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psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - SPOTLIGHT CASE
Privacy or Safety?
Citation Text:
Halamka JD, McGraw D. Privacy or Safety?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - Fourth, engaging patients and families in discharge planning throughout the hospital stay. … This tool has been used widely throughout the nation. … A second tool, the Team Strategies and Tools to Enhance Performance in Patient Safety , or TeamSTEPPs … How do you decide that a certain tool is ready for scaling? … And if not, then we make changes to the tool if that is what's needed to try achieve the desired outcomes
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - redesign approach that highlights areas such as leadership development, prescription monitoring, and care planning
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psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - interdisciplinary team reviews each case at 1, 2, 3,
6, and 9 months after the initial and annual care-planning … Planning and Development Process
Key steps in the planning and development process included the following
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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - Identify telemedicine as a potential tool for improving the exchange of clinical information during the … Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover … April 12, 2023
Association of a web-based handoff tool with rates of medical errors.
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - reduced adverse events, medical errors, and readmissions.( 13 ) The Joint Commission Targeted Solutions Tool
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
February 01, 2013 - Johnson : Patient- and family-centered care is an approach to the planning, implementation, and evaluation … learn how to communicate information to patients and families and make the distinction between care planning … If we include patients and families in all the different key care planning and decision-making times, … together, we work on the safety team together in direct care, and the patient is not excluded at care planning … This tool is preventing errors in the hospital, and by the time patients and families are ready to go
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psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
December 01, 2007 - down to a three-item measure, which accounts for about 90% of the predicted accuracy of the 15-item tool … council for the Joint Commission for raising awareness of the importance of discharge and transition planning … There would be some inherent value in having a tool that would allow a fairly concise communication of … Although it is likely that an investment in discharge planning and postdischarge support will be cost-effective
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - An EMR-based tool to support collaborative planning for medication use among adults with diabetes: design
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psnet.ahrq.gov/web-mm/reconciling-doses
August 14, 2017 - test and implement changes in different settings, using the results of these experiences to inform dissemination … Medication reconciliation: a practical tool to reduce the risk of medication errors. … January 2, 2017
'Global Trigger Tool' shows that adverse events in hospitals may be ten
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psnet.ahrq.gov/perspective/medias-role-patient-safety
April 27, 2022 - Social Media as a Tool for Consumer Engagement in Hospital Quality Improvement and Service Design: Barriers … KH: I’m thinking about it as a patient safety tool, like using it to identify clusters of events, or … So, use it not to get the story into the mainstream, but as a tool, similar to how web data can be used
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - Dissemination and implementation of evidence based best
practice across the High Value Healthcare Collaborative … A maturity grid assessment tool for learning networks. Learn
Health Syst. 2020;5(2):e10232.
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - SPOTLIGHT CASE
Tough Call: Addressing Errors From Previous Providers
Citation Text:
Martinez W, Hickson GB. Tough Call: Addressing Errors From Previous Providers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - The NQF, which was established in May 1999 by a White House–convened planning committee facilitated by
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - Use of Maternal Early Warning Trigger tool reduces maternal morbidity.
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psnet.ahrq.gov/perspective/care-transitions
December 01, 2007 - Although it is likely that an investment in discharge planning and postdischarge support will be cost-effective … down to a three-item measure, which accounts for about 90% of the predicted accuracy of the 15-item tool … council for the Joint Commission for raising awareness of the importance of discharge and transition planning … There would be some inherent value in having a tool that would allow a fairly concise communication of
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - Johnson : Patient- and family-centered care is an approach to the planning, implementation, and evaluation … learn how to communicate information to patients and families and make the distinction between care planning … If we include patients and families in all the different key care planning and decision-making times, … together, we work on the safety team together in direct care, and the patient is not excluded at care planning … This tool is preventing errors in the hospital, and by the time patients and families are ready to go
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psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - In Conversation with...Richard P. Shannon, MD
August 1, 2010
Also Read an Essay
Citation Text:
In Conversation with..Richard P. Shannon, MD. PSNet [internet]. 2010.In Conversation with...Richard P. Shannon, MD. PSNet [internet]. Rockville (MD): Agency for Healthc…
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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - test and implement
changes in different settings, using the results of these experiences to inform dissemination … Medication reconciliation: a practical tool to reduce the risk of
medication errors.
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - Biopsy
The use of liver biopsy to obtain tumor or liver histology remains an important diagnostic tool … Additionally, the use of computed tomography as an image-guidance tool has gained popularity.