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psnet.ahrq.gov/issue/increasing-compliance-world-health-organization-surgical-safety-checklist-regional-health
September 12, 2018 - Study
Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience.
Citation Text:
Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health sys…
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digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
January 01, 2019 - Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box
Similar to the airline industry’s use of a “black box” that captures actions leading up to a near miss or error, the health IT black box captures mouse movements and keystrokes made by users of EHRs. This allows for a robust analysis of…
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psnet.ahrq.gov/issue/family-centered-rounds-checklist-family-engagement-and-patient-safety-randomized-trial
December 22, 2018 - Study
A family-centered rounds checklist, family engagement, and patient safety: a randomized trial.
Citation Text:
Cox E, Jacobsohn GC, Rajamanickam VP, et al. A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial. Pediatrics. 2017;139(5). doi:10.…
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psnet.ahrq.gov/issue/outcomes-daytime-procedures-performed-attending-surgeons-after-night-work
December 18, 2014 - Study
Classic
Outcomes of daytime procedures performed by attending surgeons after night work.
Citation Text:
Govindarajan A, Urbach DR, Kumar M, et al. Outcomes of Daytime Procedures Performed by Attending Surgeons after Night Work. N Engl J Med. 2015;373(9):84…
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psnet.ahrq.gov/issue/increasing-naloxone-prescribing-emergency-department-through-education-and-electronic-medical
October 14, 2020 - Study
Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids.
Citation Text:
Funke M, Kaplan MC, Glover H, et al. Increasing naloxone prescribing in the emergency department through education and electronic medical record wor…
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psnet.ahrq.gov/issue/longitudinal-evaluation-pediatric-rapid-response-system-realist-evaluation-framework
July 20, 2022 - Study
Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework.
Citation Text:
Acorda DE, Bracken J, Abela K, et al. Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. Jt Comm J Qual Patient Saf. 2022;48(4…
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psnet.ahrq.gov/issue/qualitative-evaluation-barriers-and-facilitators-toward-implementation-who-surgical-safety
January 19, 2016 - Study
Classic
A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project."
Citation Text:
Russ SJ, Sevdalis N, Moor…
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psnet.ahrq.gov/issue/communication-patterns-during-routine-patient-care-pediatric-intensive-care-unit-behavioral
October 05, 2022 - Study
Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral impact of in situ simulation.
Citation Text:
Ulmer FF, Lutz AM, Müller F, et al. Communication patterns during routine patient care in a pediatric intensive care unit: the behavior…
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psnet.ahrq.gov/issue/facilitating-safe-transition-pediatric-emergency-department-home-post-discharge-phone-call
March 13, 2015 - Study
Facilitating a safe transition from the pediatric emergency department to home with a post-discharge phone call: a quality-improvement initiative to improve patient safety.
Citation Text:
Bucaro PJ, Black E. Facilitating a safe transition from the pediatric emergency department to …
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psnet.ahrq.gov/issue/trust-temporality-and-systems-how-do-patients-understand-patient-safety-primary-care
February 09, 2016 - Study
Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study.
Citation Text:
Rhodes P, Campbell S, Sanders C. Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study. Health Exp…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/2_Janice_Ricketts_slides_12-28.pdf
January 01, 2014 - Using the CAHPS Database to Compare, Report, and Improve Organizational Performance
CAHPS Database
Online Reporting System
12
CAHPS Database
13
• The CAHPS Database receives data voluntarily
submitted by users that have administered:
– Clinician & Group Survey
– Health Plan Survey
• Data are submitt…
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psnet.ahrq.gov/issue/does-team-reflexivity-impact-teamwork-and-communication-interprofessional-hospital-based
July 21, 2017 - Review
Emerging Classic
Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis.
Citation Text:
McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact …
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psnet.ahrq.gov/issue/effect-multidisciplinary-care-teams-intensive-care-unit-mortality
January 17, 2018 - Study
Classic
The effect of multidisciplinary care teams on intensive care unit mortality.
Citation Text:
Kim MM, Barnato AE, Angus DC, et al. The effect of multidisciplinary care teams on intensive care unit mortality. Arch Intern Med. 2010;170(4):369-76. doi:1…
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psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
August 02, 2015 - Study
Classic
Surgical skill and complication rates after bariatric surgery.
Citation Text:
Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625.…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/clinical-case-scenarios.html
July 01, 2023 - Clinical Case Scenarios
AHRQ Safety Program for Perinatal Care, Phase 2
The two clinical case scenarios below illustrate 10 teamwork tools and strategies for improving perinatal care. One scenario focuses on obstetric hemorrhage, and the other scenario focuses on severe hypertension in pregnancy. Both scena…
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psnet.ahrq.gov/issue/appropriate-use-medical-interpreters-breast-imaging-clinic
October 16, 2024 - Commentary
Appropriate use of medical interpreters in the breast imaging clinic.
Citation Text:
Feliciano-Rivera YZ, Yepes MM, Sanchez P, et al. Appropriate use of medical interpreters in the breast imaging clinic. J Breast Imaging. 2024;27(3):296-303. doi:10.1093/jbi/wbad109.
Copy Cit…
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psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
June 01, 2022 - Study
Assessment of patient retention of inpatient care information post-hospitalization.
Citation Text:
Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j…
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psnet.ahrq.gov/issue/decreasing-prescribing-errors-during-pediatric-emergencies-randomized-simulation-trial
October 08, 2013 - Study
Decreasing prescribing errors during pediatric emergencies: a randomized simulation trial.
Citation Text:
Larose G, Levy A, Bailey B, et al. Decreasing Prescribing Errors During Pediatric Emergencies: A Randomized Simulation Trial. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-320…
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psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
June 14, 2017 - Review
Classic
Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis.
Citation Text:
Winters BD, Bharmal A, Wilson RF, et…
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psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric-patients
April 24, 2018 - Study
Classic
Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients.
Citation Text:
Parshuram CS, Dryden-Palmer K, Farrell C, et al. Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized …