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Events from 2024

A Quality Improvement Project to Reduce Hospital Acquired Pressure Injuries in Patients with Darker Pigmented Skin, Ma Fe Chase

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Fall Prevention Quality Initiative: Implementation of Fall Ambassador Safety Team (FAST), Jerome Codilla and Joanna Arraiza

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Standardizing Sepsis Patient Education: A Quality Improvement Process., Bethany Koschel, Claudia Leonard, and Shelley Schoepflin Sanders

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A Quality Improvement Project to Decrease New or Worsening Pressure Ulcers in a Skilled Nursing Facility (D-PUS SNF), Shaune Mattsson

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An Educational Intervention Differentiating Pressure Injuries from End-of-Life Wounds, Alicia Perez Varela and Annette Callis

Submissions from 2023

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Using a Comprehensive On-Site Assessment Process to Reduce Central Line-Associated Bloodstream Infection Rates, Rebecca Bartles, Andria Moore, Rosemary Martin, Rebecca Clarkson, and Laura Ebinger

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A Quality Improvement Project: An Educational Program for Nurses to Improve the Care for Patients Diagnosed with Alcohol Withdrawal Syndrome, Daniel Davidson, Teresa Rangel, Kallie Anderson, Tobi Bryan, and Cassie Baune

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A HAPI Reduction QI Project: Don't Leave Your Patient in S.H.A.M.B.L.E.S, Anissa Guzman, Ashlee Garcia, and Valerie Lindsay

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Clinical Practice Panel: Improvements in Pediatric Food Insecurity Screening; A QI project to increase Pediatric food insecurity screening, Casey Katzman, Brandy Rachel Frye, and Hsiang-Fen Su

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Poster: "Improving High Reliability Organization (HRO) Education, Culture, & Engagement Through Video ", Francis Khan and Alison Branson

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Poster: Improving High Reliability Organization (HRO) Education, Culture, & Engagement Through Video, Francis Khan and Alison Branson

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Self-efficacy in Quality Improvement Competency of Frontline Acute Care Registered Nurses., Lauri Ledbeter

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Root Cause Analysis, Victor Warr, Tom Sant, Carly Riehl, and Rahib Bashir

Poster: Utilization of Catheter Calendars for CAUTI Reduction, Katie Whitehead

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Poster: Utilization of Catheter Calendars for CAUTI Reduction, Katie Whitehead

Submissions from 2022

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Quality assessment in screening colonoscopy: a computer will be watching you., Michael Chiorean

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Medication Usage in Independent Living: A Continuing Care Retirement Community Aging in Place Initiative, Aarti Deshpande, Carrie B Rubenstein, Ruth Benfield, and Lee Burnside

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Implementation of New Policy Software to Enable Quick Access to Best Practice Resources, Mary Alice Duthie and Debbie Shuster

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Blood Administration Documentation Audit Automation, Tonya Lawson, Harriette Lober, and Andrea Nordmark

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Characterizing 30-Day Postoperative Acute Care Visits: A National Surgical Quality Improvement Program Collaborative Analysis., Ashley L Sweet, Thomas L Sutton, Krista A Curtis, Nathan Knapp, Brett C Sheppard, and Karen A Zink

Submissions from 2021

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Prevalence and Longevity of SARS-CoV-2 Antibodies Among Health Care Workers., Michael Brant-Zawadzki, Deborah Fridman, Philip A Robinson, Matthew Zahn, Clayton Chau, Randy German, Marcus Breit, Elmira Burke, Jason R Bock, and Junko Hara

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Do small baby units improve extremely premature infant outcomes?, Joseph W Kaempf and Kanekal Gautham

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Specialty Palliative Care in COVID-19: Early Experiences from the Palliative Care Quality Collaborative., Arif H Kamal, Rachel M Thienprayoon, Melissa Aldridge, Janet Bull, Kristyn Fazzalaro, Diane E Meier, Lance Mueller, Phillip E Rodgers, Kelly A McKenna, and Steven Z Pantilat

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Perceptions of Live Streaming Compared With an In-Person Nursing Conference: A Quality Improvement Project., Devorah Overbay, Teresa Bigand, and Gale Springer

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Physical Design Factors Contributing to Patient Falls., Debajyoti Pati, Shabboo Valipoor, Aimee Cloutier, James Yang, Patricia Freier, Thomas E Harvey, and Jaehoon Lee

Books, Posters, and Presentations from 2020

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Process Improvement for Simethicone use During Endoscopic Procedures, Airene D. Albutra, Mary Estelle De Vera, and Sarah J. Wyrick

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Baby Can't Wait, Mary Lou Anthony, Nancy Christiansen, Jolie Hultner, and Heidi Yttri

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Electronic Solution for Low Census Requests, Tina Bardavid and Robert Wong

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Novel Manufacturing of Simple Masks in Response to International Shortages: Bacterial and Particulate Filtration Efficiency Testing., Jennifer Bayersdorfer, Sue Giboney, Rosemary Martin, Andria Moore, and Rebecca Bartles

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Effects of Sedation Vacations and Sedation Level Quality Improvement Project, Gisele Bazan, Bo Ewing, Cynthia Grissman, April Marpa, August Montgomery, and Tana Overman

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Achieving Quality Care in a Timely Manner: The Utilization of Observation Unit at Covenant Medical Center, Daisy Bolla, Daisy Dagohoy, and Camie Rowland

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STARS interventions for violence reduction: Safety, technology, activity, relief, and surroundings., Christina Anne Case

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Becker's Clinical Leadership Virtual Event: 5 Qs with Dr. Amy Compton-Phillips, chief clinical officer of Providence St. Joseph Health, Amy Compton-Phillips and Mackenzie Bean

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Improving Quality of Patient Care by Reducing the Prevalence of Surgical Site Infections, Gina Dashiell and Luanna Hansen

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Implementing Team-Based Nursing to Improve Patient & Staff Satisfaction, Dawn Doud, Kallie Anderson, Lynn Stapleton, Lauren Perteet, Ashley Ferrera, Taryn Rodriguez, Daniel Davidson, and Crystal Maxey

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A Neonatal Intensive Care Unit's Experience with Implementing an In-Situ Simulation and Debriefing Patient Safety Program in the Setting of a Quality Improvement Collaborative., Mary Eckels, Terry Zeilinger, Henry C Lee, Janine Bergin, Louis P Halamek, Nicole Yamada, Janene Fuerch, Ritu Chitkara, and Jenny Quinn

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Trends in Advance Care Planning for Patients with COPD in an Integrated Health Care System., Matthew F Griffith, Cari R Levy, Hillary D Lum, Joan M Teno, and Christopher Dale

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NV-HAP? Not on My Map!, Chet McCauley and Ahlam Jadalla

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Improving the NICU Experience Through Experience -Based Co-Design, Julie Metcalf and Sarah Pearce

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DEVELOPMENT OF A MATERNAL CHILD HEALTH DEPARTMENT-WIDE NEONATAL RESUSCITATION CART EDUCATIONAL PROJECT, Anna M. Munoz and Beverly Holland

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The Scat on C. diff: Reaching Zero Infections, Gianna Peralta

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Chapter 27: Patient Safety and Quality, Lynette Savage

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Fall Prevention Utilizing Remote Safety Monitoring, Gemma Seidl

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Improving ED Sepsis Bundle Compliance, Jen Selby

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How Much Blood Is That? The Use of Scorecard Feedback to Improve Measurement of Blood Loss at Delivery, Marilyn Cejka Steinberg

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Creating an Effective Poster: Research Versus Evidenced-Based Practice Projects, The ENA Institute for Emergency Nursing Research Advisory Council

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Building a Culture Committed to Fall Prevention, Mary Uppinghouse, Queena Kim, and Marissa Evans

Submissions from 2019

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Play Smart Youth Heart Screening Program Reduces False-Positive Rates for Screening Electrocardiograms, James G Beckerman, M Wang, Lydia Hibsch, and Nancy Davis

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Optimizing Care Teams from the Start, Vanessa Casillas and Ryan Dix

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Hospital-Acquired Infections and Readmissions: Let's Refocus on the Person., Adam Corson, Ira Byock, and Chris Dale

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PMG Quality Reporting, Denise Floyd

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Urinary Tract Infections in Solid Organ Transplant Recipients: Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice., Jason D Goldman and Kathleen Julian

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Decolonization to Reduce Postdischarge Infection Risk among MRSA Carriers., Susan S Huang, Raveena Singh, James A McKinnell, Steven Park, Adrijana Gombosev, Samantha J Eells, Daniel L Gillen, Diane Kim, Syma Rashid, Raul Macias-Gil, Michael A Bolaris, Thomas Tjoa, Chenghua Cao, Suzie S Hong, Jennifer Lequieu, Eric Cui, Justin Chang, Jiayi He, Kaye Evans, Ellena Peterson, Gail Simpson, Philip A Robinson, Chester Choi, Charles C Bailey, James D Leo, Alpesh Amin, Donald Goldmann, John A Jernigan, Richard Platt, Edward Septimus, Robert A Weinstein, Mary K Hayden, and Loren G Miller

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The SHIELD Orange County Project -Multi Drug-Resistant Organism (MDRO) Prevalence in 21 Nursing Homes and Long Term Acute Care Facilities in Southern California., James A McKinnell, Raveena D Singh, Loren G Miller, Ken Kleinman, Gabrielle Gussin, Jiayi He, Raheeb Saavedra, Tabitha D Dutciuc, Marlene Estevez, Justin Chang, Lauren Heim, Stacey Yamaguchi, Harold Custodio, Shruti K Gohil, Steven Park, Steven Tam, Philip A Robinson, Thomas Tjoa, Jenny Nguyen, Kaye D Evans, Cassiana E Bittencourt, Bruce Y Lee, Leslie E Mueller, Sarah M Bartsch, John A Jernigan, Rachel B Slayton, Nimalie D Stone, Matthew Zahn, Vincent Mor, Kevin McConeghy, Rosa R Baier, Lynn Janssen, Kathleen O'Donnell, Robert A Weinstein, Mary K Hayden, Micaela H Coady, Megha Bhattarai, Ellena M Peterson, and Susan S Huang

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Identification and Treatment of Sepsis in the Field, Jamie Roney

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Large Scale Improvement Model in Primary Care, Lisa Scardina and Evan Krause

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Winning the Battle and the War Against C. difficile, Emily Villegas

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Driving Sustainment: Quality Management Packages, Lynn Weddle

Submissions from 2018

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Management Practices for Methicillin-Resistant, Natalie Banniettis, Susan E Beekmann, Philip M Polgreen, Shubhi Kaushik, Stephan Kohlhoff, David Gilbert, John E Bennett, and Margaret R Hammerschlag

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A systematic approach to quantifying infection prevention staffing and coverage needs., Rebecca Bartles, Angela Dickson, and Oluwatomiwa Babade

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A randomized trial of single versus double high-level disinfection of duodenoscopes and linear echoendoscopes using standard automated reprocessing., Rebecca L Bartles, James E Leggett, Shannan Hove, Catherine D Kashork, Lian Wang, Margret Oethinger, Lynda Baxter, and Jack J Brandabur

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CLABSI Rangers: A Team Approach to Extinguishing CLABSI, Alisa Bowman, Christine Bartlett, Sarah Gattis, Staci Hartmann, Eddie LeSage, Heidi Mosher, Joya Picket, and Sarah Potts

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Improvement of surgical wound classification following a targeted training program at a children's hospital., Marilyn W Butler, Sandy Zarosinski, and Dagmar Rockstroh

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Care Redesign Survey: Lessons Learned from and for Rural Health, Amy Compton-Phillips and Namita Seth Mohta

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"To Err Is Human" but Disclosure Must be Taught: A Simulation-Based Assessment Study., Ashley C Crimmins, Ambrose H Wong, James W Bonz, Alina Tsyrulnik, Karen Jubanyik, James D Dziura, Kelly L Dodge, and Leigh V Evans

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Teamwork, Communication, and Data: 3 Keys to Large- Scale Practice Change in Opioid Prescribing, Linda Cruz and Ryan Dix

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Possible pseudotransmission of Enterobacter cloacae associated with an endobronchial ultrasound scope., Angela Dickson, Preeti Kondal, Lou Hilken, Michael Helgesen, William Sjolin, and Dennis Jensen

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250 Miles Apart, Saving Lives Together: Stop Sepsis, Ann C. Eells, Christiana Paul, Caroline Williams, Robert Fitting, Mauren Disbot, Bradley Shroeder, Jenifer Rofkahr, and Amy Samolis

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How to measure success, Deborah Eldredge and Mary Waldo

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High Reliability + Value Improvement = Learning Organization, Sheri Feeney, Liga Mezaraups, Douglas Meyer, Glenda Battey, and Linda Severs

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Diagnosis and Treatment of Invasive Aspergillus fumigatus Wound Infection Following Subtotal Colectomy for Perforated Toxic Megacolon in an Immunosuppressed Patient., Bryce French, Katherine Mandell, and Ryan Martinez

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Impact of an antimicrobial stewardship program on outcomes in patients with community-acquired pneumonia admitted to a tertiary community hospital., Katie Gordon, Ryan Stevens, Benjamin Westley, and Lisa Bulkow

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Caring Cards: Preventing Patient Harm Through the Heart of Nursing., Meredith Gould, Marci Mann, Heather Martin, Rachael Erwin, Ron Schultz, and Kristen Swanson

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Public Reporting of Percutaneous Coronary Intervention Outcomes Done Differently-Leading From Washington., Ravi S Hira, Michael Ring, and Peter Dunbar

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Changing Culture One PDSA at a Time: The Creation of an Innovation Unit, Jennifer Hoople, Gale Arnold, Jennifer Bletscher, Shawna Bolgen, Andy Branca, Tana Case, Matthew Dietz, Jennifer Ferenczy, Heather Haake, Janine Holbrook, Ingrid Jonely, Liga Mezaraups, Jessica Osantowski, Jessica Sehorn, Linda Severs, and Dina Shepelyuk

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Infant Fall Prevention, Kristin Jensen, Nicole Roehrig, Caroline Truong, and Jacklyn Wallace

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Improving Oral Care in Hospitalized Non-Ventilated Patients: Standardizing Products and Protocol, Hillary Jenson, Sandra Maddux, and Mary Waldo

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Overcoming Health Disparities in the United States: The Value Imperative for Healthier Populations., John E Jordan and Johnson B Lightfoote

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Reply to Al-Hasan and Justo., Andre C Kalil, David N Gilbert, Dean L Winslow, Henry Masur, and Michael Klompas

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Effect of Comorbidity On Unplanned Readmissions After Percutaneous Coronary Intervention (From The Nationwide Readmission Database)., Chun Shing Kwok, Sara C Martinez, Samir Pancholy, Waqar Ahmed, Khaled Al-Shaibi, Jessica Potts, Mohamed Mohamed, Evangelos Kontopantelis, Nick Curzen, and Mamas A Mamas

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Relation Between Age and Unplanned Readmissions After Percutaneous Coronary Intervention (Findings from the Nationwide Readmission Database)., Chun Shing Kwok, Sunil V Rao, Ian Gilchrist, Sara C Martinez, Fakhr Al Ayoubi, Jessica Potts, Muhammad Rashid, Evangelos Kontopantelis, Phyo K Myint, and Mamas A Mamas

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National Partnership for Maternal Safety: Consensus Bundle on Safe Reduction of Primary Cesarean Births-Supporting Intended Vaginal Births., David C Lagrew, Lisa Kane Low, Rita Brennan, Maureen P Corry, Joyce K Edmonds, Brian G Gilpin, Jennifer Frost, Whitney Pinger, Dale P Reisner, and Sara Jaffer

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National Partnership for Maternal Safety: Consensus Bundle on Safe Reduction of Primary Cesarean Births- Supporting Intended Vaginal Births., David C Lagrew, Lisa Kane Low, Rita Brennan, Maureen P Corry, Joyce K Edmonds, Brian G Gilpin, Jennifer Frost, Whitney Pinger, Dale P Reisner, and Sara Jaffer

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Neonatal Neuroprotection: Bringing Best Practice to the Bedside in the NICU., Terrie Lockridge

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Decision-support models for empiric antibiotic selection in Gram-negative bloodstream infections., D R MacFadden, B Coburn, N Shah, A Robicsek, R Savage, M Elligsen, and N Daneman

Improving Engagement in an Emergency Department: A Quality Improvement Project, Roxanne McGray, Mary Waldo, and Catherine Van Son

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Genetic Counselors' and Genetic Counseling Students' Implicit and Explicit Attitudes toward Homosexuality., Megan L Nathan, Kelly E Ormond, Christopher M Dial, Amber Gamma, and Mitchell R Lunn

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Clinical, operational, and financial impact of an ultraviolet-C terminal disinfection intervention at a community hospital., Robert Raggi, Kenneth Archulet, Cody W Haag, and Weiming Tang

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Service Operations Center Improves Hospital Flow and Reduces ED Boarding!, Jeanne Rhynsburger, Patty Palmer, and Michelle Hansen

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Limitations in learning: How treatment verifications fail and what to do about it?, Susan Richardson and Bruce Thomadsen

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In-Hospital Sepsis Mortality Rates Comparing Tertiary and Non-Tertiary Hospitals in Washington State., Gail G Salvatierra, Bernice G Gulek, Baran Erdik, Deborah Bennett, and Kenn B Daratha

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Developing an Intervention to Reduce Harm in Hospitalized Patients: Patients and Families in Research., Elizabeth C Schenk, Ruth A Bryant, Catherine R Van Son, and Tamara Odom-Maryon

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Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice., Elizabeth C Schenk, Ruth A Bryant, Catherine R Van Son, and Tamara Odom-Maryon

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Impact of Adoption of a Comprehensive Electronic Health Record on Nursing Work and Caring Efficacy., Elizabeth Schenk, Ruth Schleyer, Cami R Jones, Sarah Fincham, Kenn B Daratha, and Karen A Monsen

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Early Infectious Diseases Specialty Intervention Is Associated with Shorter Hospital Stays and Lower Readmission Rates: A Retrospective Cohort Study., Steven Schmitt, Ann T MacIntyre, Susan C Bleasdale, J Trees Ritter, Sandra B Nelson, Elie F Berbari, Steven D Burdette, Angela Hewlett, Matthew Miles, Philip A Robinson, Javeed Siddiqui, Robin Trotman, Lawrence Martinelli, Gary Zeitlin, Andrés Rodriguez, Mark W Smith, and Daniel P McQuillen

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Knowledge Management & Data Literacy, Sony Shah

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Regional Strategies to Collaboratively Measure Affordability, Meredith Roberts Tomasi, Katie Dobler, and Pamela Mariea-Nason

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The Hospital Antimicrobial Use Process: From Beginning to End., William R Truong and Jason Yamaki

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Are Independent Double-Checks Vital Prior to Safe Subcutaneous Insulin Administration?, Sarah Turecek

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Development of an International Standard Set of Value-Based Outcome Measures for Patients With Chronic Kidney Disease: A Report of the International Consortium for Health Outcomes Measurement (ICHOM) CKD Working Group., Wouter R Verberne, Zofia Das-Gupta, Andrew S Allegretti, Hans A J Bart, Wim van Biesen, Guillermo García-García, Elizabeth Gibbons, Eduardo Parra, Marc H Hemmelder, Kitty J Jager, Markus Ketteler, Charlotte Roberts, Muhamed Al Rohani, Matthew J Salt, Andrea Stopper, Türkan Terkivatan, Katherine Tuttle, Chih-Wei Yang, David C Wheeler, and Willem Jan W Bos