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psnet.ahrq.gov/node/41586/psn-pdf
January 01, 2013 - Strategies for improving patient safety culture in
hospitals: a systematic review.
December 31, 2012
Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a
systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-000582.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/867039/psn-pdf
October 30, 2024 - Correlates of missed or late versus timely diagnosis of
dementia in healthcare settings.
October 30, 2024
Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in
healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.1002/alz.14067.
https://psnet.ahrq…
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psnet.ahrq.gov/node/74757/psn-pdf
February 09, 2022 - Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study.
February 9, 2022
Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic
pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531.
doi:10.1001/jamanetworkopen.2021.44531.
…
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psnet.ahrq.gov/node/36154/psn-pdf
September 29, 2010 - Harmful medication errors in children: a 5-year analysis of
data from the USP's MEDMARX(R) program.
September 29, 2010
Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from
the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8.
https://psnet.ahrq.gov/issue/har…
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psnet.ahrq.gov/node/45500/psn-pdf
September 28, 2016 - PIPc study: development of indicators of potentially
inappropriate prescribing in children (PIPc) in primary
care using a modified Delphi technique.
September 28, 2016
Barry E, O'Brien K, Moriarty F, et al. PIPc study: development of indicators of potentially inappropriate
prescribing in children (PIPc) in primary…
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psnet.ahrq.gov/node/74268/psn-pdf
January 19, 2022 - Potentially inappropriate prescribing and its associations
with health-related and system-related outcomes in
hospitalised older adults: a systematic review and meta-
analysis.
January 19, 2022
Mekonnen AB, Redley B, Courten B, et al. Potentially inappropriate prescribing and its associations with
health?related …
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psnet.ahrq.gov/node/848317/psn-pdf
May 03, 2023 - Uptake of pharmacist recommendations by patients after
discharge: implementation study of a patient-centered
medicines review service.
May 3, 2023
Basger BJ, Moles RJ, Chen TF. Uptake of pharmacist recommendations by patients after discharge:
implementation study of a patient-centered medicines review service. BMC…
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psnet.ahrq.gov/node/48163/psn-pdf
July 31, 2019 - The MedSafer Study: a controlled trial of an electronic
decision support tool for deprescribing in acute care.
July 31, 2019
McDonald EG, Wu PE, Rashidi B, et al. The MedSafer Study: A Controlled Trial of an Electronic Decision
Support Tool for Deprescribing in Acute Care. J Am Geriatr Soc. 2019;67(9):1843-1850.
d…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-2.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 2: Reporting Audit Results
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Buildin…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-4.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 4: Reporting Audit Results
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Buildin…
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psnet.ahrq.gov/node/45137/psn-pdf
May 18, 2016 - Less is more: a project to reduce the number of PIMs
(potentially inappropriate medications) on an elderly care
ward.
May 18, 2016
Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially
inappropriate medications) on an elderly care ward. BMJ Qual Improv Rep. 2016;5(1).
…
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psnet.ahrq.gov/node/36345/psn-pdf
November 15, 2011 - Risk reduction for adverse drug events through
sequential implementation of patient safety initiatives in a
children's hospital.
November 15, 2011
Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential
implementation of patient safety initiatives in a children's hospital. P…
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psnet.ahrq.gov/node/36386/psn-pdf
July 14, 2010 - Learning from different lenses: reports of medical errors
in primary care by clinicians, staff, and patients: a project
of the American Academy of Family Physicians National
Research Network.
July 14, 2010
Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: Reports of Medical Errors in
Primary…
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psnet.ahrq.gov/node/837205/psn-pdf
May 25, 2022 - Individualized medication review in older people with
multimorbidity: a comparative analysis between patients
living at home and in a nursing home.
May 25, 2022
Molist-Brunet N, Sevilla-Sánchez D, Puigoriol-Juvanteny E, et al. Individualized medication review in older
people with multimorbidity: a comparative anal…
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www.ahrq.gov/patient-safety/settings/esrd/resource/tool-module.html
January 01, 2015 - ESRD Toolkit Modules
Modules contain PowerPoint slides, facilitator notes, video vignettes, and tools. Each module includes teaching tools and resources to support change at the unit level, presented through facilitator notes that take you step by step through the slides, tools, and videos.
Creating a Culture…
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digital.ahrq.gov/principal-investigator/zhu-xi
January 01, 2024 - Zhu, Xi
Patient care in complex Sociotechnological ecosystems and learning health systems.
Citation
Tu SP, Garcia B, Zhu X, Sewell D, Mishra V, Matin K, Dow A. Patient care in complex Sociotechnological ecosystems and learning health systems. Learn Health Syst. 2024 May 23;8(S…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/operation-sequence-diagram
January 01, 2023 - Operation Sequence Diagram
Acronym
OSD
Description
Operation sequence diagrams (OSD) are graphical representations of team interaction in a network. They portray how tasks are performed and how individuals interact over time.
Uses
To portray graphically how teams interact in a networ…
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psnet.ahrq.gov/node/74266/psn-pdf
January 19, 2022 - Outcomes and patient safety in overlapping vs.
nonoverlapping total joint arthroplasty: a systematic
review and meta-analysis.
January 19, 2022
Malahias M-A, Antoniadou T, Jang SJ, et al. Outcomes and patient safety in overlapping vs.
nonoverlapping total joint arthroplasty: a systematic review and meta-analysis. …
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www.ahrq.gov/talkingquality/translate/compare/choose/standard.html
January 01, 2023 - Comparing Quality Scores to an Independent Standard
Another approach would be to compare scores to an independent standard of what performance on this measure ideally should be . While implementing this approach is challenging, it has significant advantages.
Advantages of Comparing to an Independent Standard…
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psnet.ahrq.gov/node/36551/psn-pdf
February 17, 2011 - An intervention to decrease catheter-related bloodstream
infections in the ICU.
February 17, 2011
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related
bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725-2732.
https://psnet.ahrq.gov/issue/intervention-decrease-c…