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psnet.ahrq.gov/node/45945/psn-pdf
April 24, 2018 - Families as partners in hospital error and adverse event
surveillance.
April 24, 2018
Khan A, Coffey M, Litterer KP, et al. Families as Partners in Hospital Error and Adverse Event Surveillance.
JAMA Pediatr. 2017;171(4):372-381. doi:10.1001/jamapediatrics.2016.4812.
https://psnet.ahrq.gov/issue/families-partners-…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumhaut.html
October 01, 2014 - Haut, Elliott
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: Johns Hopkins University
Grant Title: Does Screening Variability Make DVT an Unreliable Quality Measure of Trauma…
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psnet.ahrq.gov/node/42628/psn-pdf
January 07, 2015 - Engaging patients in medication reconciliation via a
patient portal following hospital discharge.
January 7, 2015
Heyworth L, Paquin AM, Clark J, et al. Engaging patients in medication reconciliation via a patient portal
following hospital discharge. J Am Med Inform Assoc. 2014;21(e1):e157-62. doi:10.1136/amiajnl-2…
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psnet.ahrq.gov/node/37544/psn-pdf
June 16, 2011 - Differences in safety climate among hospital anesthesia
departments and the effect of a realistic simulation-based
training program.
June 16, 2011
Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia
departments and the effect of a realistic simulation-based training progr…
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psnet.ahrq.gov/node/42352/psn-pdf
January 14, 2014 - Doing well by doing good: assessing the cost savings of
an intervention to reduce central line-associated
bloodstream infections in a Hawaii hospital.
January 14, 2014
Hsu E, Lin D, Evans SJ, et al. Doing well by doing good: assessing the cost savings of an intervention to
reduce central line-associated bloodstrea…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-keytakeaways.pdf
August 01, 2018 - 3 Key Takeaways from the July 2018 Webcast: New SOPS HIT Patient Safety Supplemental Items for Hospitals
33
Key Takeaways
from the July 2018 AHRQ Webcast: New
SOPS™ Health Information Technology (Health IT)
Patient Safety Supplemental Items for Hospitals
1 What is the new Health IT Patient Safety
Supplemental I…
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psnet.ahrq.gov/node/45769/psn-pdf
December 21, 2016 - National Scorecard on Rates of Hospital-Acquired
Conditions 2010 to 2015: Interim Data From National
Efforts to Make Health Care Safer.
December 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; December 2016.
https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010…
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psnet.ahrq.gov/node/38164/psn-pdf
July 02, 2009 - A Compendium of Strategies to Prevent Healthcare-
Associated Infections in Acute Care Hospitals.
July 2, 2009
Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994.
https://psnet.ahrq.gov/issue/compendium-strategies-prevent-healthcare-associated-infections-acute-care-
hospi…
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psnet.ahrq.gov/node/40995/psn-pdf
January 04, 2012 - Effects of the introduction of the WHO "Surgical Safety
Checklist" on in-hospital mortality: a cohort study.
January 4, 2012
van Klei WA, Hoff RG, van Aarnhem EEHL, et al. Effects of the introduction of the WHO "Surgical Safety
Checklist" on in-hospital mortality: a cohort study. Ann Surg. 2012;255(1):44-9.
doi:10…
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www.ahrq.gov/topics/outcomes.html
Topic: Outcomes
Outcomes are defined as the impact of a healthcare service or intervention, and can include events or results in:
Patient health status or quality of life.
Patient, provider, and population attitudes and behavior.
New evidence, research, prevention strategies, treatments, and care models.
…
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digital.ahrq.gov/ahrq-funded-projects/critical-access-hospital-partnership-health-information-technology/annual-summary/2009
January 01, 2009 - Critical Access Hospital Partnership Health Information Technology Implementation - 2009
Project Name
Critical Access Hospital Partnership Health Information Technology Implementation
Principal Investigator
Wheeler, Donald
Organization
Upper Peninsula Health Care Network
…
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psnet.ahrq.gov/issue/emergency-medical-services-responders-perceptions-effect-stress-and-anxiety-patient-safety
January 22, 2016 - Study
Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study.
Citation Text:
Guise J-M, Hansen M, O'Brien K, et al. Emergency medical services responders' perceptions …
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psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
June 29, 2022 - EMERGING INNOVATIONS
Reducing hospital harm: establishing a command centre to foster situational awareness.
Citation Text:
Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885.
Copy Citation
…
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psnet.ahrq.gov/issue/using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration
January 21, 2019 - Commentary
Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions.
Citation Text:
Arbaje AI, Greyson S, Keita Fakeye M, et al. Using stakeholder i…
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psnet.ahrq.gov/issue/interdisciplinary-collaboration-across-secondary-and-primary-care-improve-medication-safety
December 21, 2022 - Study
Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial.
Citation Text:
Johansen JS, Halvorsen KH, Svendsen K, et al. Interdisciplinary collaboration across secondary and prima…
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digital.ahrq.gov/ahrq-funded-projects/hit-based-regional-medication-management-pharmacy-system
January 01, 2023 - HIT-Based Regional Medication Management Pharmacy System
Project Final Report ( PDF , 607.91 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AH…
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digital.ahrq.gov/sites/default/files/docs/page/2006Root_052411comp.pdf
June 16, 2021 - Utah Health Information Network Evaluation Method Summary
uhin
Utah Health Information Network
Evaluation Method Summary
AHRQ 2006
Jan Root, Ph.D.
Assistant Executive Director
uhin
UHIN Pilot
Submitter Receiver Message Format
Hospital Providers (clinical
messages)
Payers (claim
attachments)
Discharge
su…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips87.html
October 01, 2014 - Six Texas Hospitals Improve Care With AHRQ Medication Reconciliation Toolkit
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support calls focusing…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_2a_IDEAL_Checklist_508.docx
June 02, 2025 - Strategy 4: IDEA Discharge Planning (Tool 2a)
(Brochure Back)
I know about other help I need at home.
Ask:
When I get home, what kind of help or care will I need? Should someone be with me all the time?
Will I need home nursing care? For how long? Who pays for it?
Will I need physical or occupational therapy for help …
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psnet.ahrq.gov/issue/safety-electronic-prescribing-manifestations-mechanisms-and-rates-system-related-errors
February 15, 2012 - Study
The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals.
Citation Text:
Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and rates…