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  1. psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care
    March 10, 2021 - Study Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. Citation Text: Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric inte…
  2. digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2010
    January 01, 2010 - Evaluation of AHRQ's On-time Pressure Ulcer Program - 2010 Project Name Evaluation of AHRQ's On-time Pressure Ulcer Program Principal Investigator Hurd, Donna Organization Abt Associates, Inc. Contract Number 290-06-0011-8 Project Period June 2009 – January …
  3. digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel
    January 01, 2023 - Improving Patient Access and Patient-Clinician Continuity through Panel Redesign Project Final Report ( PDF , 353.27 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 necessarily r…
  4. psnet.ahrq.gov/issue/emergency-medical-services-responders-perceptions-effect-stress-and-anxiety-patient-safety
    January 22, 2016 - Study Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study. Citation Text: Guise J-M, Hansen M, O'Brien K, et al. Emergency medical services responders' perceptions …
  5. digital.ahrq.gov/ahrq-funded-projects/ambulatory-electronic-medical-record-and-shared-access/annual-summary/2009
    January 01, 2009 - Ambulatory Electronic Medical Record and Shared Access - 2009 Project Name Ambulatory Electronic Medical Record and Shared Access Principal Investigator DeLuca, Michael Organization Sarah Bush Lincoln Health Center Funding Mechanism RFA: HS05-013: Limited Competitio…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/spectorhudak.ppt
    December 01, 2013 - AHRQ Slide Template 2004 On-Time Prevention Program for Long Term Care: Clinical Decision Support William Spector, Ph.D. AHRQ Sandra Hudak, MS RN SLH Clinical Consulting Presentation at AHIMA June 17, 2013 Baltimore, MD Using HIT for Prevention in Nursing Homes Pressure ulcers, falls, and preventable hospitali…
  7. digital.ahrq.gov/ahrq-funded-projects/project-echo-hepatitis-c-ambulatory-care-quality-improvement-new-mexico-through/annual-summary/2011
    January 01, 2011 - Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology - 2011 Project Name Project ECHO Hepatitis C Ambulatory Care Quality Improvement in New Mexico through Health Information Technology Principal Investigator Arora, Sanjeev …
  8. psnet.ahrq.gov/issue/do-patients-disruptive-behaviours-influence-accuracy-doctors-diagnosis-randomised-experiment
    July 03, 2014 - Study Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment. Citation Text: Schmidt HG, Van Gog T, Schuit SC, et al. Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment. BMJ Qual S…
  9. psnet.ahrq.gov/issue/how-effective-are-patient-safety-initiatives-retrospective-patient-record-review-study
    March 18, 2013 - Study Classic How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. How effective are patient safety initiatives? A retrospect…
  10. psnet.ahrq.gov/issue/critical-role-health-information-technology-safe-integration-behavioral-health-and-primary
    February 22, 2023 - Commentary The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care. Citation Text: Segal M, Giuffrida P, Possanza L, et al. The critical role of health information technology in the safe integration of behav…
  11. psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
    September 23, 2020 - Study "SWARMing" to improve patient care: a novel approach to root cause analysis. Citation Text: Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reforms-mortality-and-readmissions-among
    November 26, 2014 - Study Classic Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. Citation Text: Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with mortali…
  13. www.ahrq.gov/es/programs/index.html?page=3
    Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More CAHPS The CAHPS program aims to advance our scientific …
  14. psnet.ahrq.gov/issue/viewing-prevention-catheter-associated-urinary-tract-infection-system-using-systems
    July 12, 2023 - Study Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. Citation Text: Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Ass…
  15. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/menu-program-brochure.pdf
    June 02, 2025 - The L.A. Net Practice Facilitation Menu A Menu for Quality Improvement in Primary Care Practices Practice Facilitation Services The L.A. Net L.A Net provides quality improvement support to its members Practice Facilitation through a team of primary care Practice Facilitators. L.A. Net …
  16. www.ahrq.gov/nhguide/toolkits/implement-monitor-sustain-program/toolkit1-start-program.html
    November 01, 2024 - Toolkit 1. Start an Antimicrobial Stewardship Program Overview of the Toolkit Why Should a Nursing Home Use This Toolkit? This toolkit provides nursing homes with a simple, step-by-step approach to starting an antimicrobial stewardship program. An antimicrobial stewardship program uses collaborative and evidenc…
  17. www.ahrq.gov/hai/cusp/toolkit/content-calls/two-more/slides.html
    May 01, 2013 - Two More E's and How to Spread Contents Slide 1. Two More E's and How to Spread Slide 2. Learning Objectives Slide 3. Implementation Framework Slide 4. Implementation Framework Slide 5. Endure—Plan for Sustainability Slide 6. Endure—Plan for Sustainability Slide 7. Endure—Plan for Sustainability …
  18. www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp3.html
    August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Key Findings Previous Page Next Page Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case Study Sites Table 2. Summary of Key…
  19. psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
    September 23, 2020 - Study National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. Citation Text: Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…
  20. www.ahrq.gov/funding/grantee-profiles/grtprofile-nishisaki.html
    July 01, 2025 - Grantee Profile Eliminating Preventable Harms During Pediatric Intubation Akira Nishisaki, M.D., M.S.C.E. Attending Physician, Critical Care Medicine, Children’s Hospital of Philadelphia Co-Medical Director for Center for Simulation, Advanced Education and Innovation, Children’s Hospital of Philadelphia Cha…