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psnet.ahrq.gov/issue/impact-perioperative-catastrophes-anesthesiologists-results-national-survey
August 27, 2009 - Study
The impact of perioperative catastrophes on anesthesiologists: results of a national survey.
Citation Text:
Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10…
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psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and
May 22, 2019 - Study
Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference.
Citation Text:
Berman L, Ottosen M, Renaud E, et al. Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/013-strategies-prevent-bcc.docx
October 01, 2024 - ICU & Non-ICU
Optimize Patient Selection for Blood Cultures.1
Use a Blood Culture Decision Support Tool to guide ordering of blood cultures to limit inappropriate cultures.
Optimizing patient selection for testing reduces false positives, facilitates accurate diagnosis, promotes antimicrobial stewardship, and reduces a…
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psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents
February 15, 2011 - Study
Classic
A July spike in fatal medication errors: a possible effect of new medical residents.
Citation Text:
Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …
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psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us
August 19, 2009 - Study
Office surgery incidents: what seven years of Florida data show us.
Citation Text:
Coldiron BM, Healy C, Bene NI. Office surgery incidents: what seven years of Florida data show us. Dermatol Surg. 2008;34(3):285-91; discussion 291-2. doi:10.1111/j.1524-4725.2007.34060.x.
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psnet.ahrq.gov/issue/implementation-and-impact-rapid-response-team-childrens-hospital
April 24, 2018 - Study
Implementation and impact of a rapid response team in a children's hospital.
Citation Text:
Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425.
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Fo…
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psnet.ahrq.gov/issue/current-teaching-and-evaluation-methods-critical-care-medicine-has-accreditation-council
February 23, 2022 - Study
Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit?
Citation Text:
Chudgar SM, Cox CE, Que LG, et al. Current teaching and evaluation methods…
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psnet.ahrq.gov/issue/development-multicomponent-intervention-decrease-racial-bias-among-healthcare-staff
September 23, 2020 - Study
Development of a multicomponent intervention to decrease racial bias among healthcare staff.
Citation Text:
Tajeu GS, Juarez L, Williams JH, et al. Development of a multicomponent intervention to decrease racial bias among healthcare staff. J Gen Intern Med. 2022;37(8):1970-1979. d…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/baker_crc_screening.pdf
January 01, 2014 - Improving Rates of Repeat Colorectal Cancer Screening in Community Health Centers
Research Centers for Excellence
in Clinical Preventive Services
Working to get the right services, to the right people, at the right time
Improving Rates of Repeat Colorectal Cancer
Screeni…
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psnet.ahrq.gov/node/33653/psn-pdf
June 01, 2007 - In response to "Failure to Report" (March 2007)
June 1, 2007
Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/response-failure-report-march-2007
In response to "Failure to Report" (March 2007)
Letter
To the editors:
Dr. Sp…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-3.html
March 01, 2022 - Improving Education—A Key to Better Diagnostic Outcomes
Current State of Diagnosis Education
Previous Page Next Page
Table of Contents
Improving Education—A Key to Better Diagnostic Outcomes
Introduction
Foundations of Diagnosis Education
Current State of Diagnosis Education
Competencies To …
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psnet.ahrq.gov/issue/contemporary-medicolegal-analysis-outpatient-medication-management-chronic-pain
September 28, 2017 - Study
A contemporary medicolegal analysis of outpatient medication management in chronic pain.
Citation Text:
Abrecht CR, Brovman EY, Greenberg P, et al. A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain. Anesth Analg. 2017;125(5):1761-1768. doi:10.1…
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psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit
November 03, 2015 - Study
Discontinuity of chronic medications in patients discharged from the intensive care unit.
Citation Text:
Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41.
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psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
July 01, 2016 - Study
Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error?
Citation Text:
Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they wo…
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psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-mixed-methods-study
August 25, 2021 - Study
Pediatric prehospital medication dosing errors: a mixed-methods study.
Citation Text:
Hoyle JD, Sleight D, Henry R, et al. Pediatric prehospital medication dosing errors: a mixed-methods study. Prehosp Emerg Care. 2016;20(1):117-124. doi:10.3109/10903127.2015.1061625.
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psnet.ahrq.gov/issue/contemporary-evidence-about-hospital-strategies-reducing-30-day-readmissions-national-study
July 19, 2010 - Study
Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.
Citation Text:
Bradley EH, Curry LA, Horwitz LI, et al. Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. J Am Coll Cardiol. 2012;6…
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psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
December 23, 2020 - Study
Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety.
Citation Text:
Thomas M, Swait G, Finch R. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Chiropr Man Therap. 202…
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psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team
January 23, 2019 - Study
Improving the discharge process by embedding a discharge facilitator in a resident team.
Citation Text:
Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924.…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips99.html
October 01, 2014 - New York Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots
Search All Impact Case Studies
May 2012
Seven New York hospitals revised their protocol for preventing venous thromboembolism (VTE) after their State Quality Improvement Organization (QIO), IPRO, participated in a series of on…
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psnet.ahrq.gov/issue/epistemology-patient-safety-research-framework-study-design-and-interpretation
February 23, 2011 - Study
Classic
An epistemology of patient safety research: a framework for study design and interpretation.
Citation Text:
Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 4. One s…