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psnet.ahrq.gov/node/45218/psn-pdf
June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS
guidance regarding patient safety work product and
providers' external obligations.
June 15, 2016
Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…
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psnet.ahrq.gov/node/46719/psn-pdf
December 20, 2017 - Frustrated with your EHR? Don't blame your
vendor—safety is a shared responsibility.
December 20, 2017
Singh H, Sittig DF. NEJM Catalyst. December 7, 2017.
https://psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility
The promise of health information technology has yet to be…
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psnet.ahrq.gov/node/47398/psn-pdf
December 22, 2018 - Simulation-based clinical rehearsals as a method for
improving patient safety.
December 22, 2018
Arnold J, Cashin M, Olutoye OO. Simulation-Based Clinical Rehearsals as a Method for Improving Patient
Safety. JAMA Surg. 2018;153(12):1143-1144. doi:10.1001/jamasurg.2018.3526.
https://psnet.ahrq.gov/issue/simulation-…
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www.ahrq.gov/coronavirus/long-covid/care-network.html
March 01, 2025 - identify key barriers and facilitators to implementation success and sustainability of the expanded and enhanced
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
August 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Implications for Practice Improvement, Research, and Policy
Previous Page Next Page
Table of Contents
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Introduction
Uniqu…
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psnet.ahrq.gov/innovations
February 26, 2025 - Innovations
The PSNet Innovations page highlights pioneering advances that can improve patient safety. PSNet innovations are defined as “new or updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented to improve or enhance quality of care and reduce harm.” …
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psnet.ahrq.gov/node/846563/psn-pdf
March 21, 2023 - Impact of System Failures on Healthcare Workers
March 21, 2023
Zangaro G, Van CM, Mossburg S. Impact of System Failures on Healthcare Workers . PSNet [internet].
2023.
https://psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
Introduction
The March 2022 conviction of RaDonda Vaught, a former nu…
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psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - Annual Perspective: Psychological Safety of Healthcare
Staff
March 31, 2022
Kingston MB, Dowell P, Mossburg SE, et al. Annual Perspective: Psychological Safety of Healthcare Staff.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
Introduction
The…
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Good Catch in the Operating Room
Citation Text:
Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote …
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hcup-us.ahrq.gov/db/nation/nis/severity_overview.jsp
September 01, 2025 - Overview of Disease Severity Measures Disseminated with the Nationwide Inpatient Sample (NIS) and Kids' Inpatient Database (KID)
An official website of the Department of Health & Human Services
Sea…
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www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
January 01, 2024 - in the data: 1) changing interactions between facilitators, 2)
shift in debriefing content, and 3) enhanced … Theme 3: Enhanced interprofessional learning
Prior to implementation of the guidelines, interprofessional … team dynamics and created an environment in which interprofessional learning
between team members was enhanced … A history of simulation-enhanced interprofessional
education.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
June 02, 2025 - o Process efficiencies and enhanced team communication
save the staff time.
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www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
January 01, 2024 - coordination of
services needed to improve continuity of care, patient safety, and resource use is enhanced … Fidelity to study procedures was enhanced through close
contact with the PI by weekly meetings via visual … coordination of services needed to improve continuity of care, patient safety, and resource use are
enhanced
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www.ahrq.gov/sites/default/files/2024-01/devine-report.pdf
January 01, 2024 - facilitating
workflow; 7) e-prescribing was time neutral or time saving; 8) changes in patient interactions
enhanced … patient care but required education; 9) pharmacy communications were enhanced but
required education … This
grant is one of the two grants funded under the RFA “Enhanced Registries for Quality
Improvement
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www.ahrq.gov/takeheart/beyond/million-hearts/index.html
November 01, 2022 - Million Hearts®
Million Hearts ® , a national initiative co-led by the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS) with the goal of preventing 1 million acute cardiovascular events by 2027, is working with cardiac rehabilitation (CR) professionals, pub…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/introduction.html
July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit
Introduction
Previous Page Next Page
Table of Contents
Quality of Pediatric Hospital-to-Home Transitions Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
Improvement Data
Other Re…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-weaning.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Weaning
Weaning
Description
■ The introduction of solid food feedings and the gradual replacement of milk by solid food as
the main source of energy and nutrients.
■ Shared pleasure in eating and feeding enhances the relationship between infants and their
caregivers.
…
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/index.html
April 01, 2022 - Implementing CLABSI and CAUTI Prevention
The implementation guide will help your team be supported with resources to move through a program that enhances previous CUSP resources to reduce central line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) in the hospit…
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psnet.ahrq.gov/node/43978/psn-pdf
September 01, 2016 - Optimizing smart pump technology by increasing critical
safety alerts and reducing clinically insignificant alerts.
September 1, 2016
Mansfield J, Jarrett S. Optimizing smart pump technology by increasing critical safety alerts and reducing
clinically insignificant alerts. Hosp Pharm. 2015;50(2):113-7. doi:10.1310/…
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psnet.ahrq.gov/node/50651/psn-pdf
November 13, 2019 - How effective is teamwork really? The relationship
between teamwork and performance in healthcare teams:
a systematic review and meta-analysis.
November 13, 2019
Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship between teamwork
and performance in healthcare teams: a systematic rev…