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digital.ahrq.gov/track-6-using-reporting-systems-safety-and-quality-improvement
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/shot-annual-report-2019
July 10, 2019 - Book/Report
SHOT Annual Report.
Citation Text:
SHOT Annual Report. S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN: 9781999596859.
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www.ahrq.gov/hai/clabsi-tools/appendix-9.html
March 01, 2018 - Appendix 9: Back to Basics
Tools for Reducing Central Line-Associated Blood Stream Infections
These tools will help your unit implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI). When used with the CUSP (Comprehensive Unit-based Safety Program) Toolkit, th…
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psnet.ahrq.gov/issue/one-intensive-care-nurserys-experience-enhancing-patient-safety
June 21, 2006 - Commentary
One intensive care nursery's experience with enhancing patient safety.
Citation Text:
Alton M, Mericle J, Brandon D. One intensive care nursery's experience with enhancing patient safety. Adv Neonatal Care. 2006;6(3):112-9.
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psnet.ahrq.gov/issue/prevalence-and-nature-errors-and-near-errors-reported-hospital-staff-nurses
April 24, 2018 - Study
Prevalence and nature of errors and near errors reported by hospital staff nurses.
Citation Text:
Balas MC, Scott LD, Rogers AE. The prevalence and nature of errors and near errors reported by hospital staff nurses. Applied Nursing Research. 2005;17(4). doi:10.1016/j.apnr.2004.09…
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psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-workarounds-and-errors
May 31, 2017 - Newspaper/Magazine Article
Maximize benefits of IV workflow management systems by addressing workarounds and errors.
Citation Text:
Maximize benefits of IV workflow management systems by addressing workarounds and errors. ISMP Medication Safety Alert! Acute care edition. September 7, 20…
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psnet.ahrq.gov/issue/edgeware-insights-complexity-science-health-care-leaders
June 23, 2021 - Book/Report
Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed.
Citation Text:
Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Zimmerman B, Lindberg C, Plsek P. Irving, TX: VHA Incorporated; 2008. ISBN: 9780966782806
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www.ahrq.gov/research/findings/evidence-based-reports/gapkaleidtp.html
April 01, 2018 - Through the Quality Kaleidoscope
Reflections on the Science and Practice of Improving Health Care Quality
In 2004, AHRQ launched a collection of evidence reports, Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies , to bring data to bear on quality improvement opportunities. These …
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www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/trainover.pdf
January 01, 2009 - AHRQ Research Training and Career Development Opportunities
AHRQ Research
Training and Career
Development
Opportunities
Mentored
Research Scientist
Development
Awards
Mentored Research
Scientist Development
Awards foster the
career development of
promising new
investigators who have research doctoral
…
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psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - The resilience is a key
ingredient that we haven't focused on yet enough in the safety world. … RW: One of the things that it seems that you and IHI have focused on is not only telling the story of … where we did a deep dive into a situation very much like the
one you described where the leaders were focused … They were focused on the
finances. They were focused on long-term strategy. … So we're very focused on keeping that connection between the boardroom and the bedside tight.
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digital.ahrq.gov/ahrq-funded-projects/improving-sickle-cell-transitions-care-through-health-information-technology/annual-summary/2012
January 01, 2012 - setting (e.g., from home-based to hospital-based care), or the focus of care (e.g., from pediatric-focused … to adult-focused care) changes.
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psnet.ahrq.gov/issue/leaders-and-followers-individual-experiences-during-early-phase-simulation-based-team
January 18, 2011 - Download Citation
Related Resources From the Same Author(s)
Target-focused … July 10, 2013
Target-focused medical emergency team training using a human patient simulator
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psnet.ahrq.gov/node/43534/psn-pdf
January 22, 2016 - commentary describes the development of a quality and safety clinical fellowship curriculum which
focused
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/U7JR2xtrb6EHFyLP6yUTAK
March 20, 2018 - Behavioral Counseling Interventions
All studies conducted in children and adolescents focused on
sun … , and 2 studies used “appearance-focused” messages. … Counseling interventions for children, their
parents, or both provided messages focused on increasing … on children from birth to 3 years,
and 1 trial focused on adolescents aged 11 to 15 years. … A randomized controlled trial of an
appearance-focused intervention to prevent
skin cancer.
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psnet.ahrq.gov/node/42387/psn-pdf
December 30, 2014 - psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem
While efforts to improve safety have mainly focused
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psnet.ahrq.gov/node/39728/psn-pdf
January 03, 2017 - experience with diffusion of aviation-based innovation into a hospital
setting, including programs focused
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psnet.ahrq.gov/node/38546/psn-pdf
June 16, 2009 - improved-pain-resolution-hospitalized-patients-through-targeting-pain-
mismanagement-medical
A quality improvement intervention that focused
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digital.ahrq.gov/sites/default/files/docs/page/buildinghealthitresearchcapacity.pdf
December 01, 2012 - This includes supporting the next generation of
health IT researchers by funding health IT-focused … The
SEN noted particular interest in funding disserta-
tion research projects focused in one of three … Portfolio has supported six doctoral
candidates from a range of disciplines working on
health IT-focused … Analyses
focused on patient characteristics such as age, gender,
and race; hospital characteristics … A variety of additional health IT-focused dissertation
grants are currently ongoing and will continue
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024350-wernz-final-report-2018.pdf
January 01, 2018 - A study focused on small private practices estimates
that downtime costs are approximately $500 per … Few studies have focused on the impact of delays
in reporting of results, and even fewer studies have … We focused on door-to-doc time,
patient backlog, and arrival rate. … ED interviews
focused on physicians and nurses; laboratory sessions focused on technicians from the … The interviews focused on feedback from stakeholders
about their perceptions of downtime operations,
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023849-valdez-final-report-2018.pdf
January 01, 2018 - Consumer health IT developers, however, have
predominantly focused on the needs of a limited number … (15)
Context: This study focused on complementing and building upon existing design guidance from … The study focused on one form
(i.e., mobile health) and one functional domain (i.e., health information … Phase two focused on participants’ experiences engaging with the three mHealth
apps both in a lab (task … In particular, this study
focused on one form and one functional domain of consumer health IT, mHealth