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psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident
October 19, 2016 - Commentary
Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education.
Citation Text:
Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-residency-education-strategies-meaningful
September 23, 2020 - Commentary
Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives.
Citation Text:
Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Me…
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psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status-structural
October 02, 2024 - Study
Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process.
Citation Text:
Marsall M, Hornung T, Bäuerle A, et al. Quality of care transition, patient safety incidents, and patients’ heal…
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psnet.ahrq.gov/issue/more-1-million-potential-second-victims-how-many-could-nursing-education-prevent
May 30, 2018 - Study
More than 1 million potential second victims: how many could nursing education prevent?
Citation Text:
Jones JH, Treiber LA. More Than 1 Million Potential Second Victims: How Many Could Nursing Education Prevent? Nurs Edu. 2018;43(3):154-157. doi:10.1097/NNE.0000000000000437.
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psnet.ahrq.gov/issue/validating-administrative-data-detection-adverse-events-older-hospitalized-patients
March 13, 2015 - Study
Validating administrative data for the detection of adverse events in older hospitalized patients.
Citation Text:
Ackroyd-Stolarz S, Bowles SK, Giffin L. Validating administrative data for the detection of adverse events in older hospitalized patients. Drug Healthc Patient Saf. 201…
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psnet.ahrq.gov/issue/interventions-and-measurements-highly-reliableresilient-organization-implementations
July 21, 2021 - Review
Interventions and measurements of highly reliable/resilient organization implementations: a literature review.
Citation Text:
Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon…
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psnet.ahrq.gov/issue/search-common-ground-handoff-documentation-intensive-care-unit
March 23, 2011 - Study
In search of common ground in handoff documentation in an intensive care unit.
Citation Text:
Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007. …
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psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination
April 03, 2019 - Study
Improving safety in the operating room: medication icon labels increase visibility and discrimination.
Citation Text:
Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:1…
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www.ahrq.gov/news/newsroom/case-studies/201601.html
January 01, 2018 - North Carolina’s CaroMont Regional Medical Center Uses AHRQ Toolkit to Reduce Urinary Infections
Search All Impact Case Studies
March 2016
CaroMont Regional Medical Center (CRMC), a 435-bed, not-for-profit hospital in Gastonia, North Carolina, significantly reduced catheter-associated urinary tract infectio…
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psnet.ahrq.gov/issue/innovation-patient-safety-new-task-design-reducing-patient-falls
January 04, 2010 - Study
Innovation in patient safety: a new task design in reducing patient falls.
Citation Text:
Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5.
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psnet.ahrq.gov/issue/analysis-risk-medical-errors-using-structural-equation-modelling-6-month-prospective-cohort
June 10, 2020 - Study
Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study.
Citation Text:
Tanaka M, Tanaka K, Takano T, et al. Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. BMJ Qual Saf…
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psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients
March 02, 2011 - Study
Classic
The effect of workload on infection risk in critically ill patients.
Citation Text:
Hugonnet S, Chevrolet J-C, Pittet D. The effect of workload on infection risk in critically ill patients. Crit Care Med. 2007;35(1):76-81.
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psnet.ahrq.gov/issue/use-lives-saved-measures-nurse-staffing-and-patient-safety-research-statistical
May 21, 2009 - Study
The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations.
Citation Text:
Diya L, Van den Heede K, Sermeus W, et al. The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations. Nurs R…
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psnet.ahrq.gov/issue/do-crowdsourced-hospital-ratings-coincide-hospital-compare-measures-clinical-and-nonclinical
June 23, 2021 - Study
Do crowdsourced hospital ratings coincide with Hospital Compare measures of clinical and nonclinical quality?
Citation Text:
Perez V, Freedman S. Do Crowdsourced Hospital Ratings Coincide with Hospital Compare Measures of Clinical and Nonclinical Quality? Health Serv Res. 2018;53(6…
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psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
August 24, 2022 - Study
Accuracy of infection reporting in US nursing home ratings.
Citation Text:
Chen Z, Gleason LJ, Konetzka RT, et al. Accuracy of infection reporting in US nursing home ratings. Health Serv Res. 2023;58(5):1109-1118. doi:10.1111/1475-6773.14195.
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psnet.ahrq.gov/issue/associations-between-hospital-characteristics-measure-reporting-and-centers-medicare-medicaid
February 14, 2017 - Study
Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services overall hospital quality star ratings.
Citation Text:
DeLancey JO, Softcheck J, Chung JW, et al. Associations Between Hospital Characteristics, Measure Reporting, and …
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psnet.ahrq.gov/issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-and-upon
November 20, 2013 - Study
Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population.
Citation Text:
Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon dischar…
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psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers-system-community
May 12, 2021 - Study
A comprehensive program to reduce rates of hospital-acquired pressure ulcers in a system of community hospitals.
Citation Text:
Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital-Acquired Pressure Ulcers in a System of Community Hospita…
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psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
December 01, 2011 - Study
Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes.
Citation Text:
DiCuccio MH, Colbert AM, Triolo PK, et al. Cracking the Code for Quality. J Nurs Admin. 2020;50(3):152-158. doi:10.1097/nna.0000000000000859.
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psnet.ahrq.gov/issue/comparing-rates-adverse-events-and-medical-errors-inpatient-psychiatric-units-veterans-health
January 30, 2019 - Study
Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals.
Citation Text:
Cullen SW, Xie M, Vermeulen JM, et al. Comparing Rates of Adverse Events and Medical Errors on Inpatient Psych…