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AHRQ: Agency for Healthcare Research and Quality

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Showing results for "implemented".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837202/psn-pdf
    May 25, 2022 - Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study. May 25, 2022 Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non- conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(1):79. doi:10.1186/s12873-022- 006…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46660/psn-pdf
    October 18, 2018 - Using a network organisational architecture to support the development of Learning Healthcare Systems. October 18, 2018 Britto MT, Fuller SC, Kaplan HC, et al. Using a network organisational architecture to support the development of Learning Healthcare Systems. BMJ Qual Saf. 2018;27(11). doi:10.1136/bmjqs-2017- 0…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837297/psn-pdf
    June 01, 2022 - Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. June 1, 2022 Al-Khafaji J, Townshend RF, Townsend W, et al. Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. BMJ Open. 2022;12(4):e058219. doi:10…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41702/psn-pdf
    November 07, 2018 - AHRQ patient safety project reduces bloodstream infections by 40 percent. November 7, 2018 Schmidt B. Patient Saf Qual Hcare. September 12, 2012. https://psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent The near elimination of central line–associated bloodstream infections…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42917/psn-pdf
    February 05, 2014 - The PROMISES Project. February 5, 2014 Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health Care for All; Massachusetts Medical Society; Massachusetts Departme…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38308/psn-pdf
    April 21, 2010 - Adverse-event-reporting practices by US hospitals: results of a national survey. April 21, 2010 Farley DO, Haviland A, Champagne S, et al. Adverse-event-reporting practices by US hospitals: results of a national survey. Qual Saf Health Care. 2008;17(6):416-23. doi:10.1136/qshc.2007.024638. https://psnet.ahrq.gov/i…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47733/psn-pdf
    April 27, 2019 - Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. April 27, 2019 Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 2019;45(4):231-240. doi:10.1016/j.jc…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72824/psn-pdf
    March 10, 2021 - Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals March 10, 2021 Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with antibiotic use and hospital-onset C…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44826/psn-pdf
    February 14, 2017 - Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. February 14, 2017 Winters BD, Bharmal A, Wilson RF, et al. Validity of the Agency for Health Care Research and Quality …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848040/psn-pdf
    April 26, 2023 - Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study. April 26, 2023 Barger LK, Weaver MD, Sullivan JP, et al. Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective co…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36364/psn-pdf
    February 14, 2017 - National surveillance of emergency department visits for outpatient adverse drug events. February 14, 2017 Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA. 2006;296(15):1858-66. https://psnet.ahrq.gov/issue/national-surveil…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37112/psn-pdf
    May 26, 2011 - The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study. May 26, 2011 Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and administration system on prescribing erro…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46361/psn-pdf
    May 23, 2018 - Inadequate hand-off communication. May 23, 2018 Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. https://psnet.ahrq.gov/issue/inadequate-hand-communication The Joint Commission publishes sentinel event alerts to draw attention to pressing or emerging safety issues and provide guidelines fo…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840141/psn-pdf
    November 16, 2022 - Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. November 16, 2022 Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. J P…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43613/psn-pdf
    December 19, 2014 - Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. December 19, 2014 Ohashi K, Dalleur O, Dykes PC, et al. Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Drug Saf. 2014;37(12):1011-1020. doi:10.1007/s40264-014-0232-1. https…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39392/psn-pdf
    September 20, 2011 - Effect of point-of-care computer reminders on physician behaviour: a systematic review. September 20, 2011 Shojania KG, Jennings A, Mayhew A, et al. Effect of point-of-care computer reminders on physician behaviour: a systematic review. CMAJ. 2010;182(5):E216-25. doi:10.1503/cmaj.090578. https://psnet.ahrq.gov/iss…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39396/psn-pdf
    November 02, 2014 - Unmet Needs: Teaching Physicians to Provide Safe Patient Care. November 2, 2014 Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010. https://psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care Medical schools face an urgent need to transform their cur…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35868/psn-pdf
    July 10, 2008 - Incidence, patterns, and prevention of wrong-site surgery. July 10, 2008 Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery This AHRQ-supported study an…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60339/psn-pdf
    May 20, 2020 - We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. May 20, 2020 Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported brea…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851053/psn-pdf
    June 28, 2023 - In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi- institutional initiative. June 28, 2023 Yang CJ, Saggar V, Seneviratne N, et al. In situ simulation as a quality improvement tool to identify and mitigate…
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