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psnet.ahrq.gov/node/42011/psn-pdf
March 06, 2013 - A multidisciplinary approach to reduce central line-
associated bloodstream infections.
March 6, 2013
McMullan C, Propper G, Schuhmacher C, et al. A multidisciplinary approach to reduce central line-
associated bloodstream infections. Jt Comm J Qual Patient Saf. 2013;39(2):61-69.
https://psnet.ahrq.gov/issue/multi…
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - Activity
A multi-sector partnership program called ARISE (Aspire to Realize Improved Safety and Equity) established … Getting Started with This Innovation
Early on in implementation, a standard workflow should be established
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psnet.ahrq.gov/node/864868/psn-pdf
March 27, 2024 - Medication reconciliation should be the established standard of practice
conducted at every care transition
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psnet.ahrq.gov/issue/leadership-and-vision-culture-safety
May 27, 2021 - Commentary
Leadership and vision for a culture of safety.
Citation Text:
Leadership and vision for a culture of safety. Gandhi TK. NEJM Catalyst. February 8, 2018.
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psnet.ahrq.gov/node/49850/psn-pdf
January 01, 2019 - Optimal design and
implementation of an order set may also improve the quality of care and adherence to established … There are established best practices for order set design, implementation, and maintenance,
including
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psnet.ahrq.gov/node/49821/psn-pdf
February 01, 2018 - After the incident, multiple checkpoints were established in the pharmacy and a new protocol was
established
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psnet.ahrq.gov/node/33625/psn-pdf
January 01, 2006 - Over the last 6 years, health care reporting systems have proliferated, and some have become well
established … Fortunately, the well-established science for survey
evaluation can help address some of these issues
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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - Established guidelines consistently recommend that medications be prepared for one patient at a time … If the instructor in this case had established a culture in which students felt comfortable and were
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psnet.ahrq.gov/node/49580/psn-pdf
March 21, 2009 - ) As a result of continued
medication misadventures in the United States, the Joint Commission has established … The process of medication
reconciliation was established to reduce adverse medication events that may
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psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - the duration of mechanical ventilation.( 5-7 ) Once physiologic and hemodynamic stability has been established … Criteria for participation in early mobilization in the intensive care unit should be established to
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psnet.ahrq.gov/node/33695/psn-pdf
April 01, 2010 - The NQF, which was established in May 1999 by a White
House–convened planning committee facilitated … improvement for American health care quality.(17,22)
In its first decade, the NQF has successfully established
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - EMTALA was
established as a remedy to blatant financial discrimination by preventing “dumping” of low-income … In 2005, Nevada established a 30-minute maximum standard for the transfer of care of an
ambulance patient … Health Service (NHS) Confederation
recommended “zero tolerance” for ambulance transfer delays and established … scrambled to find solutions to the growing burden of
wall time.28,29 Some pre-hospital organizations have established
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psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - explore ways to
improve the safety and efficiency of transport between ED and Radiology also could be established … A joint Radiology/ED workgroup, established to improve coordination,
communication, and safety of transport
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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
July 02, 2019 - Optimal design and implementation of an order set may also improve the quality of care and adherence to established … There are established best practices for order set design, implementation, and maintenance, including
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psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
October 30, 2024 - Geisinger’s Outpatient Addiction Medicine Specialty Program Uses Data-Driven Decision Making and MAT to Reduce Mortality Rates
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February 9, 2021
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psnet.ahrq.gov/web-mm/resuscitate-or-not
November 01, 2011 - To Resuscitate or Not?
Citation Text:
Wu AW, Pronovost P. To Resuscitate or Not?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/node/44180/psn-pdf
June 21, 2015 - "Never events" and the quest to reduce preventable harm.
June 21, 2015
Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient
Saf. 2015;41(6):279-288.
https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
The introduction of the term never event…
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psnet.ahrq.gov/node/45220/psn-pdf
June 08, 2016 - Medical Office Survey on Patient Safety Culture: 2016
User Comparative Database Report.
June 8, 2016
Famolaro T, Yount ND, Hare R, Thornton S, Sorra J. Rockville, MD: Agency for Healthcare Research and
Quality; May 2016. AHRQ Publication No. 16-0028-EF.
https://psnet.ahrq.gov/issue/medical-office-survey-patient-sa…
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Many experienced staff members have left the healthcare workforce, resulting in changes to established … I spent many years with both startups and established medical device companies that were heavily focused … Patricia McGaffigan: The nonprofit IHI was established over 30 years ago. … Patricia McGaffigan: Safer Together: A National Action Plan to Advance Patient Safety was established … The four foundational areas of the National Action Plan were established to reflect this essence.
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - I spent many years with both startups and established medical device companies that were heavily focused … Patricia McGaffigan: The nonprofit IHI was established over 30 years ago. … Patricia McGaffigan: Safer Together: A National Action Plan to Advance Patient Safety was established … The four foundational areas of the National Action Plan were established to reflect this essence. … Many experienced staff members have left the healthcare workforce, resulting in changes to established