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psnet.ahrq.gov/node/50932/psn-pdf
February 26, 2020 - Clinician-directed performance improvement: moving
beyond externally mandated metrics.
February 26, 2020
Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics.
Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505.
https://psnet.ahrq.gov/issue/clinician-direct…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication6.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Conclusions
Previous Page Next Page
Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. D…
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psnet.ahrq.gov/node/74271/psn-pdf
January 19, 2022 - Improving shared situation awareness for high-risk
therapies in hospitalized children.
January 19, 2022
Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in
hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.2021-006193.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/46011/psn-pdf
January 17, 2018 - Health and Social Care Ergonomics: Patient Safety in
Practice.
January 17, 2018
Hignett S, Albolino S, Catchpole K, eds. Ergonomics. 2018;61:1-161.
https://psnet.ahrq.gov/issue/health-and-social-care-ergonomics-patient-safety-practice
Human factors engineering strategies offer a range of solutions to improve proce…
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psnet.ahrq.gov/node/73699/psn-pdf
September 15, 2021 - Making safety training stickier: a richer model of safety
training engagement and transfer.
September 15, 2021
Casey T, Turner N, Hu X, et al. Making safety training stickier: a richer model of safety training engagement
and transfer. J Safety Res. 2021;78:303-313. doi:10.1016/j.jsr.2021.06.004.
https://psnet.ahrq…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-14.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.14. Lean Tools and Activities for Clinic Flow
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Cas…
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psnet.ahrq.gov/node/73870/psn-pdf
September 22, 2021 - Society for Maternal-Fetal Medicine Special Statement:
Surgical safety checklists for cesarean delivery.
September 22, 2021
Combs CA, Einerson BD, Toner LE. Society for Maternal-Fetal Medicine Special Statement: Surgical safety
checklists for cesarean delivery. Am J Obstet Gynecol. 2021;225(5):b43-b49.
doi:10.1016…
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psnet.ahrq.gov/node/47423/psn-pdf
January 27, 2019 - A health system–wide initiative to decrease opioid-related
morbidity and mortality.
January 27, 2019
Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related
Morbidity and Mortality. Jt Comm J Qual Patient Saf. 2019;45(1):3-13. doi:10.1016/j.jcjq.2018.07.003.
https://psnet.…
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psnet.ahrq.gov/node/40096/psn-pdf
December 22, 2010 - Enhancing communication in surgery through team
training interventions: a systematic literature review.
December 22, 2010
Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training
interventions: a systematic literature review. AORN J. 2010;92(6):642-57. doi:10.1016/j.aorn.2010.02.…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-4.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.4. Chronology of Quality Improvement and Lean at Suntown Hospital
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakev…
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psnet.ahrq.gov/node/836755/psn-pdf
March 16, 2022 - Adverse event and complication tracking in
anaesthesiology: dependence on self-reporting despite
implementation of electronic health records.
March 16, 2022
Tewfik G, Naftalovich R, Kaushal N, et al. Adverse event and complication tracking in anaesthesiology:
dependence on self-reporting despite implementation of …
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psnet.ahrq.gov/node/72524/psn-pdf
January 01, 2021 - Keeping patients at risk for self-harm safe in the
emergency department: a protocolized approach.
December 2, 2020
Donovan AL, Aaronson EL, Black L, et al. Keeping patients at risk for self-harm safe in the emergency
department: a protocolized approach. Jt Comm J Qual Patient Saf. 2021;47(1):23-30.
doi:10.1016/j.j…
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psnet.ahrq.gov/node/46926/psn-pdf
March 07, 2018 - A comprehensive program to reduce rates of hospital-
acquired pressure ulcers in a system of community
hospitals.
March 7, 2018
Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital-
Acquired Pressure Ulcers in a System of Community Hospitals. J Patient Saf. 2018;14(1):54…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.doc
January 01, 1999 - Comprehensive Antibiogram Toolkit: Phase 3
Sample Procedures
[NURSING HOME NAME]
[DATE]
Purpose and Scope
This procedure covers the use of an antibiogram at [NURSING HOME NAME]. Antibiotics are among the most commonly prescribed pharmaceuticals in long-term-care settings, yet reports indicate that a high proportion …
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psnet.ahrq.gov/node/47924/psn-pdf
June 05, 2019 - Effect of a central call center on employee perceptions of
safety culture within community pharmacies in an
academic health system.
June 5, 2019
Bowden A, Mullin S, Tak C, et al. Effect of a central call center on employee perceptions of safety culture
within community pharmacies in an academic health system. Am J…
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psnet.ahrq.gov/node/43345/psn-pdf
July 16, 2014 - Avoiding potential harm by improving appropriateness of
urinary catheter use in 18 emergency departments.
July 16, 2014
Fakih MG, Heavens M, Grotemeyer J, et al. Avoiding potential harm by improving appropriateness of
urinary catheter use in 18 emergency departments. Ann Emerg Med. 2014;63(6):761-8.e1.
doi:10.1016…
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psnet.ahrq.gov/node/46102/psn-pdf
May 31, 2017 - Improving infusion pump safety through usability testing.
May 31, 2017
Miller K, Arnold R, Capan M, et al. Improving infusion pump safety through usability testing. J Nurs Care
Qual. 2017;32(2):141-149. doi:10.1097/NCQ.0000000000000208.
https://psnet.ahrq.gov/issue/improving-infusion-pump-safety-through-usability-t…
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psnet.ahrq.gov/node/846764/psn-pdf
March 29, 2023 - Senators threaten consequences after VA confirms 4
deaths tied to computer system tested in Spokane.
March 29, 2023
Donovan-Smith O. Spokesman Review. March 15, 2023.
https://psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-
system-tested-spokane
Implementations of elec…
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digital.ahrq.gov/principal-investigator/ahmed-abdulaziz
January 01, 2024 - Ahmed, Abdulaziz
Estimation of racial and language disparities in pediatric emergency department triage using statistical modeling and natural language processing.
Citation
Lee SJ, Alzeen M, Ahmed A. Estimation of racial and language disparities in pediatric emergency departme…
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digital.ahrq.gov/principal-investigator/ozaydin-bunyamin
January 01, 2024 - Ozaydin, Bunyamin
Estimation of racial and language disparities in pediatric emergency department triage using statistical modeling and natural language processing.
Citation
Lee SJ, Alzeen M, Ahmed A. Estimation of racial and language disparities in pediatric emergency departm…