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psnet.ahrq.gov/node/45335/psn-pdf
August 10, 2016 - The Feasibility of Determining the Effectiveness and Cost-
effectiveness of Medication Organisation Devices
Compared with Usual Care for Older People in a
Community Setting: Systematic Review, Stakeholder
Focus Groups and Feasibility RCT.
August 10, 2016
Bhattacharya D, Aldus CF, Barton G, et al. Health Tech…
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psnet.ahrq.gov/node/851353/psn-pdf
July 12, 2023 - Caregiver and clinician perspectives on discharge
medication counseling: a qualitative study.
July 12, 2023
Carroll AR, Schlundt D, Bonnet K, et al. Caregiver and clinician perspectives on discharge medication
counseling: a qualitative study. Hosp Pediatr. 2023;13(4):325-342. doi:10.1542/hpeds.2022-006937.
https:/…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/action-plan-template.docx
June 02, 2025 - Action Plan Worksheet
ACTION PLAN WORKSHEET
INSTRUCTIONS:
1. Discuss with your team some improvements you’d like to make specific to the High Leverage Changes listed in the table. Use the data from the Quality Improvement Change Assessment (QICA), current patient panel data, discussions with your coach and team, or ob…
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psnet.ahrq.gov/node/38033/psn-pdf
September 24, 2010 - Implementing online medication reconciliation at a large
academic medical center.
September 24, 2010
Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical
center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508.
https://psnet.ahrq.gov/issue/implementing-online-m…
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psnet.ahrq.gov/node/46775/psn-pdf
March 07, 2018 - Ten ERs in Colorado tried to curtail opioids and did better
than expected.
March 7, 2018
Daley J. Colorado Public Radio. February 23, 2018.
https://psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
Innovations in the prescribing of opioids in the emergency department are needed to…
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psnet.ahrq.gov/node/41245/psn-pdf
March 29, 2012 - The occurrence of wrong-site surgery self-reported by
candidates for certification by the American Board of
Orthopaedic Surgery.
March 29, 2012
James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates
for certification by the American Board of Orthopaedic Surgery. J …
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psnet.ahrq.gov/node/72847/psn-pdf
March 17, 2021 - Barriers to accessing nighttime supervisors: a national
survey of internal medicine residents.
March 17, 2021
Catalanotti JS, O’Connor AB, Kisielewski M, et al. Barriers to accessing nighttime supervisors: a national
survey of internal medicine residents. J Gen Intern Med. 2021;36(7):1974-1979. doi:10.1007/s11606-0…
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psnet.ahrq.gov/node/851362/psn-pdf
July 12, 2023 - Health system resilience, accreditation, high-quality care,
and continuous quality improvement: what is the
destination and how do we get there?
July 12, 2023
Nicklin W, Greenfield D. Health system resilience, accreditation, high-quality care, and continuous quality
improvement: what is the destination and how do …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/113-staff-safety-assessment.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Staff Safety Assessment
ICU & Non-ICU
Purpose of this form: This form is designed to tap into your experience to determine what risks are present in your unit that have jeopardized or could jeopardize patient safety.
Who should use this tool? Healthcare providers.
How to complete…
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psnet.ahrq.gov/node/47489/psn-pdf
November 21, 2018 - Impact of the Care Quality Commission on Provider
Performance: Room for Improvement?
November 21, 2018
Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business School;
September 2018. ISBN: 9781909029880.
https://psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performa…
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psnet.ahrq.gov/node/61115/psn-pdf
November 11, 2020 - Education initiatives in cognitive debiasing to improve
diagnostic accuracy in student providers: a scoping
review.
November 11, 2020
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic
accuracy in student providers: a scoping review. J Am Assoc Nurse Prac…
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www.ahrq.gov/evidencenow/projects/urinary/resources/rural-family-obesity-trial.html
September 01, 2020 - Back to MUI Resources
Rural Family Medicine Clinicians' Motivations to Participate in a Pragmatic Obesity Trial
Resource
Full Article
Summary
The purpose of this article is to understand the motivations of rural-practicing primary care clinicians who participate in an intensi…
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psnet.ahrq.gov/node/837642/psn-pdf
July 06, 2022 - Supplemental Item Set for Nursing Home SOPS: Call for
Pilot Participants.
July 6, 2022
Rockville, MD: Agency for Health Quality and Research; June 2022.
https://psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants
The potential for workplace violence degrades patient and staff safet…
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psnet.ahrq.gov/node/866962/psn-pdf
October 16, 2024 - Diagnostic Excellence– Age-Friendly Health Systems
(DxEx–AFHS) Seed Grant Program Improving Diagnosis
for Older Adults.
October 16, 2024
Boston, MA: Institute for Healthcare Improvement; September 23, 2024.
https://psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant-
progra…
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psnet.ahrq.gov/node/61026/psn-pdf
October 14, 2020 - A blinded, prospective study of error detection during
physician chart rounds in radiation oncology.
October 14, 2020
Talcott WJ, Lincoln H, Kelly JR, et al. A blinded, prospective study of error detection during physician chart
rounds in radiation oncology. Pract Radiat Oncol. 2020;10(5):312-320. doi:10.1016/j.prr…
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www.ahrq.gov/evidencenow/projects/urinary/resources/quality-improvement-research.html
September 01, 2023 - Back to MUI Resources
Declining Participation in Primary Care Quality Improvement Research: A Qualitative Study
Resource
Full Article on PubMed
Summary
There are numerous supportive quality improvement (QI) projects to facilitate the implementation of evidence-based practices…
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psnet.ahrq.gov/node/44727/psn-pdf
December 02, 2015 - Virginia Tech as a sentinel event: the role of psychiatry in
managing emotionally troubled students on college and
university campuses.
December 2, 2015
Giggie MA. Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled
Students on College and University Campuses. Harv Rev Psychi…
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psnet.ahrq.gov/node/46849/psn-pdf
May 23, 2018 - 1,300 days and counting: a risk model approach to
preventing retained foreign objects (RFOs).
May 23, 2018
Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to
Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018;44(5):260-269.
doi:10.1016/j.jcjq.2017.…
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psnet.ahrq.gov/node/45706/psn-pdf
September 01, 2018 - Improving communication and resolution following
adverse events using a patient-created simulation
exercise.
September 1, 2018
Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following
Adverse Events Using a Patient-Created Simulation Exercise. Health Serv Res. 2016;51 Suppl …
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psnet.ahrq.gov/node/44686/psn-pdf
March 15, 2016 - Standardized handoff report form in clinical nursing
education: an educational tool for patient safety and
quality of care.
March 15, 2016
Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool
for patient safety and quality of care. Nurse Educ Today. 2016;37:3-…