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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - Although successful patient safety interventions have been implemented widely in the United States over … Development The first set of NPSGs was developed in 2002 and implemented the following year. … This check is implemented by utilizing at least two identifiers such as the patient’s name and date of … This safety standard is implemented by marking the accurate surgical site prior to the procedure and
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - The project can be implemented with existing discharge planning or nursing staff who can incorporate … Project BOOST tools are available free of charge (see Tools and Other Resources section below) and can be implemented … using existing staff resources
Use By Other Organizations
Since 2008, Project BOOST has been implemented … Date First Implemented
2005
Problem Addressed
Recently discharged … The project can be implemented with existing discharge planning or nursing staff who can incorporate
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psnet.ahrq.gov/innovations
February 26, 2025 - updated interventions, approaches, systems, tools, policies, organizational structures or business models implemented … innovations can be used to:
Identify new tactics, strategies, tools, or approaches that could be implemented … Have you or your organization developed, implemented, and sustained an innovation that has generated … in-hospital patient clinical deterioration), Kaiser Permanente Northern California (KPNC) developed and implemented
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psnet.ahrq.gov/issue/effects-communication-and-resolution-program-hospitals-malpractice-claims-and-costs
October 11, 2017 - Health care systems have implemented communication-and-resolution programs (CRPs) to respond to serious … Investigators analyzed malpractice costs at four hospitals that implemented CRPs compared with matched
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psnet.ahrq.gov/issue/large-scale-observational-study-ai-based-patient-and-surgical-material-verification-system
August 27, 2012 - In this study, an artificial intelligence (AI) error-detection program was implemented for all ophthalmic … compared with one error pre-implementation), four of which occurred when the AI system was not fully implemented
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - RIC was designed and implemented within the surgical service at the University of Michigan. … By Other Organizations
At this time, the innovator is not aware of any other institution that has implemented … Date First Implemented
2018
Description of the Innovative Activity
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psnet.ahrq.gov/issue/vital-signs-maternity-care-experiences-united-states-april-2023
July 19, 2023 - Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented … Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented
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psnet.ahrq.gov/issue/examining-effect-quality-improvement-initiatives-decreasing-racial-disparities-maternal
May 11, 2022 - Related Resources From the Same Author(s)
Nursing implications of an early warning system implemented … Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented
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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - the target population, noting a large increase in the number of systems where the innovation has been implemented … Use By Other Organizations
Several other organizations have implemented or are working on similar programs … To date, the GRACE program has been successfully implemented within 26 health care systems other than … GRACE Team Care was also implemented in 2011 by Indiana University (IU) Health Physicians in Indianapolis … Indiana University Health has implemented GRACE as part of its Medicare Advantage plan and as a component
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psnet.ahrq.gov/innovations-video
Innovation Process
PSNet’s Submit an Innovation feature allows organizations to share successfully implemented
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psnet.ahrq.gov/curated-library/video-library
April 17, 2025 - Innovation Process
PSNet’s Submit an Innovation feature allows organizations to share successfully implemented … Innovation Process
PSNet’s Submit an Innovation feature allows organizations to share successfully implemented
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psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
April 27, 2022 - Current Context A variety of policy initiatives have been implemented in order to encourage hospitals … Since those penalties were implemented in 2012, more than 2600 hospitals had a proportion of their annual … appears to be effective, as readmission rates for Medicare patients have decreased since the HRRP was implemented
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psnet.ahrq.gov/print/pdf/node/867659
July 10, 2024 - in-hospital patient clinical deterioration),
Kaiser Permanente Northern California (KPNC) developed and implemented … in-hospital patient clinical deterioration),
Kaiser Permanente Northern California (KPNC) developed and implemented
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - With the work-hour restrictions of the Accreditation Council for Graduate Medical Education (ACGME) implemented … Patient navigators are an example of a skill-mix innovation in which new tasks or ways of working are implemented … front-line care providers, process improvements that utilize standardized software programs can be implemented … perhaps the new vegetation would have been caught in enough time for effective treatment to have been implemented … potentially life-threatening results are among effective processes that have been identified and can be implemented
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - RIC was designed and implemented within the surgical
service at the University of Michigan. … Contact the Innovator
Amir Ghaferi: aghaferi@mcw.edu
Date First Implemented
https://psnet.ahrq.gov … By Other Organizations)
At this time, the innovator is not aware of any other institution that has implemented
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psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
February 26, 2025 - and nonpreventable adverse events. 4 After the standardized family-centered rounds intervention was implemented … adoption of the intervention 4
Conduct meetings and teleconferences across sites, if the intervention is implemented … Date First Implemented
2014
Problem Addressed
Communication failures … adoption of the intervention 4
Conduct meetings and teleconferences across sites, if the intervention is implemented
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psnet.ahrq.gov/node/33609/psn-pdf
March 15, 2025 - As a result, by 2017 more than 90% of hospitals and 80% of clinics had
implemented electronic health … systems were initially designed to be used by clinicians at the point of care, but they are
now being implemented
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - project, a
multicenter study in which a checklist of evidence-based infection control interventions was implemented … As checklists have
been more widely implemented, it has become clear that their success depends on appropriately
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - Date First Implemented
2014
Problem Addressed
Regardless of how successful … co-designed in partnership with frontline clinicians, health system leadership, and patients and are implemented … to the success of the nudge project promoting generic prescribing, the Penn Medicine Nudge Unit has implemented … This nudge project implemented a default imaging order in the electronic health record that specified
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psnet.ahrq.gov/node/73365/psn-pdf
June 09, 2021 - This commentary lays out the benefits of safety culture and how it can be implemented organization-wide