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psnet.ahrq.gov/node/45919/psn-pdf
July 05, 2017 - Managing the patient identification crisis in healthcare
and laboratory medicine.
July 5, 2017
Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory
medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2017.02.004.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/867181/psn-pdf
November 20, 2024 - Leveraging consistent communication tools and
organizational values to promote accountability among
health care providers.
November 20, 2024
Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote
accountability among health care providers. AORN J. 2024;120(3):144-154. …
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-10.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Sample Staff Flier to Announce Rollout/Implementation of Medication Reconciliation Process
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolk…
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psnet.ahrq.gov/node/837343/psn-pdf
June 08, 2022 - Determining the skills needed by frontline NHS staff to
deliver quality improvement: findings from six case
studies.
June 8, 2022
Wright DJ, Gabbay J, Le May A. Determining the skills needed by frontline NHS staff to deliver quality
improvement: findings from six case studies. BMJ Qual Saf. 2022;31(6):450-461. doi…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-1.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.1. LHC and Horizon Hospital Interviewees by Type of Participant and Clinical Role
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies…
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psnet.ahrq.gov/node/861289/psn-pdf
January 01, 2025 - Assessing the impact of an electronic chemotherapy
order verification checklist on pharmacist reported errors
in oncology infusion centers of a health-system.
January 24, 2024
Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order
verification checklist on pharmacist …
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psnet.ahrq.gov/node/61059/psn-pdf
October 28, 2020 - Long-term effects of teamwork training on
communication and teamwork climate in ambulatory
reproductive health care.
October 28, 2020
Dodge LE, Nippita S, Hacker MR, et al. Long?term effects of teamwork training on communication and
teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 202…
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psnet.ahrq.gov/node/37448/psn-pdf
January 06, 2017 - Patient safety rounds in a pediatric tertiary care center.
January 6, 2017
Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt
Comm J Qual Patient Saf. 2008;34(1):5-12.
https://psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center
Executive walk…
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psnet.ahrq.gov/node/37487/psn-pdf
May 26, 2011 - Predicting computerized physician order entry system
adoption in US hospitals: can the federal mandate be
met?
May 26, 2011
Ford EW, McAlearney AS, Phillips MT, et al. Predicting computerized physician order entry system
adoption in US hospitals: Can the federal mandate be met? Int J Med Inform. 2007;77(8).
doi:1…
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psnet.ahrq.gov/node/837966/psn-pdf
September 01, 2022 - Barcode medication administration software technology
use in the emergency department and medication error
rates.
September 1, 2022
Gauthier-Wetzel HE. Barcode medication administration software technology use in the emergency
department and medication error rates. Comput Inform Nurs. 2022;40(6):382-388.
doi:10.1…
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psnet.ahrq.gov/node/44865/psn-pdf
July 11, 2017 - Changes in efficiency and safety culture after integration
of an I-PASS-supported handoff process.
July 11, 2017
Sheth S, McCarthy E, Kipps AK, et al. Changes in Efficiency and Safety Culture After Integration of an I-
PASS-Supported Handoff Process. PEDIATRICS. 2016;137(2). doi:10.1542/peds.2015-0166.
https://psn…
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psnet.ahrq.gov/node/841787/psn-pdf
December 21, 2022 - Electronic prescribing systems in hospitals to improve
medication safety: a multi-methods research programme.
December 21, 2022
Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication
safety: a multimethods research programme. Programme Grants Appl Res. 2022;10(7):1-…
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psnet.ahrq.gov/node/843079/psn-pdf
January 25, 2023 - Electronic health record use issues and diagnostic error:
a scoping review and framework.
January 25, 2023
Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping
review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/pts.0000000000001081.
https://psn…
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psnet.ahrq.gov/node/43905/psn-pdf
March 04, 2015 - Suboptimal compliance with surgical safety checklists in
Colorado: a prospective observational study reveals
differences between surgical specialties.
March 4, 2015
Biffl WL, Gallagher AW, Pieracci FM, et al. Suboptimal compliance with surgical safety checklists in
Colorado: A prospective observational study revea…
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psnet.ahrq.gov/node/842428/psn-pdf
January 11, 2023 - The development of the concept of return-on-investment
from large-scale quality improvement programmes in
healthcare: an integrative systematic literature review.
January 11, 2023
Thusini S’thembile, Milenova M, Nahabedian N, et al. The development of the concept of return-on-
investment from large-scale quality i…
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psnet.ahrq.gov/node/43479/psn-pdf
October 30, 2017 - The human factor. To improve patients safety, hospitals
urged to adjust for how staff use new technology.
October 30, 2017
Rice S, Tahir D. The human factor. To improve patients safety, hospitals urged to adjust for how staff use
new technology. Modern healthcare. 2014;44(33):12-5.
https://psnet.ahrq.gov/issue/hum…
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psnet.ahrq.gov/node/866859/psn-pdf
October 02, 2024 - Severe hypertension in pregnancy: progress made and
future directions for patient safety, quality improvement,
and implementation of a patient safety bundle.
October 2, 2024
Prior A, Taylor I, Gibson KS, et al. Severe hypertension in pregnancy: progress made and future directions
for patient safety, quality improv…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/2_mon_yee.pdf
June 02, 2025 - Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices
Meriter Medical Group
DeForest Fitchburg West Washington
McKee Stoughton Specialty Clinic
15
Comparison of 2013 CG-CAHPS Adult Visit
Survey Top-Box Scores
to the National 90th Percentiles
CG-CAHPS Comp…
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psnet.ahrq.gov/node/45472/psn-pdf
September 29, 2017 - Declines in opioid prescribing after a private insurer
policy change—Massachusetts, 2011–2015.
September 29, 2017
García MC, Dodek AB, Kowalski T, et al. Declines in Opioid Prescribing After a Private Insurer Policy
Change - Massachusetts, 2011-2015. MMWR Morb Mortal Wkly Rep. 2016;65(41):1125-1131.
doi:10.15585/m…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.pdf
May 01, 2014 - Sample Vignettes
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 3
Sample Procedures1
[NURSING HOME NAME]
[DATE]
Purpose and Scope
This procedure covers the use of an antibio…