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psnet.ahrq.gov/node/38755/psn-pdf
July 01, 2009 - Review of Patient Safety for Children and Young People.
July 1, 2009
London, UK: National Patient Safety Agency; 2009. ISBN: 978906624071.
https://psnet.ahrq.gov/issue/review-patient-safety-children-and-young-people
Analyzing research and more than 900,000 incident reports submitted to the National Patient Safety
…
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psnet.ahrq.gov/node/43107/psn-pdf
March 14, 2016 - Researchers' roles in patient safety improvement.
March 14, 2016
Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf.
2016;12(1):25-33. doi:10.1097/PTS.0000000000000096.
https://psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement
Through a self-…
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psnet.ahrq.gov/node/72788/psn-pdf
February 24, 2021 - Harmed Patient Alliance.
February 24, 2021
United Kingdom.
https://psnet.ahrq.gov/issue/harmed-patient-alliance
Patients and families that experience medical harm have unique support needs. This organization works to
improve health system and clinician response to harmed patients. Their efforts aim to create a dee…
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psnet.ahrq.gov/node/35951/psn-pdf
June 14, 2011 - Errors in thyroid gland fine-needle aspiration.
June 14, 2011
Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol.
2007;125(6). doi:10.1309/7rqe37k6439t4pb4.
https://psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration
This AHRQ–funded study used roo…
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psnet.ahrq.gov/node/43214/psn-pdf
May 28, 2014 - What a doctor may miss by reaching for the MRI first.
May 28, 2014
Boodman SG, Kaiser Health News. Washington Post. May 19, 2014.
https://psnet.ahrq.gov/issue/what-doctor-may-miss-reaching-mri-first
This newspaper article reports how lack of competency with performing physical examinations and over-
reliance on te…
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psnet.ahrq.gov/node/47053/psn-pdf
May 23, 2018 - TeamSTEPPS Canada.
May 23, 2018
Canadian Patient Safety Institute.
https://psnet.ahrq.gov/issue/teamstepps-canada
The TeamSTEPPS program was developed to support effective communication and teamwork skills in
various health care settings. This site supports the Canadian TeamSTEPPS initiative. The program will
pre…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/citation/lessons-building-iccis
January 01, 2023 - A multi-perspective analysis of lessons learned from building an Integrated Care Coordination Information System (ICCIS).
Citation
Dale JA, Behkami NA, Olsen GS, et al. A multi-perspective analysis of lessons learned from building an Integrated Care Coordination Information System (ICCIS). AMIA Annu …
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/enhancing
January 01, 2023 - Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors.
Citation
Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, et al. Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. Expert Opin Drug Saf 2017 Oct;…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/discussion-guide
January 01, 2023 - Care Management (CMP) Discussion Guide. Oregon Health and Science University. Version 4.0.
Citation
Dorr DA & Behkami N. Care Management (CMP) Discussion Guide. Oregon Health and Science University. Version 4.0.
PDF
Care Management (CMP) Discussion Guide
(Persons using assistiv…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-syste-3
January 01, 2023 - A business case for HIT adoption: effects of "meaningful use" EHR financial incentives on clinic revenue
Citation
Behkami NA, Dorr DA, Morrice S. A business case for HIT adoption: effects of "meaningful use" EHR financial incentives on clinic revenue. Stud Health Technol Inform. 2010;160(Pt 1):779-83.…
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psnet.ahrq.gov/node/43055/psn-pdf
May 01, 2017 - AHRQ's Safety Program for Ambulatory Surgery.
May 1, 2017
Health Research & Educational Trust. Rockville, MD: Agency for Healthcare Research and Quality; May
2017. AHRQ Publication No. 16(17)-0019-1-EF.
https://psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery
This report provides information about a na…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/simple
January 01, 2023 - A simple two-step procedure using the Fellegi-Sunter model for frequency-based record linkage.
Citation
Xu H, Li X, Grannis S. A simple two-step procedure using the Fellegi-Sunter model for frequency-based record linkage. J Appl Stat. 2021 May 4;49(11):2789-2804. doi: 10.1080/02664763.2021.1922615. PM…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/comparison
January 01, 2023 - Comparison of supervised machine learning and probabilistic approaches for record linkage.
Citation
McNutt, A.T., Grannis, S.J., Bo, N., Xu, H., Kasthurirathne, S. N.(2020, March). Comparison of supervised machine learning and probabilistic approaches for record linkage. AMIA Informatics summit 2020 C…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/framework
January 01, 2023 - A framework for a consistent and reproducible evaluation of manual review for patient matching algorithms.
Citation
Gupta AK, Kasthurirathne SN, Xu H, Li X, Ruppert MM, Harle CA, Grannis SJ. A framework for a consistent and reproducible evaluation of manual review for patient matching algorithms. J Am…
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digital.ahrq.gov/ahrq-funded-projects/implementing-low-literacy-multimedia-information-technology-it-system-enhance-3
January 01, 2023 - Addressing low literacy and health literacy in clinical oncology practice.
Citation
Garcia SF, Hahn EA, Jacobs EA. Addressing low literacy and health literacy in clinical oncology practice. J Support Oncol 2010 Mar-Apr;8(2):64-9.
Link
http://www.ncbi.nlm.nih.gov/pubmed/20464884
Principal…
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psnet.ahrq.gov/node/43491/psn-pdf
January 01, 2015 - The systems approach to medicine: controversy and
misconceptions.
December 9, 2014
Dekker SWA, Leveson NG. The systems approach to medicine: controversy and misconceptions. BMJ
Qual Saf. 2015;24(1):7-9. doi:10.1136/bmjqs-2014-003106.
https://psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconcept…
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psnet.ahrq.gov/node/42030/psn-pdf
April 18, 2013 - Reducing hospital errors: interventions that build safety
culture.
April 18, 2013
Singer SJ, Vogus TJ. Reducing hospital errors: interventions that build safety culture. Annu Rev Public
Health. 2013;34:373-96. doi:10.1146/annurev-publhealth-031912-114439.
https://psnet.ahrq.gov/issue/reducing-hospital-errors-inter…
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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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psnet.ahrq.gov/node/60044/psn-pdf
March 16, 2020 - Despite improvements over the past two
decades, patient safety and quality of care
still need to be enhanced
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-10.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.10. Other Training Offered
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospit…