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psnet.ahrq.gov/node/47695/psn-pdf
June 14, 2019 - No shortcuts to safer opioid prescribing.
June 14, 2019
Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med.
2019;380(24):2285-2287. doi:10.1056/NEJMp1904190.
https://psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
Improving opioid prescribing is a complex challenge tha…
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psnet.ahrq.gov/node/60800/psn-pdf
January 01, 2021 - Changing hospital organisational culture for improved
patient outcomes: developing and implementing the
Leadership Saves Lives intervention.
August 12, 2020
Linnander EL, McNatt Z, Boehmer K, et al. Changing hospital organisational culture for improved patient
outcomes: developing and implementing the leadership s…
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psnet.ahrq.gov/node/44464/psn-pdf
January 01, 2020 - Who applies an intervention to influence cultural
attributes in a quality improvement collaborative?
September 16, 2015
Hsu Y-J, Marsteller JA. Who Applies an Intervention to Influence Cultural Attributes in a Quality
Improvement Collaborative? J Patient Saf. 2020;16(1):1-6.
https://psnet.ahrq.gov/issue/who-applie…
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psnet.ahrq.gov/node/46524/psn-pdf
October 18, 2017 - Pressure Injury Prevention in Hospitals Training Program.
October 18, 2017
Rockville, MD: Agency for Healthcare Research and Quality; September 2017.
https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
Pressure ulcers are a common hospital-acquired condition that can lead to patient h…
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psnet.ahrq.gov/node/854634/psn-pdf
January 01, 2024 - Elopement: evidence-based mitigation and management.
October 18, 2023
Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence?based mitigation and management.
Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683.
https://psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
…
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psnet.ahrq.gov/node/36338/psn-pdf
October 26, 2010 - Who is in charge of patient safety? Work practice, work
processes and utopian views of automatic drug
dispensing systems.
October 26, 2010
Balka E, Kahnamoui N, Nutland K. Who is in charge of patient safety? Work practice, work processes and
utopian views of automatic drug dispensing systems. Int J Med Inform. 200…
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psnet.ahrq.gov/node/47669/psn-pdf
July 17, 2019 - Evaluating a handheld decision support device in
pediatric intensive care settings.
July 17, 2019
Reynolds TL, DeLucia PR, Esquibel KA, et al. JAMIA Open. 2019;2:49-61.
https://psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings
This pre–post mixed-methods implementat…
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psnet.ahrq.gov/node/40234/psn-pdf
April 04, 2011 - Early cost and safety benefits of an inpatient electronic
health record.
April 4, 2011
Zlabek JA, Wickus JW, Mathiason MA. Early cost and safety benefits of an inpatient electronic health
record. Journal of the American Medical Informatics Association. 2011;18(2).
doi:10.1136/jamia.2010.007229.
https://psnet.ahrq…
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psnet.ahrq.gov/node/43761/psn-pdf
July 01, 2016 - An electronic checklist improves transfer and retention of
critical information at intraoperative handoff of care.
July 1, 2016
Agarwala A, Firth PG, Albrecht MA, et al. An electronic checklist improves transfer and retention of critical
information at intraoperative handoff of care. Anesth Analg. 2015;120(1):96-10…
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psnet.ahrq.gov/node/46736/psn-pdf
December 17, 2018 - Back to basics: the Universal Protocol.
December 17, 2018
Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J.
2018;107(1):116-125. doi:10.1002/aorn.12002.
https://psnet.ahrq.gov/issue/back-basics-universal-protocol
Wrong-site, wrong-procedure, and wrong-patient errors are…
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psnet.ahrq.gov/node/45324/psn-pdf
August 31, 2016 - The problem with medication reconciliation.
August 31, 2016
Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf.
2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734.
https://psnet.ahrq.gov/issue/problem-medication-reconciliation
Medication reconciliation has demonstrated safet…
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psnet.ahrq.gov/node/60696/psn-pdf
July 15, 2020 - Culture as a Cure: Assessments of Patient Safety Culture
in OECD Countries.
July 15, 2020
de Bienassisi K, Kristensenii S, Burtscheri M, et al for the Organisation for Economic Co-operation
and Development. Paris, France: OECD Publishing; 2020. OECD Health Working Papers, No. 119.
https://psnet.ahrq.gov/…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-nursing-home/citation/costs-associated-developing
January 01, 2023 - Costs associated with developing and implementing a computerized clinical decision support system for medication dosing for patients with renal insufficiency in the long-term care setting.
Citation
Field TS, Rochon P, Lee M, et al. Costs associated with developing and implementing a computerized clini…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-current-state-and/citation/implementation
January 01, 2023 - Implementation and evaluation of an electronic health record-integrated app for postpartum monitoring of hypertensive disorders of pregnancy using patient-contributed data collection.
Citation
Dullabh P, Heaney-Huls KK, Chiao AB, Callaham MG, Desai P, Gauthreaux NA, Kashyap N, Lobach DF, Boxwala A. Im…
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digital.ahrq.gov/ahrq-funded-projects/using-mhealth-and-patient-reported-outcomes-deliver-evidence-based-asthma-care/citation/clinically
January 01, 2023 - A clinically integrated mHealth app and practice model for collecting patient-reported outcomes between visits for asthma patients: implementation and feasibility.
Citation
Rudin RS, Fanta CH, Qureshi N, Duffy E, Edelen MO, Dalal AK, Bates DW. A clinically integrated mHealth app and practice model for…
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digital.ahrq.gov/organization/sarah-bush-lincoln-health-center
January 01, 2023 - Sarah Bush Lincoln Health Center
Ambulatory Electronic Medical Record and Shared Access - 2009
Principal Investigator
DeLuca, Michael
Project Name
Ambulatory Electronic Medical Record and Shared Access
Ambulatory Electronic Medical Record …
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psnet.ahrq.gov/node/43198/psn-pdf
July 19, 2023 - TeamSTEPPS Core Curriculum.
July 19, 2023
Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
https://psnet.ahrq.gov/issue/teamstepps-core-curriculum
The TeamSTEPPS® program was developed to support effective communication and teamwork in health
care. The curriculum offers training for participan…
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psnet.ahrq.gov/node/837192/psn-pdf
May 25, 2022 - Declaration to Advance Patient Safety.
May 25, 2022
National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May
2022.
https://psnet.ahrq.gov/issue/declaration-advance-patient-safety
Leadership commitment is crucial to attaining sustainable improvement in patient safety. Th…
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psnet.ahrq.gov/node/46727/psn-pdf
August 21, 2021 - Alliance for Innovation on Maternal Health.
August 21, 2021
American College of Obstetricians and Gynecologists.
https://psnet.ahrq.gov/issue/alliance-innovation-maternal-health
This website provides information from a multidisciplinary collaboration whose mission was to support safe
health care for pregnant and p…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
AHRQ Publication No. 17-0003-19-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Safe Med. Admin.
2
Safe Administration of Medications in L&D
T…