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psnet.ahrq.gov/issue/results-enhanced-clinic-handoff-and-resident-education-resident-patient-ownership-and-patient
March 28, 2018 - Study
Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety.
Citation Text:
Pincavage A, Dahlstrom M, Prochaska M, et al. Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety.…
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psnet.ahrq.gov/issue/sustainable-effective-implementation-surgical-preprocedural-checklist-attestation-format-all
July 31, 2013 - Study
Sustainable, effective implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members.
Citation Text:
Porter AJ, Narimasu JY, Mulroy MF, et al. Sustainable, effective implementation of a surgical preprocedural checklist: an "attestati…
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psnet.ahrq.gov/issue/contamination-health-care-personnel-during-removal-personal-protective-equipment
April 24, 2018 - Study
Contamination of health care personnel during removal of personal protective equipment.
Citation Text:
Tomas ME, Kundrapu S, Thota P, et al. Contamination of Health Care Personnel During Removal of Personal Protective Equipment. JAMA Intern Med. 2015;175(12):1904-10. doi:10.1001/ja…
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psnet.ahrq.gov/issue/relationship-between-hospital-patient-safety-culture-and-performance-centers-medicare
December 11, 2024 - Study
The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics.
Citation Text:
Noghrehchi P, Hefner JL, Walker DM. The relationship between hospital patient safety culture and performance on Center…
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psnet.ahrq.gov/issue/trends-prevalence-intraoperative-adverse-events-two-academic-hospitals-after-implementation
August 09, 2017 - Study
Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system.
Citation Text:
Wanderer JP, Gratch DM, St Jacques P, et al. Trends in the Prevalence of Intraoperative Adverse Events at Two Academic Hospitals …
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psnet.ahrq.gov/issue/interventions-improve-safe-sleep-among-hospitalized-infants-eight-childrens-hospitals
April 24, 2018 - Study
Interventions to improve safe sleep among hospitalized infants at eight children's hospitals.
Citation Text:
Kuhlmann S, Ahlers-Schmidt CR, Lukasiewicz G, et al. Interventions to Improve Safe Sleep Among Hospitalized Infants at Eight Children's Hospitals. Hosp Pediatr. 2016;6(2):88…
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psnet.ahrq.gov/issue/surgical-ward-round-checklist-improving-patient-safety-and-clinical-documentation
March 17, 2021 - Study
The surgical ward round checklist: improving patient safety and clinical documentation.
Citation Text:
Krishnamohan N, Maitra I, Shetty VD. The surgical ward round checklist: improving patient safety and clinical documentation. J Multidiscip Healthc. 2019;12:789-794. doi:10.2147/JM…
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psnet.ahrq.gov/issue/improving-handoffs-perioperative-environment-conceptual-framework-key-theories-system-factors
November 16, 2022 - Commentary
Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success.
Citation Text:
Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conc…
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psnet.ahrq.gov/issue/implementing-48-h-ewtd-compliant-rota-junior-doctors-uk-does-not-compromise-patients-safety
June 26, 2019 - Study
Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison.
Citation Text:
Cappuccio FP, Bakewell A, Taggart FM, et al. Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not co…
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psnet.ahrq.gov/issue/assessment-opioid-prescribing-practices-and-after-implementation-health-system-intervention
November 16, 2022 - Study
Emerging Classic
Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing.
Citation Text:
Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…
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www.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
April 01, 2025 - Toolkit for Engaging Patients To Improve Diagnostic Safety
Diagnostic errors occur in all care settings and one in three patients will experience a diagnostic error firsthand. Research suggests that communication breakdowns during the patient-provider encounter are a leading contributor to diagnostic errors.
…
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www.ahrq.gov/evidencenow/projects/index.html
November 01, 2024 - EvidenceNOW Projects
The EvidenceNOW initiative, one of AHRQ’s solutions for revitalizing the nation’s primary care system, uses a model of external support to help primary care practices implement the latest evidence into practice and improve their capacity for quality improvement. The EvidenceNOW model use…
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psnet.ahrq.gov/issue/design-and-implementation-application-and-associated-services-support-interdisciplinary
February 15, 2011 - Study
Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.
Citation Text:
Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and …
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psnet.ahrq.gov/issue/improving-bar-coded-medication-administration-system-department-veterans-affairs
November 18, 2009 - Study
Improving the bar-coded medication administration system at the Department of Veterans Affairs.
Citation Text:
Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):144…
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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/final-report
January 01, 2023 - Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures - Final Report
Citation
Ballard D. Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures - Final Report. (Prepared by Baylor Research Institute under Grant No. R21 …
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digital.ahrq.gov/ahrq-funded-projects/understanding-how-social-influence-and-social-networks-affect-electronic/final-report
January 01, 2023 - Understanding How Social Influence and Social Networks Affect Electronic Medical Record Implementation - Final Report
Citation
Yuan, C. Understanding How Social Influence and Social Networks Affect Electronic Medical Record Implementation - Final Report. (Prepared by Yale University under Grant No. R3…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/qualitative-interview-questions-electronic
January 01, 2023 - Qualitative Interview Questions for Electronic Health Record Implementation
This is an interview guide designed to be conducted with administrators, clinical staff, implementers, and office staff across a health care system. The tool includes questions to assess user's perceptions of electronic health rec…
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-implementation-continuum-care-rural-iowa/final-report
January 01, 2023 - EHR Implementation for Continuum Care in Rural Iowa - Final Report
Citation
O'Brien J. EHR Implementation for Continuum Care in Rural Iowa - Final Report. (Prepared by Hancock County Health Services under Grant No. UC1 HS016156). Rockville, MD: Agency for Healthcare Research and Quality, 2009.
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psnet.ahrq.gov/node/39086/psn-pdf
May 24, 2015 - Psychiatry morbidity and mortality rounds:
implementation and impact.
May 24, 2015
Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact.
Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383.
https://psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-r…
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psnet.ahrq.gov/node/44221/psn-pdf
September 27, 2016 - Reducing surgical errors: implementing a three-hinge
approach to success.
September 27, 2016
Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J.
2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013.
https://psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hing…