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psnet.ahrq.gov/node/47550/psn-pdf
November 21, 2018 - Nurses' and patients' appraisals show patient safety in
hospitals remains a concern.
November 21, 2018
Aiken LH, Sloane DM, Barnes H, et al. Nurses' And Patients' Appraisals Show Patient Safety In Hospitals
Remains A Concern. Health Aff (Millwood). 2018;37(11):1744-1751. doi:10.1377/hlthaff.2018.0711.
https://psne…
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - Medication event huddles: a tool for reducing adverse
drug events.
March 20, 2014
Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt
Comm J Qual Patient Saf. 2014;40(1):39-45.
https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…
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psnet.ahrq.gov/node/46010/psn-pdf
July 12, 2017 - Changing the medical malpractice system to align with
what we know about patient safety and quality
improvement.
July 12, 2017
Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety
and Quality Improvement. Acad Med. 2017;92(7):891-894. doi:10.1097/ACM.0000000000001733.
…
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psnet.ahrq.gov/node/41404/psn-pdf
December 31, 2014 - Effects of an online personal health record on medication
accuracy and safety: a cluster-randomized trial.
December 31, 2014
Schnipper JL, Gandhi TK, Wald JS, et al. Effects of an online personal health record on medication
accuracy and safety: a cluster-randomized trial. J Am Med Inform Assoc. 2012;19(5):728-34.
…
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psnet.ahrq.gov/node/47207/psn-pdf
July 19, 2018 - National quality program achieves improvements in
safety culture and reduction in preventable harms in
community hospitals.
July 19, 2018
Frush K, Chamness C, Olson B, et al. National Quality Program Achieves Improvements in Safety Culture
and Reduction in Preventable Harms in Community Hospitals. Jt Comm J Qual P…
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psnet.ahrq.gov/node/44114/psn-pdf
September 27, 2016 - Advancing the future of patient safety in oncology:
implications of patient safety education on cancer care
delivery.
September 27, 2016
James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of
Patient Safety Education on Cancer Care Delivery. J Cancer Educ. 2016;31…
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psnet.ahrq.gov/node/44035/psn-pdf
May 06, 2015 - Insulin pump risks and benefits: a clinical appraisal of
pump safety standards, adverse event reporting, and
research needs: a joint statement of the European
Association for the Study of Diabetes and the American
Diabetes Association Diabetes Technology Working
Group.
May 6, 2015
Heinemann L, Fleming A, Petrie …
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psnet.ahrq.gov/node/45950/psn-pdf
July 18, 2017 - Developing and evaluating an automated all-cause harm
trigger system.
July 18, 2017
Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger
System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004.
https://psnet.ahrq.gov/issue/developing-and-e…
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psnet.ahrq.gov/node/866405/psn-pdf
July 31, 2024 - Analysis of an academic medical center’s corrective
action plan in response to fatal medication error using the
Institute for Safe Medication Practices’ Hierarchy of
Effectiveness.
July 31, 2024
Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s corrective action plan in
response to fa…
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psnet.ahrq.gov/node/60321/psn-pdf
May 13, 2020 - Safely practicing in a new environment: a qualitative
study to inform physician onboarding practices.
May 13, 2020
Lagoo J, Berry WR, Henrich N, et al. Safely practicing in a new environment: a qualitative study to inform
physician onboarding practices. Jt Comm J Qual Patient Saf. 2020;46(6):314-320.
doi:10.1016/j…
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psnet.ahrq.gov/node/41847/psn-pdf
November 28, 2012 - Improving organizational climate for quality and quality of
care: does membership in a collaborative help?
November 28, 2012
Nembhard IM, Northrup V, Shaller D, et al. Improving organizational climate for quality and quality of care:
does membership in a collaborative help? Med Care. 2012;50 Suppl:S74-82.
doi:10.1…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-systems-research.pdf
October 01, 2017 - September 2017, an AHRQ/EPC Methods Workgroup interviewed
nine individuals with leadership roles in enhancing … Workgroup investigators conducted interviews with nine individuals with leadership roles in
enhancing … Our seventh recommendation centers around enhancing the awareness of AHRQ’s EPC
Program which is critical
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digital.ahrq.gov/sites/default/files/docs/citation/ahrq_cedar_final_project_report_2023.pdf
January 01, 2023 - • The team expanded upon the functionality of the CEDAR prototype developed in the Base
Period by enhancing … • Enhancing the RI to reflect FAIR guiding principles.
• Conducting a pilot. … A new search capability permitted access to PubMed and Medline
content, thereby enhancing the tool’s
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021590-ralston-final-report-2017.pdf
January 01, 2017 - We identified factors
valuable for enhancing empathy during participant interviews including active … For good communication, these
themes included the following: enhancing care with followup; reducing
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-north-carolina-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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psnet.ahrq.gov/primer/telehealth-and-patient-safety
July 27, 2022 - October 18, 2023
"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency
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psnet.ahrq.gov/node/49397/psn-pdf
May 01, 2003 - to chest CT.(15)
Take-Home Points
This patient’s experience illustrates several key points about enhancing
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effectivehealthcare.ahrq.gov/sites/default/files/dementia_hi_impact.pdf
January 01, 2012 - DEMENTIA INCLUDING ALZHEIMER'S #04
i
AHRQ Healthcare Horizon Scanning System – Potential High
Impact Interventions Report
Priority Area 04: Dementia (Including Alzheimer’s Disease)
Potential High Impact Interventions Report
Prepared for:
Agency for Healthcare Research and Quality
U.S. De…
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www.ahrq.gov/ncepcr/reports/primary-care-research/references.html
January 01, 2024 - Putting research to work: reporting and enhancing the impact of health services research. … Enhancing the primary care team to provide redesigned care: the roles of practice facilitators and care … Enhancing electronic health record measurement of depression severity and suicide ideation: a Distributed
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - Creating highly reliable health care: how reliability-enhancing work practices affect patient safety … We have examined what we refer to as reliability-enhancing work practices that shape the selection and … Creating highly reliable health care: how reliability-enhancing work practices affect patient safety