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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - Personal Health Literacy
Citation Text:
Bakerjian D. Personal Health Literacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Communication Error in a Closed ICU
Citation Text:
Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - SPOTLIGHT CASE
Engaging Seriously Ill Older Patients in Advance Care Planning
Citation Text:
Heyland DK. Engaging Seriously Ill Older Patients in Advance Care Planning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. …
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psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
February 01, 2023 - When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!
Citation Text:
Bagley B, Tan CL, Plante D. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!. PSNet [internet]. Rockville (MD): Agency for Healthcar…
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psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
May 21, 2014 - Related Resources
Advances in Patient Safety: New Directions and Alternative Approaches … Policy Makers
Financial
Error Reporting and Analysis
Communication Improvement
Technologic Approaches
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psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
October 18, 2017 - September 29, 2017
Advances in Patient Safety: New Directions and Alternative Approaches … Administrators
Quality and Safety Professionals
Quality Improvement Strategies
Technologic Approaches
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psnet.ahrq.gov/issue/addressing-harms-financialization-healthcare-research-inform-advocacy-and-action-and-expand
April 04, 2018 - July 22, 2024
Systems-Based Approaches to Improve Patient Safety by Improving Healthcare … View More
See More About The Topic
Medicine
Nurse Care
Legal and Policy Approaches
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psnet.ahrq.gov/issue/partnership-patients-call-action-leaders
November 10, 2015 - Related Resources
Advances in Patient Safety: New Directions and Alternative Approaches … Health Care Executives and Administrators
Safety Scientists
Policy Makers
Legal and Policy Approaches
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psnet.ahrq.gov/issue/still-hard-share-psos-making-progress-still-face-tech-hurdles
February 08, 2010 - May 18, 2019
Advances in Patient Safety: New Directions and Alternative Approaches. … Information Professionals
Policy Makers
Quality Improvement Strategies
Legal and Policy Approaches
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psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
September 07, 2016 - October 12, 2022
Approaches and Challenges to Electronically Matching Patients' Records … Executives and Administrators
Medicine
Epidemiology of Errors and Adverse Events
Legal and Policy Approaches
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psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality
January 20, 2016 - September 29, 2017
Advances in Patient Safety: New Directions and Alternative Approaches … Epidemiology of Errors and Adverse Events
Quality Improvement Strategies
Legal and Policy Approaches
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/partnering-2.pdf
May 01, 2016 - Partnering To Improve Safety, Quality, and the Patient Experience
Partnering To Improve Safety, Quality,
and the Patient Experience
What is it?
A Patient and Family Advisory Committee (PFAC) is
a group of patients, family members, office staff, and
primary care providers working together to improve
safety, qual…
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psnet.ahrq.gov/node/836967/psn-pdf
April 20, 2022 - Hospital acquired infections in surgical patients: impact
of COVID-19-related infection prevention measures.
April 20, 2022
Tham N, Fazio T, Johnson D, et al. Hospital acquired infections in surgical patients: impact of COVID-19-
related infection prevention measures. World J Surg. 2022;46:1249-1258. doi:10.1007/s0…
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psnet.ahrq.gov/node/50800/psn-pdf
January 01, 2021 - Hacking teamwork in health care: addressing adverse
effects of ad hoc team composition in critical care
medicine.
January 15, 2020
McLeod PL, Cunningham QW, DiazGranados D, et al. Hacking teamwork in health care: Addressing
adverse effects of ad hoc team composition in critical care medicine. Health Care Manag Rev…
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015009-ward-final-report-2008.pdf
January 01, 2008 - A number of approaches were used to gather
input on the patient safety issues that were most rurally … We interviewed HIT directors at urban
hospitals to see if their approaches might be helpful to rural … Results
The grant activities involved an array of approaches to meet the Specific Aims. … Iowa CAH
HIT Interest Group members shared approaches and recommendations and discussed
approaches … Alternative financing approaches would help small
rural hospitals invest in HIT.
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psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - generally accepted, rigorous, standardized, and practical measures of adverse events.(
4-5)
A number of approaches … and
overcomes many of the limitations of other methods.(7-11) A brief discussion on each of these approaches … sentinel events but rarely reflect the spectrum of adverse events.(16-18)
Administrative data sets: Approaches … The end result is that present approaches
to identify adverse events using administrative data sets … Although
not perfect, trigger tools have better operator characteristics than other measurement approaches
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psnet.ahrq.gov/issue/residents-suggestions-reducing-errors-teaching-hospitals
August 20, 2018 - See More About The Topic
Hospitals
Physicians
Error Reporting
Logistical Approaches … Technologic Approaches
View More
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psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-moving-research-practice-evaluation-report-ii-2003
May 21, 2014 - June 5, 2019
Advances in Patient Safety: New Directions and Alternative Approaches. … Executives and Administrators
Policy Makers
Public Health
Audit and Feedback
Legal and Policy Approaches
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023390-overby-final-report-2017.pdf
January 01, 2017 - Purpose
This project aimed to: (1) employ user-centered approaches … Methods
Aim 1: Employ user-centered approaches to design and develop a prototype clinical decision … Results
Aim 1: Employ user-centered approaches to design and develop a prototype clinical decision … In summary, our findings illustrated a need to support
customized notification approaches, user-specific … In addition,
we would implement novel technology approaches to address the challenges to achieving the
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digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
June 08, 2005 - funding; $750k VU funding
08-18-04-Working-Group
Volunteer eHealth Initiative
Regional Approaches … regional level
Coordination among all regional stakeholders requires new organization and governance approaches … Such approaches can capture this additional value and distribute it to stakeholders in an equitable … way
Such approaches can evolve from the status quo and not be stymied by efforts to forestall change