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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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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/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/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/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/73069/psn-pdf
March 24, 2021 - Evaluation of the quality of 'do not use' medication
abbreviation audits: a key enabler to successful
implementation of audit and feedback.
March 24, 2021
Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation
audits: a key enabler to successful implementation of a…
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digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-ca2
January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / California
Project Description
Project Details -
Completed
Contract Number
290-05-0015-RTI-045
Funding Mechanism(s)
Health Information Security and Privacy C…
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psnet.ahrq.gov/node/43108/psn-pdf
September 28, 2023 - Maryland Hospital Patient Safety Program Annual Report.
September 28, 2023
Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene.
https://psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report
This annual report summarizes never events in Maryland hospit…
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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…
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digital.ahrq.gov/health-care-theme/smoking-cessation
January 01, 2023 - Smoking Cessation
Reducing Hospital Readmission Rates by Implementing an Inpatient Tobacco Cessation Service Driven by Interactive Voice Recognition Technology
Description
This study evaluated a smoking cessation program using interactive voice recognition technology and found…
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digital.ahrq.gov/principal-investigator/moran-barbara
January 01, 2023 - Moran, Barbara
Transforming Healthcare Quality through Information Technology - Final Report
Citation
Rosa C. Transforming Healthcare Quality through Information Technology - Final Report. (Prepared by Cleveland Clinic Health System under Grant No. UC1 HS015076). Rockville, MD…
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psnet.ahrq.gov/node/44867/psn-pdf
March 23, 2016 - Understanding why quality initiatives succeed or fail: a
sociotechnical systems perspective.
March 23, 2016
Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems
Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333.
https://psnet.ahrq.gov/issue/understand…
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www.ahrq.gov/patient-safety/reports/engage/interventions/prepared-slides.html
May 01, 2017 - Be Prepared to Be Engaged
Patient and Family Engagement in Primary Care
Slide 1: Be Prepared to Be Engaged
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families.
Slide 2: Speaker
Kelly Smith, PhD
Scientific Director, Quality & Safety
Co-PI, AHRQ Guide to Impr…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-yount-sops-action-planning-tool.pdf
June 01, 2019 - Action Planning for the SOPS Surveys-Results
31
Results to Action:
An Action Planning Example
Naomi Yount, PhD
Senior Study Director,
User Network for the AHRQ Surveys on Patient Safety Culture
(SOPS)
Westat
1. What areas do you want to focus on
for improvement?
• Review your percent positive scores on the s…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/153-cusp-tip-sheet-engaging-staff.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
CUSP Tip Sheet:
Engaging Unit Personnel in MRSA Prevention
ICU & Non-ICU
Purpose
Unit-based teams are the cornerstone for Comprehensive Unit-based Safety Program (CUSP) work. However, to be successful, CUSP team members and leaders must actively raise awareness, motivate, engage…
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cdsic.ahrq.gov/cdsic/patient-preference-measurement-tools-inventory
June 20, 2024 - :
Skip to main content
HHS.gov
Menu
Main navigation
CDS Home
CDS Innovation Collaborative
An official website of the Department of Health & Human Services
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/143-cusp-tip-sheet-engaging-staff.docx
April 01, 2025 - Comprehensive Unit-based Safety Program (CUSP) Tip Sheet:
Engaging Staff in MRSA Prevention
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Purpose
Surgical service–based teams are the cornerstone for CUSP work in the perioperative environment. However, to be successful, CUS…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/bindman-summit2016.pdf
May 01, 2016 - Improving Diagnosis in Health Care: From Concept to Action
Improving Diagnosis in Health Care:
From Concept to Action
Andy Bindman, M.D.
Director
Agency for Healthcare Research and Quality
My Story
• Became Director May 2016
• Primary care physician
• Academic medicine background
► San Francisco General Hospit…
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digital.ahrq.gov/ahrq-funded-projects/use-dense-display-data-and-information-design-principles-primary-care-health/annual-summary/2010
January 01, 2010 - Use of Dense Display of Data and Information Design Principles - 2010
Project Name
Use of Dense Display of Data and Information Design Principles in Primary Care Health Care Information Technology Systems
Principal Investigator
McDonnell, Cheryl J.
Organization
James Bell Ass…