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psnet.ahrq.gov/node/40026/psn-pdf
September 20, 2011 - Effect of a comprehensive surgical safety system on
patient outcomes.
September 20, 2011
de Vries EN, Prins HA, Crolla RMPH, et al. Effect of a comprehensive surgical safety system on patient
outcomes. N Engl J Med. 2010;363(20):1928-37. doi:10.1056/NEJMsa0911535.
https://psnet.ahrq.gov/issue/effect-comprehensive-…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-4.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.4. Organizational Goals of Lean
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central H…
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www.ahrq.gov/cpi/about/nac/pcortf-snac/fournier.html
November 01, 2022 - AHRQ Staff: Alaina Fournier
Alaina Fournier, Ph.D., M.H.C.I.
Health Scientist Administrator Patient-Centered Outcomes Research Trust Fund
Office of the Director
Agency for Healthcare Research and Quality
Alaina Fournier, Ph.D., M.H.C.I is a health scientist administrator in the Agency for Healthcare Rese…
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psnet.ahrq.gov/node/73339/psn-pdf
June 02, 2021 - Effects of nurse-to-patient ratio legislation on nurse
staffing and patient mortality, readmissions, and length of
stay: a prospective study in a panel of hospitals.
June 2, 2021
McHugh MD, Aiken LH, Sloane DM, et al. Effects of nurse-to-patient ratio legislation on nurse staffing and
patient mortality, readmissio…
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psnet.ahrq.gov/node/74257/psn-pdf
January 19, 2022 - Early prescribing outcomes after exporting the EQUIPPED
medication safety improvement programme.
January 19, 2022
Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED
medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001369. doi:10.1136/bmjoq-
2021-00…
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psnet.ahrq.gov/node/41131/psn-pdf
February 15, 2012 - Effects of two commercial electronic prescribing systems
on prescribing error rates in hospital in-patients: a before
and after study.
February 15, 2012
Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on
prescribing error rates in hospital in-patients: a before and …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/pharyngitis-discussion-guide.docx
September 01, 2022 - Streptococcal Pharyngitis – Discussion Guide
Streptococcal Pharyngitis
Streptococcal Pharyngitis: Discussion Guide
During a regularly scheduled staff meeting, the stewardship leader(s) is encouraged to ask all clinical staff which of …
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psnet.ahrq.gov/issue/agency-information-collection-activities-assessing-impact-national-implementation-teamstepps
July 03, 2013 - Press Release/Announcement
Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request.
Citation Text:
Agency information collection activities: Assessing the Impact of the National Implementation …
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psnet.ahrq.gov/issue/medication-reconciliation-physician-order-form
January 21, 2015 - Commentary
Medication reconciliation physician order form.
Citation Text:
Lacy JL, Wilkinson ST. Medication Reconciliation Physician Order Form. Hosp Pharm. 2010;41(11):1117-1119. doi:10.1310/hpj4111-1117.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNo…
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psnet.ahrq.gov/issue/improving-rapid-response-systems-progress-issues-and-future-directions
January 26, 2022 - Meeting/Conference Proceedings
Improving rapid response systems: progress, issues, and future directions.
Citation Text:
Ovretveit J, Suffoletto J-A. Improving rapid response systems: progress, issues, and future directions.
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Format:
Google Scholar PubMed BibTe…
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psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
October 19, 2022 - Toolkit
Starter Kit for Alarm Fatigue.
Citation Text:
Starter Kit for Alarm Fatigue. National Association of Clinical Nurse Specialists; NACNS.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips52.html
October 01, 2014 - Nebraska Critical Access Hospitals Improve Safety With AHRQ TeamSTEPPS®
Search All Impact Case Studies
December 2010
The University of Nebraska Medical Center (UNMC) customized the coaching strategies used in the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) curriculum fo…
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psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
March 17, 2011 - Book/Report
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England
Citation Text:
An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Cousins D. Croydon, UK: Accidents again…
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psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction-strategy
February 22, 2023 - Newspaper/Magazine Article
Achieving a successful patient safety program with implementation of a harm reduction strategy.
Citation Text:
Achieving a successful patient safety program with implementation of a harm reduction strategy. Cohen JB. APSF Newsletter. 2023;38(10):93-95.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T1-Nursing_Home_Readiness_and_Resource_Assessment_Phase_1.pdf
May 01, 2014 - Nursing Home Readiness and Resource Assessment
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 1
Nursing Home Readiness and Resource Assessment
This worksheet is designed to be …
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.2. Suntown Hospital
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Ca…
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psnet.ahrq.gov/issue/mobilising-team-who-surgical-safety-checklist-qualitative-video-study
September 29, 2017 - Study
Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study.
Citation Text:
Korkiakangas T. Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. BMJ Qual Saf. 2017;26(3):177-188. doi:10.1136/bmjqs-2015-004887.
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…
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digital.ahrq.gov/location/usa-nc-research-triangle-park
January 01, 2023 - USA, NC, Research Triangle Park
Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions
Description
This research supported the testing of two interoperable Substitutable Medical Applications Reusable Technologies (SMART®) on Fast Healthcare Inte…
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digital.ahrq.gov/principal-investigator/vandenberg-ann-e
July 24, 2024 - Vandenberg, Ann E.
Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety
Event Date
July 24, 2024 - 2:30pm
- July 24, 2024 - 4:00pm
Medication errors are a leading cause of injury and avoidable harm in healthcare, with…
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www.ahrq.gov/sites/default/files/2024-04/finkelstein-report.pdf
January 01, 2024 - Speakers and participants focused on
designing, implementing, and disseminating QI research in both