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psnet.ahrq.gov/issue/perceived-disability-based-discrimination-health-care-children-medical-complexity
November 16, 2022 - Study
Perceived disability-based discrimination in health care for children with medical complexity.
Citation Text:
Ames SG, Delaney RK, Houtrow AJ, et al. Perceived disability-based discrimination in health care for children with medical complexity. Pediatrics. 2023;152(1):e2022060975. …
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www.ahrq.gov/news/newsroom/case-studies/cquips1301.html
November 01, 2012 - Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey
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November 2012
Newman Memorial Hospital, a 79-bed acute hospital in Oklahoma, first implemented AHRQ's "Hospital Survey on Patient Safety Culture" in 2006, when concern about the hospital's patient safety …
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www.ahrq.gov/evidencenow/projects/heart-health/about/origin.html
March 01, 2021 - Origin
Origins of EvidenceNOW
The ability to integrate and implement new discoveries into patient care creates a stronger, more effective health care system. But not all discoveries are equal. We turn to evidence to understand what works and how best to integrate effective approaches and treatments into pat…
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psnet.ahrq.gov/issue/creating-fellowship-curriculum-patient-safety-and-quality
September 09, 2020 - Commentary
Creating a fellowship curriculum in patient safety and quality.
Citation Text:
Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012.
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psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
November 16, 2022 - Commentary
Eliminating perioperative adverse events at Ascension Health.
Citation Text:
Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips82.html
October 01, 2014 - Five Nebraska Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Across Care Settings
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November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider …
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psnet.ahrq.gov/issue/evaluation-implementation-alert-issued-uk-national-patient-safety-agency-storage-and-handling
September 04, 2013 - Study
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.
Citation Text:
Lankshear AJ, Sheldon TA, Lowson K, et al. Evaluation of the implementation of the alert issued by th…
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psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-professional-practice
September 09, 2011 - Review
Always having to say you're sorry: an ethical response to making mistakes in professional practice.
Citation Text:
Crigger NJ. Always having to say you're sorry: an ethical response to making mistakes in professional practice. Nurs Ethics. 2004;11(6):568-76.
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psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - Study
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Citation Text:
Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…
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digital.ahrq.gov/health-care-theme/learning-health-system
January 01, 2023 - Learning Health System
Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Description
This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary…
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psnet.ahrq.gov/issue/design-and-implementation-point-care-computerized-system-drug-therapy-stockholm-metropolitan
October 21, 2010 - Commentary
Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice.
Citation Text:
SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care…
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psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative-analysis-team-member-perceptions
December 31, 2014 - Study
FMEA team performance in health care: a qualitative analysis of team member perceptions.
Citation Text:
Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be.
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DOI Go…
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psnet.ahrq.gov/issue/changing-operating-room-culture-implementation-postoperative-debrief-and-improved-safety
December 03, 2014 - Study
Changing operating room culture: implementation of a postoperative debrief and improved safety culture.
Citation Text:
Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurg. 201…
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digital.ahrq.gov/health-care-theme/adverse-events
January 01, 2023 - Adverse Events
Implementation of DDInteract: A Shared Decision Making Tool for Anticoagulant Drug-Drug Interactions
Description
This research will implement, evaluate, and disseminate DDInteract, a shared decision making clinical decision support tool that aims to reduce harm …
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digital.ahrq.gov/care-setting/health-department
January 01, 2023 - Health Department
Advancing Population and Public Health Reporting and Outcomes With Vaccination Data Exchange (APPROVE)
Description
This study aimed to improve data exchange between public health and clinical care information systems, and across public health itself, to enhan…
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psnet.ahrq.gov/issue/coaching-debriefer-peer-coaching-improve-debriefing-quality-simulation-programs
July 31, 2019 - Commentary
Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs.
Citation Text:
Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - For
example, payers could consider implementing policies that
incentivize healthcare providers to adopt … Bradford A, ShoferM, Singh H.Measure Dx: implementing pathways to
discover and learn from diagnostic
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-failure-rescue-protocol-amendment.pdf
September 19, 2023 - What are common barriers, limitations and facilitators to successfully implementing rapid
response
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psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
April 24, 2018 - Written Signout: It Only Works If You Use The Right One
Citation Text:
Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-255-transitions-care-pediatric-to-adult-services-evidence-summary.pdf
May 01, 2022 - Evidence Summary_Comparative Effectiveness Review No. 255: Transitions of Care From Pediatric to Adult Services for Children With Special Healthcare Needs
Comparative Effectiveness Review
Number 255
Transitions of Care From Pediatric to
Adult Services for Children With Special
Healthcare Needs
Executive S…