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psnet.ahrq.gov/issue/choosing-wisely-clinical-practice-embracing-critical-thinking-striving-safer-care
February 15, 2023 - Commentary
Choosing wisely in clinical practice: embracing critical thinking, striving for safer care.
Citation Text:
Furlan L, Francesco PD, Costantino G, et al. Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. J Intern Med. 2022;291(4):397-407…
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psnet.ahrq.gov/issue/alternatives-potentially-inappropriate-medications-use-e-prescribing-software-triggers-and
February 18, 2011 - Study
Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.
Citation Text:
Hume AL, Quilliam BJ, Goldman R, et al. Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and…
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psnet.ahrq.gov/issue/ambulatory-computerized-prescribing-and-preventable-adverse-drug-events
June 11, 2014 - Study
Ambulatory computerized prescribing and preventable adverse drug events.
Citation Text:
Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194.
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www.ahrq.gov/chsp/events/coe-workshop1.html
December 01, 2022 - First Annual Centers of Excellence Workshop
Overview
The first annual meeting of the Centers of Excellence under the Comparative Health System Performance (CHSP) Initiative was held in September 2016 and was attended by AHRQ, the Centers of Excellence, and the Coordinating Center. The purpose of these meeting…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/best_practices-slides/Best-Practices-How-Successful-Units-Engaged-Their-Senior-Exec-Leaders-Oct-18-2011-508.ppt
January 01, 2011 - Project Report - Lean Sigma
CLABSI Supplemental Call Series
Best Practices: How Successful Units Engaged Their Senior Executive Leaders
October 18, 2011
Presenters:
Jonathan Kling, BSN, BHA, RN, CCRN
Scott Raynes, MA, MBA
Joan Chatham, MSN, RN
Melissa Allen, MS, RN
Slide *
CLABSI Supplemental Call Series
Jonatha…
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/chsp-fact-sheet-0717.pdf
October 01, 2016 - AHRQ Comparative Health System Initative
Comparative Health
System Performance
Initiative
The Agency for Healthcare Research and Quality (AHRQ) created the
Comparative Health System Performance Initiative to study how health
care systems promote evidence-based practices in delivering care. The
initiative provid…
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psnet.ahrq.gov/issue/associations-between-hospitalist-shift-busyness-diagnostic-confidence-and-resource
September 16, 2020 - Study
Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study.
Citation Text:
Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. J …
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psnet.ahrq.gov/issue/exploring-pharmacist-experiences-delivering-individualised-prescribing-error-feedback-acute
May 30, 2016 - Study
Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting.
Citation Text:
Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospita…
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psnet.ahrq.gov/issue/effect-work-hours-adverse-events-and-errors-health-care
August 20, 2014 - Study
The effect of work hours on adverse events and errors in health care.
Citation Text:
Olds DM, Clarke S. The effect of work hours on adverse events and errors in health care. J Safety Res. 2010;41(2):153-62. doi:10.1016/j.jsr.2010.02.002.
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Format:
DOI Go…
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www.ahrq.gov/research/findings/evidence-based-reports/er207-abstract.html
October 01, 2014 - Allocation of Scarce Resources During MCEs
Full Title: Allocation of Scarce Resources During Mass Casualty Events
Topic page summarizing evidence report on allocation of scarce resources during mass casualty events (MCEs).
June 2012
This report reviews the evidence regarding allocation of scarce medical r…
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psnet.ahrq.gov/issue/identification-barriers-and-enablers-receiving-speaking-message-content-analysis-approach
March 29, 2023 - Study
Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach.
Citation Text:
Barlow M, Morse KJ, Watson B, et al. Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Adv Simul …
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www.ahrq.gov/talkingquality/assess/what-you-evaluate/results.html
November 01, 2018 - Evaluating the Results of a Quality Reporting Project
The purpose of results- or outcome-oriented evaluation goes beyond answering the “did it work” question. To evaluate results, however, you have to be clear about what you wanted to achieve.
What consumer audience were you trying to reach?
What changes …
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www.ahrq.gov/talkingquality/resources/design/testing.html
September 01, 2019 - Testing the Design of a Quality Report By Getting User Feedback
User testing with people who represent your intended audience is the best way to ensure that your report design is clear and effective.
Use Interviews To Collect Feedback From Users
For most purposes, you will learn much more from users if you …
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psnet.ahrq.gov/issue/diagnostic-stewardship-improve-patient-outcomes-and-healthcare-associated-infection-hai
May 18, 2022 - Commentary
Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics.
Citation Text:
Singh HK, Claeys KC, Advani SD, et al. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Infect Control Hosp…
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-curriculum-outline-patient-safety-and
September 22, 2021 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows.
Citation Text:
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and qua…
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psnet.ahrq.gov/issue/approaches-improving-patient-safety-integrated-care-scoping-review
May 18, 2022 - Review
Approaches to improving patient safety in integrated care: a scoping review.
Citation Text:
Lalani M, Wytrykowski S, Hogan H. Approaches to improving patient safety in integrated care: a scoping review. BMJ Open. 2023;13(4):e067441. doi:10.1136/bmjopen-2022-067441.
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psnet.ahrq.gov/issue/surgeon-information-transfer-and-communication-factors-affecting-quality-and-efficiency
December 21, 2014 - Study
Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care.
Citation Text:
Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann S…
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digital.ahrq.gov/sites/default/files/docs/publication/AppendixD_Comm_Tech_For_AA_Women.pdf
June 16, 2021 - Communication-Focused Technologies for Improving the Health of Young African-American Women: Appendix D—Change in Stage of Change by Risk, Pilot-Testing (n=6)
Appendix D: Change in Stage of Change by Risk,
Pilot-Testing (n=6)
RISK INITIAL STAGE
Initial
Value ENDING STAGE
Ending
Value
Direction
of
Chan…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impmenu.html
December 01, 2017 - Menu of Implementation Strategies
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choose to integrate the pressure ulcer healing repor…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impmenu.docx
June 02, 2025 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Healing
AHRQ’s Safety Program for Nursing Homes: On-Time
Pressure Ulcer Healing
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choo…