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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - improvement, and medical
education for better handoffs and safer care: disseminating, adapting, and implementing … The challenges of implementing family-centered care in
NICU from the perspectives of physicians and
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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - Within a year or two of implementing this program, virtually all the restaurants became "A" restaurants … Within a year of implementing the same program in New York City, a poll of New Yorkers asking if they
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psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - The idea that, in implementing schedule limitations, we should do it in such a rigid way that interns … patient safety interventions (eg, installing computerized provider order entry or bar coding systems, implementing
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - We establish quality standards for
nursing education and assist schools in implementing those standards … Students also may participate in the change process of a quality
improvement committee, or in implementing
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - safety, but they are
decided in one-off situations instead of having a standard for how we should be implementing
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psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - Rethinking Root Cause Analysis
January 1, 2016
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
Annual Perspective 2016
Introduction
Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…
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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - Handoffs and Transitions
January 22, 2014
Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/handoffs-and-transitions
Annual Perspective 2014
Despite recent efforts to promote clinical integration, the United States health care system remains highly
fragmented. From it…
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psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - ECHO-Care Transitions Successfully Reduces Patient
Readmissions from Skilled Nursing Facilities, Reduces
Length of Stay
August 25, 2021
https://psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-
nursing
Summary
ECHO-Care Transitions (ECHO-CT) intends to ensure cont…
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psnet.ahrq.gov/node/40707/psn-pdf
March 11, 2013 - More than words: patients' views on apology and
disclosure when things go wrong in cancer care.
March 11, 2013
Mazor KM, Greene SM, Roblin DW, et al. More than words: patients' views on apology and disclosure
when things go wrong in cancer care. Patient Educ Couns. 2013;90(3):341-346.
doi:10.1016/j.pec.2011.07.010…
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psnet.ahrq.gov/node/40711/psn-pdf
August 24, 2011 - Clinical and safety impact of an inpatient pharmacist-
directed anticoagulation service.
August 24, 2011
Schillig J, Kaatz S, Hudson M, et al. Clinical and safety impact of an inpatient pharmacist-directed
anticoagulation service. J Hosp Med. 2011;6(6):322-8. doi:10.1002/jhm.910.
https://psnet.ahrq.gov/issue/clini…
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psnet.ahrq.gov/node/38778/psn-pdf
March 04, 2011 - What evidence supports the use of computerized alerts
and prompts to improve clinicians' prescribing behavior?
March 4, 2011
Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and
prompts to improve clinicians' prescribing behavior? J Am Med Inform Assoc. 2009;16(4):53…
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psnet.ahrq.gov/node/42151/psn-pdf
December 21, 2014 - Effect of the 2011 vs 2003 duty hour regulation-compliant
models on sleep duration, trainee education, and
continuity of patient care among internal medicine house
staff: a randomized trial.
December 21, 2014
Desai SV, Feldman LS, Brown L, et al. Effect of the 2011 vs 2003 Duty Hour Regulation–Compliant Models
on…
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - organizations that are integrating AI, would you suggest looking at current strategies and practices for implementing … Implementing AI is going to require more creativity, and large language models will remove a lot of barriers … While certain specialties have already found success by implementing AI, and the research continues to
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors
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March 3, 2021
Innovation…
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psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
March 30, 2020 - These are very impactful to success in implementing practices.
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - complicated by the complexities of the implementation process and the design decisions required of the implementing … This is neither sustainable, nor desirable when it comes to implementing safe and efficient health IT
-
psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
August 01, 2015 - complicated by the complexities of the implementation process and the design decisions required of the implementing … This is neither sustainable, nor desirable when it comes to implementing safe and efficient health IT
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psnet.ahrq.gov/print/pdf/node/867461
January 31, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Patient and Family Engagement in Long
Term Care
Curated Library
Foundations
Long-term Care and Patient Safety
Deb Bakerjian PhD, APRN, FAAN, FAANP, FGSA | April, 10 2024
A large and growing number of Americans require care in skilled nursin…
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - The University of Texas System Clinical Safety and
Effectiveness Course
February 1, 2011
Thomas EJ, Patterson JE, Martin S, et al. The University of Texas System Clinical Safety and
Effectiveness Course. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiv…
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psnet.ahrq.gov/node/867004/psn-pdf
October 30, 2024 - Critical Radiology Alert Process
October 30, 2024
https://psnet.ahrq.gov/innovation/critical-radiology-alert-process
Summary
Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of
unrelated abnormal findings and provides a companion follow-up process, with the goal o…