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psnet.ahrq.gov/node/43541/psn-pdf
August 28, 2017 - A step toward high reliability: implementation of a daily
safety brief in a children's hospital.
August 28, 2017
Saysana M, McCaskey M, Cox E, et al. A Step Toward High Reliability: Implementation of a Daily Safety
Brief in a Children's Hospital. J Patient Saf. 2017;13(3):149-152. doi:10.1097/PTS.0000000000000131.
…
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psnet.ahrq.gov/node/41262/psn-pdf
April 04, 2012 - Achieving a high-reliability organization through
implementation of the ARCC model for systemwide
sustainability of evidence-based practice.
April 4, 2012
Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for
systemwide sustainability of evidence-based practice. Nurs Adm…
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psnet.ahrq.gov/node/38595/psn-pdf
June 15, 2011 - Implementation of a patient safety incident management
system as viewed by doctors, nurses and allied health
professionals.
June 15, 2011
Travaglia J, Westbrook MT, Braithwaite J. Implementation of a patient safety incident management system
as viewed by doctors, nurses and allied health professionals. Health (Lon…
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psnet.ahrq.gov/node/35109/psn-pdf
November 03, 2015 - Evaluation of the implementation of the alert issued by
the UK National Patient Safety Agency on the storage and
handling of potassium chloride concentrate solution.
November 3, 2015
Lankshear AJ, Sheldon TA, Lowson K, et al. Evaluation of the implementation of the alert issued by the UK
National Patient Safety Ag…
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psnet.ahrq.gov/node/39897/psn-pdf
September 26, 2016 - Nurse interruptions pre- and post-implementation of a
point-of-care medication administration system.
September 26, 2016
Stamp KD, Willis DG. Nurse interruptions pre- and postimplementation of a point-of-care medication
administration system. J Nurs Care Qual. 2010;25(3):231-239. doi:10.1097/NCQ.0b013e3181d4a13f.
…
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psnet.ahrq.gov/node/43874/psn-pdf
February 25, 2015 - An overview of the use and implementation of checklists
in surgical specialities - a systematic review.
February 25, 2015
Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical
specialities - a systematic review. Int J Surg. 2014;12(12):1317-23. doi:10.1016/j.ijsu.2014…
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psnet.ahrq.gov/node/43243/psn-pdf
June 11, 2014 - Improved incident reporting following the implementation
of a standardized emergency department peer review
process.
June 11, 2014
Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized
emergency department peer review process. Int J Qual Health Care. 2014;26(3):278-86.
d…
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cdsic.ahrq.gov/cdsic/measurementinventory
August 01, 2023 - :
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psnet.ahrq.gov/node/38288/psn-pdf
February 03, 2011 - Hospital-wide code rates and mortality before and after
implementation of a rapid response team.
February 3, 2011
Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after
implementation of a rapid response team. JAMA. 2008;300(21):2506-13. doi:10.1001/jama.2008.715.
https://ps…
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psnet.ahrq.gov/node/40695/psn-pdf
December 31, 2014 - Factors contributing to an increase in duplicate
medication order errors after CPOE implementation.
December 31, 2014
Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication
order errors after CPOE implementation. J Am Med Inform Assoc. 2011;18(6):774-782.
doi:10.113…
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psnet.ahrq.gov/node/46155/psn-pdf
December 21, 2017 - A national implementation project to prevent catheter-
associated urinary tract infection in nursing home
residents.
December 21, 2017
Mody L, Greene T, Meddings J, et al. A National Implementation Project to Prevent Catheter-Associated
Urinary Tract Infection in Nursing Home Residents. JAMA Intern Med. 2017;177(8…
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psnet.ahrq.gov/node/40673/psn-pdf
September 03, 2011 - Evaluating efforts to optimize TeamSTEPPS
implementation in surgical and pediatric intensive care
units.
September 3, 2011
Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical
and pediatric intensive care units. Jt Comm J Qual Patient Saf. 2011;37(8):365-374.
htt…
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digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-outpatient-order-entry/annual-summary/2008
January 01, 2008 - Improving Safety and Quality with Outpatient Order Entry - 2008
Project Name
Improving Safety and Quality with Outpatient Order Entry
Principal Investigator
Gandhi, Tejal
Organization
Brigham and Women's Hospital
Funding Mechanism
RFA: HS04-012: Demonstrating the Va…
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www.ahrq.gov/ncepcr/reports/2025-annual-report/behavioral-health.html
August 01, 2025 - Implementing Opioid Risk Screening for Older Adults Using Automated Patient Reminders in an Electronic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfepc-fullguide-appb-final508.pdf
June 02, 2025 - The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families | 22
Appendix B – Create a Safe Medicine List Together Implementation
Guidance
To help you plan and design your Create …
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-cds-connect
August 29, 2024 - Patient-Centered Outcomes Research Clinical Decision Support (CDS) Connect
Project Final Report ( PDF , 803.9 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent…
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psnet.ahrq.gov/node/41973/psn-pdf
January 30, 2013 - Implementation of a specialized pharmacy team to
monitor high-risk medications during discharge.
January 30, 2013
Martin ES, Overstreet RL, Jackson-Khalil LR, et al. Implementation of a specialized pharmacy team to
monitor high-risk medications during discharge. Am J Health Syst Pharm. 2013;70(1):18-21.
doi:10.214…
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psnet.ahrq.gov/node/43473/psn-pdf
August 27, 2014 - Rapid response team implementation and in-hospital
mortality.
August 27, 2014
Salvatierra G, Bindler RC, Corbett CF, et al. Rapid response team implementation and in-hospital
mortality*. Crit Care Med. 2014;42(9):2001-6. doi:10.1097/CCM.0000000000000347.
https://psnet.ahrq.gov/issue/rapid-response-team-implementat…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/screening-and-diagnosis
January 01, 2010 - An official website of the Department of Health & Human Services
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/mitigating-overdose-risk
January 01, 2019 - An official website of the Department of Health & Human Services
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