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psnet.ahrq.gov/issue/avoidable-mistakes-rise-despite-hospital-efforts
September 27, 2016 - October 23, 2019
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for
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psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
December 24, 2008 - October 23, 2019
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit
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psnet.ahrq.gov/periodic-issue/periodic-issue-334
March 31, 2022 - Study
Potentially inappropriate medications and their effect on falls during hospital … This study assessed the impact of potentially inappropriate medications (PIM) on falls in older adults … and compared the impact of three deprescribing tools on inpatient falls. … Screening Tool of Older Persons' Prescriptions (STOPP) had the strongest association with inpatient falls … Tools/Toolkit
TeamSTEPPS® for Diagnosis Improvement.
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psnet.ahrq.gov/periodic-issue/periodic-issue-336
April 27, 2022 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls … Patient falls represent a significant cause of patient harm. … This study explored the causes of falls resulting in harm among patients with dementia receiving or referred … The authors conclude that earlier OT evaluation may decrease the frequency of falls among older adults … Tools/Toolkit
Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence
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psnet.ahrq.gov/issue/surviving-bad-diagnosis
January 19, 2022 - December 11, 2019
Patient's Toolkit for Diagnosis.
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psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects
December 24, 2008 - October 23, 2019
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
https://ascls.org/quality-indicators-toolkit-appendix … -2/
https://ascls.org/quality-indicators-toolkit-appendix-2/
https://www.sts.org/quality-safety/performance-measures … measure patient safety for post-acute care facilities, including outcome measures focusing on
mobility (falls … such as avoidable deaths due to health care-associated venous
thromboembolism, sepsis, or patient falls
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psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules
March 10, 2021 - December 21, 2022
Teamwork Toolkit.
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psnet.ahrq.gov/issue/international-society-quality-health-care-conference
September 26, 2023 - September 23, 2015
CUSP Toolkit. … 26, 2019
Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit … July 19, 2023
Teamwork Toolkit. … June 21, 2023
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/issue/hospital-inpatients-experiences-percentage-parents-who-reported-how-often-providers-prevented
February 14, 2023 - October 16, 2019
CUSP Toolkit.
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psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook
October 23, 2019 - December 24, 2008
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit
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psnet.ahrq.gov/primer/health-literacy
September 07, 2019 - ; errors in dosing medications for children ; incorrect use of inhalers and aerosol medications ; falls … The Centers for Medicare and Medicaid Services has a toolkit to support development of effective health … Transitions of Care March 25, 2020
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Editor's Picks
Health Literacy Toolkit
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psnet.ahrq.gov/periodic-issue/periodic-issue-418
November 29, 2023 - Study
Talking about falls: a qualitative exploration of spoken communication of … Reducing or preventing inpatient falls is a common focus of patient safety improvement efforts in hospitals … study in three orthopedic and three geriatric wards describes multidisciplinary communication about falls
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psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - Another tool is AHRQ’s Medication at Transitions and Clinical Handoffs (MATCH) toolkit , which provides … March 27, 2019
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation … April 27, 2022
WebM&M Cases
A Tale of Two Falls … August 26, 2020
Implementation and sustainability of a medication reconciliation toolkit … July 8, 2020
Applying the Medications at Transitions and Clinical Handoffs Toolkit in
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care-proceedings-workshop-brief
September 12, 2018 - November 13, 2024
CMQCC obstetric sepsis toolkit update: a patient-centered approach
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psnet.ahrq.gov/issue/healthcare-management-strategies-interdisciplinary-team-factors
November 13, 2011 - Review
Healthcare management strategies: interdisciplinary team factors.
Citation Text:
Andreatta P, Marzano D. Healthcare management strategies: interdisciplinary team factors. Curr Opin Obstet Gynecol. 2012;24(6):445-52. doi:10.1097/GCO.0b013e328359f007.
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psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
December 07, 2016 - June 24, 2020
Teamwork Toolkit.
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psnet.ahrq.gov/issue/medical-error-second-victim-0
February 17, 2017 - June 22, 2017
How to develop a second victim support program: a toolkit for health care
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psnet.ahrq.gov/issue/pharmacist-supported-medication-review-training-general-practitioners-feasibility-and
July 29, 2020 - December 16, 2020
A patient safety toolkit for family practices.
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psnet.ahrq.gov/periodic-issue/periodic-issue-305
August 25, 2021 - This article describes the development, implementation, and sustainment of an error disclosure toolkit … This article describes the development, implementation, and sustainment of an error disclosure toolkit … Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced.