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psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
October 18, 2017 - Book/Report
Classic
Juran's Quality Handbook. 5th ed.
Citation Text:
Juran's Quality Handbook. 5th ed. Juran JM; Blanton GA. New York: McGraw Hill; 1999. ISBN: 9780071165396.
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psnet.ahrq.gov/issue/medication-reconciliation-physician-order-form
January 21, 2015 - Commentary
Medication reconciliation physician order form.
Citation Text:
Lacy JL, Wilkinson ST. Medication Reconciliation Physician Order Form. Hosp Pharm. 2010;41(11):1117-1119. doi:10.1310/hpj4111-1117.
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psnet.ahrq.gov/issue/health-care-safety-what-needs-be-done
December 01, 2011 - Commentary
Health care safety: what needs to be done?
Citation Text:
Rubin GL, Leeder SR. Health care safety: what needs to be done? Med J Aust. 2005;183(10):529-31.
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psnet.ahrq.gov/issue/improving-rapid-response-systems-progress-issues-and-future-directions
January 26, 2022 - Meeting/Conference Proceedings
Improving rapid response systems: progress, issues, and future directions.
Citation Text:
Ovretveit J, Suffoletto J-A. Improving rapid response systems: progress, issues, and future directions.
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psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
October 19, 2022 - Toolkit
Starter Kit for Alarm Fatigue.
Citation Text:
Starter Kit for Alarm Fatigue. National Association of Clinical Nurse Specialists; NACNS.
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psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
March 17, 2011 - Book/Report
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England
Citation Text:
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Cousins D. Croydon, UK: Accidents again…
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psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction-strategy
February 22, 2023 - Newspaper/Magazine Article
Achieving a successful patient safety program with implementation of a harm reduction strategy.
Citation Text:
Achieving a successful patient safety program with implementation of a harm reduction strategy. Cohen JB. APSF Newsletter. 2023;38(10):93-95.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.2. Suntown Hospital
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Ca…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-measurement.html
November 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Measurement
Previous Page Next Page
Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensive Unit-based Safety Program (CUSP)
Me…
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psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how
March 05, 2013 - Commentary
Medication reconciliation in the hospital: what, why, where, when, who and how?
Citation Text:
Medication reconciliation in the hospital: what, why, where, when, who and how? Fernandes O; Shojania KG.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/qi-knowledge-survey.pdf
June 02, 2025 - Quality Improvement Assessment
1
Quality Improvement Assessment
Your name: _________________________________ Practice: _____________________________
We would like to know more about your quality improvement (QI) training and experiences. This information
will be used to tailor our QI training for…
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psnet.ahrq.gov/issue/mobilising-team-who-surgical-safety-checklist-qualitative-video-study
September 29, 2017 - Study
Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study.
Citation Text:
Korkiakangas T. Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. BMJ Qual Saf. 2017;26(3):177-188. doi:10.1136/bmjqs-2015-004887.
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psnet.ahrq.gov/issue/sbar-patients
September 12, 2012 - Commentary
SBAR for patients.
Citation Text:
Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T1-Nursing_Home_Readiness_and_Resource_Assessment_Phase_1.pdf
May 01, 2014 - Nursing Home Readiness and Resource Assessment
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 1
Nursing Home Readiness and Resource Assessment
This worksheet is designed to be …
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digital.ahrq.gov/principal-investigator/vandenberg-ann-e
July 24, 2024 - Vandenberg, Ann E.
Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety
Event Date
July 24, 2024 - 2:30pm
- July 24, 2024 - 4:00pm
Medication errors are a leading cause of injury and avoidable harm in healthcare, with…
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs022908-gephart-final-report-2020.pdf
January 01, 2020 - Clinical Decision Support Optimizing NEC Prevention Implementation in NICU - Final Report
FINAL PROGRESS REPORT
Clinical decision support optimizing NEC prevention implementation in NICU
Principal Investigator: Sheila M. Gephart, PhD, RN, FAAN
Organization: The Un…
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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - Since most inpatient facilities have now implemented of CPOE, it is necessary to evaluate what information
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - Certainly, no clear road map exists, and multiple innovations are being implemented and evaluated.
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psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
January 07, 2015 - The risk assessment team would ask, "What if we implemented a measure of 30-day referral compliance?"
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - This practice is problematic as it bypasses the multi-level safety checks otherwise implemented in the