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psnet.ahrq.gov/node/36510/psn-pdf
June 13, 2011 - Using clinical decision support to improve medication
reconciliation.
June 13, 2011
Moore G. Patient Saf Qual Healthc. November / December 2006.
https://psnet.ahrq.gov/issue/using-clinical-decision-support-improve-medication-reconciliation
The author provides strategies to enhance the value of medication reconcili…
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psnet.ahrq.gov/node/40572/psn-pdf
June 27, 2018 - Understanding care transitions as a patient safety issue.
June 27, 2018
Butterfield S; Stegel C; Glock S; Tartaglia D.
https://psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue
This article describes a regional collaborative to enhance care transitions of Medicare beneficiaries by
improving …
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psnet.ahrq.gov/node/39652/psn-pdf
June 30, 2010 - Aftercare tips for patients checking out of the hospital.
June 30, 2010
Alderman L. New York Times. June 18, 2010;B6.
https://psnet.ahrq.gov/issue/aftercare-tips-patients-checking-out-hospital
This news piece highlights efforts to improve discharge planning, enhance the safety of care transitions,
and reduce readm…
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psnet.ahrq.gov/node/36819/psn-pdf
August 26, 2011 - A 10-Rights framework for patient care quality and safety.
August 26, 2011
Wakefield DS, Ward MM, Wakefield BJ. A 10-Rights framework for patient care quality and safety. Am J
Med Qual. 2007;22(2):103-11.
https://psnet.ahrq.gov/issue/10-rights-framework-patient-care-quality-and-safety
The authors describe a framew…
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psnet.ahrq.gov/node/47548/psn-pdf
July 17, 2019 - Patient Safety Learning.
July 17, 2019
Patient Safety Learning.
https://psnet.ahrq.gov/issue/patient-safety-learning
This website shares system-focused approaches to enhance patient safety. The organization offers white
papers, an annual conference, and a social media portal to enable knowledge and evidence sharin…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/incorporating
January 01, 2023 - Incorporating indications into medication ordering--time to enter the age of reason.
Citation
Schiff GD, Seoane-Vazquez E, Wright A. Incorporating indications into medication ordering--time to enter the age of reason. N Engl J Med 2016 Jul
28;375(4):306-9. PMID: 27464201.
Link
https://www.nc…
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digital.ahrq.gov/principal-investigator/kleinman-keith
January 01, 2023 - Kleinman, Keith
AR-CPR: Refinement and Large-Scale Simulation-Based Testing of a Novel Augmented Reality Point of Care Chest Compression Feedback System
Description
This research will enhance an augmented reality headset used to provide real-time feedback on pediatric chest co…
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digital.ahrq.gov/principal-investigator/jeffers-justin
January 01, 2023 - Jeffers, Justin
AR-CPR: Refinement and Large-Scale Simulation-Based Testing of a Novel Augmented Reality Point of Care Chest Compression Feedback System
Description
This research will enhance an augmented reality headset used to provide real-time feedback on pediatric chest co…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/patient
January 01, 2023 - Patient-Centered Data Home: A path towards national interoperability.
Citation
Williams KS, Grannis SJ. Patient-Centered Data Home: A path towards national interoperability. Front Digit Health. 2022 Jul 13;4:887015. doi: 10.3389/fdgth.2022.887015. PMID: 35911616; PMCID: PMC9328272.
Link
https:…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-fulfillment-data-community-practices-clinical-care-and-research-0
January 01, 2023 - Clinical research informatics: a conceptual perspective.
Citation
Kahn MG, Weng C. Clinical research informatics: a conceptual perspective. J Am Med Inform Assoc 2012 Jun;19(1e):e36-42.
Link
http://www.ncbi.nlm.nih.gov/pubmed/22523344
Principal Investigator
Kahn, Michael
Proj…
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psnet.ahrq.gov/node/40143/psn-pdf
May 21, 2019 - Overview of progress on patient safety.
May 21, 2019
Pronovost P, Holzmueller CG, Ennen CS, et al. Overview of progress in patient safety. Am J Obstet
Gynecol. 2011;204(1):5-10. doi:10.1016/j.ajog.2010.11.001.
https://psnet.ahrq.gov/issue/overview-progress-patient-safety
The first in a new patient safety series, t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment
Sustainability Module
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-2-EF
May 2017
Sustainability | ‹#›
AHRQ Safety Program for Ambulatory Surgery
1
Learning Objectives
Sustainability | ‹#›
AHRQ Safety Program for Ambula…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - hospital’s multi-faceted intervention included antibiotic
stewardship measures, contact isolation, and enhanced … Toth et al.,
201719
• Enhanced contact isolation
• Active surveillance
The model’s intervention … Active
surveillance and enhanced contact isolation were found to be successful in one model of LTACHs … high
Organism: CP-KP
Toth et al.,
201719
Mathematical
model that
measured the
effects of
enhanced … The enhanced isolation
model accounted for patients
contributing 75% less to
transmission rate compared
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/osteoarthritis-knee-future_research.pdf
February 01, 2013 - Another systematic
review suggests that long-term effectiveness is enhanced when booster or followup … One systematic review
suggests that long-term effectiveness is enhanced by followup booster sessions … The quality of the literature would be further enhanced if a multidisciplinary panel were to create … Procedure: Physical Therapy for knee OA|Behavioral: Cognitive Behavioral
Therapy for Pain CBT-P|Other: Enhanced
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psnet.ahrq.gov/node/50601/psn-pdf
October 09, 2022 - Medication Safety: Advancing the Development of
Improvement Strategies and Tools (R18).
October 9, 2022
Rockville, MD: Agency for Healthcare Research and Quality; September 28, 2022. PA-
20-028.
https://psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
Medication errors are …
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psnet.ahrq.gov/node/42244/psn-pdf
June 27, 2018 - Medical simulation: a holistic approach to highly reliable
healthcare.
June 27, 2018
Fanning RM.
https://psnet.ahrq.gov/issue/medical-simulation-holistic-approach-highly-reliable-healthcare
This magazine article describes various ways simulation can be used to augment safety in health care,
including evaluating w…
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psnet.ahrq.gov/node/36474/psn-pdf
May 26, 2011 - The checklist--a tool for error management and
performance improvement.
May 26, 2011
Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit
Care. 2006;21(3):231-5.
https://psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
This commentar…
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psnet.ahrq.gov/node/43144/psn-pdf
March 29, 2016 - Autopsy advocates.
March 29, 2016
Clark C. HealthLeaders Media. April 11, 2014.
https://psnet.ahrq.gov/issue/autopsy-advocates
Highlighting how hospital autopsy programs can uncover diagnostic errors, reveal adverse events, and
enhance learning opportunities, this news article recommends that these initiatives int…
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psnet.ahrq.gov/node/44652/psn-pdf
November 11, 2015 - Developing a principle-based approach to safe
medication practices.
November 11, 2015
Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47.
https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices
This commentary describes the development, implementation, and evaluation of n…
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psnet.ahrq.gov/node/42015/psn-pdf
April 22, 2013 - Building a culture of safety through team training and
engagement.
April 22, 2013
Thomas L, Galla C. Building a culture of safety through team training and engagement. BMJ Qual Saf.
2013;22(5):425-34. doi:10.1136/bmjqs-2012-001011.
https://psnet.ahrq.gov/issue/building-culture-safety-through-team-training-and-enga…