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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/viewing-health-care-delivery-science-challenges-benefits-and-policy-implications
May 24, 2012 - Commentary
Viewing health care delivery as science: challenges, benefits, and policy implications.
Citation Text:
Pronovost P, Goeschel CA. Viewing health care delivery as science: challenges, benefits, and policy implications. Health Serv Res. 2010;45(5 Pt 2):1508-22. doi:10.1111/j.1…
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www.ahrq.gov/nursing-home/materials/prevention/observational-audits.html
July 01, 2021 - Auditing Strategies to Improve Infection Prevention Processes in Nursing Homes
Nursing homes can conduct observational audits to support increased compliance with infection prevention practices, including hand hygiene and use of personal protective equipment.
Observational Audits
Observational audits occur …
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psnet.ahrq.gov/issue/improving-medication-safety-high-risk-medicare-beneficiaries-toolkit
October 23, 2019 - Government Resource
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit.
Citation Text:
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD: Agen…
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psnet.ahrq.gov/issue/health-care-governance-quality-and-safety-new-agenda
August 09, 2023 - Review
Health care governance for quality and safety: the new agenda.
Citation Text:
Clough J, Nash DB. Health care governance for quality and safety: the new agenda. Am J Med Qual. 2007;22(3):203-13.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNo…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/plan-do-check-act-cycle
January 01, 2023 - Plan-Do-Check-Act Cycle
Acronym
PDCA
Also Known As
Deming Cycle
Plan-Do-Study-Act (PDSA) Cycle
Shewhart Cycle
Description
Plan-do-check-act (PDCA) is a four step cycle that allows you to implement change, solve problems, and continuously improve processes. Its cyclical nature a…
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digital.ahrq.gov/organization/abt-associates-inc
January 01, 2023 - Abt Associates, Inc.
Improving Electronic Health Records Patient Education Materials - 2012
Principal Investigator
Shoemaker, Sarah
Project Name
Improving Electronic Health Records Patient Education Materials
Evaluation of AHRQ’s On-Time P…
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psnet.ahrq.gov/node/42039/psn-pdf
December 31, 2014 - Enhancing patient safety and quality of care by improving
the usability of electronic health record systems:
recommendations from AMIA.
December 31, 2014
Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the
usability of electronic health record systems: recommen…
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psnet.ahrq.gov/node/47666/psn-pdf
January 01, 2020 - A partially structured postoperative handoff protocol
improves communication in 2 mixed surgical intensive
care units: findings from the Handoffs and Transitions in
Critical Care (HATRICC) prospective cohort study.
February 6, 2019
Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partially Structured Postoperative Ha…
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psnet.ahrq.gov/node/45671/psn-pdf
November 23, 2016 - America's Hospitals: Improving Quality and Safety—The
Joint Commission's Annual Report 2016.
November 23, 2016
Oakbrook Terrace, IL: The Joint Commission; November 2016.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2016
This Joint Commission annual …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/index.html
September 01, 2021 - Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities
The Toolkit To Reduce CAUTI and other HAIs in Long-Term Care Facilities helps long-term care (LTC) facilities reduce catheter-associated urinary tract infection (CAUTI) and improve practices to prevent healthcare-associated infections (HAIs). B…
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digital.ahrq.gov/principal-investigator/weiner-saul
January 01, 2023 - Weiner, Saul
Effect of electronic health record clinical decision support on contextualization of care: A randomized clinical trial.
Citation
Weiner SJ, Schwartz A, Weaver F, Galanter W, Olender S, Kochendorfer K, Binns-Calvey A, Saini R, Iqbal S, Diaz M, Michelfelder A, Varke…
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psnet.ahrq.gov/node/60225/psn-pdf
April 15, 2020 - Beyond 'find and fix': improving quality and safety
through resilient healthcare systems.
April 15, 2020
Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient
healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10.1093/intqhc/mzaa007.
https://psn…
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psnet.ahrq.gov/node/46126/psn-pdf
June 19, 2019 - A guide to evaluation of quality improvement and patient
safety educational programs: lessons from the VA Chief
Resident in Quality and Safety Program.
June 19, 2019
Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety
Educational Programs: Lessons From the VA Ch…
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psnet.ahrq.gov/node/44292/psn-pdf
September 01, 2016 - Recommendations to improve the usability of drug–drug
interaction clinical decision support alerts.
September 1, 2016
Payne TH, Hines LE, Chan RC, et al. Recommendations to improve the usability of drug-drug interaction
clinical decision support alerts. J Am Med Inform Assoc. 2015;22(6):1243-50. doi:10.1093/jamia/o…
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psnet.ahrq.gov/node/47783/psn-pdf
April 10, 2019 - An IDEA: safety training to improve critical thinking by
individuals and teams.
April 10, 2019
Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by
Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/1062860618820687.
https://psnet.ahrq.gov/issue/idea-s…
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psnet.ahrq.gov/node/45859/psn-pdf
August 03, 2017 - Root cause analysis and actions for the prevention of
medical errors: quality improvement and resident
education.
August 3, 2017
Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical
Errors: Quality Improvement and Resident Education. Orthopedics. 2017;40(4):e628-e635…
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psnet.ahrq.gov/node/73082/psn-pdf
March 31, 2021 - The potential of artificial intelligence to improve patient
safety: a scoping review.
March 31, 2021
Bates DW, Levine DM, Syrowatka A, et al. The potential of artificial intelligence to improve patient safety: a
scoping review. NPJ Digit Med. 2021;4(1):54. doi:10.1038/s41746-021-00423-6.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/50834/psn-pdf
January 29, 2020 - Medication reconciliation improvement utilizing process
redesign and clinical decision support.
January 29, 2020
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process
Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. 2020;46(1):27-36.
doi:10.1016/j.…
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psnet.ahrq.gov/node/73505/psn-pdf
July 21, 2021 - Improving medication reconciliation with comprehensive
evaluation at a Veterans Affairs skilled-nursing facility.
July 21, 2021
Baughman AW, Triantafylidis LK, O'Neil N, et al. Improving medication reconciliation with comprehensive
evaluation at a Veterans Affairs skilled-nursing facility. Jt Comm J Qual Patient Sa…