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psnet.ahrq.gov/node/46610/psn-pdf
December 06, 2017 - Patient safety in the ambulatory setting is gaining traction as a focus of research and improvement efforts … safety practices relevant to the ambulatory setting and suggest activities to
advance improvement efforts
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psnet.ahrq.gov/node/34087/psn-pdf
June 16, 2011 - differential findings among staff
and leadership and outline how their findings shaped subsequent improvement efforts … among senior leadership to frontline staff and greater education
directed at physicians about safety efforts
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psnet.ahrq.gov/node/38566/psn-pdf
April 15, 2009 - by the Agency for Healthcare Research and Quality (AHRQ) as a
method to critically evaluate their efforts … The compilation showcases AHRQ's efforts to catalyze innovation and advance knowledge
in patient safety
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psnet.ahrq.gov/node/38047/psn-pdf
January 31, 2011 - However, they conclude
that efforts at hospital design could have greater impact on patient safety and … satisfaction than efforts at
changing hospital culture.
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psnet.ahrq.gov/node/72836/psn-pdf
January 26, 2021 - PFACs) to support execution of their PFE priorities.[4],[5]
However, across all of these different efforts … To support measure developers in these efforts, in April 2020 CMS released a toolkit
for developers, … PFE are essential for healthcare
organizations to establish evidence-based, systematic improvement efforts … These process measures can help organizations identify concrete areas where they need to target their
efforts … These types of measures could provide a more comprehensive
picture of PFE efforts, something that could
-
psnet.ahrq.gov/node/42439/psn-pdf
November 23, 2016 - provide patient-centered care indicates a need for increased patient engagement in
safety and quality efforts … Saul Weingart discusses the practical challenges of engaging patients in
improvement efforts.
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psnet.ahrq.gov/node/43191/psn-pdf
December 12, 2018 - Features of
successful implementation efforts included change management fundamentals such as planning … psnet.ahrq.gov/issue/science-improvement
https://psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
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psnet.ahrq.gov/node/38986/psn-pdf
February 10, 2015 - This policy
has catalyzed efforts to realign payment incentives and patient safety efforts, despite
-
psnet.ahrq.gov/node/35494/psn-pdf
May 27, 2011 - hospital-implementation-computerized-provider-order-entry-systems-results-
2003-leapfrog-group
The Leapfrog Group's widely recognized efforts … of participating hospitals, how hospitals with full
implementation differ from those with partial efforts
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psnet.ahrq.gov/node/36246/psn-pdf
October 21, 2010 - in
contrast with a prior study, there was no relationship between the level of quality improvement efforts … The authors discuss the potential use of these findings for evaluating
patient safety efforts within
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psnet.ahrq.gov/primer/ambulatory-care-safety
December 15, 2024 - fact that the vast majority of health care takes place in the outpatient, or ambulatory care, setting, efforts … These efforts have identified and characterized factors that influence safety in office practice, the … Current Context Although efforts to improve safety have largely focused on hospital care, The Joint Commission … The Agency for Healthcare Research and Quality is also leading efforts to improve ambulatory quality
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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
-
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/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/primers-0
March 15, 2025 - Library
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Efforts … to engage patients in safety efforts have focused on three areas: enlisting patients in detecting adverse … Patient safety event reporting systems are ubiquitous in hospitals and are a mainstay of efforts … RSI prevention efforts should focus on improving surgical item management and enhancing effective communication … Current efforts to improve opioid safety have primarily focused on safe opioid prescribing.
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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/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