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psnet.ahrq.gov/node/45064/psn-pdf
April 20, 2016 - Making Care Safer.
April 20, 2016
Agency for Healthcare Research and Quality. Priorities in Focus. March 2016.
https://psnet.ahrq.gov/issue/making-care-safer
The National Quality Strategy is part of AHRQ's ongoing efforts to enhance patient safety. This brief
summarizes the results of the Partnership for Patients …
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psnet.ahrq.gov/node/42192/psn-pdf
April 17, 2013 - Using simulation training to improve perioperative patient
safety.
April 17, 2013
Mullen L, Byrd D. Using simulation training to improve perioperative patient safety. AORN J.
2013;97(4):419-27. doi:10.1016/j.aorn.2013.02.001.
https://psnet.ahrq.gov/issue/using-simulation-training-improve-perioperative-patient-safe…
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psnet.ahrq.gov/node/35386/psn-pdf
January 02, 2017 - Lehigh Valley Hospital: engaging patients and families.
January 2, 2017
Anthony R, Ritter M, Davis R, et al. Lehigh Valley Hospital: engaging patients and families. Jt Comm J Qual
Patient Saf. 2005;31(10):566-72.
https://psnet.ahrq.gov/issue/lehigh-valley-hospital-engaging-patients-and-families
Authors from the 20…
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psnet.ahrq.gov/node/42550/psn-pdf
June 27, 2018 - Using Six Sigma to improve patient safety in the
perioperative process.
June 27, 2018
Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41.
https://psnet.ahrq.gov/issue/using-six-sigma-improve-patient-safety-perioperative-process
This magazine article describes how…
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psnet.ahrq.gov/node/44137/psn-pdf
May 13, 2015 - AHRQ Patient Safety YouTube Channel.
May 13, 2015
Rockville, MD: Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
This Web site hosts a collection of training videos to highlight two improvement strategies: the
Comprehensive Unit-based Safety Program and …
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psnet.ahrq.gov/node/841198/psn-pdf
December 07, 2022 - Technology, Education and Safety.
December 7, 2022
Arna D, ed. Curr Opin Anaesthesiol. 2022;35(6):710-737.
https://psnet.ahrq.gov/issue/technology-education-and-safety-1
Safety challenges in anesthesiology and perioperative care are high-risk situations. This segment of a
reoccurring special section covers strateg…
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psnet.ahrq.gov/node/41769/psn-pdf
October 17, 2012 - The MacArthur Fellows Program: Eric Coleman.
October 17, 2012
MacArthur Foundation.
https://psnet.ahrq.gov/issue/macarthur-fellows-program-eric-coleman
Dr. Eric Coleman has enhanced care transitions by developing tools and processes to improve
communication and reduce readmissions. The MacArthur Foundation has sel…
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psnet.ahrq.gov/node/39539/psn-pdf
January 13, 2013 - We need leaders: the 48th Annual Rovenstine Lecture.
January 13, 2013
Pronovost P. We need leaders: The 48th Annual Rovenstine Lecture. Anesthesiology. 2010;112(4):779-
785. doi:10.1097/ALN.0b013e3181d32047.
https://psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture
Dr. Pronovost provides a histor…
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psnet.ahrq.gov/node/46824/psn-pdf
June 26, 2018 - Management reasoning: beyond the diagnosis.
June 26, 2018
Cook DA, Sherbino J, Durning SJ. Management Reasoning: Beyond the Diagnosis. JAMA.
2018;319(22):2267-2268. doi:10.1001/jama.2018.4385.
https://psnet.ahrq.gov/issue/management-reasoning-beyond-diagnosis
This commentary reviews five differences between diagno…
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psnet.ahrq.gov/node/42691/psn-pdf
October 23, 2013 - Patient Safety Investigation report into services at
University Hospital Galway (UHG) and as reflected in the
care provided to Savita Halappanavar.
October 23, 2013
Dublin, Ireland: Health Information and Quality Authority; October 2013.
https://psnet.ahrq.gov/issue/patient-safety-investigation-report-services-uni…
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psnet.ahrq.gov/node/39380/psn-pdf
August 29, 2021 - ASHP guidelines on the safe use of automated dispensing
devices.
August 29, 2021
Cello R, Conley M, Cooley TW, et al. ASHP Guidelines on the Safe Use of Automated Dispensing
Cabinets. Am J Health Syst Pharm. 2021;79(1):e71-e82. doi:10.1093/ajhp/zxab325.
https://psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automat…
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psnet.ahrq.gov/node/45063/psn-pdf
May 04, 2016 - Value of the pharmacist in the medication reconciliation
process.
May 4, 2016
Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T.
2016;41(3):176-8.
https://psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process
Medication reconciliation has been shown to r…
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psnet.ahrq.gov/node/42180/psn-pdf
April 22, 2013 - Building collaborative teams in neonatal intensive care.
April 22, 2013
Brodsky D, Gupta M, Quinn M, et al. Building collaborative teams in neonatal intensive care. BMJ Qual Saf.
2013;22(5):374-82. doi:10.1136/bmjqs-2012-000909.
https://psnet.ahrq.gov/issue/building-collaborative-teams-neonatal-intensive-care
An i…
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psnet.ahrq.gov/node/73408/psn-pdf
July 27, 2023 - Patient Safety/Quality Improvement Primer.
July 27, 2023
Otolaryngol Head Neck Surg. 2018-2023.
https://psnet.ahrq.gov/issue/patient-safetyquality-improvement-primer
Otolaryngology-head and neck surgery is vulnerable to wrong site errors and other challenges present in
surgical care. This series of articles highli…
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psnet.ahrq.gov/node/43964/psn-pdf
November 25, 2015 - Simulation-based Surgical Education.
November 25, 2015
Surgery. 2015;158:1395-1440.
https://psnet.ahrq.gov/issue/simulation-based-surgical-education
Simulation training is widely accepted as a method to enhance operative techniques and nontechnical
behaviors. Articles in this special issue cover topics in surgical…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-oregon-state-snapshot.pdf
January 01, 2018 - awarded 10 grants that supported efforts in 18 States
to identify effective, replicable strategies for enhancing
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
January 01, 2018 - awarded 10 grants that supported
efforts in 18 States to identify effective, replicable strategies
for enhancing
-
www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
January 01, 2024 - Final Progress Report: Team-Based Safe Opioid Prescribing
Title Page
Title of Project: Team-Based Safe Opioid Prescribing
Principal Investigator: Michael L. Parchman, MD, MPH
Other team members:
Laura Mae Baldwin, MD, MPH
Kelly Ehrlich, MS
Brooke Ike, MPH
Doug Kane, MS
Robert Penfold, PhD
Kari Stephens, PhD…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-pa.html
April 01, 2015 - PA SPREAD: Pennsylvania Spreading Primary Care Enhanced Delivery Infrastructure
Principal Investigator: Robert Gabbay, MD, PhD, FACP, and Alan Adelman, MD, MS
Institution: Pennsylvania State University Hershey College of Medicine
AHRQ Grant Number: U18HS020988
Overview of Primary Care Extension…
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cdsic.ahrq.gov/cdsic/AI-viewpoint
February 25, 2025 - :
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