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  1. www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
    March 01, 2013 - Re-Engineered Discharge (RED) Toolkit Tool 3 Continued Previous Page Next Page Table of Contents Re-Engineered Discharge (RED) Toolkit Tool 1: Overview Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital How CMS Measures the "30-Day All Cause Rehospitalization Rate…
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/toolkit-contents.pdf
    March 01, 2022 - Toolkit Table of Contents Decolonization of Non-ICU Patients With Devices Toolkit Table of Contents Introduction and Toolkit Overview Section Introduction and Welcome .................................................................................... 1 ABATE Trial Investigators and Toolkit Project T…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44062/psn-pdf
    September 09, 2015 - How to make medication error reporting systems work—factors associated with their successful development and implementation. September 9, 2015 Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work-- Factors associated with their successful development and implementation. Hea…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44352/psn-pdf
    August 12, 2015 - Hospital checklists are meant to save lives—so why do they often fail? August 12, 2015 Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a. https://psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fai…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45264/psn-pdf
    September 01, 2016 - Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative. September 1, 2016 Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following Participation in a Multicenter Quality Improvement Collaborative. Jt Co…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47037/psn-pdf
    October 03, 2018 - Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication. October 3, 2018 O'Brien A, O'Reilly K, Dechen T, et al. Redesigning Rounds in the ICU: Standardizing Key Elements Improves Interdisciplinary Communication. Jt Comm J Qual Patient Saf. 2018;44(10):590-598. doi:10.101…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33936/psn-pdf
    May 27, 2011 - Computer physician order entry: benefits, costs, and issues. May 27, 2011 Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9. https://psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues Using existing research, this revie…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45270/psn-pdf
    June 29, 2016 - Using contemporary leadership skills in medication safety programs. June 29, 2016 Hertig JB, Hultgren KE, Weber RJ. Using Contemporary Leadership Skills in Medication Safety Programs. Hosp Pharm. 2016;51(4):338-44. doi:10.1310/hpj5104-338. https://psnet.ahrq.gov/issue/using-contemporary-leadership-skills-medicatio…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60227/psn-pdf
    April 15, 2020 - The next step in learning from sentinel events in healthcare. April 15, 2020 Bos K, Dongelmans DA, Greuters S, et al. The next step in learning from sentinel events in healthcare. BMJ Open Qual. 2020;9(1):e000739. doi:10.1136/bmjoq-2019-000739. https://psnet.ahrq.gov/issue/next-step-learning-sentinel-events-health…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43298/psn-pdf
    June 25, 2014 - Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. June 25, 2014 Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspect Health Inf Manag. 2014;11:1g. htt…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38725/psn-pdf
    November 23, 2016 - A new structure of attention? Open disclosure of adverse events to patients and their families. November 23, 2016 Iedema R, Jorm C, Wakefield JG, et al. A New Structure of Attention? J Lang Soc Psychol. 2009;28(2). doi:10.1177/0261927x08330614. https://psnet.ahrq.gov/issue/new-structure-attention-open-disclosure-a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43417/psn-pdf
    March 09, 2016 - Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution. March 9, 2016 Norton EK, Singer SJ, Sparks W, et al. Operating Room Clinicians' Attitudes and Perceptions of a Pediatric Surgical Safety Checklist at 1 Institution. J Patient Saf. 2016;12(1):44-50. doi:1…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47076/psn-pdf
    August 15, 2018 - Incident learning in radiation oncology: a review. August 15, 2018 Ford E, Evans SB. Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. doi:10.1002/mp.12800. https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review Learning from adverse events is a core component of …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44640/psn-pdf
    February 20, 2016 - The problem with Plan-Do-Study-Act cycles. February 20, 2016 Reed JE, Card AJ. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52. doi:10.1136/bmjqs-2015-005076. https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles Rapid-cycle improvement methods have been embraced as an approach t…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43554/psn-pdf
    June 21, 2015 - Back to basics: checklists in aviation and healthcare. June 21, 2015 Clay-Williams R, Colligan L. Back to basics: checklists in aviation and healthcare. BMJ Qual Saf. 2015;24(7):428-31. doi:10.1136/bmjqs-2015-003957. https://psnet.ahrq.gov/issue/back-basics-checklists-aviation-and-healthcare Checklists have been e…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34676/psn-pdf
    December 23, 2008 - Driving improvement in patient care: lessons from Toyota. December 23, 2008 Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm. 2003;33(11):585-595. https://psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota Representatives from University of Pit…
  17. digital.ahrq.gov/research-method/case-series
    January 01, 2023 - Case Series Pharmacy e-prescription dispensing before and after CancelRx implementation. Citation Pitts SI, Olson S, Yanek LR, Wang NY, Woodroof T, Chen AR. Pharmacy e-prescription dispensing before and after CancelRx implementation. JAMA Intern Med. 2023 Oct 1;183(10):1120-11…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867042/psn-pdf
    October 30, 2024 - The foundational science of learning health systems. October 30, 2024 Kilbourne AM, Borsky AE, O'Brien RW, et al. The foundational science of learning health systems. Health Serv Res. 2024;59(6):e14374. doi:10.1111/1475-6773.14374. https://psnet.ahrq.gov/issue/foundational-science-learning-health-systems Learning …
  19. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/primary-care-information-project-pcip-post
    January 01, 2023 - Primary Care Information Project (PCIP) Post-Electronic Health Record Implementation: Survey of Providers This is a questionnaire designed to be completed by physicians in an ambulatory setting. The tool includes questions to assess user's satisfaction of electronic health records. Survey Document …
  20. digital.ahrq.gov/location/usa-ne-lincoln
    January 01, 2023 - USA, NE, Lincoln Sharing Electronic Behavior Health Records: A Nebraska Perspective Description This is a questionnaire designed to be completed by physicians, implementers, and nurses across a health care system setting. The tool includes questions to assess benefit, the curr…