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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ-video.html
July 01, 2023 - Video: Conducting In Situ Simulations in Labor and Delivery Units
AHRQ Safety Program for Perinatal Care
This video, which is part of AHRQ's Toolkit for Improving Perinatal Safety, demonstrates key steps for conducting in situ simulations in labor and delivery units. It is intended as a training tool for uni…
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www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - Lack of Communication and Teamwork Impede Surgical Procedures:
• Stress on the day surgery unit was … Patient arrived in Hemodialysis Unit to do stat chest x-ray; patient had no identification wristband … Patient was just admitted to the Step Down Unit from the Medical Intensive Care Unit and was
reported … LEP Patient arrived in the Step Down Unit s/p Thoracic Surgery. … We were not able to complete the procedure and he had to be
taken to the intensive care unit.
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psnet.ahrq.gov/node/36161/psn-pdf
February 17, 2011 - Language barriers to health care in the United States.
February 17, 2011
Flores G. Language barriers to health care in the United States. N Engl J Med. 2006;355(3):229-31.
https://psnet.ahrq.gov/issue/language-barriers-health-care-united-states
The author discusses how language barriers can compromise a patient's h…
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psnet.ahrq.gov/node/40082/psn-pdf
December 15, 2010 - Achieving Strong Teamwork Practices in Hospital Labor
and Delivery Units.
December 15, 2010
Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN:
9780833050557.
https://psnet.ahrq.gov/issue/achieving-strong-teamwork-practices-hospital-labor-and-delivery-units
This report …
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-improve-performance-intensive-care-units-during-covid-19
December 23, 2020 - Commentary
Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic.
Citation Text:
Della Torre V, E. Nacul F, Rosseel P, et al. Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic. Anaes…
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psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
June 14, 2019 - Organizational Policy/Guidelines
CDC guideline for prescribing opioids for chronic pain—United States, 2016.
Citation Text:
Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016. MMWR Recomm Rep. 2016;65(1):1-49. doi:10.15585/mmwr.rr…
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psnet.ahrq.gov/node/41115/psn-pdf
January 31, 2005 - Intravenous acetaminophen in the United States:
iatrogenic dosing errors.
January 31, 2005
Dart RC; Rumack BH.
https://psnet.ahrq.gov/issue/intravenous-acetaminophen-united-states-iatrogenic-dosing-errors
A new intravenous formulation of acetaminophen (a popular over-the-counter pain medication) was
recently intr…
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psnet.ahrq.gov/node/41142/psn-pdf
February 15, 2012 - Dangerous infections are more likely in pediatric
intensive-care units.
February 15, 2012
https://psnet.ahrq.gov/issue/dangerous-infections-are-more-likely-pediatric-intensive-care-units
Consumer Reports analyzed publicly reported infection rates for 92 pediatric intensive care units (ICUs)
and found that hospital…
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psnet.ahrq.gov/node/46267/psn-pdf
December 21, 2017 - Pictograms, units and dosing tools, and parent
medication errors: a randomized study.
December 21, 2017
Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A
Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3237.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/38291/psn-pdf
April 08, 2011 - Medical diagnoses commonly associated with pediatric
malpractice lawsuits in the United States.
April 8, 2011
McAbee GN, Donn SM, Mendelson RA, et al. Medical diagnoses commonly associated with pediatric
malpractice lawsuits in the United States. Pediatrics. 2008;122(6):e1282-e1286. doi:10.1542/peds.2008-
1594.
h…
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psnet.ahrq.gov/node/838305/psn-pdf
October 12, 2022 - Hospital-acquired conditions reduction program, racial
and ethnic diversity, and Magnet designation in the
United States.
October 12, 2022
Boamah SA, Hamadi HY, Spaulding AC. Hospital-acquired conditions reduction program, racial and ethnic
diversity, and Magnet designation in the United States. J Patient Saf. 202…
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psnet.ahrq.gov/node/73427/psn-pdf
June 23, 2021 - Incidence and OR team awareness of “near-miss” and
retained surgical sharps: a national survey on United
States operating rooms.
June 23, 2021
Weprin SA, Meyer D, Li R, et al. Incidence and OR team awareness of “near-miss” and retained surgical
sharps: a national survey on United States operating rooms. Patient Sa…
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psnet.ahrq.gov/node/44379/psn-pdf
August 05, 2015 - Implementing computerized provider order entry in acute
care hospitals in the United States could generate
substantial savings to society.
August 5, 2015
Nuckols TK, Asch SM, Patel V, et al. Implementing Computerized Provider Order Entry in Acute Care
Hospitals in the United States Could Generate Substantial Savin…
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www.ahrq.gov/hai/tools/safety-hai-prevention/index.html
January 01, 2025 - AHRQ Safety Program for Healthcare-Associated Infection Prevention
The Agency for Healthcare Research and Quality (AHRQ), in conjunction with NORC at the University of Chicago and the Johns Hopkins University, created the AHRQ Safety Program for Healthcare-Associated Infection (HAI) Prevention to implement a bu…
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psnet.ahrq.gov/node/36375/psn-pdf
March 03, 2011 - Surgeon age and operative mortality in the United States.
March 3, 2011
Waljee JF, Greenfield LJ, Dimick JB, et al. Surgeon Age and Operative Mortality in the United States.
Transactions of the .. Meeting of the American Surgical Association. 2006;124.
doi:10.1097/01.sla.0000234803.11991.6d.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/issue/harmed-patient-alliance
October 31, 2018 - Multi-use Website
Harmed Patient Alliance.
Citation Text:
Harmed Patient Alliance. United Kingdom.
Copy Citation
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Februar…
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psnet.ahrq.gov/node/50434/psn-pdf
September 04, 2019 - Risk of wrong-patient orders among multiple vs singleton
births in the neonatal intensive care units of 2 integrated
health care systems.
September 4, 2019
Adelman JS, Applebaum JR, Southern WN, et al. Risk of Wrong-Patient Orders Among Multiple vs
Singleton Births in the Neonatal Intensive Care Units of 2 Integra…
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hcup-us.ahrq.gov/tech_assist/centdist/IndemnificationClause.pdf
August 01, 2023 - HCUP Central Distributor Indemnifcation Clause
HCUP Central Distributor
Indemnification Clause
August 2023
As an HCUP database purchaser your responsibilities extend beyond those of a data user. You
are required to acknowledge the Indemnification Clause as part of the application process.
Indemnification Clau…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pneumonia-antibiotic-treatment_executive.pdf
November 01, 2014 - 1,000 admissions.1,2
HAP is the leading cause of hospital-
acquired infection in the intensive care
unit … Pharmacokinetics of
continuous and intermittent ceftazidime in intensive care unit
patients with nosocomial … Continuous versus
intermittent administration of ceftazidime in intensive care unit
patients with nosocomial … Continuous versus
intermittent administration of piperacillin-tazobactam in intensive
care unit patients
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/hemorrhage-postpartum_research-protocol.pdf
June 11, 2014 - Abbreviations: PICOTS=Population, Intervention, Comparator, Outcomes, Timing, Setting; ICU=Intensive Care Unit … Analytic Framework
Abbreviations: KQ=key question; ICU=Intensive Care Unit
IV. Methods
A. … having value/not having value for PPH management
Abbreviations: KQ=key question; ICU=Intensive Care Unit … Breastfeeding
• Psychological impact
Abbreviations: NA=not applicable; NICU=Neonatal Intensive Care Unit … Gynecologists and Obstetricians
ICM: International Confederation of Midwives
ICU: Intensive Care Unit