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effectivehealthcare.ahrq.gov/sites/default/files/ahrq-healthcare-horizon-scan-protocol-operations-manual_130826.pdf
August 01, 2013 - AHRQ, therefore, implemented a horizon scanning framework and
infrastructure that builds on prior private … Potential Topic Identification
To identify potential topics, ECRI Institute’s Information Center has implemented … way of delivering care or a different/new combination of services being
developed or adapted and implemented … Issues
to consider include: care process changes when it is implemented; length of patient stay;
numbers
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs024849-blumenfeld-final-report-2020.pdf
January 01, 2020 - categories:
• Evidence: Findings and evidence-based guidelines to enhance clinical care that could be
implemented
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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/41756/psn-pdf
October 10, 2012 - Patient safety and dentistry: what do we need to know?
Fundamentals of patient safety, the safety culture and
implementation of patient safety measures in dental
practice.
October 10, 2012
Yamalik N, Pérez BP. Patient safety and dentistry: what do we need to know? Fundamentals of patient
safety, the safety cultur…
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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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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apa.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Appendix A. RACI Chart
Previous Page Next Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Chart
Appendix B. Prioritize Opport…
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psnet.ahrq.gov/node/838011/psn-pdf
January 01, 2023 - Fall prevention with the Smart Socks System reduces
hospital fall rates.
September 7, 2022
Moore T, Kline D, Palettas M, et al. Fall prevention with the Smart Socks System reduces hospital fall
rates. J Nurs Care Qual. 2023;38(1):55-60. doi:10.1097/ncq.0000000000000653.
https://psnet.ahrq.gov/issue/fall-prevention…
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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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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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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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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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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/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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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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psnet.ahrq.gov/node/43885/psn-pdf
January 30, 2018 - Health Information Technology.
January 30, 2018
Am J Manag Care. 2014;20(spec 17):492-554,e1-e31.
https://psnet.ahrq.gov/issue/health-information-technology
Efforts to implement health information technology, particularly electronic health records and computerized
provider order entry systems, continue at a rapid …
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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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psnet.ahrq.gov/node/865530/psn-pdf
April 10, 2024 - Electronic Health Record Modernization Caused
Pharmacy-Related Patient Safety Issues Nationally and at
the VA Central Ohio Healthcare System in Columbus.
April 10, 2024
Washington, DC: The Veterans Affairs Inspector General; March 21, 2024. Report No. 23-01450-
114.
https://psnet.ahrq.gov/issue/electronic-he…
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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…