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8101. Combating Antibiotic-Resistant Bacteria | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/carb/index.html
      May 01, 2022 - Combating Antibiotic-Resistant Bacteria AHRQ works alongside Federal Agencies across the Government as part of the Task Force for Combating Antibiotic-Resistant Bacteria (CARB). The goal of this Task Force is to reduce antibiotic resistance by carrying out the actions described in the National Action Plan for C…

8102. CUSP Videos | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/videos/index.html
      September 01, 2019 - CUSP Videos The following videos give examples of CUSP practices. Introduction About CUSP—A Doctor's Perspective About CUSP: A Nurse's Perspective About CUSP: Overview Assemble the Team The 4 E's Building Your CUSP Team Psychological Safety Physician Engagement Engage the Senior Executive …

8103. Overcome Common Challenges | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/index.html
      April 01, 2022 - Overcome Common Challenges This section helps teams discover actionable strategies to overcome four common challenges in making changes to patient safety culture. Tools are shown in various formats and located on several pages of the toolkit to flexibly support users in addressing their question. Making It Work…

8104. University of Pennsylvania | Digital Healthcare Research
      digital.ahrq.gov/organization/university-pennsylvania
      January 01, 2023 - University of Pennsylvania Electronic Health Record Use, Work Environments, and Patient Outcomes Description The purpose of this research was to investigate the relationships between electronic health record adoption and usability, work environment, and patient and nurse outco…

8105. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
      psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
      August 01, 2012 - One of the nice things about working in the nursing home world is the availability of secondary datasets

8106. Methods for assessing the preventability of adverse drug events: a systematic review. | PSNet
      psnet.ahrq.gov/issue/methods-assessing-preventability-adverse-drug-events-systematic-review
      July 24, 2013 - Review Methods for assessing the preventability of adverse drug events: a systematic review. Citation Text: Hakkarainen KM, Sundell KA, Petzold M, et al. Methods for assessing the preventability of adverse drug events: a systematic review. Drug Saf. 2012;35(2):105-26. doi:10.2165/11596…

8107. Inpatient suicide: preventing a common sentinel event. | PSNet
      psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event
      May 28, 2015 - Review Inpatient suicide: preventing a common sentinel event. Citation Text: Tishler CL, Reiss NS. Inpatient suicide: preventing a common sentinel event. Gen Hosp Psychiatry. 2009;31(2):103-9. doi:10.1016/j.genhosppsych.2008.09.007. Copy Citation Format: DOI Google Scholar …

8108. Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hhs-guidance-regarding-patient-safety-work
      December 24, 2008 - Government Resource Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. Citation Text: Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and provid…

8109. CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. | PSNet
      psnet.ahrq.gov/issue/cmqcc-obstetric-sepsis-toolkit-update-patient-centered-approach-quality-improvement
      August 21, 2024 - Commentary CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. Citation Text: Main EK, Nath R, Bauer ME. CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. Semin Perinatol. 2024:151976. doi:10.1016/j.semperi.2…

8110. Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center. | PSNet
      psnet.ahrq.gov/issue/nursing-perception-impact-medication-carts-patient-safety-and-ergonomics-teaching-health-care
      May 29, 2014 - Study Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center. Citation Text: Rochais E, Atkinson S, Bussières J-F. Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health ca…

8111. Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. | PSNet
      psnet.ahrq.gov/issue/lives-lost-lives-saved-updated-comparative-analysis-avoidable-deaths-hospitals-graded
      July 09, 2019 - Book/Report Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. Citation Text: Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. Austin M, Derk J. Bal…

8112. Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. | PSNet
      psnet.ahrq.gov/issue/multi-level-strategies-achieve-resilience-organisation-operating-capacity-case-study-trauma
      November 20, 2024 - Study Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Citation Text: Miller A, Xiao Y. Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Cogni…

8113. Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care. | PSNet
      psnet.ahrq.gov/issue/strategic-work-arounds-accommodate-new-technology-case-smart-pumps-hospital-care
      July 14, 2010 - Study Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care. Citation Text: McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63. …

8114. RecruitmentFlyer_FAQs_VA (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-flyer-va.pdf
      June 02, 2025 - RecruitmentFlyer_FAQs_VA Frequently Asked Questions 1. Why should my practice participate in the Heart of Virginia Healthcare (HVH) initiative? Your practice will receive personalized coaching on optimizing your practice model and culture; helping you improve cardiovascular care for your patients. Improving func…

8115. Nurses' safety motivation: examining predictors of nurses' willingness to report medication errors. | PSNet
      psnet.ahrq.gov/issue/nurses-safety-motivation-examining-predictors-nurses-willingness-report-medication-errors
      October 10, 2015 - Study Nurses' safety motivation: examining predictors of nurses' willingness to report medication errors. Citation Text: Farag A, Lose D, Gedney-Lose A. Nurses' Safety Motivation: Examining Predictors of Nurses' Willingness to Report Medication Errors. West J Nurs Res. 2019;41(7):954-972…

8116. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. | PSNet
      psnet.ahrq.gov/issue/patient-safety-developing-countries-retrospective-estimation-scale-and-nature-harm-patients
      March 23, 2011 - Study Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. Citation Text: Wilson R, Michel P, Olsen S, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hos…

8117. Communication in critical care environments: mobile telephones improve patient care. | PSNet
      psnet.ahrq.gov/issue/communication-critical-care-environments-mobile-telephones-improve-patient-care
      June 27, 2018 - Study Communication in critical care environments: mobile telephones improve patient care. Citation Text: Soto RG, Chu LF, Goldman JM, et al. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535-41. Copy Citation Format:…

8118. How structural racism works - racist policies as a root cause of U.S. racial health inequities. | PSNet
      psnet.ahrq.gov/issue/how-structural-racism-works-racist-policies-root-cause-us-racial-health-inequities
      April 14, 2017 - Commentary Classic How structural racism works - racist policies as a root cause of U.S. racial health inequities. Citation Text: Bailey ZD, Feldman JM, Bassett MT. How structural racism works - racist policies as a root cause of U.S. racial health inequities. N…

8119. "Excuse me": teaching interns to speak up. | PSNet
      psnet.ahrq.gov/issue/excuse-me-teaching-interns-speak
      January 18, 2013 - Study "Excuse me": teaching interns to speak up. Citation Text: O'Connor P, Byrne D, O'Dea A, et al. "Excuse me:" teaching interns to speak up. Jt Comm J Qual Patient Saf. 2013;39(9):426-431. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

8120. A roadmap to advance patient safety in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
      June 09, 2021 - Commentary A roadmap to advance patient safety in ambulatory care. Citation Text: Singh H, Carayon P. A roadmap to advance patient safety in ambulatory care. JAMA. 2020;324(24):2481-2482. doi:10.1001/jama.2020.18551. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…