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psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use-research-r18
December 20, 2023 - Government Resource
Advancing Patient Safety Implementation Through Safe Medication Use Research (R18).
Citation Text:
Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Rockville, MD: Agency for Healthcare Research and Quality. PA-14-002.
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psnet.ahrq.gov/issue/system-governance-towards-improved-patient-safety-key-functions-approaches-and-pathways
October 07, 2020 - Book/Report
System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation.
Citation Text:
System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. Auraaen A, Saar K, Klazinga N for the Organ…
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digital.ahrq.gov/care-setting/behavioral-health-clinic
January 01, 2023 - Behavioral Health Clinic
The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS)
Description
This project evaluated the impact of the “Telephone Intervention Problem Solving” (TIPS) intervention on adherence to treatment for schizoaffective disorder.
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psnet.ahrq.gov/issue/who-global-report-patient-safety
May 01, 2024 - Book/Report
WHO Global Report on Patient Safety.
Citation Text:
WHO Global Report on Patient Safety. Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
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psnet.ahrq.gov/issue/quality-pharmacologic-care-vulnerable-older-patients
August 27, 2012 - Study
The quality of pharmacologic care for vulnerable older patients.
Citation Text:
Higashi T, Shekelle PG, Solomon DH, et al. The quality of pharmacologic care for vulnerable older patients. Ann Intern Med. 2004;140(9):714-20.
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5b.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Team Checkup Tool
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Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
Methods
Participation
Outcomes
Adult Non-ICUs
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psnet.ahrq.gov/issue/observational-assessment-surgical-teamwork-feasibility-study
August 18, 2017 - Study
Observational assessment of surgical teamwork: a feasibility study.
Citation Text:
Undre S, Healey A, Darzi A, et al. Observational assessment of surgical teamwork: a feasibility study. World J Surg. 2006;30(10):1774-83.
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psnet.ahrq.gov/issue/one-intensive-care-nurserys-experience-enhancing-patient-safety
June 21, 2006 - Commentary
One intensive care nursery's experience with enhancing patient safety.
Citation Text:
Alton M, Mericle J, Brandon D. One intensive care nursery's experience with enhancing patient safety. Adv Neonatal Care. 2006;6(3):112-9.
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psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors
December 12, 2014 - Study
Exploring strategies for reducing hospital errors.
Citation Text:
McFadden KL, Stock GN, Gowen CR. Exploring strategies for reducing hospital errors. J Healthc Manag. 2006;51(2):123-136.
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psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
April 24, 2018 - Commentary
The tension between promoting mobility and preventing falls in the hospital.
Citation Text:
Growdon ME, Shorr RI, Inouye SK. The Tension Between Promoting Mobility and Preventing Falls in the Hospital. JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840. …
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psnet.ahrq.gov/issue/treating-sepsis-questions-about-timing-and-mandates
September 04, 2016 - Newspaper/Magazine Article
In treating sepsis, questions about timing and mandates.
Citation Text:
Abbasi J. In Treating Sepsis, Questions About Timing and Mandates. JAMA. 2017;318(6):506-508. doi:10.1001/jama.2017.7997.
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psnet.ahrq.gov/issue/audit-handover-ent-unit
October 28, 2020 - Study
Audit of handover in an ENT unit.
Citation Text:
Ellul D, Robson AK. Audit of handover in an ENT unit. J Laryngol Otol. 2011;125(9):924-7. doi:10.1017/S0022215111000880.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
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psnet.ahrq.gov/issue/antiretroviral-medication-errors-among-hospitalized-patients-hiv-infection
April 12, 2023 - Study
Antiretroviral medication errors among hospitalized patients with HIV infection.
Citation Text:
Rastegar DA, Knight AM, Monolakis JS. Antiretroviral medication errors among hospitalized patients with HIV infection. Clin Infect Dis. 2006;43(7):933-8.
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/obtain-training-and-support
January 01, 2013 - An official website of the Department of Health & Human Services
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Integrating Behavioral Health & Primary Care
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digital.ahrq.gov/health-care-theme/medication
January 01, 2023 - Medication
Sponsored Health IT and Evidence-Based Prescribing Among Medical Residents
Description
This project evaluated SMARxT, web-based education modules designed to teach resident physicians how to effectively navigate and counteract pharmaceutical-sponsored messaging with…
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review-at-a-glance.pdf
January 01, 2022 - Prescribers and Pharmacists to
Decrease Medication Safety Risks
Research Investment: $297,196
Implementing
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
April 01, 2025 - Implementing standardized, patient-centered education processes can empower and engage patients and improve
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-final-report-b.pdf
January 01, 2025 - techniques used by practice change support
agents to motivate, guide and support practices in adopting, implementing … practices.
17 See the Interim Evaluation Report II – Section 4 for more detail about challenges implementing
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psnet.ahrq.gov/node/33748/psn-pdf
April 01, 2013 - Likewise, in terms of improving teamwork and handoffs and implementing work hour
changes, while there
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1
On-Time
Preventable Hospital
and ED Visits:
Implementation
On-Time Preventable Hospital and ED Visits
Self-Assessment Scripted Exercise
Team consists of:
Facilitator [Tom]
Program Champion (Quality Assessment and…