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psnet.ahrq.gov/node/39433/psn-pdf
October 03, 2017 - Transparency and public reporting are essential for a safe
health care system.
October 3, 2017
Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010.
https://psnet.ahrq.gov/issue/transparency-and-public-reporting-are-essential-safe-health-care-system
Of three approaches to enhancing…
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psnet.ahrq.gov/node/40087/psn-pdf
December 15, 2010 - Managing patient access and flow in the emergency
department to improve patient safety.
December 15, 2010
PA-PSRS Patient Saf Advis. 2010;7:123-134.
https://psnet.ahrq.gov/issue/managing-patient-access-and-flow-emergency-department-improve-patient-
safety
This report examines how optimizing patient flow fro…
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psnet.ahrq.gov/node/41991/psn-pdf
January 23, 2013 - Handovers from the OR to the ICU.
January 23, 2013
Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin.
2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e.
https://psnet.ahrq.gov/issue/handovers-or-icu
This commentary discusses concerns associated with patient transfer…
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psnet.ahrq.gov/node/42186/psn-pdf
April 24, 2013 - High reliability: truly achieving healthcare quality and
safety.
April 24, 2013
Kaplan GS. Pursuing the perfect patient experience. Front Health Serv Manage. 2013;29(3):16-27.
https://psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety
This commentary discusses how high reliability …
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psnet.ahrq.gov/node/41600/psn-pdf
August 15, 2012 - The role of nursing surveillance in keeping patients safe.
August 15, 2012
Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368.
doi:10.1097/NNA.0b013e3182619377.
https://psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe
This commentary discusses…
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psnet.ahrq.gov/node/39202/psn-pdf
February 25, 2015 - Strengthening the core. Middle managers play a vital role
in improving safety.
February 25, 2015
Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety.
Healthcare executive. 2010;25(1):68-70.
https://psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-r…
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psnet.ahrq.gov/node/33920/psn-pdf
December 12, 2018 - Policy Positions and Guidelines.
December 12, 2018
Amercian Society of Health-System Pharmacists; ASHP.
https://psnet.ahrq.gov/issue/policy-positions-and-guidelines
This searchable listing of the American Society of Health-System Pharmacists policy and guideline
collection provides user access to various content a…
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psnet.ahrq.gov/node/47614/psn-pdf
October 19, 2020 - Patient.
October 19, 2020
Canadian Patient Safety Institute;
https://psnet.ahrq.gov/issue/patient
Patient stories and insights related to medical mishaps can inspire and motivate work to enhance health
care safety. This annual podcast series uses patient accounts of medical errors to collaboratively explore
solut…
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psnet.ahrq.gov/node/41524/psn-pdf
November 05, 2013 - Creating a culture of safety by coaching clinicians to
competence.
November 5, 2013
Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Educ Today.
2013;33(10):1108-11. doi:10.1016/j.nedt.2012.05.025.
https://psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence
…
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psnet.ahrq.gov/node/42408/psn-pdf
July 10, 2013 - Non-technical Skills and the Future of Teamwork in
Healthcare Settings.
July 10, 2013
Sevdalis N. London, UK: The Health Foundation; June 2013.
https://psnet.ahrq.gov/issue/non-technical-skills-and-future-teamwork-healthcare-settings
Highlighting the value of teamwork in delivering safe care, this report describes…
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www.ahrq.gov/nursing-home/resources/best-mental-health.html
June 01, 2022 - Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff
Resource: Best Practices for Promoting Mental Health and Emotional Well-Being Among Nursing Home Staff
This resource focuses on emotional well-being of nursing home staff, including information about the effects of t…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/machine
January 01, 2023 - Machine learning approaches to identify nicknames from a statewide Health Information Exchange.
Citation
Kasthurirathne SN, Grannis SJ. Machine learning approaches to identify nicknames from a statewide Health Information Exchange. AMIA Jt Summits Transl Sci Proc. 2019 May 6;2019:639-647. PMID: 312590…
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psnet.ahrq.gov/node/36146/psn-pdf
February 05, 2019 - Guidelines for Design and Construction.
February 5, 2019
St Louis, Missouri; Facilities Guidelines Institute; 2018.
https://psnet.ahrq.gov/issue/guidelines-design-and-construction
These updated guidelines include design changes, such as the adoption of private rooms to reduce
medical error, interruptions, and hosp…
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psnet.ahrq.gov/node/41620/psn-pdf
August 22, 2012 - Improving care transitions: optimizing medication
reconciliation.
August 22, 2012
Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication
reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527.
https://psnet.ahrq.gov/issue/improvin…
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psnet.ahrq.gov/node/42543/psn-pdf
September 29, 2017 - Advancing the research agenda for diagnostic error
reduction.
September 29, 2017
Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf.
2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624.
https://psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/medication
January 01, 2023 - Incorporating medication indications into the prescribing process.
Citation
Kron K, Myers S, Volk L, et al. Incorporating medication indications into the prescribing process. Am J Health Syst Pharm 2018 Jun 1;75(11):774-83. Epub 2018 Apr 19. PMID: 29674327.
Link
https://www.ncbi.nlm.nih.gov/pu…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/indication
January 01, 2023 - Is an indication-based prescribing system in our future?
Citation
Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Institute for Safe Medication Practice, November 17, 2016. https://www.ismp.org/resources/indication-based-prescribing-system-our-future. Accessed Ju…
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www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
January 01, 2024 - evaluate patient-reported outcomes and perception of
physicians for pharmacist’s performance of the enhanced … Evaluate patient-reported outcomes and the perception of the physician for pharmacist
performance of enhanced … : Evaluate patient-reported outcomes and the perception of physician for pharmacist
performance of enhanced
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs027099-malone-final-report-2022.pdf
January 01, 2022 - Solution: We enhanced the CDS
Connect Authoring Tool to support the development of DDI CDS rules for … DDI knowledge but little programming experience in a think-aloud
evaluation of the usability of the enhanced … knowledge artifacts were recruited to complete pre-
specified DDI CDS rule writing tasks using the enhanced
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digital.ahrq.gov/sites/default/files/docs/publication/u19hs021094-bates-final-report-2017.pdf
January 01, 2017 - The BWH HIT-CERT established two
cores that supported the three projects and enhanced our ability to … The BWH HIT-CERT established two
cores that supported the three projects and enhanced our ability to … Inclusive dates of subproject 9/1/2014- 8/21/2016
Abstract
Test enhanced e-pharmaco-surveillance