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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - Effect of a change in house staff work schedule on resource utilization and patient care. … Jt Comm J Qual Improv. 1998;24:77-87.[ go to PubMed ]
This project was funded under contract … and safety mission of teaching hospitals and graduate medical education. … April 30, 2014
Project BOOST implementation: lessons learned. … September 10, 2014
Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization
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psnet.ahrq.gov/issue/door-doc-patient-safety-toolkit
August 17, 2011 - June 1, 2016
The PROMISES Project. … August 26, 2020
Promoting Patient Safety Through Effective Health Information Technology … July 14, 2021
Hospital Harm Project. … November 29, 2023
Hospital Harm Project. … resource utilization: a pilot study.
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psnet.ahrq.gov/periodic-issue/periodic-issue-466
December 18, 2024 - WebM&M presents current and past monthly issues of Cases & Commentaries and
Perspectives … family members reveals challenges navigating a fragmented healthcare system and the administrative and … This data analysis from the AHRQ Healthcare Cost and Utilization Project found severe maternal morbidity … at Brigham and Women’s Hospital and a Professor of Medicine at Harvard Medical School. … Go to AHRQ site and subscribe
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Familiarity and procedural memory—which function as basic safeguards and facilitate rapid execution of … Once mitigation strategies are deployed, education and training efforts with nurses, physicians, and … , from https://www.ashp.org/-/media/assets/pharmacy-practice/s4s/docs/s4s-iv-a…
This project
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psnet.ahrq.gov/issue/reengineered-hospital-discharge-program-decrease-rehospitalization-randomized-trial
August 04, 2021 - failure to provide patient education—likely contribute to adverse events and hospital readmissions. … In this study, a discharge advocate (a trained nurse) met with patients prior to discharge and created … a patient-centered discharge plan, which was given to the patient and primary physician. … The intervention successfully reduced hospital utilization in the 30 days after discharge, primarily … October 23, 2024
Evaluating the implementation of Project Re-Engineered Discharge (RED
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psnet.ahrq.gov/node/49825/psn-pdf
April 01, 2018 - Recognize the risk of communication and clinical errors and how that risk can be mitigated by
working … to result in fewer errors in communication (11), reduce disparities in utilization of services (12), … Detailed languages spoken at home and ability to speak English for the population 5
years and over: … utilization. … [go to PubMed]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/issue/teamstepps-health-care-risk-managers-improving-teamwork-and-communication
March 27, 2019 - TeamSTEPPS for health care risk managers: Improving teamwork and communication. … This project explored the impact of a TeamSTEPPS -derived educational intervention for health care … Evidence and limitations of task switching and multitasking in emergency medicine. … April 18, 2007
Impact of health information technology on detection of potential adverse … in health care: a battle to be heard, believed, and protected.
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - nursing homes, end-of-life care, and use of health information technology to facilitate communication … The APRNs and nursing home leaders were supported by a nurse project supervisor, an INTERACT/QI coach … advance directives, and the MOQI project emphasizes developing facility policies on end-of-life care … Health information technology and available health information exchanges (HIEs) facilitates communication … Acute Care Utilization in Low-Income Seniors and other High-Risk Populations
June 12, 2020
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psnet.ahrq.gov/issue/improving-risk-management-lame-excuses-principled-practice
April 05, 2006 - analysis of events, clarify roles and responsibilities, build a culture of safety , and promote learning … May 22, 2019
Patient safety stories: a project utilizing narratives in resident training … December 6, 2006
Changing and sustaining medical students' knowledge, skills, and attitudes … March 6, 2005
The health care cost of drug-related morbidity and mortality in nursing … August 30, 2017
Improving the safety of health information technology requires shared
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psnet.ahrq.gov/web-mm/glucose-roller-coaster
February 02, 2022 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … input requests and concerns, and allowing the system to communicate with wireless devices. … Effect of a change in house staff work schedule on resource utilization and patient care. … Blank Computerized Signout Sheet
This project was funded under contract
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - virtual nurse project or the Virtually Integrated Care (VIC) model. … , and financial metrics. … And do they know how to communicate and help those people work together? Absolutely. … Having a chief nursing officer who is very supportive of the project is important. … J Health Med Inform . 2018;09(01). doi:10.4172/2157-7420.1000305
This project
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psnet.ahrq.gov/periodic-issue/periodic-issue-373
December 14, 2022 - The action plan proposed by this project includes ensuring a just culture so staff feel empowered to … The action plan proposed by this project includes ensuring a just culture so staff feel empowered to … medical education and health sciences research: REPAIR project steering committee. … REPAIR Project Steering Committee. Acad Med . 2022;97(12):1753-1759. … The REPAIR (REParations and Anti-Institutional Racism) Project at the University of California, San Francisco
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psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
June 15, 2024 - How do we make sure that the health information technology revolution is improving patient care overall … called Project ECHO . … Project ECHO started in New Mexico as a telehealth hub. … care costs, and so forth. … uninsured coming into coverage, how their health care utilization is changing, and how their health
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psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
November 01, 2017 - Health Informatics in the Medical School at the University of Washington. … I've talked with people who have been part of the OpenNotes Project and heard from physicians who were … Health information technology (IT) represents one of the most important tools providers can employ to … Patient-centered healthcare, patient engagement and health information technology: the perfect storm. … Personal health records and health care utilization. JAMA. 2012;308:2034-2036.
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psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - Moreover, while medication reconciliation alone probably does not reduce post-discharge hospital utilization … Health information technology (IT) has been lauded as a potential solution for the challenges encountered … High 5s Project. Geneva, Switzerland: World Health Organization; 2013. [Available at] 12. … Washington, DC: Office of the National Coordinator for Health Information Technology. … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - Moreover, while medication reconciliation alone probably does not reduce
post-discharge hospital utilization … Health information technology (IT) has been lauded as a potential solution for the challenges encountered … High 5s Project. Geneva, Switzerland: World Health Organization; 2013. [Available at]
12. … Washington, DC: Office of the National Coordinator for Health Information Technology. … pubmed/22395255
http://www.ncbi.nlm.nih.gov/pubmed/19335488
https://psnet.ahrq.gov//#references
This project
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - economics, project management, and return-on-investment. … , and
evaluation of a QI project
Course Content:
1. … a QI project. … services research
4. health policy and
economics
5. cost-based accounting
6. medical informatics … clinical
decision support
3. patient safety, patient
experience, and systems
analysis
4. project
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psnet.ahrq.gov/web-mm/medical-devices-wild
March 27, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … technology and public health informatics. … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research … and Quality (AHRQ), U.S.
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psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
September 01, 2004 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … weights, and a paucity of clinical trials to establish safe and effective doses. … An approach to minimize both labor and drug cost and maximize patient safety can be adopted. … oral)
Neuromuscular blockers (succinylcholine, rocuronium, vecuronium)
This project
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - is associated with higher healthcare costs. 5
There are health disparities in cancer mortality rates … is associated with higher healthcare costs. 5 The impetus for the innovation stemmed from a patient … support for this project in all iterations moving forward. … Identify leadership roles by naming a medical director and a project coordinator for each specialty area … Seek project management support.
Create an implementation plan.