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psnet.ahrq.gov/issue/high-reliability-organisation-principles-implemented-dentistry
April 06, 2022 - Commentary
High-reliability organisation principles implemented in dentistry. … High-reliability organisation principles implemented in dentistry. … High-reliability organisation principles implemented in dentistry. … High-priority drug-drug interaction clinical decision support overrides in a newly implemented … May 20, 2020
Can SBAR be implemented with high fidelity and does it improve communication
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psnet.ahrq.gov/issue/teamstepps-patient-safety-tool-needs-be-implemented
February 14, 2024 - Commentary
TeamSTEPPS: the patient safety tool that needs to be implemented. … TeamSTEPPS®: The Patient Safety Tool That Needs to Be Implemented. … TeamSTEPPS®: The Patient Safety Tool That Needs to Be Implemented.
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psnet.ahrq.gov/issue/why-isnt-time-out-being-implemented-exploratory-study
May 04, 2010 - Study
Why isn't 'time out' being implemented? An exploratory study. … Why isn't 'time out' being implemented? An exploratory study. … Why isn't 'time out' being implemented? An exploratory study.
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/bibliography.html
January 01, 2013 - Nine programs implemented strategies to gain leadership support. 1-9
One program addressed culture … What are universal fall precautions and how should they be implemented? … Ten programs implemented scheduled rounding to address patient needs. 7 , 10 , 25-32
Nine programs … Fall risk assessments were implemented in 38 programs. 1 , 3 , 6-9 , 11-22 , 24 , 28 , 30 , 32 , 33 , … Thirty-five programs implemented structured care plans for fall prevention. 1-3 , 5-15 , 20-22 , 25 ,
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psnet.ahrq.gov/issue/development-leapfrog-methodology-evaluating-hospital-implemented-inpatient-computerized
May 27, 2011 - Commentary
Development of the Leapfrog methodology for evaluating hospital implemented … Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician … methodology for determining the success with which a computerized provider order entry (CPOE) system is implemented … Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician … High-priority drug-drug interaction clinical decision support overrides in a newly implemented
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-tracking.docx
August 15, 2018 - Intervention Tracking Sheet
Clinic Intervention Tracking Sheet
Clinic:
Status Key:
1= implemented … implement, 3=no intention to implement
Practice Facilitation (PF) Interventions
Task
Status/Date Implemented … Workflow mapping conducted
No action taken
Other
Best Practices
Task
Status/Date Implemented … protected time for staff to do QI work
Other
Aspirin Interventions
Tasks
Status/Date Implemented … for ASA for IVD/cardiovascular disease (CVD)
Blood Pressure Interventions
Task
Status/Date Implemented
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psnet.ahrq.gov/issue/nursing-implications-early-warning-system-implemented-reduce-adverse-events-qualitative-study
October 27, 2021 - Study
Nursing implications of an early warning system implemented to reduce adverse … Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study … Twelve months after a new EWS was implemented in one hospital, nurses were interviewed to gather their … Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study
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www.ahrq.gov/news/newsroom/case-studies/cquips1303.html
April 01, 2013 - Learn how two hospitals in Colombia have implemented an AHRQ tool, the Hospital Survey on Patient Safety … Learn how two hospitals in Colombia have implemented an AHRQ tool, the Hospital Survey on Patient Safety … Two hospitals in Colombia have implemented AHRQ's "Hospital Survey on Patient Safety Culture." … A pilot project was implemented with 1 percent of the hospital staff before initiating the survey in … However, the last survey implemented had a general acceptance rate of 89.2 percent.
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digital.ahrq.gov/ahrq-funded-projects/pilot-testing-electronic-prescribing-standards/citation/perceptions-standards
January 01, 2023 - Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care … Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care
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psnet.ahrq.gov/issue/perceptions-standards-based-electronic-prescribing-systems-implemented-outpatient-primary
September 23, 2020 - Study
Perceptions of standards-based electronic prescribing systems as implemented … Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care … Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
September 01, 2015 - % Most of the time/Always
65%
40%
60
60
Changes Implemented
1. … Implementing a new Surgery Checklist
61
61
Changes Implemented
2. … % Most of the time/Always
87%
74%
63
63
Change Implemented
• Medical Director encouragement … % Most of the time/Always
88%
100%
65
65
Change Implemented
Basket of small gifts to reward … Communication Openness
Change Implemented
Near-Miss Documentation
Change Implemented
Going
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psnet.ahrq.gov/node/837061/psn-pdf
May 11, 2022 - Nursing implications of an early warning system
implemented to reduce adverse events: a qualitative … Nursing implications of an early warning system implemented to
reduce adverse events: a qualitative … https://psnet.ahrq.gov/issue/nursing-implications-early-warning-system-implemented-reduce-adverse-
events-qualitative-study … Twelve months after a new EWS was implemented in one hospital, nurses
were interviewed to gather their … https://psnet.ahrq.gov/issue/nursing-implications-early-warning-system-implemented-reduce-adverse-events-qualitative-study
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psnet.ahrq.gov/node/867637/psn-pdf
February 26, 2025 - Patient safety incident reporting and learning guidelines
implemented by health care professionals in … Patient safety incident reporting and learning guidelines
implemented by health care professionals in … https://psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health … https://psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care … https://psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
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psnet.ahrq.gov/node/74236/psn-pdf
January 12, 2022 - Can SBAR be implemented with high fidelity and does it
improve communication between healthcare workers … Can SBAR be implemented with high fidelity and does it improve
communication between healthcare workers … https://psnet.ahrq.gov/issue/can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication- … https://psnet.ahrq.gov/issue/can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-between-healthcare … https://psnet.ahrq.gov/issue/can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-between-healthcare
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/Six-Building-Blocks-Self-Assessment.pdf
December 08, 2021 - but …are established
not consistently
implemented. … but are …are established and
consistently implemented. … but …are established
not consistently
implemented. … but are …are established and
consistently implemented. … …exist but are
implemented.
only partially …exist and are
implemented.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-self-assessment-tool.pdf
December 08, 2021 - but …are established
not consistently
implemented. … but are …are established and
consistently implemented. … but …are established
not consistently
implemented. … but are …are established and
consistently implemented. … …exist but are
implemented.
only partially …exist and are
implemented.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-self-assess-tool.pdf
December 22, 2021 - but …are established
not consistently
implemented. … but are …are established and
consistently implemented. … but …are established
not consistently
implemented. … but are …are established and
consistently implemented. … …exist but are
implemented.
only partially …exist and are
implemented.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/brownslides.pdf
August 13, 2015 - 87%
82%
Our ideas and suggestions are
valued in this facility.
75%
52%
43
43
Change Implemented … (negatively worded)
58%
26%
45
45
Change Implemented
• Trained certified medical assistants … Structure
Response Rate
Survey Results
Reactions & Follow Up
Communication Openness
Change Implemented … Staffing, Work Pressure & Pace
Change Implemented
Staff Training
Response to Mistakes
Change … Implemented
Going Forward
-
psnet.ahrq.gov/node/60348/psn-pdf
May 20, 2020 - High-priority drug-drug interaction clinical decision
support overrides in a newly implemented commercial … High-priority drug-drug interaction clinical decision support overrides
in a newly implemented commercial … psnet.ahrq.gov/issue/high-priority-drug-drug-interaction-clinical-decision-support-overrides-newly-
implemented … /psnet.ahrq.gov/issue/high-priority-drug-drug-interaction-clinical-decision-support-overrides-newly-implemented … /psnet.ahrq.gov/issue/high-priority-drug-drug-interaction-clinical-decision-support-overrides-newly-implemented
-
psnet.ahrq.gov/node/837738/psn-pdf
July 27, 2022 - High-reliability organisation principles implemented in
dentistry. … High-reliability organisation principles implemented in dentistry. … https://psnet.ahrq.gov/issue/high-reliability-organisation-principles-implemented-dentistry
High reliability … https://psnet.ahrq.gov/issue/high-reliability-organisation-principles-implemented-dentistry
https://psnet.ahrq.gov