdf
March 01, 2022 - Addressing Questions Asked by Staff: Targeted Decolonization
Decolonization of
Non-ICU Patients With Devices
Section 14-4 – Addressing Questions Asked by Staff:
Targeted Decolonization
What is targeted decolonization?
Participating non-ICU units at your hospital will be decolonizing adult patients with …
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psnet.ahrq.gov/issue/effect-rapid-response-team-major-clinical-outcome-measures-community-hospital
October 19, 2022 - Study
The effect of a rapid response team on major clinical outcome measures in a community hospital.
Citation Text:
Dacey MJ, Mirza ER, Wilcox V, et al. The effect of a rapid response team on major clinical outcome measures in a community hospital. Crit Care Med. 2007;35(9):2076-82.
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psnet.ahrq.gov/issue/long-term-follow-evaluation-electronic-health-record-prescribing-safety
November 26, 2014 - Study
A long-term follow-up evaluation of electronic health record prescribing safety.
Citation Text:
Abramson EL, Malhotra S, Osorio N, et al. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc. 2013;20(e1):e52-8. doi:10.1136/amiajnl…
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www.ahrq.gov/sites/default/files/wysiwyg/nqsfactsheet_2017.pdf
January 01, 2017 - National Quality Strategy Fact Sheet
The National Quality Strategy is a national effort to
align public- and private-sector stakeholders to achieve
better health and health care for all Americans.
About the National Quality Strategy
The National Quality Strategy (NQS) was first published in March 2011 as the Na…
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psnet.ahrq.gov/issue/patient-factors-associated-new-prescribing-potentially-inappropriate-medications-multimorbid
August 18, 2021 - Study
Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications.
Citation Text:
Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially inappropriate medi…
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psnet.ahrq.gov/issue/elevated-mortality-among-weekend-hospital-admissions-not-associated-adoption-seven-day
July 21, 2017 - Study
Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards.
Citation Text:
Meacock R, Sutton M. Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards. Emerg Med …
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-slides.html
December 01, 2017 - Deep-Rooting Your Data: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Sustainability
Deep-Rooting Your Data
Slide 2: Learning Objectives
After this session, you will be able to–
Identify surgical site infection (SSI) data sources.
Define your audie…
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psnet.ahrq.gov/issue/are-patient-safety-indicators-related-widely-used-measures-hospital-quality
December 01, 2010 - Study
Classic
Are Patient Safety Indicators related to widely used measures of hospital quality?
Citation Text:
Isaac T, Jha AK. Are patient safety indicators related to widely used measures of hospital quality? J Gen Intern Med. 2008;23(9):1373-8. doi:10.1007…
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psnet.ahrq.gov/issue/recommendations-individualized-medical-treatment-and-common-adverse-events-management-lung
March 24, 2019 - Commentary
Recommendations of individualized medical treatment and common adverse events management for lung cancer patients during the outbreak of COVID-19 epidemic.
Citation Text:
Zhao Z, Bai H, Duan J, et al. Recommendations of individualized medical treatment and common adverse event…
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psnet.ahrq.gov/issue/implementing-survey-patients-provide-safety-experience-feedback-following-care-transition
January 08, 2020 - Journal Article
Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study
Citation Text:
Scott J, Heavey E, Waring J, et al. Implementing a survey for patients to provide safety experience feedback following a care transitio…