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psnet.ahrq.gov/node/37613/psn-pdf
March 12, 2008 - Implementing patient safety interventions in your
hospital: what to try and what to avoid.
March 12, 2008
Ranji SR, Shojania KG. Implementing patient safety interventions in your hospital: what to try and what to
avoid. Med Clin North Am. 2008;92(2):275-93, vii-viii. doi:10.1016/j.mcna.2007.10.007.
https://psnet.a…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/kawdsumdelfiol.html
October 01, 2014 - Del Fiol, Guilherme
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: Duke University
Grant Title: Context-Aware Knowledge Delivery into Electronic Health Records
Grant Number…
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psnet.ahrq.gov/node/46747/psn-pdf
June 06, 2018 - Tackling ambulatory safety risks through patient
engagement: what 10,000 patients and families say about
safety-related knowledge, behaviors, and attitudes after
reading visit notes.
June 6, 2018
Bell SK, Folcarelli P, Fossa A, et al. Tackling Ambulatory Safety Risks Through Patient Engagement: What
10,000 Patien…
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psnet.ahrq.gov/node/38798/psn-pdf
May 18, 2019 - Working conditions in primary care: physician reactions
and care quality.
May 18, 2019
Linzer M, Manwell LB, Williams E, et al. Working conditions in primary care: physician reactions and care
quality. Ann Intern Med. 2009;151(1):28-36, W6-9.
https://psnet.ahrq.gov/issue/working-conditions-primary-care-physician-r…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumwere.html
October 01, 2014 - Were, Martin
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: Indiana University
Grant Title: Improving Management of Test Results that Return after Hospital Discharge
Grant …
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psnet.ahrq.gov/node/43115/psn-pdf
December 18, 2014 - Multistate point-prevalence survey of health care-
associated infections.
December 18, 2014
Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated
infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801.
https://psnet.ahrq.gov/issue/multistate-point…
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psnet.ahrq.gov/node/38733/psn-pdf
July 13, 2009 - Full implementation of computerized physician order
entry and medication-related quality outcomes: a study of
3364 hospitals.
July 13, 2009
Yu FB, Menachemi N, Berner ES, et al. Full implementation of computerized physician order entry and
medication-related quality outcomes: a study of 3364 hospitals. Am J Med Qu…
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psnet.ahrq.gov/node/47531/psn-pdf
June 19, 2019 - Patient Safety.
June 19, 2019
Health Aff (Millwood). 2018;37(11):1723-1908.
https://psnet.ahrq.gov/issue/patient-safety-14
The Institute of Medicine report, To Err Is Human, marked the founding of the patient safety field. This
special issue of Health Affairs, published 20 years after that report, highlights achie…
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psnet.ahrq.gov/node/45057/psn-pdf
June 22, 2017 - Safety risks associated with the lack of integration and
interfacing of hospital health information technologies: a
qualitative study of hospital electronic prescribing
systems in England.
June 22, 2017
Cresswell K, Mozaffar H, Lee L, et al. Safety risks associated with the lack of integration and interfacing of
…
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psnet.ahrq.gov/node/39837/psn-pdf
September 15, 2010 - The efficacy of medical team training: improved team
performance and decreased operating room delays: a
detailed analysis of 4863 cases.
September 15, 2010
Wolf FA, Way LW, Stewart L. The efficacy of medical team training: improved team performance and
decreased operating room delays: a detailed analysis of 4863 c…
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psnet.ahrq.gov/node/60222/psn-pdf
April 15, 2020 - Interventions to improve team effectiveness within health
care: a systematic review of the past decade.
April 15, 2020
Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness
within health care: a systematic review of the past decade. Hum Resourc Health. 2020;18(1).
doi:10.…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/capacity-infographic.pdf
April 01, 2018 - AHRQ’s EvidenceNOW Results: Increased Capacity for Quality Improvement in Small Primary Care Practices
AHRQ’s EvidenceNOW Results: Increased Capacity
for Quality Improvement in Small Primary Care Practices
One of the main goals of EvidenceNOW is increasing the capacity of primary care practices to implement evidenc…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-j.pdf
September 01, 2015 - Appendix J. Urinary Catheter Brochure
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix J. Urinary Catheter Brochure
Promptly
Remove
Urinary
Catheters
Focus on Patient Safety
Urinary Catheter
Initiative Champions
Patient Management for
Incontinence
■ Turn patient every 2 hours to
cleanse a…
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psnet.ahrq.gov/node/46196/psn-pdf
October 13, 2018 - Association of a surgical task during training with team
skill acquisition among surgical residents: the missing
piece in multidisciplinary team training.
October 13, 2018
Sparks JL, Crouch DL, Sobba K, et al. Association of a Surgical Task During Training With Team Skill
Acquisition Among Surgical Residents: The …
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psnet.ahrq.gov/node/44709/psn-pdf
November 18, 2016 - Lost information during the handover of critically injured
trauma patients: a mixed-methods study.
November 18, 2016
Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured
trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(12):929-936. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/node/41866/psn-pdf
November 28, 2012 - "It's like two worlds apart": an analysis of vulnerable
patient handover practices at discharge from hospital.
November 28, 2012
Groene RO, Orrego C, Suñol R, et al. "It's like two worlds apart": an analysis of vulnerable patient handover
practices at discharge from hospital. BMJ Qual Saf. 2012;21 Suppl 1:i67-75. d…
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psnet.ahrq.gov/node/40289/psn-pdf
March 16, 2011 - Unintentional therapeutic errors involving insulin in the
ambulatory setting reported to poison centers.
March 16, 2011
Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory
setting reported to poison centers. Ann Pharmacother. 2011;45(1):17-22. doi:10.1345/aph.1…
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psnet.ahrq.gov/node/44447/psn-pdf
September 02, 2015 - Community-, healthcare-, and hospital-acquired severe
sepsis hospitalizations in the University HealthSystem
Consortium.
September 2, 2015
Page DB, Donnelly JP, Wang HE. Community-, Healthcare-, and Hospital-Acquired Severe Sepsis
Hospitalizations in the University HealthSystem Consortium. Crit Care Med. 2015;43(9…
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psnet.ahrq.gov/node/41175/psn-pdf
December 31, 2014 - Design and implementation of an automated email
notification system for results of tests pending at
discharge.
December 31, 2014
Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification
system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-9.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.9. Training Curriculum
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
…