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digital.ahrq.gov/principal-investigator/hook-mary-l
January 01, 2023 - Hook, Mary L.
Using nursing practices and health IT to reduce fall-related injuries.
Citation
Hook ML, Lang NM, Joosse L, et al. Using nursing practices and health IT to reduce fall-related injuries. (Prepared by Aurora Health Care System Nursing Research, the University of Wi…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumhalp.html
October 01, 2014 - Halpern, Scott
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: University of Pennsylvania
Grant Title: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Ca…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/kawdsummalouin.html
October 01, 2014 - Malouin, Rebecca
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: Michigan State University
Grant Title: Defining and Building a Patient-Centered Medical Home
Grant Number: …
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psnet.ahrq.gov/node/46098/psn-pdf
July 24, 2017 - Prospective evaluation of a multifaceted intervention to
improve outcomes in intensive care: the Promoting
Respect and Ongoing Safety through Patient Engagement
Communication and Technology study.
July 24, 2017
Dykes PC, Rozenblum R, Dalal A, et al. Prospective Evaluation of a Multifaceted Intervention to Improve
…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumlitvin.html
October 01, 2014 - Litvin, Cara
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: Medical University of South Carolina, Charleston, SC
Grant Title: Improving Recognition and Management of Chronic …
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www.ahrq.gov/talkingquality/measures/setting/long-term-care/home-health/index.html
January 01, 2023 - Measuring the Quality of Home Health Care
Home health is an important category of service delivery, especially for older people and those who have significant medical or surgical stays in hospitals.
Measures Cover Skilled Care Rather Than Personal Care/Homemaker Services
Home health as a category of service…
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www.ahrq.gov/talkingquality/measures/setting/long-term-care/home-health/examples.html
November 01, 2018 - Examples of Home Health Care Quality Measures for Consumers
The development of measures for home health is in the early stages, but several measures have been endorsed by NQF and are being reported. Here are some examples of measures that would be appropriate for reporting to consumers and are currently include…
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psnet.ahrq.gov/node/844537/psn-pdf
February 15, 2023 - Intended and unintended consequences: changes in
opioid prescribing practices for postsurgical, acute, and
chronic pain indications following two policies in North
Carolina, 2012-2018 - controlled and single-series
interrupted time series analyses.
February 15, 2023
Maierhofer CN, Ranapurwala SI, DiPrete BL, et a…
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www.ahrq.gov/cpi/about/organization/nac/kripalani.html
February 01, 2025 - NAC Member Biography: Sunil Kripalani
Sunil Kripalani, M.D., M.Sc., SFHM, FACP Professor of Medicine Director Center for Health Services Research Director Center for Clinical Quality and Implementation Research Vanderbilt University Medical Center Sunil Kripalani, M.D., M.Sc., SFHM, FACP , is a professor of med…
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psnet.ahrq.gov/node/34766/psn-pdf
March 05, 2013 - Making Health Care Safer: A Critical Analysis of Patient
Safety Practices.
March 5, 2013
Shojania KG, Duncan BW, McDonald KM, et al, eds. Rockville, MD: Agency for Healthcare Research and
Quality; July 2001. AHRQ Publication No. 01-E058.
https://psnet.ahrq.gov/issue/making-health-care-safer-critical-analysis-patie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.pdf
June 02, 2025 - Strategy 3: Bedside Shift Report (Tool 2)
Guide to Patient and Family Engagement
Bedside Shift Report Checklist
Introduce the nursing staff to the patient and family. Invite the patient and family to take part in the bedside shift
report.
Open the medical record or access the electronic work station…
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psnet.ahrq.gov/node/40048/psn-pdf
December 01, 2010 - Temporal trends in rates of patient harm resulting from
medical care.
December 1, 2010
Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical
care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJMsa1004404.
https://psnet.ahrq.gov/issue/temporal-trends-rates-pati…
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psnet.ahrq.gov/node/37756/psn-pdf
December 15, 2008 - Do the AHRQ Patient Safety Indicators flag conditions
that are present at the time of hospital admission?
December 15, 2008
Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are
present at the time of hospital admission? Med Care. 2008;46(5):516-22.
doi:10.1097/MLR.0b0…
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psnet.ahrq.gov/node/45380/psn-pdf
November 11, 2016 - Innovative patient safety curriculum using iPad game
(PASSED) improved patient safety concepts in
undergraduate medical students.
November 11, 2016
Kow AWC, Ang BLS, Chong CS, et al. Innovative Patient Safety Curriculum Using iPAD Game (PASSED)
Improved Patient Safety Concepts in Undergraduate Medical Students. Wo…
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psnet.ahrq.gov/node/44324/psn-pdf
September 09, 2015 - Prevalence, nature, severity and risk factors for
prescribing errors in hospital inpatients: prospective
study in 20 UK hospitals.
September 9, 2015
Ashcroft DM, Lewis PJ, Tully MP, et al. Prevalence, Nature, Severity and Risk Factors for Prescribing
Errors in Hospital Inpatients: Prospective Study in 20 UK Hospit…
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psnet.ahrq.gov/node/42748/psn-pdf
November 20, 2013 - Effectiveness of written hospitalist sign-outs in answering
overnight inquiries.
November 20, 2013
Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering
overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090.
https://psnet.ahrq.gov/issue/effec…
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psnet.ahrq.gov/node/39213/psn-pdf
October 03, 2017 - Using patient safety morbidity and mortality conferences
to promote transparency and a culture of safety.
October 3, 2017
Szekendi MK, Barnard C, Creamer J, et al. Using patient safety morbidity and mortality conferences to
promote transparency and a culture of safety. Jt Comm J Qual Patient Saf. 2010;36(1):3-9.
h…
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psnet.ahrq.gov/node/40619/psn-pdf
October 06, 2016 - Sustaining and spreading the reduction of adverse drug
events in a multicenter collaborative.
October 6, 2016
Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a
multicenter collaborative. Pediatrics. 2011;128(2):e438-45. doi:10.1542/peds.2010-3772.
https://psnet.a…
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psnet.ahrq.gov/node/48095/psn-pdf
June 26, 2019 - Exposure to incivility hinders clinical performance in a
simulated operative crisis.
June 26, 2019
Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative
crisis. BMJ Qual Saf. 2019;28(9):750-757. doi:10.1136/bmjqs-2019-009598.
https://psnet.ahrq.gov/issue/ex…
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psnet.ahrq.gov/node/39302/psn-pdf
February 17, 2010 - Preoperative briefing in the operating room: shared
cognition, teamwork, and patient safety.
February 17, 2010
Einav Y, Gopher D, Kara I, et al. Preoperative briefing in the operating room: shared cognition, teamwork,
and patient safety. Chest. 2010;137(2):443-9. doi:10.1378/chest.08-1732.
https://psnet.ahrq.gov/i…