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psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
October 18, 2017 - 2017
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - The project can be implemented with existing discharge planning or nursing staff who can incorporate … the Discharge Patient Education Tool and other discharge planning tools into their daily activities. … PASS [Patient Preparation to Address Situations Successfully) and DPET [Discharge Patient Education Tool … the Discharge Patient Education Tool and other discharge planning tools into their daily activities. … Can we predict acute medical readmissions using the BOOST tool? A retrospective case note review.
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psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - of health care delivery;
Collection and analysis of patient safety work product;
Development and dissemination
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psnet.ahrq.gov/node/866055/psn-pdf
May 29, 2024 - Planning and Development Process
After identifying an opportunity to improve surgical safety by reducing … plan for providers to follow in highly complex
procedures, they knew their innovation was ready for dissemination … Additionally, the Ascension innovation team created tools and materials for dissemination across their
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psnet.ahrq.gov/issue/struggling-invent-high-reliability-organizations-health-care-settings-insights-field
October 02, 2019 - AHRQ plans to develop a learning network to facilitate dissemination of effective implementation strategies … September 9, 2010
The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale
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psnet.ahrq.gov/issue/fdasia-health-it-report-proposed-strategy-and-recommendations-risk-based-framework
June 29, 2016 - Government Resource
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework.
Citation Text:
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. Washington, DC: Office of the National Coordinator for Health Informati…
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psnet.ahrq.gov/issue/strategies-improve-patient-safety-final-report-congress-required-patient-safety-and-quality
June 21, 2016 - 2016
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination
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psnet.ahrq.gov/node/33615/psn-pdf
June 01, 2005 - We have this tool called CUSP, our Comprehensive Unit-based Safety Program, with enough
structure to … Bryan Sexton's tool), educate on the science of safety, and then ask
your front-line workers how they … going to harm patients, and then commit to learn from one
defect a month and implement one teamwork tool … We think the CUSP tool really
helps—once people get started, they really run with it.
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psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting
August 14, 2017 - Commentary
Doing right by our patients when things go wrong in the ambulatory setting.
Citation Text:
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.
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Forma…
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - were supposed to mean, and that the verbal handoff didn't mirror the new written computerized handoff tool … stands for I llness severity, P atient summary, A ction list, S ituation 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.
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psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs
November 12, 2014 - September 9, 2015
Development, implementation, and dissemination of the I-PASS Handoff … February 8, 2017
Implementing a perioperative handoff tool to improve postprocedural
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psnet.ahrq.gov/issue/medicine-communication-hospital-residential-aged-care-facilities-cross-sectional-survey-aged
December 06, 2023 - July 24, 2024
Enhancing implementation of the I-PASS handoff tool using a provider handoff … Informatics tools in deprescribing and medication optimization in older adults: development and dissemination
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psnet.ahrq.gov/issue/perfect-storm-averted-flawed-systems-dropped-ball-and-cognitive-biases-delay-critical
November 30, 2022 - September 8, 2021
Preventing and mitigating radiology system failures: a guide to disaster planning … 2019
WebM&M Cases
Failed Interpretation of Screening Tool
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
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. … potential interventions that may be missed without effective reporting and analysis in combination with dissemination … the EHR as part of a learning health system is the “Learn from Every Patient Program,” which used a tool
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - potential interventions that may be missed without effective reporting and analysis in combination with dissemination … the EHR as part of a learning health system is the “Learn from Every Patient Program,” which used a tool … 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/issue/ahrq-announces-interest-research-about-epidemiology-patient-safety-risks-and-harms-ambulatory
August 15, 2018 - January 15, 2020
Dissemination and Implementation of Equity-Focused Evidence-Based Interventions
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psnet.ahrq.gov/issue/please-reconcile-not-wait-while
April 19, 2023 - severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - restructured their Department of Surgery, focusing on changes
to communication approaches to ensure regular dissemination … Surge Planning
The COVID-19 pandemic has placed incredible demands on the capacity of the health system … Surge
planning has become even more important for hospital operations in an effort to take into consideration … sought to
review surge capacity strategies at hospitals to inform systematic recommendations for future planning … However,
there are concerns that the urgency to create AI models could result in the rapid dissemination
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psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
September 23, 2020 - March 17, 2015
Handover after pediatric heart surgery: a simple tool improves information
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psnet.ahrq.gov/issue/reducing-high-risk-medication-use-through-pharmacist-led-interventions-outpatient-setting
September 23, 2020 - Informatics tools in deprescribing and medication optimization in older adults: development and dissemination