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psnet.ahrq.gov/issue/implementing-error-disclosure-coaching-model-multicenter-case-study
May 11, 2016 - Study
Implementing an error disclosure coaching model: a multicenter case study.
Citation Text:
White AA, Brock DM, McCotter PI, et al. Implementing an error disclosure coaching model: A multicenter case study. J Healthc Risk Manag. 2017;36(3):34-45. doi:10.1002/jhrm.21260.
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psnet.ahrq.gov/issue/improving-patient-safety-team-coordination-challenges-and-strategies-implementation
February 12, 2020 - Commentary
Improving patient safety with team coordination: challenges and strategies of implementation.
Citation Text:
Improving patient safety with team coordination: challenges and strategies of implementation. Harris KT; Treanor CM; Salisbury ML.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/learn.html
April 01, 2017 - Learn From Defects - Implementation Guide
AHRQ Safety Program for Ambulatory Surgery
Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety.
Who should use this tool? Seni…
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psnet.ahrq.gov/issue/field-guide-collaborative-care-implementing-future-health-care
March 09, 2018 - Book/Report
Field Guide to Collaborative Care: Implementing the Future of Health Care.
Citation Text:
Field Guide to Collaborative Care: Implementing the Future of Health Care. Uhlig P, Raboin WE. Overland Park, KS: Oak Prairie Health Press; 2015. ISBN: 9780991411290.
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psnet.ahrq.gov/issue/pharmacy-e-prescription-dispensing-and-after-cancelrx-implementation
October 05, 2022 - Study
Pharmacy e-prescription dispensing before and after CancelRx implementation.
Citation Text:
Pitts SI, Olson S, Yanek LR, et al. Pharmacy e-prescription dispensing before and after CancelRx implementation. JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192.…
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psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system
March 23, 2011 - Study
Attitudes toward the large-scale implementation of an incident reporting system.
Citation Text:
Braithwaite J, Westbrook MT, Travaglia J. Attitudes toward the large-scale implementation of an incident reporting system. Int J Qual Health Care. 2008;20(3):184-91. doi:10.1093/intqhc…
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psnet.ahrq.gov/issue/implementation-structured-hospital-wide-morbidity-and-mortality-rounds-model
January 20, 2015 - Study
Implementation of a structured hospital-wide morbidity and mortality rounds model.
Citation Text:
Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-201…
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psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
April 17, 2024 - Newspaper/Magazine Article
Implement strategies to prevent persistent medication errors and hazards: 2024.
Citation Text:
Implement strategies to prevent persistent medication errors and hazards: 2024. ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4.
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psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer
November 02, 2016 - Commentary
Learning from the design, development and implementation of the Medication Safety Thermometer.
Citation Text:
Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2…
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psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
July 13, 2022 - Study
Lessons learned in implementing a chronic opioid therapy management system.
Citation Text:
Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039. …
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psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success
December 08, 2021 - Commentary
Reducing surgical errors: implementing a three-hinge approach to success.
Citation Text:
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.
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Format:
DOI Goo…
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psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
January 23, 2019 - Commentary
Implementing online medication reconciliation at a large academic medical center.
Citation Text:
Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508.
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psnet.ahrq.gov/issue/overview-use-and-implementation-checklists-surgical-specialities-systematic-review
July 31, 2013 - Review
An overview of the use and implementation of checklists in surgical specialities - a systematic review.
Citation Text:
Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):…
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psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
June 29, 2011 - Study
A new method to guard inpatient medication safety by the implementation of RFID.
Citation Text:
Sun PR, Wang BH, Wu F. A new method to guard inpatient medication safety by the implementation of RFID. J Med Syst. 2008;32(4):327-32.
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Format:
Google Schola…
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psnet.ahrq.gov/issue/development-and-implementation-suicide-prevention-checklist-create-safe-environment
August 04, 2021 - Study
Development and implementation of a suicide prevention checklist to create a safe environment.
Citation Text:
Frost DA, Snydeman CK, Lantieri MJ, et al. Development and Implementation of a Suicide Prevention Checklist to Create a Safe Environment. Psychosomatics. 2019;61(2):154-160…
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www.ahrq.gov/sites/default/files/publications/files/dowdstudysnapshot.pdf
November 01, 2015 - Implementation and Impact of Medicare’s Voluntary Ambulatory Care Quality Reporting Program
AHRQ DELIVERY SYSTEM RESEARCH: STUDY SNAPSHOT
Implementation and Impact of Medicare’s Voluntary
Ambulatory Care Quality Reporting Program*
Bryan Dowd, Tami Swenson, Shriram Parashuram, Robert Coulam, Robert Kane, John Kral…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/pcph-stakeholder-report.pdf
September 01, 2022 - Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation
Person-Centered Preventive Healthcare:
Gathering Stakeholder Input on
Evidence and Implementation
Clinical preventive services (CPS), such as vaccinations and cancer screenings, can help individuals live
longer, heal…
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psnet.ahrq.gov/issue/promethazine-adverse-events-after-implementation-medication-shortage-interchange
October 26, 2010 - Study
Promethazine adverse events after implementation of a medication shortage interchange.
Citation Text:
Sheth HS, Verrico MM, Skledar S, et al. Promethazine adverse events after implementation of a medication shortage interchange. Ann Pharmacother. 2005;39(2):255-61.
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/lessons.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Lessons Learned From Implementation Challenges
Previous Page Next Page
Table of Contents
Demonstration Grants Final Evaluation Report
Executive Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
L…
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psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-transfer-patient-care-information
October 07, 2013 - Commentary
Implementing AORN recommended practices for transfer of patient care information.
Citation Text:
Seifert PC. Implementing AORN recommended practices for transfer of patient care information. AORN J. 2012;96(5):475-93. doi:10.1016/j.aorn.2012.08.011.
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