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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
January 01, 2003 - Akins
Abstract
This paper presents a patient safety applicator tool for implementing and
assessing … performance measures identified in this research will be useful for
health care institutions in designing, implementing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - Innovative program
features may be of interest to other States implementing reporting systems. … History and development of NYPORTS
New York State has a long history of implementing efforts to improve
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
March 06, 2025 - Strategies to Better Engineer Safety into Healthcare Delivery
Page 1 of 17
Engineering Safe Practices Affinity Group
Strategies to Better Engineer Safety into
Healthcare Delivery
March 6, 2025
Table of Contents
Problem Statement ...............................................................................…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/nursing-staff-shortages-rapid-research.pdf
April 01, 2025 - acute or
chronic staff shortages such as closing units, diverting
patients, redistributing staff, or implementing … decrease in overall mortality.11
The study from Massachusetts showed no difference in mortality after implementing … embolism, deep vein thrombosis, and sepsis, which can be
explained by the role that nursing staff have in implementing … judgment.24 Negative workplace experiences including abuse and hostility
were cited as barriers to implementing
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - thought we had these high-performing health care systems, but the data did not look like they were implementing … Additionally, being able to show value, whether that is de-implementing something ineffective or solving
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - thought we had these high-performing health care systems, but the data did not look like they were implementing … Additionally, being able to show value, whether that is de-implementing something ineffective or solving
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/colorado
January 01, 2023 - Colorado
Team Description
The Colorado Health Information Security and Privacy Collaboration (HISPC) project is a subcontract to RTI International who holds the prime contract funded by the Agency for Healthcare Research and Quality and the Office of the National Coordinator. The nationwi…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/arkansas
January 01, 2023 - Arkansas
Team Description
The state of Arkansas has been granted the opportunity through a subcontract to the Privacy and Security Solutions contract to perform an environmental scan of privacy and security issues which may serve as a barrier to sharing health information. In order to im…
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digital.ahrq.gov/ahrq-funded-projects/bay-area-community-informatics-project
January 01, 2023 - Bay Area Community Informatics Project
Project Description
Project Details -
Completed
Grant Number
P20 HS014893
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Grants
A…
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digital.ahrq.gov/ahrq-funded-projects/rural-connection-strengthening-care-through-technology
January 01, 2023 - Rural Connection: Strengthening Care Through Technology
Project Description
Project Details -
Completed
Grant Number
P20 HS014883
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning Gra…
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www.ahrq.gov/hai/tools/mvp/technical-bundles-ltvv.html
March 01, 2017 - Low Tidal Volume Ventilation
Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients ( PDF , 1 MB)
This guide provides an overview of how low tidal volume ventilation can improve outcomes for all mechanically ventilated patients, how to implement the us…
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psnet.ahrq.gov/node/845357/psn-pdf
March 29, 2023 - Reducing hospital harm: establishing a command centre
to foster situational awareness.
March 29, 2023
Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc
Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885.
https://psnet.ahrq.gov/innovation/reducing-hospital-harm-…
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psnet.ahrq.gov/node/45344/psn-pdf
January 23, 2017 - Comparison of accuracy of physical examination findings
in initial progress notes between paper charts and a
newly implemented electronic health record.
January 23, 2017
Yadav S, Kazanji N, C. NK, et al. Comparison of accuracy of physical examination findings in initial
progress notes between paper charts and a ne…
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psnet.ahrq.gov/node/46396/psn-pdf
August 15, 2018 - An ethnographic study of health information technology
use in three intensive care units.
August 15, 2018
Leslie M, Paradis E, Gropper MA, et al. An Ethnographic Study of Health Information Technology Use in
Three Intensive Care Units. Health Serv Res. 2017;52(4):1330-1348. doi:10.1111/1475-6773.12466.
https://psn…
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psnet.ahrq.gov/node/38611/psn-pdf
February 15, 2011 - Effect of an electronic medication reconciliation
application and process redesign on potential adverse
drug events: a cluster-randomized trial.
February 15, 2011
Schnipper JL, Hamann C, Ndumele CD, et al. Effect of an electronic medication reconciliation application
and process redesign on potential adverse drug …
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psnet.ahrq.gov/node/45319/psn-pdf
September 01, 2018 - Special Issue: Progress at the Intersection of Patient
Safety and Medical Liability.
September 1, 2018
Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395-2648.
https://psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability
Medical liability refor…
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psnet.ahrq.gov/node/39951/psn-pdf
October 27, 2010 - Making inpatient medication reconciliation patient
centered, clinically relevant and implementable: a
consensus statement on key principles and necessary
first steps.
October 27, 2010
Greenwald JL, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation patient centered,
clinically relevant and…
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digital.ahrq.gov/2018-year-review/research-spotlights
January 01, 2018 - Research Spotlights
AHRQ Health IT Safety Investigators are Using Health IT to Make a Real Difference in Improving Patient Safety
Research on Health IT Safety Special Emphasis Notice ( NOT-HS-16-009 ):
AHRQ continues to fund research on safe health IT practices related to the design,…
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www.ahrq.gov/cpi/about/organization/nac/kripalani.html
February 01, 2025 - NAC Member Biography: Sunil Kripalani
Sunil Kripalani, M.D., M.Sc., SFHM, FACP Professor of Medicine Director Center for Health Services Research Director Center for Clinical Quality and Implementation Research Vanderbilt University Medical Center Sunil Kripalani, M.D., M.Sc., SFHM, FACP , is a professor of med…
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digital.ahrq.gov/technology/practice-management-system
January 01, 2023 - Practice Management System
Health Information Technology in Ambulatory Care Settings: Effects on Quality and Disparities
Description
This project developed and implemented a large-scale approach to measuring the impact of health information technology on the quality and variab…