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1. Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents | PSNet
   psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
   July 23, 2024 - learned from the initiative were transferred to NewPath Health Solutions, LLC, to ensure continued dissemination … Support was also provided by researchers with expertise in QI, care coordination, advance care planning … and education tools, such as a medication reconciliation worksheet, a “stop and watch” early warning tool … initiative piloted in Phase 1 have been transferred to NewPath Health Solutions, LLC, to ensure continued dissemination … Support was also provided by researchers with expertise in QI, care coordination, advance care planning

2. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/73515/psn-pdf
   August 01, 2022 - learned from the initiative were transferred to NewPath Health Solutions, LLC, to ensure continued dissemination … and education tools, such as a medication reconciliation worksheet, a “stop and watch” early warning tool … initiative piloted in Phase 1 have been transferred to NewPath Health Solutions, LLC, to ensure continued dissemination … Planning and Development Process The commitment of corporate and facility leaders to this innovation … Support was also provided by researchers with expertise in QI, care coordination, advance care planning

3. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/33779/psn-pdf
   March 01, 2015 - awareness and contingency planning, and Synthesis or read-back. … 2014, the researchers published a preliminary study that shared the development, implementation, and dissemination … of the I- PASS tool and its associated curriculum. … The implementation of I-PASS in nine pediatric residency programs required adoption of the tool and … Using a risk-prediction tool, patients at very high risk for major complications had 10-fold higher

4. Patient Safety Tools: Improving Safety at the Point of Care. | PSNet
   psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care
   December 24, 2008 - May 29, 2013 Quick Tips—When Planning for Surgery. … 2015 Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination

5. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/851070/psn-pdf
   June 28, 2023 - diagnostic-safety-across-transitions-care-throughout-healthcare-system-current-state-and-call https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care … improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle https://psnet.ahrq.gov/issue/development-implementation-and-dissemination-i-pass-handoff-curriculum-multisite-educational

6. PowerPoint Presentation (ppt file)
   psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
   February 01, 2018 - on narrow interventions, such as introducing: a new team training program a new computerized handoff tool … Development, implementation, and dissemination of the I-PASS handoff curriculum: a multisite educational … more than just training, assessment, and feedback A commitment to cultural change is needed Teamwork, planning … I-PASS program was associated with a 30% reduction in rates of preventable adverse events Teamwork, planning

7. The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis | PSNet
   psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
   February 26, 2025 - I-READI acronym outlines the steps (i.e., Integration, Root-Cause Analysis, Evidence Review, Adaptation, Dissemination … I-READI stands for Integration, Root-cause Analysis, Evidence, Adaptation, Dissemination, and Integration … Getting Started with This Innovation For the pre-implementation planning phase, according to the innovation … requires ongoing maintenance of committees, protocols, and channels for reliable communication and dissemination … Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19

8. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/846125/psn-pdf
   March 15, 2023 - I-READI acronym outlines the steps (i.e., Integration, Root-Cause Analysis, Evidence Review, Adaptation, Dissemination … I-READI stands for Integration, Root-cause Analysis, Evidence, Adaptation, Dissemination, and Integration … psnet.ahrq.gov//#1 https://psnet.ahrq.gov//#1 Getting Started with This Innovation For the pre-implementation planning … requires ongoing maintenance of committees, protocols, and channels for reliable communication and dissemination … Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19

9. Network of Patient Safety Databases. | PSNet
   psnet.ahrq.gov/issue/network-patient-safety-databases
   December 24, 2008 - These tools enable the wide dissemination of information to inform organizational improvement strategies … May 29, 2013 Quick Tips—When Planning for Surgery.

10. Improving care by using patient feedback. | PSNet
    psnet.ahrq.gov/issue/improving-care-using-patient-feedback
    April 19, 2017 - Southampton, UK: NIHR Dissemination Centre; December 2019. … Southampton, UK: NIHR Dissemination Centre; December 2019. … Available at Free full text Related tool Save Save to your library Print … Southampton, UK: NIHR Dissemination Centre; December 2019.

11. Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes. | PSNet
    psnet.ahrq.gov/issue/major-cultural-compatibility-complex-considerations-cross-cultural-dissemination-patient
    May 26, 2010 - Commentary Major cultural-compatibility complex: considerations on cross-cultural dissemination … Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety … Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety … February 1, 2013 Using the opportunity estimator tool to improve engagement in a quality

12. A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient safety in hospitals. | PSNet
    psnet.ahrq.gov/issue/systematic-narrative-review-coroners-prevention-future-deaths-reports-pfds-tool-patient
    October 19, 2022 - A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool … A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient … The authors conclude the impact of PFDs could be strengthened by improving the reporting and dissemination … A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient

13. Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use | PSNet
    psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
    September 13, 2023 - program, and a caregiver support program—as well as an innovation, research, and evidence-based program dissemination … Planning and Development Process Key elements of the planning and development process included the … In 2003, Partners in Care received a 4-year dissemination grant from the U.S. … A readiness-for-change tool available through the Partners in Care Foundation Web site (  http://www.HomeMeds.org … Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool

14. AHRQ Grants by State. | PSNet
    psnet.ahrq.gov/issue/grants-line-database-gold
    December 24, 2008 - May 29, 2013 Quick Tips—When Planning for Surgery. … September 6, 2023 Dissemination and Implementation of Equity-Focused Evidence-Based Interventions

15. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42943/psn-pdf
    April 12, 2014 - Doing right by our patients when things go wrong in the ambulatory setting. April 12, 2014 Schiff G, Griswold P, Ellis BR, et al. Doing right by our patients when things go wrong in the ambulatory setting. Jt Comm J Qual Patient Saf. 2014;40(2):91-96. https://psnet.ahrq.gov/issue/doing-right-our-patients-when-thin…

16. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33806/psn-pdf
    April 01, 2016 - conversation-christopher-p-landrigan-md-mph https://psnet.ahrq.gov/issue/development-implementation-and-dissemination-i-pass-handoff-curriculum-multisite-educational … rates-medical-errors-and-preventable-adverse-events-among-hospitalized-children-following new written computerized handoff tool … which stands for Illness severity, Patient summary, Action list, Situation awareness and contingency planning … Each site also worked with IT leadership to develop a written handoff tool that was structured in an … AS: Only two of the sites weren't able to integrate the handoff tool into their EMR.

17. Association of a web-based handoff tool with rates of medical errors. | PSNet
    psnet.ahrq.gov/issue/association-web-based-handoff-tool-rates-medical-errors
    April 12, 2023 - Study Association of a web-based handoff tool with rates of medical errors. … Association of a Web-Based Handoff Tool With Rates of Medical Errors. … In this prospective cohort study, investigators introduced a web-based handoff tool and provided formal … This study suggests that a web-based standardized tool may help mitigate errors associated with current … Association of a Web-Based Handoff Tool With Rates of Medical Errors.

18. Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) | PSNet
    psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
    February 26, 2025 - presentation, overnight events, plan), Action list (to-dos for the day), Situation awareness and contingency planning … adapted I-PASS (Illness severity, Patient summary, Action list, Situation awareness and contingency planning … result suggests that the intervention might have affected harmful and nonharmful errors differently. 4 Planning … It is important to emphasize the involvement of families in the planning and development process of the … The innovators found that inclusion of families in the planning and development process was instrumental

19. We're not your enemy: an appeal from a consumer to re-imagine tort reform. | PSNet
    psnet.ahrq.gov/issue/were-not-your-enemy-appeal-consumer-re-imagine-tort-reform
    March 27, 2005 - September 19, 2007 Dissemination of Lean methods to improve Pap testing quality and patient … 2018 Learning from lawsuits: using malpractice claims data to develop care transitions planning

20. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865296/psn-pdf
    March 27, 2024 - patient safety and reduce preventable harm in healthcare settings, there are gaps in the large-scale dissemination … Healthcare organizations can use the National Action Plan along with its companion Self-Assessment Tool