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psnet.ahrq.gov/issue/motion-study-surgery
September 02, 2020 - Study
Classic
Motion study in surgery.
Citation Text:
Motion study in surgery. Gilbreth FB. Can J Med Surg. 1916:22-31.
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psnet.ahrq.gov/issue/effectiveness-management-walking-around-randomized-field-study
October 01, 2014 - Study
The effectiveness of management-by-walking-around: a randomized field study.
Citation Text:
Tucker AL, Singer SJ. The Effectiveness of Management-By-Walking-Around: A Randomized Field Study. Prod Oper Manag. 2014;24(2). doi:10.1111/poms.12226.
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psnet.ahrq.gov/issue/barcode-medication-administration-work-arounds-systematic-review-and-implications-nurse
January 10, 2017 - Review
Barcode medication administration work-arounds: a systematic review and implications for nurse executives.
Citation Text:
Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs A…
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psnet.ahrq.gov/issue/medical-emergency-teams-strategy-improving-patient-care-and-nursing-work-environments
March 24, 2011 - Study
Medical emergency teams: a strategy for improving patient care and nursing work environments.
Citation Text:
Galhotra S, Scholle CC, Dew MA, et al. Medical emergency teams: a strategy for improving patient care and nursing work environments. J Adv Nurs. 2006;55(2):180-7.
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psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-state-medical-boards
July 29, 2020 - Commentary
Physicians and cognitive decline: a challenge for state medical boards.
Citation Text:
Hoffman S. Physicians and cognitive decline: a challenge for state medical boards. J Med Regulation. 2022;108(2):19-28. doi:10.30770/2572-1852-108.2.19.
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D…
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psnet.ahrq.gov/issue/financial-incentives-promote-health-care-quality-hospital-acquired-conditions-nonpayment
November 08, 2023 - Commentary
Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.
Citation Text:
Kavanagh KT. Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy. Soc Work Public Health. 2011;26(5):52…
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psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-performance-anesthesiology
September 29, 2017 - Study
Differences in day and night shift clinical performance in anesthesiology.
Citation Text:
Cao CGL, Weinger MB, Slagle JM, et al. Differences in day and night shift clinical performance in anesthesiology. Hum Factors. 2008;50(2):276-90.
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psnet.ahrq.gov/issue/early-access-neurologist-reduces-rate-missed-diagnosis-young-strokes
December 07, 2011 - Study
Early access to a neurologist reduces the rate of missed diagnosis in young strokes.
Citation Text:
Mohamed W, Bhattacharya P, Chaturvedi S. Early access to a neurologist reduces the rate of missed diagnosis in young strokes. J Stroke Cerebrovasc Dis. 2013;22(8):e332-7. doi:10.101…
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psnet.ahrq.gov/issue/influence-language-barriers-outcomes-hospital-care-general-medicine-inpatients
May 16, 2012 - Study
Influence of language barriers on outcomes of hospital care for general medicine inpatients.
Citation Text:
Karliner LS, Kim SE, Meltzer DO, et al. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010;5(5):276-82. doi:10.10…
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psnet.ahrq.gov/issue/perceptions-preventable-medical-errors-alberta-canada
January 21, 2019 - Study
Perceptions of preventable medical errors in Alberta, Canada.
Citation Text:
Northcott H, Vanderheyden L, Northcott J, et al. Perceptions of preventable medical errors in Alberta, Canada. Int J Qual Health Care. 2007;20(2):115-122. doi:10.1093/intqhc/mzm067.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips82.html
October 01, 2014 - Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi)
Optimizing
the Use of HIT
to Improve
Safety
Tejal Gandhi
Handwriting
16
Ways IT Can Improve Safety
• Prevent errors and adverse events
• Facilitating a more rapid response after an
…
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psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan
July 28, 2014 - Commentary
Health care serial murder: a patient safety orphan.
Citation Text:
Kizer KW, Yorker BC. Health care serial murder: a patient safety orphan. Jt Comm J Qual Saf. 2010;36(4):186-191.
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psnet.ahrq.gov/issue/impact-nursing-hospital-patient-mortality-focused-review-and-related-policy-implications
September 21, 2011 - Review
Impact of nursing on hospital patient mortality: a focused review and related policy implications.
Citation Text:
Tourangeau AE, Cranley LA, Jeffs L. Impact of nursing on hospital patient mortality: a focused review and related policy implications. Qual Saf Health Care. 2006;15(…
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psnet.ahrq.gov/issue/normalization-deviance-threat-patient-safety
December 21, 2016 - Commentary
The normalization of deviance: a threat to patient safety.
Citation Text:
Odom-Forren J. The normalization of deviance: a threat to patient safety. J Perianesth Nurs. 2011;26(3):216-9. doi:10.1016/j.jopan.2011.05.002.
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psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed
October 19, 2022 - Commentary
Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED.
Citation Text:
Gottlieb LK, Stone EM, Stone D, et al. Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED. Health Aff. 2005;…
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psnet.ahrq.gov/issue/implementing-national-strategy-patient-safety-lessons-national-health-service-england
March 02, 2011 - Commentary
Implementing a national strategy for patient safety: lessons from the National Health Service in England.
Citation Text:
Lewis RQ, Fletcher M. Implementing a national strategy for patient safety: lessons from the National Health Service in England. Qual Saf Health Care. 2005…
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www.ahrq.gov/news/blog/ahrqviews/burnout-in-primary-care-guide.html
April 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
New Guide Offers Strategies To Reduce Clinician Burdens
APR
24
2023
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
In recent years, primary care physicians have struggled with burnout brought on …
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment-instructions.pdf
December 01, 2023 - How to Complete the Practice Self-Assessment Tool for Opioid Use in Older Adults
www.ahrq.gov
How to Complete the Practice Self-Assessment Tool for Opioid Use in Older Adults
The Practice Self-Assessment Tool for Opioid Use in Older Adults (Self-Assessment tool) is for
primary care practices that want to improve…
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psnet.ahrq.gov/issue/patient-safety-climate-92-us-hospitals-differences-work-area-and-discipline
September 02, 2009 - Study
Patient safety climate in 92 US hospitals: differences by work area and discipline.
Citation Text:
Singer SJ, Gaba DM, Falwell A, et al. Patient safety climate in 92 US hospitals: differences by work area and discipline. Med Care. 2009;47(1):23-31. doi:10.1097/MLR.0b013e31817e189…