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psnet.ahrq.gov/node/46640/psn-pdf
August 08, 2018 - IDEA4PS: the development of a research-oriented
learning healthcare system.
August 8, 2018
Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented
Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.
https://psnet.ahrq.gov/issue/idea4ps-…
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psnet.ahrq.gov/node/42117/psn-pdf
March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a
systematic review.
March 20, 2013
Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med.
2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007.
https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…
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psnet.ahrq.gov/node/35356/psn-pdf
May 27, 2011 - Computerized physician order entry, a factor in
medication errors: descriptive analysis of events in the
intensive care unit safety reporting system.
May 27, 2011
Thompson DA; Duling L; Holzmueller CG; et al. JCOM. 2(8):407-412
https://psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-error…
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psnet.ahrq.gov/node/37340/psn-pdf
November 14, 2007 - Care transitions in the outpatient surgery preoperative
process: facilitators and obstacles to information flow
and their consequences.
November 14, 2007
Schultz K, Carayon P, Hundt AS, et al. Care transitions in the outpatient surgery preoperative process:
facilitators and obstacles to information flow and their …
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psnet.ahrq.gov/node/46682/psn-pdf
January 24, 2018 - AHRQ Safety Program for Surgery.
January 24, 2018
Rockville, MD: Agency for Healthcare Research and Quality. December 2017. AHRQ Publication No.
16(18)-0004-1-EF.
https://psnet.ahrq.gov/issue/ahrq-safety-program-surgery
Large-scale collaboratives have achieved success in implementing patient safety improvements. T…
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psnet.ahrq.gov/node/43940/psn-pdf
February 25, 2015 - AHRQ Announces Interest in Research About the
Epidemiology of Patient Safety Risks and Harms in
Ambulatory Health Care Settings.
February 25, 2015
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. February 10, 2015.
Publication No. NOT-HS-15-006.
https://psnet.ahrq.gov/issue/ahrq…
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psnet.ahrq.gov/node/43947/psn-pdf
August 28, 2015 - AHRQ Health Services Research Projects: Making Health
Care Safer in Ambulatory Care Settings and Long Term
Care Facilities (R01).
August 28, 2015
US Department of Health and Human Services. August 25, 2015. PA-15-339.
https://psnet.ahrq.gov/issue/ahrq-health-services-research-projects-making-health-care-safer-ambu…
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - evidence that it actually was useful and worked—it was the Hospital Engagement Networks, which CMS funds
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psnet.ahrq.gov/node/37342/psn-pdf
December 23, 2012 - A past report from the
Commonwealth Fund discussed the framework for a high performance health system
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psnet.ahrq.gov/node/38241/psn-pdf
January 15, 2009 - The Commonwealth Fund also supported a similar
past report that used patient experiences to discuss
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psnet.ahrq.gov/node/34995/psn-pdf
February 03, 2011 - The Research on Adverse Drug Events and Reports
(RADAR) project.
February 3, 2011
Bennett CL, Nebeker JR, Lyons A, et al. The Research on Adverse Drug Events and Reports (RADAR)
project. JAMA. 2005;293(17):2131-40.
https://psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project
This article su…
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psnet.ahrq.gov/node/46749/psn-pdf
April 04, 2018 - Toolkit for Improving Perinatal Safety.
April 4, 2018
Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from
comprehensive unit-based safe…
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psnet.ahrq.gov/node/47167/psn-pdf
May 30, 2018 - AHRQ Health Information Technology Division's 2017
Annual Report.
May 30, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-
EF.
https://psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
Health care has worked to enhance use…
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psnet.ahrq.gov/node/45566/psn-pdf
October 19, 2016 - Partnership for Patients (PfP) Hospital Engagement
Network (HEN) 2.0 Final Report.
October 19, 2016
Chicago, IL: American Hospital Association and Health Research & Educational Trust; September 2016.
https://psnet.ahrq.gov/issue/partnership-patients-pfp-hospital-engagement-network-hen-20-final-report
The Partnersh…
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psnet.ahrq.gov/node/35154/psn-pdf
January 02, 2017 - Ambulatory care visits for treating adverse drug effects in
the United States, 1995-2001.
January 2, 2017
Zhan C, Arispe IE, Kelley E, et al. Ambulatory Care Visits for Treating Adverse Drug Effects in the United
States, 1995–2001. The Joint Commission Journal on Quality and Patient Safety. 2016;31(7).
doi:10.1016…
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psnet.ahrq.gov/node/34868/psn-pdf
February 03, 2011 - Role of computerized physician order entry systems in
facilitating medication errors.
February 3, 2011
Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating
medication errors. JAMA. 2005;293(10):1197-203.
https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
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psnet.ahrq.gov/node/43616/psn-pdf
October 29, 2014 - Preventing Healthcare-Associated Infections: Results and
Lessons Learned from AHRQ's HAI Program.
October 29, 2014
Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Infect Control Hosp Epidemiol. 2014;35(suppl 3):S1-
S141.
https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lesson…
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psnet.ahrq.gov/node/44125/psn-pdf
May 28, 2015 - AHRQ focuses on ambulatory patient safety.
May 28, 2015
Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6.
doi:10.1097/NCQ.0000000000000124.
https://psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety
AHRQ has generated funding and educational opportunities toward u…
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psnet.ahrq.gov/node/34780/psn-pdf
March 28, 2005 - Disseminating innovations in health care.
March 28, 2005
Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975.
doi:10.1001/jama.289.15.1969.
https://psnet.ahrq.gov/issue/disseminating-innovations-health-care
This commentary and review discusses the ability to adopt growing numbers of …
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psnet.ahrq.gov/node/46413/psn-pdf
February 22, 2018 - A comparison of error rates between intravenous push
methods: a prospective, multisite, observational study.
February 22, 2018
Hertig JB, Degnan DD, Scott CR, et al. A Comparison of Error Rates Between Intravenous Push Methods:
A Prospective, Multisite, Observational Study. J Patient Saf. 2018;14(1):60-65.
doi:10.…