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psnet.ahrq.gov/node/44047/psn-pdf
September 09, 2015 - Linking acknowledgement to action: closing the loop on
non-urgent, clinically significant test results in the
electronic health record.
September 9, 2015
Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non-
urgent, clinically significant test results in the elect…
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psnet.ahrq.gov/node/46049/psn-pdf
September 13, 2017 - The proportion of errors in medical prescriptions and
their executions among hospitalized children before and
during accreditation.
September 13, 2017
Mekory TM, Bahat H, Bar-Oz B, et al. The proportion of errors in medical prescriptions and their executions
among hospitalized children before and during accreditat…
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide6.html
August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
Conclusion
Previous Page Next Page
Table of Contents
Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
Using This Guide
1. Background and Introduction
…
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psnet.ahrq.gov/node/46365/psn-pdf
September 06, 2017 - Learning to overcome hierarchical pressures to achieve
safer patient care: an interprofessional simulation for
nursing, medical, and physician assistant students.
September 6, 2017
Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve
Safer Patient Care: An Interprofess…
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psnet.ahrq.gov/node/44150/psn-pdf
August 21, 2015 - Reflection on adverse event disclosure in the
postsurgical hospital context.
August 21, 2015
Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital
context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016.
https://psnet.ahrq.gov/issue/reflection…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-i.docx
June 02, 2025 - AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix I. Catheter Care Pocket Card
Interventions To Prevent CAUTI in Patients Who Have a Documented Medical Need for Indwelling Urinary Catheter
Prevention strategies must focus on clear indications for the insertion of a urinary catheter and prompt removal w…
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psnet.ahrq.gov/node/847541/psn-pdf
April 12, 2023 - Improving medication safety in a paediatric hospital: a
mixed-methods evaluation of a newly implemented
computerised provider order entry system.
April 12, 2023
Liang MQ, Thibault M, Jouvet P, et al. BMJ Health Care Inform. 2023;30(1):e100622.
https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hos…
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psnet.ahrq.gov/node/73464/psn-pdf
July 07, 2021 - Errors in breast imaging: how to reduce errors and
promote a safety environment.
July 7, 2021
Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety
environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118.
https://psnet.ahrq.gov/issue/errors-breast-im…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/reduce.html
March 01, 2017 - Reduce Unnecessary Urine Culturing and Overuse of Antibiotics
Know When To Order Urine Cultures
Educational module and tools that summarize why more urine cultures lead to more catheter-associated urinary tract infection diagnoses, and provide tools to use to appropriately identify when to order a urine cul…
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psnet.ahrq.gov/node/50882/psn-pdf
February 12, 2020 - Association of default electronic medical record settings
with health care professional patterns of opioid
prescribing in emergency departments: A randomized
quality improvement study
February 12, 2020
Montoy JCC, Coralic Z, Herring AA, et al. Association of Default Electronic Medical Record Settings With
Health …
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psnet.ahrq.gov/node/864378/psn-pdf
March 13, 2024 - Investigating workplace support and the importance of
psychological safety in general surgery residency
training.
March 13, 2024
Ojute F, Gonzales PA, Berler M, et al. Investigating workplace support and the importance of psychological
safety in general surgery residency training. J Surg Educ. 2024;81(4):514-524.
…
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psnet.ahrq.gov/node/47508/psn-pdf
October 24, 2018 - Root cause analysis of reported patient falls in ORs in the
Veterans Health Administration.
October 24, 2018
Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the
Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/37984/psn-pdf
August 13, 2008 - Planning and implementing a systems-based patient
safety curriculum in medical education.
August 13, 2008
Thompson DA, Cowan J, Holzmueller CG, et al. Planning and implementing a systems-based patient
safety curriculum in medical education. Am J Med Qual. 2008;23(4):271-8.
doi:10.1177/1062860608317763.
https://ps…
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psnet.ahrq.gov/node/47054/psn-pdf
July 19, 2018 - A target to achieve zero preventable trauma deaths
through quality improvement.
July 19, 2018
Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through
Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159.
https://psnet.ahrq.gov/issue/target-achi…
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psnet.ahrq.gov/node/843085/psn-pdf
January 25, 2023 - Assessment of the use of patient vital sign data for
preventing misidentification and medical errors.
January 25, 2023
Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and
medical errors. Healthcare (Basel). 2022;10(12):2440. doi:10.3390/healthcare10122440.
https:…
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psnet.ahrq.gov/node/74008/psn-pdf
October 27, 2021 - Changes in safety and teamwork climate after adding
structured observations to patient safety WalkRounds.
October 27, 2021
Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured
observations to patient safety WalkRounds. Jt Comm J Qual Patient Saf. 2021;47(12):783-792.
…
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psnet.ahrq.gov/node/47001/psn-pdf
August 17, 2018 - Realist synthesis of intentional rounding in hospital
wards: exploring the evidence of what works, for whom,
in what circumstances and why.
August 17, 2018
Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the
evidence of what works, for whom, in what circumst…
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psnet.ahrq.gov/node/37468/psn-pdf
April 11, 2011 - Simulation of in-hospital pediatric medical emergencies
and cardiopulmonary arrests: highlighting the importance
of the first 5 minutes.
April 11, 2011
Hunt EA, Walker AR, Shaffner DH, et al. Simulation of in-hospital pediatric medical emergencies and
cardiopulmonary arrests: highlighting the importance of the fir…
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psnet.ahrq.gov/node/46133/psn-pdf
May 24, 2017 - Implementing smart infusion pumps with dose-error
reduction software: real-world experiences.
May 24, 2017
Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences.
Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13.
https://psnet.ahrq.gov/issue/implementing…
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psnet.ahrq.gov/node/74187/psn-pdf
December 15, 2021 - Real-world virtual patient simulation to improve
diagnostic performance through deliberate practice: a
prospective quasi-experimental study.
December 15, 2021
Kotwal S, Fanai M, Fu W, et al. Real-world virtual patient simulation to improve diagnostic performance
through deliberate practice: a prospective quasi-exp…