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  1. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/impact-laws-aimed-healthcare-associated-infection-reduction-qualitative-study
    December 23, 2020 - Study Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. Citation Text: Stone PW, Pogorzelska-Maziarz M, Reagan J, et al. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. BMJ Qual Saf. 2015;24(10):637-44. doi:10.…

  2. The value of learning from near misses to improve patient safety: a scoping review. | PSNet

    psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review
    April 27, 2022 - Review The value of learning from near misses to improve patient safety: a scoping review. Citation Text: Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078…

  3. The problem with root cause analysis. | PSNet

    psnet.ahrq.gov/issue/problem-root-cause-analysis
    August 28, 2024 - Commentary The problem with root cause analysis. Citation Text: Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-422. doi:10.1136/bmjqs-2016-005511. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  4. The potential for improved teamwork to reduce medical errors in the emergency department. | PSNet

    psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department
    July 07, 2021 - Review Classic The potential for improved teamwork to reduce medical errors in the emergency department. Citation Text: Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg M…

  5. American Hospital Association Linkage Files: Terms and Conditions

    hcup-us.ahrq.gov/db/state/ahalinkage/aha_terms.jsp
    May 01, 2019 - American Hospital Association Linkage Files: Terms and Conditions An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …

  6. A systematic review of failures in handoff communication during intrahospital transfers. | PSNet

    psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers
    November 03, 2015 - Review A systematic review of failures in handoff communication during intrahospital transfers. Citation Text: Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. Copy Citation …

  7. Opioids' Burden on Hospital Care: A State-by-State Comparison

    hcup-us.ahrq.gov/reports/infographics/opioid_burden.jsp
    October 01, 2017 - Opioids' Burden on Hospital Care: A State-by-State Comparison An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol …

  8. Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. | PSNet

    psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
    November 29, 2023 - Book/Report Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. Citation Text: Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, …

  9. Health Information Technology in Ambulatory Care Settings: Effects on Quality and Disparities | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-ambulatory-care-settings-effects-quality-and-disparities
    January 01, 2023 - Health Information Technology in Ambulatory Care Settings: Effects on Quality and Disparities Project Final Report ( PDF , 106.85 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not …

  10. Incidence, patterns, and prevention of wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
    September 30, 2010 - Study Classic Incidence, patterns, and prevention of wrong-site surgery. Citation Text: Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. Copy Citation Format: Goog…

  11. Berlin A et al. 2006 "A taxonomic description of computer-based clinical decision support systems." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/berlin-et-al-2006
    January 01, 2006 - Berlin A et al. 2006 "A taxonomic description of computer-based clinical decision support systems." Reference Berlin A, Sorani M, Sim I. A taxonomic description of computer-based clinical decision support systems. J Biomed Inf 2006;39(6):656-667. Abstract "Objective. Computer-based clinical de…

  12. Using the Targeted Solutions Tool to improve hand hygiene compliance is associated with decreased health care–associated infections. | PSNet

    psnet.ahrq.gov/issue/using-targeted-solutions-tool-improve-hand-hygiene-compliance-associated-decreased-health
    August 18, 2021 - Study Using the Targeted Solutions Tool to improve hand hygiene compliance is associated with decreased health care–associated infections. Citation Text: Shabot M, Chassin MR, France A-C, et al. Using the Targeted Solutions Tool® to Improve Hand Hygiene Compliance Is Associated with Decr…

  13. Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. | PSNet

    psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-prescribing-us-nursing-homes-2013-2017
    March 27, 2024 - Study Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. Citation Text: Riester MR, Goyal P, Steinman MA, et al. Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. J Gen Intern Med. 2023;38(6):1563-15…

  14. Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. | PSNet

    psnet.ahrq.gov/issue/beyond-burnout-physician-wellness-hierarchy-designed-prioritize-interventions-systems-level
    July 19, 2023 - Review Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level. Citation Text: Shapiro DE, Duquette C, Abbott LM, et al. Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level. Am J Med. 20…

  15. Time to take hearing loss seriously. | PSNet

    psnet.ahrq.gov/issue/time-take-hearing-loss-seriously
    September 23, 2020 - Commentary Time to take hearing loss seriously. Citation Text: Blustein J, Wallhagen MI, Weinstein BE, et al. Time to take hearing loss seriously. Jt Comm J Qual Patient Saf. 2019;46(1):53-58. doi:10.1016/j.jcjq.2019.10.003. Copy Citation Format: DOI Google Scholar BibTeX E…

  16. Impact of medical education on patient safety: finding the signal through the noise. | PSNet

    psnet.ahrq.gov/issue/impact-medical-education-patient-safety-finding-signal-through-noise
    December 31, 2018 - Commentary Impact of medical education on patient safety: finding the signal through the noise. Citation Text: Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054. Copy Cita…

  17. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute. | PSNet

    psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation-safety-culture
    December 05, 2018 - Study Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute. Citation Text: Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiot…

  18. Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. | PSNet

    psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
    January 21, 2019 - Study Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. Citation Text: Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57.…

  19. CDS Connect Implementation Guide Draft (doc file)

    cds.ahrq.gov/sites/default/files/cds/artifact/76/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making_Final_0.docx
    October 01, 2017 - Suggested Citation Suggested citation: Ricciardelli P, Sebastian S, Teich, J. … Summary of the Clinical Statement 2 Primary Use Cases 3 Additional Use Cases 5 Recommendations and Suggested … and provide access to CDS artifacts, including text and computable versions of the decision logic; suggested … trigger events; text recommendations and suggested actions; and metadata, including original evidence … Recommendations and Suggested Actions The recommendations, warnings, and interventions provided by this

  20. CDS Connect Implementation Guide Draft (doc file)

    cds.ahrq.gov/sites/default/files/cds/artifact/81/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%20Risk_Final_0.docx
    October 01, 2017 - Suggested Citation Suggested citation: Ricciardelli P, Sebastian S, Teich, J. … Summary of the Clinical Statement 2 Primary Use Cases 3 Additional Use Cases 4 Recommendations and Suggested … and provide access to CDS artifacts, including text and computable versions of the decision logic; suggested … trigger events; text recommendations and suggested actions; and metadata, including original evidence … Recommendations and Suggested Actions The recommendations, warnings, and interventions provided by this
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