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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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 …
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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
…
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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…