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psnet.ahrq.gov/node/836710/psn-pdf
March 09, 2022 - Implementation of an antibiotic stewardship program in
long-term care facilities across the US.
March 9, 2022
doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181.
https://psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-
across-us
Overuse of antibiotics has been co…
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psnet.ahrq.gov/node/61109/psn-pdf
November 11, 2020 - Making communication and resolution programmes
mission critical in healthcare organisations.
November 11, 2020
Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes
mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):875-878. doi:10.1136/bmjqs-2020-
0108…
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psnet.ahrq.gov/node/847541/psn-pdf
April 12, 2023 - Improving medication safety in a paediatric hospital: a
mixed-methods evaluation of a newly implemented
computerised provider order entry system.
April 12, 2023
Liang MQ, Thibault M, Jouvet P, et al. BMJ Health Care Inform. 2023;30(1):e100622.
https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hos…
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www.ahrq.gov/ncepcr/research/disseminating-evidence/index.html
April 01, 2025 - Disseminating Evidence into Practice
AHRQ disseminates the most up-to-date evidence and tools into practices so that they can implement evidence-based practices to improve the care of their patients. AHRQ synthesizes the evidence and disseminates it through programs such as its Evidence-Based Practice Centers, …
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www.ahrq.gov/patient-safety/reports/advances/vol3.html
July 01, 2022 - Advances in Patient Safety
Peer Reviewers for Volume 3. Implementation Issues
Previous Page Next Page
Table of Contents
Advances in Patient Safety
Acknowledgments
Preface
Peer Reviewers for Volume 1. Research Findings
Peer Reviewers for Volume 2. Concepts and Methodology
Peer Reviewers for…
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psnet.ahrq.gov/node/33672/psn-pdf
September 01, 2008 - Our hospital is also in the middle of implementing barcode scanning at
the point of specimen collection
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psnet.ahrq.gov/node/49814/psn-pdf
December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation
Mishap
December 1, 2017
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
The Case
A 63-year-old man with a history of coronary…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Prescribing
47
Discussion and conclusions
This paper describes our experience with developing and implementing
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digital.ahrq.gov/sites/default/files/docs/citation/cdsic-year-3-report-2024.pdf
January 01, 2024 - Lessons Learned
During Year 3, the CDSiC continued to support AHRQ in designing, developing, adopting,
implementing … been published previously.9 In 2023-24, the CDSiC continued to support AHRQ in
developing, adopting, implementing … implement several
changes that will enhance the findability and usability of CDSiC resources:
• Implementing … The CDSiC’s efforts in the base years yielded several lessons learned about implementing a large-scale … utm_source=share&utm_medium=member_desktop
68 Suzanne Bakken, Perspectives on implementing models
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cds.ahrq.gov/sites/default/files/workgroups/251/aug-2017-cholesterol-wg-notes.docx
January 01, 2017 - Cholesterol Management Work Group
Meeting Summary
Date
08/09/2017
Time
1:30 – 2:45 PM EST
AGENDA
· Welcome and Review of Agenda
· Demonstration of the CDS Connect Repository
· Demonstration of the CDS Connect Authoring Tool
· Next Steps and Close
SUMMARY
Welcome
CAMH welcomed the attendees to the August…
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psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
April 08, 2011 - Study
Speaking up and sharing information improves trainee neonatal resuscitations.
Citation Text:
Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f.
Copy C…
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psnet.ahrq.gov/issue/speaking-when-doctors-navigate-medical-hierarchy
August 19, 2020 - Commentary
Speaking up—when doctors navigate medical hierarchy.
Citation Text:
Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302-305. doi:10.1056/NEJMp1212410.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote…
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psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
October 19, 2022 - Commentary
One hospital's initiatives to encourage safe opioid use.
Citation Text:
Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110.
Copy Citation
Format:
DOI Google Scholar P…
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psnet.ahrq.gov/issue/automated-operating-room-team-approach-patient-safety-and-communication
November 16, 2022 - Study
The automated operating room: a team approach to patient safety and communication.
Citation Text:
Nissan J, Campos V, Delgado H, et al. The automated operating room: a team approach to patient safety and communication. JAMA Surg. 2014;149(11):1209-10. doi:10.1001/jamasurg.2014.1825…
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psnet.ahrq.gov/issue/high-fidelity-simulation-and-safety-integrative-review
September 09, 2015 - Review
High-fidelity simulation and safety: an integrative review.
Citation Text:
Shearer JE. High-fidelity simulation and safety: an integrative review. J Nurs Edu. 2013;52(1):39-45. doi:10.3928/01484834-20121121-01.
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Format:
DOI Google Scholar PubMed BibTeX…
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psnet.ahrq.gov/issue/adverse-drug-event-prevention-and-detection-older-emergency-department-patients
November 16, 2022 - Commentary
Adverse drug event prevention and detection in older emergency department patients.
Citation Text:
Koehl JL. Adverse drug event prevention and detection in older emergency department patients. Clin Geriatr Med. 2023;39(4):635-645. doi:10.1016/j.cger.2023.04.008.
Copy Citatio…
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digital.ahrq.gov/ahrq-funded-projects/guiding-safe-and-effective-integration-ambient-digital-scribes-primary-care
September 30, 2024 - Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care
Project Description
Developing a guide to assist healthcare organizations safely and effectively adopt ambient digital scribes (ADSs), powered by artificial intelligence (AI), may help impro…
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digital.ahrq.gov/population/american-indian-or-alaska-native
January 01, 2023 - American Indian or Alaska Native
Outcomes and quality of care in rheumatoid arthritis with or without video telemedicine follow-up visits.
Citation
Ferucci ED, Day GM, Choromanski TL, Freeman SL. Outcomes and quality of care in rheumatoid arthritis with or without video teleme…
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effectivehealthcare.ahrq.gov/sites/default/files/web-based_dubenske_presenter.pdf
January 01, 2009 - DuBenske_Presentation_REVISED_FINAL
Source:
Eisenberg
Center
Conference
Series
2009,
Translating
Information
Into
Action:
Improving
Quality
of
Care
Through
Interactive
Media,
Effective
Health
Care
Program
Web
site
(http://www.effectivehe…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-slides.html
December 01, 2017 - Audit again after implementing your interventions.
How well did you do? Share the results!