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www.ahrq.gov/patient-safety/about/areas/improve-discharge.html
August 01, 2024 - Resources and Tools To Improve Discharge and Transitions of Care and Reduce Readmissions
The Agency for Healthcare Research and Quality supports research on the quality and safety of the hospital discharge process and care transitions. Improvements in these areas can lead to reductions in potentially avoidable …
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digital.ahrq.gov/ahrq-funded-projects/technology-optimizing-population-care-resource-limited-environment/annual-summary/2010
January 01, 2010 - Technology for Optimizing Population Care in a Resource-Limited Environment - 2010
Project Name
Technology for Optimizing Population Care in a Resource-Limited Environment
Principal Investigator
Atlas, Steven J.
Organization
Massachusetts General Hospital
Funding Mech…
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www.ahrq.gov/ncepcr/reports/grants-impact/external.html
February 01, 2017 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
External Context
Previous Page Next Page
Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Methods
Model State En…
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digital.ahrq.gov/ahrq-funded-projects/using-interactive-health-information-technology-support-women-choices-birth/citation/study
January 01, 2023 - A study to assess the feasibility of implementing a web-based decision aid for birth after cesarean to increase opportunities for shared decision making in ethnically diverse settings.
Citation
Shorten A, Shorten B, Fagerlin A, Illuzzi J, Kennedy HP, Pettker C, Raju D, Whittemore R. A study to assess …
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psnet.ahrq.gov/node/38027/psn-pdf
October 15, 2008 - Assessing the Evidence Base for Context-Sensitive
Effectiveness and Safety of Patient Safety Practices:
Developing Criteria.
October 15, 2008
US Department of Health and Human Services; HHS; Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-eff…
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digital.ahrq.gov/ahrq-funded-projects/regional-health-records-frontier-communities
January 01, 2023 - Regional Health Records for Frontier Communities
Project Description
Project Details -
Completed
Grant Number
P20 HS015365
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Grants
…
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psnet.ahrq.gov/node/74094/psn-pdf
November 17, 2021 - Workplace Safety Supplemental Item Set for Hospital
SOPS.
November 17, 2021
Rockville, MD: Agency for Healthcare Research and Quality; 2021.
https://psnet.ahrq.gov/issue/workplace-safety-supplemental-item-set-hospital-sops
The AHRQ Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey Hospital Survey on Patie…
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psnet.ahrq.gov/node/60664/psn-pdf
July 08, 2020 - Applying the Medications at Transitions and Clinical
Handoffs Toolkit in a rural primary care clinic:
implications for nursing, patients, and caregivers.
July 8, 2020
Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a
rural primary care clinic: implications for…
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psnet.ahrq.gov/node/847726/psn-pdf
January 01, 2024 - Systematic review of clinical debriefing tools: attributes
and evidence for use.
April 19, 2023
Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and
evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-015464.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/36829/psn-pdf
March 28, 2011 - Confidential reporting of patient safety events in primary
care: results from a multilevel classification of cognitive
and system factors.
March 28, 2011
Kostopoulou O, Delaney B. Confidential reporting of patient safety events in primary care: results from a
multilevel classification of cognitive and system facto…
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psnet.ahrq.gov/node/46651/psn-pdf
January 17, 2018 - Piloting a patient safety and quality improvement co-
curriculum.
January 17, 2018
Kroker-Bode C, Whicker SA, Pline ER, et al. Piloting a patient safety and quality improvement co-
curriculum. J Community Hosp Intern Med Perspect. 2017;7(6):351-357.
doi:10.1080/20009666.2017.1403830.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/73481/psn-pdf
July 07, 2021 - Leadership To Improve Diagnosis: A Call to Action.
July 7, 2021
Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality;
June 2021. AHRQ Publication No. 20(21)-0040-5-EF.
https://psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action
The mindset on diagnostic error…
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psnet.ahrq.gov/node/60954/psn-pdf
September 30, 2020 - Catheter-associated urinary tract infection reduction in a
pediatric safety engagement network.
September 30, 2020
Foster CB, Ackerman K, Hupertz V, et al. Catheter-associated urinary tract infection reduction in a pediatric
safety engagement network. Pediatrics. 2020;146(4):e20192057. doi:10.1542/peds.2019-2057.
…
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psnet.ahrq.gov/node/840144/psn-pdf
November 16, 2022 - Dedicated teams to optimize quality and safety of
surgery: a systematic review.
November 16, 2022
Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and
safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.
doi:10.1093/intqhc/mzac078.
ht…
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psnet.ahrq.gov/node/46354/psn-pdf
November 21, 2017 - Controlled trial to improve resident sign-out in a medical
intensive care unit.
November 21, 2017
Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive
care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657.
https://psnet.ahrq.gov/issue/contr…
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www.ahrq.gov/talkingquality/distribute/promote/act-early/index.html
June 01, 2019 - Early Decisions Shape Promotion of a Healthcare Quality Report
Many decisions you make and actions you take early in your reporting project have significant consequences for the effectiveness of your promotional efforts. These include:
Defining the Audience for Promotional Purposes
Researching the Audie…
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psnet.ahrq.gov/node/45908/psn-pdf
April 05, 2017 - Towards a framework for managing risk associated with
technology-induced error.
April 5, 2017
Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced
Error. Stud Health Technol Inform. 2017;234:42-48.
https://psnet.ahrq.gov/issue/towards-framework-managing-risk-associated…
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psnet.ahrq.gov/node/40286/psn-pdf
March 09, 2011 - Medication-error alerts for warfarin orders detected by a
bar-code-assisted medication administration system.
March 9, 2011
FitzHenry F, Doran J, Lobo B, et al. Medication-error alerts for warfarin orders detected by a bar-code-
assisted medication administration system. Am J Health Syst Pharm. 2011;68(5):434-41.
…
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psnet.ahrq.gov/node/43143/psn-pdf
April 25, 2016 - Surgical programs in the Veterans Health Administration
maintain briefing and debriefing following medical team
training.
April 25, 2016
West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing
and debriefing following medical team training. Jt Comm J Qual Patient…
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psnet.ahrq.gov/node/47503/psn-pdf
October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs.
October 24, 2018
Peeples L. Pharmacy Practice News. October 10, 2018.
https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs
Structured handoffs can reduce communication problems that contribute to medical error. This magazine
article re…