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psnet.ahrq.gov/issue/improving-safety-hospitalized-patients-much-progress-many-challenges-remain
September 24, 2017 - national attention to the issue of patient safety and is often credited with catalyzing widespread efforts … This commentary highlights progress made in patient safety and suggests that future efforts should focus
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psnet.ahrq.gov/node/44847/psn-pdf
May 09, 2017 - preventability-and-causes-readmissions-national-cohort-general-medicine-
patients
Preventing readmissions is a cornerstone of patient safety efforts … These results suggest that
multiple interventions will be needed to avert readmissions, and such efforts
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psnet.ahrq.gov/node/42819/psn-pdf
October 31, 2014 - This article describes the substantial efforts of this collaborative
in engaging states and hospitals … The authors suggest that this experience may
serve as a model for other large, national improvement efforts
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psnet.ahrq.gov/node/37514/psn-pdf
February 04, 2015 - The authors advocate for continued efforts to improve the business case for safety
interventions, partly … psnet.ahrq.gov/issue/errors-medicine-and-law
https://psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
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psnet.ahrq.gov/node/43128/psn-pdf
August 25, 2015 - multimethod approach to peer assessment, hazard
identification, and prioritization of patient safety efforts … Multimethod Approach to Peer Assessment, Hazard Identification, and Prioritization of Patient Safety
Efforts
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psnet.ahrq.gov/node/36044/psn-pdf
April 27, 2010 - expected-and-unanticipated-consequences-quality-and-information-
technology-revolutions
Burgeoning efforts … better systems that not only provide improved patient outcomes but also support providers in
their efforts
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - However, in spite of all our good intentions and dedicated efforts, a tragic and devastating transplant … To date, the Council's efforts have led to several major initiatives, including a computerized physician … We have also involved patients in our safety efforts by conducting safety walk rounds.( 4 ) During these … Through these efforts, we are trying to develop a culture in which adverse events and near misses are … Although many of these efforts are in their early stages and we still have much to do and to learn, we
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - graduate medical education office, they initiated a literature review and began quality improvement efforts … ;19:493-497. https://www.ncbi.nlm.nih.gov/pubmed/20378628
11
Improving Handoffs
Historically, most efforts … or asked clarifying questions
17
17
Handoff Assessment
After implementation I-PASS (or similar efforts … Available at http://dx.doi.org/10.15766/mep_2374-8265.9570
19
Implementing a Handoff Program (2)
Efforts … planning, and anticipation of resistance to change are key components of successful handoff improvement efforts
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psnet.ahrq.gov/issue/national-safety-effort-targets-perinatal-injuries
November 10, 2010 - Newspaper/Magazine Article
National safety effort targets perinatal injuries.
Citation Text:
National safety effort targets perinatal injuries. O'Reilly KB.
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psnet.ahrq.gov/node/37940/psn-pdf
June 16, 2010 - Patient involvement in safety efforts is being
actively promoted, but current efforts have focused on
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psnet.ahrq.gov/node/44826/psn-pdf
February 14, 2017 - Establishing hospital quality or
payment based on unvalidated metrics has consequences for patient safety efforts … and validation of administrative metrics occurs, widespread implementation
of pay-for-performance efforts
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psnet.ahrq.gov/node/47333/psn-pdf
October 10, 2018 - Information about how overdose deaths are
nationally distributed is critical to inform prevention efforts … An Annual Perspective and a PSNet perspective provide
further insights into how safety efforts can reduce
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psnet.ahrq.gov/node/42788/psn-pdf
January 19, 2014 - This article details Johns Hopkins Hospital's efforts to exceed the Top Performer award thresholds on … These efforts led to
Johns Hopkins Hospital achieving a compliance goal of 96% or higher on 95% of the
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psnet.ahrq.gov/node/39970/psn-pdf
January 22, 2017 - This article details a checklist that hospital
leadership can use to organize efforts to eliminate central … Prior studies have shown that
hospital boards are sometimes surprisingly disengaged from safety efforts
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psnet.ahrq.gov/node/42023/psn-pdf
May 25, 2013 - evaluation of adaptations to the Global
Trigger Tool to enhance value to adverse event reduction
efforts … and evaluation of adaptations to the global trigger
tool to enhance value to adverse event reduction efforts
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psnet.ahrq.gov/node/45681/psn-pdf
January 25, 2017 - This systematic review examined the economic value of quality improvement
efforts to reduce CLABSIs … results from 15
studies, investigators concluded that hospital spending on CLABSI and CRBSI prevention efforts
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psnet.ahrq.gov/node/45305/psn-pdf
February 14, 2017 - They further suggest that policymakers harness these methods to sustain patient safety efforts
instead … primer/health-care-associated-infections
https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
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psnet.ahrq.gov/node/38585/psn-pdf
April 30, 2014 - to better
categorize complications, identify patterns or trends, and generate quality improvement efforts … An
accompanying invited critique [see link below] lauds the study's efforts and points out that surgical
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psnet.ahrq.gov/node/47559/psn-pdf
November 14, 2018 - A past PSNet perspective
discussed the history around efforts to address preventable HAIs, including … changes-prevalence-health-care-associated-infections-us-hospitals
https://psnet.ahrq.gov/primer/health-care-associated-infections
https://psnet.ahrq.gov/issue/efforts-improve-patient-safety-result
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psnet.ahrq.gov/node/42590/psn-pdf
August 02, 2015 - this finding implies that considerable savings could be
achieved through more rigorous HAI prevention efforts … original studies, other studies have shown a relatively strong
business case for hospitals to invest in efforts