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8861. A 7-year analysis of attributable costs of healthcare-associated infections in a network of community hospitals in the southeastern United States. | PSNet
      psnet.ahrq.gov/issue/7-year-analysis-attributable-costs-healthcare-associated-infections-network-community
      April 24, 2018 - Study A 7-year analysis of attributable costs of healthcare-associated infections in a network of community hospitals in the southeastern United States. Citation Text: Zhang HL, Crane L, Cromer AL, et al. A 7-year analysis of attributable costs of healthcare-associated infections in a ne…

8862. Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. | PSNet
      psnet.ahrq.gov/issue/safety-and-communication-operating-room-safety-questionnaire-after-implementation-blood-borne
      September 23, 2020 - Study Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. Citation Text: Kane P, Marley R, Daney B, et al. Safety and Communication in the Ope…

8863. System-based interprofessional simulation-based training program increases awareness and use of rapid response teams. | PSNet
      psnet.ahrq.gov/issue/system-based-interprofessional-simulation-based-training-program-increases-awareness-and-use
      December 01, 2011 - Study System-based interprofessional simulation-based training program increases awareness and use of rapid response teams. Citation Text: Wehbe-Janek H, Pliego J, Sheather S, et al. System-based interprofessional simulation-based training program increases awareness and use of rapid res…

8864. Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. | PSNet
      psnet.ahrq.gov/issue/detection-adverse-events-acute-geriatric-hospital-over-6-year-period-using-global-trigger
      March 09, 2022 - Study Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. Citation Text: Suarez C, Menendez MD, Alonso J, et al. Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. J Am …

8865. An Overview of the SOPS® Surveys for New Users - Kirchner (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-sops101-webcast-2023-kirchner.pdf
      January 01, 2023 - An Overview of the SOPS® Surveys for New Users - Kirchner Overview of the SOPS Surveys Jess Kirchner, M.A. SOPS Program Manager User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat What are the SOPS Surveys? • Surveys of providers and staff about the extent to which their organizational cu…

8866. Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews. | PSNet
      psnet.ahrq.gov/issue/understanding-teamwork-rapidly-deployed-interprofessional-teams-intensive-and-acute-care
      September 07, 2022 - Review Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews. Citation Text: Schilling S, Armaou M, Morrison Z, et al. Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: …

8867. Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. | PSNet
      psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency
      April 06, 2022 - Study Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. Citation Text: Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? At…

8868. The impact of patient–physician alliance on trust following an adverse event. | PSNet
      psnet.ahrq.gov/issue/impact-patient-physician-alliance-trust-following-adverse-event
      May 31, 2023 - Study The impact of patient–physician alliance on trust following an adverse event. Citation Text: Shoemaker K, Smith CP. The impact of patient-physician alliance on trust following an adverse event. Patient Educ Couns. 2019;102(7):1342-1349. doi:10.1016/j.pec.2019.02.015. Copy Citatio…

8869. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. | PSNet
      psnet.ahrq.gov/issue/creation-root-cause-analysis-and-action-rca2-standard-work-multidisciplinary-team-prevent
      October 19, 2022 - Study Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. Citation Text: Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidis…

8870. Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/effect-patient-safety-education-interventions-patient-safety-culture-health-care
      January 26, 2022 - Review Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. Citation Text: Agbar F, Zhang S, Wu Y, et al. Effect of patient safety education interventions on patient safety culture of health care pro…

8871. Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet
      psnet.ahrq.gov/issue/adverse-events-long-term-care-hospitals-national-incidence-among-medicare-beneficiaries
      February 15, 2017 - Book/Report Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. Citation Text: Levinson DR. Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. Washington, DC: US Department of Health and Human Services, Of…

8872. Rosser WW et al. 1992 "Use of reminders to increase compliance with tetanus booster vaccination." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rosser-ww-et-al-1992
      January 01, 1992 - Rosser WW et al. 1992 "Use of reminders to increase compliance with tetanus booster vaccination." Reference Rosser WW, Hutchison BG, McDowell I, et al. Use of reminders to increase compliance with tetanus booster vaccination. Can Med Assoc J 1992;146(6):911-917. [Link] Abstract "Objective: T…

8873. Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/filling-gap-safety-metrics-development-patient-centred-framework-identify-and-categorise
      February 15, 2023 - Study Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care. Citation Text: Bell SK, Bourgeois FC, DesRoches CM, et al. Filling a gap in safety metrics: devel…

8874. Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition
      October 27, 2021 - Review Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. Citation Text: Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medica…

8875. An analysis of incident reports related to electronic medication management: how they change over time. | PSNet
      psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
      March 10, 2021 - Study An analysis of incident reports related to electronic medication management: how they change over time. Citation Text: Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(…

8876. Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-experiences-patients-and-families-limited-english-language-health-literacy
      October 27, 2021 - Study Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. Citation Text: Bell SK, Dong J, Ngo L, et al. Diagnostic error experiences of patients and fa…

8877. Healthcare Cost and Utilization Project (HCUP) NIS Notes
      hcup-us.ahrq.gov/db/vars/zipinc/nisnote.jsp
      September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs…

8878. Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units. | PSNet
      psnet.ahrq.gov/issue/influence-organizational-climate-and-clinician-morale-seclusion-and-physical-restraint-use
      August 21, 2018 - Study Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units. Citation Text: Anderson E, Mohr DC, Regenbogen I, et al. Influence of organizational climate and clinician morale on seclusion and physical restraint use…

8879. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. | PSNet
      psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes
      December 15, 2011 - Study Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Citation Text: Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6. Copy Citation Format…

8880. Alignment | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence3.html
      April 01, 2025 - Four Pillars for Sustainable Centers of Excellence Alignment Previous Page Next Page Table of Contents Four Pillars for Sustainable Centers of Excellence Introduction Center of Excellence Operations Alignment Integration Leadership Support Windows of Opportunity Conclusion Acknowledg…