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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx
Spotlight
When the Lytes Go Out: A Case
of Inpatient Cardiac Arrest
Source and Credits
• This presentation is based on the September 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psne…
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digital.ahrq.gov/ahrq-funded-projects/incorporating-patient-reported-outcomes-shared-decision-making-patients
August 31, 2024 - Incorporating Patient-Reported Outcomes into Shared Decision Making with Patients with Osteoarthritis of the Knee
Project Final Report ( PDF , 238.8 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its con…
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digital.ahrq.gov/ahrq-funded-projects/ehr-based-screening-and-intervention-intimate-partner-violence
January 01, 2024 - EHR-based Screening and Intervention for Intimate Partner Violence
Project Final Report ( PDF , 1.48 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views…
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digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote
January 01, 2024 - Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients
Project Description
Publications
Research Story
Using health informatio…
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psnet.ahrq.gov/perspective/accountability-patient-safety
January 01, 2018 - Annual Perspective
Accountability in Patient Safety
Christopher Moriates, MD, and Robert M. Wachter, MD | January 1, 2015
View more articles from the same authors.
Citation Text:
Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. Rock…
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psnet.ahrq.gov/node/866847/psn-pdf
September 25, 2024 - In Conversation with Carole Stockmeier about Zero Harm:
Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 25, 2024
Stockmeier CA, Mossburg S, Lee M. In Conversation with Carole Stockmeier about Zero Harm: Striving to
Reduce Preventable Harms – Point, Counterpoint, and Are…
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psnet.ahrq.gov/node/865978/psn-pdf
May 29, 2024 - Ensuring safe and equitable discharge: a quality
improvement initiative for individuals with hypertensive
disorders of pregnancy.
May 29, 2024
Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement
initiative for individuals with hypertensive disorders of pregnancy.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
January 10, 2005 - The
rationale behind this approach was to ensure that the required patient handling
infrastructure … To ensure that the two
time periods for comparison purposes were indeed distinct, we used the period
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
April 01, 2003 - associated with
patient care.
20.8 18.0 -2.8
My department does a good job
managing risks to ensure … facility also required senior
managers to submit content for the team huddles on a weekly basis, to ensure
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psnet.ahrq.gov/node/867523/psn-pdf
January 15, 2025 - How do we know when we have done enough? Ensuring
sufficient patient notification efforts after a large-scale
adverse event.
January 15, 2025
Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring
sufficient patient notification efforts after a large-scale adverse event. Jt Com…
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psnet.ahrq.gov/node/74017/psn-pdf
October 27, 2021 - Ensuring primary care diagnostic quality in the era of
telemedicine.
October 27, 2021
Willis JS, Tyler C, Schiff GD, et al. Ensuring primary care diagnostic quality in the era of telemedicine. Am J
Med. 2021;134(9):1101-1103. doi:10.1016/j.amjmed.2021.04.027.
https://psnet.ahrq.gov/issue/ensuring-primary-care-diag…
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psnet.ahrq.gov/node/74233/psn-pdf
January 12, 2022 - Don't go to the hospital alone: ensuring safe, highly
reliable patient visitation.
January 12, 2022
Gandhi TK. Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Jt Comm J Qual
Patient Saf. 2022;48(1):61-64. doi:10.1016/j.jcjq.2021.10.006.
https://psnet.ahrq.gov/issue/dont-go-hospit…
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psnet.ahrq.gov/node/74092/psn-pdf
November 17, 2021 - Ensuring medication safety for consumers from ethnic
minority backgrounds: the need to address unconscious
bias within health systems.
November 17, 2021
Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the
need to address unconscious bias within health systems. Int …
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psnet.ahrq.gov/node/60054/psn-pdf
March 18, 2020 - Ensuring successful implementation of communication-
and-resolution programmes.
March 18, 2020
Mello MM, Roche S, Greenberg Y, et al. Ensuring successful implementation of communication-and-
resolution programmes. BMJ Qual Saf. 2020;29(11):895-904. doi:10.1136/bmjqs-2019-010296.
https://psnet.ahrq.gov/issue/ensuri…
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psnet.ahrq.gov/node/73311/psn-pdf
January 01, 2022 - Key considerations in ensuring a safe regional telehealth
care model: a systematic review.
May 26, 2021
Haveland S, Islam S. Key considerations in ensuring a safe regional telehealth care model: a systematic
review. Telemed J E Health. 2022;28(5):602-612. doi:10.1089/tmj.2020.0580.
https://psnet.ahrq.gov/issue/key…
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psnet.ahrq.gov/node/47932/psn-pdf
August 21, 2019 - Ensuring effective care transition communication:
implementation of an electronic medical record-based
tool for improved cancer treatment handoffs between
clinic and infusion nurses.
August 21, 2019
Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communication: Implementation
of an Elec…
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psnet.ahrq.gov/node/38212/psn-pdf
April 09, 2009 - Engaging patients as safety partners: some
considerations for ensuring a culturally and linguistically
appropriate approach.
April 9, 2009
Johnstone M-J, Kanitsaki O. Engaging patients as safety partners: some considerations for ensuring a
culturally and linguistically appropriate approach. Health Policy (New York…
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psnet.ahrq.gov/node/38220/psn-pdf
November 12, 2008 - New technologies in radiation therapy: ensuring patient
safety, radiation safety and regulatory issues in radiation
oncology.
November 12, 2008
Amols HI. New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory
issues in radiation oncology. Health Phys. 2008;95(5):658-665. do…
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psnet.ahrq.gov/node/36561/psn-pdf
January 12, 2011 - Errors in ABO labeling of deceased donor kidneys: case
reports and approach to ensuring patient safety.
January 12, 2011
Friedman AL, Lee KC, Lee GD. Errors in ABO Labeling of Deceased Donor Kidneys: Case Reports and
Approach to Ensuring Patient Safety. American Journal of Transplantation. 2006;7(2). doi:10.1111/j.…
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psnet.ahrq.gov/node/39062/psn-pdf
November 11, 2009 - Ensuring patient safety through effective leadership
behaviour: a literature review.
November 11, 2009
Künzle B, Kolbe M, Grote G. Ensuring patient safety through effective leadership behaviour: A literature
review. Saf Sci. 2009;48(1). doi:10.1016/j.ssci.2009.06.004.
https://psnet.ahrq.gov/issue/ensuring-patient-…