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psnet.ahrq.gov/node/73572/psn-pdf
August 04, 2021 - Center for Innovations in Quality, Effectiveness and
Safety. IQuESt!
August 4, 2021
Houston, TX: Baylor College of Medicine.
https://psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest
This Center represents a partnership with the Veterans Affairs Health Services Research & Develo…
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psnet.ahrq.gov/node/851927/psn-pdf
August 02, 2023 - Perioperative Handoffs.
August 2, 2023
Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434.
https://psnet.ahrq.gov/issue/perioperative-handoffs
Handoffs occur several times during a surgical procedure, increasing the risk of communication mistakes
and misunderstandings. This special…
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psnet.ahrq.gov/node/43561/psn-pdf
September 24, 2014 - At surgery clinic, rush to save Joan Rivers's life.
September 24, 2014
Hartocollis A, Goodman JD. New York Times. September 9, 2014.
https://psnet.ahrq.gov/issue/surgery-clinic-rush-save-joan-riverss-life
Office-based anesthesia is becoming more common despite concerns regarding its safety. This newspaper
article …
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psnet.ahrq.gov/node/42279/psn-pdf
May 15, 2013 - Interdisciplinary collaboration to maintain a culture of
safety in a labor and delivery setting.
May 15, 2013
Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and
delivery setting. J Perinat Neonatal Nurs. 2013;27(2):113-23; quiz 124-5.
doi:10.1097/JPN.0b013…
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psnet.ahrq.gov/node/39863/psn-pdf
January 04, 2011 - Improving the quality of drug error reporting.
January 4, 2011
Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract.
2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x.
https://psnet.ahrq.gov/issue/improving-quality-drug-error-reporting
This analysis of voluntarily…
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psnet.ahrq.gov/node/850935/psn-pdf
June 21, 2023 - Non–operating room anesthesia challenges.
June 21, 2023
Smith MJ. Anesthesiology News. June 6, 2023.
https://psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges
The use of office-based anesthesia presents both care improvements and risks for patients and clinical
teams. This article summarizes frontline …
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psnet.ahrq.gov/node/37934/psn-pdf
July 23, 2008 - Pediatric safety in the emergency department: identifying
risks and preparing to care for child and family.
July 23, 2008
Nadzam D, Westergaard F. Pediatric safety in the emergency department: identifying risks and preparing
to care for child and family. J Nurs Care Qual. 2008;23(3):189-194.
doi:10.1097/01.NCQ.000…
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psnet.ahrq.gov/node/36799/psn-pdf
November 28, 2016 - The evolving role of health educators in advancing patient
safety: forging partnerships and leading change.
November 28, 2016
Mercurio A. The evolving role of health educators in advancing patient safety: forging partnerships and
leading change. Health Promot Pract. 2007;8(2):119-27.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/45093/psn-pdf
September 04, 2016 - Radically redesigning patient safety.
September 4, 2016
Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42.
https://psnet.ahrq.gov/issue/radically-redesigning-patient-safety
Leadership and staff commitment are required to achieve improvements in patient safety. Discuss…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026877-vandenberg-final-report-2022.pdf
January 01, 2022 - does not function appropriately because it is not designed for a
chaotic ED setting.16
EQUIPPED (Enhancing … Enhancing the Quality of Prescribing Practices for Older Veterans
Discharged from the Emergency Department … (EQUiPPED): Preliminary Results from Enhancing Quality of Prescribing
Practices for Older Veterans … Enhancing Quality of Provider Practices for Older Adults in the
Emergency Department (EQUiPPED). … Enhancing the quality of prescribing practices
for older adults discharged from the emergency department
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-enabling-patient-centered-care-through-health-it.pdf
January 01, 2013 - Access to Medical Information,
Patient Self-Management
Burns, Edith Medical College of
Wisconsin
Enhancing
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cdsic.ahrq.gov/sites/default/files/2023-01/Final%20Workgroup%20Charter_Trust%20and%20Patient-Centeredness_Personnel%20Update_Jan26.pdf
January 01, 2023 - framework, scales) to help inform and
educate patient and caregiver end-users of CDS products and enhancing
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digital.ahrq.gov/sites/default/files/Final%20Workgroup%20Charter_Trust%20and%20Patient-Centeredness_Personnel%20Update_Jan26.pdf
October 01, 2022 - framework, scales) to help inform and
educate patient and caregiver end-users of CDS products and enhancing
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guidesum.html
March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Executive Summary
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. Outline the…
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psnet.ahrq.gov/issue/defining-high-quality-and-effective-morbidity-and-mortality-conference-systematic-review
September 30, 2012 - Review
Defining a high-quality and effective morbidity and mortality conference: a systematic review.
Citation Text:
Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-…
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guidesum.html
March 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Executive Summary
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism
Preface
Executive Summary
Chapter 1. The Framework for Improvement
Chapter 2. Analyze Care Delivery
Chapter 3. Outline the…
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www.ahrq.gov/teamstepps-program/evidence-base/education.html
June 01, 2023 - TeamSTEPPS Research/Evidence Base: Inter-Professional Education
Andersen P, Coverdale S, Kelly M, Forster S. Interprofessional simulation: Developing teamwork using a two-tiered debriefing approach. Clin Simul Nurs. 2018;20:15-23. doi: 10.1016/j.ecns.2018.04.003. PMID: 130262697.
Baker, M. J., & Durham, C. …
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www.ahrq.gov/cahps/about-cahps/patient-experience/prems-proms/index.html
February 01, 2025 - What Are Patient-Reported Measures?
Patient-Reported Experience Measures (PREMs) and Patient-Reported Outcome Measures (PROMs) are both important tools for measuring and improving quality of care. PREMs focus on patients’ experiences with healthcare services. PROMs focus on patients’ self-reported health stat…
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www.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
April 01, 2025 - Toolkit for Engaging Patients To Improve Diagnostic Safety
Diagnostic errors occur in all care settings and one in three patients will experience a diagnostic error firsthand. Research suggests that communication breakdowns during the patient-provider encounter are a leading contributor to diagnostic errors.
…
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www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp2.html
August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions
Case Studies
Previous Page Next Page
Table of Contents
High-Performance Work Practices in CLABSI Prevention Interventions
Case Studies
Key Findings
Conclusions
References
Table 1. Case Study Sites
Table 2. Summary of Ke…