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psnet.ahrq.gov/issue/sustaining-improvement
January 09, 2019 - Numerous activities and programs have been launched to improve patient safety, but sustaining improvements … quality improvement concepts and Lean management tactics to help organizations integrate safety improvements
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psnet.ahrq.gov/issue/changes-unprofessional-behaviour-teamwork-and-co-operation-among-hospital-staff-during-covid
January 31, 2024 - perceived increases in unprofessional behaviors during the pandemic and 44% of respondents cited improvements … September 28, 2022
What is needed to sustain improvements in hospital practices post-COVID
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digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/optimization-patient-reported-outcome-data-visualization-improve
January 01, 2019 - measures to assess patients’ experiences of illness and wellness has been increasing, and may lead to improvements … One factor is that some data metrics represent improvements in patient symptoms when their value increases … (e.g., physical function), whereas other metrics indicate improvements by decreasing values (e.g., pain
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-safety-and-quality-healthcare-information-technology/annual-summary/2008
January 01, 2008 - Improvements were found in all three clinical domains, including preventive services, acute illness care … Further improvements in quality and safety are possible through increased physician use of CDS, but this … will require physician willingness to change their workflow, as well as improvements to EHR software … IPSQWHIT: Measuring the Quality Improvements Associated with Decision Support in Pediatrics.
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digital.ahrq.gov/sites/default/files/docs/page/Nemeth_SuccessStory.pdf
May 02, 2014 - Participating practices reported 6 to 10 percent improvements
entive care screenings, 8 … to 17 percent improvements in adult
izations, and up to 18 percent improvements in diabetes … use of the HM features rather than actual delivery of more services may have biased
assessments of improvements … in one actual clinical
procedure (obtaining a lipid panel) may exaggerate improvements in the summary … Two of the eight practices experienced more difficulty in demonstrating improvements.
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psnet.ahrq.gov/node/43710/psn-pdf
October 06, 2016 - Improving medication administration safety: using naïve
observation to assess practice and guide improvements … Improving medication administration safety: using naïve
observation to assess practice and guide improvements
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psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
December 23, 2020 - reporting is an important tool for characterizing events and identifying opportunities for patient safety improvements … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements
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psnet.ahrq.gov/issue/design-and-implementation-analgesia-sedation-and-paralysis-order-set-enhance-compliance-pro
February 09, 2022 - how investment in human factors and ergonomics can contribute to healthcare quality and safety improvements … A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements
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psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
February 12, 2020 - Sidney Dekker , Charles Denham , and Lucian Leape ) take the hospital to task for focusing on narrow improvements … A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements
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psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
March 24, 2021 - Of the ten retrospective studies included in the review, all reported improvements following RCA-recommended … November 24, 2021
National improvements in resident physician-reported patient safety
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psnet.ahrq.gov/issue/temporal-trends-patient-safety-netherlands-reductions-preventable-adverse-events-or-end
June 30, 2021 - Patient safety advocates recognize the lack of appropriate measures to track improvements , and the … degree to which the nonsignificant reduction in preventable adverse events may actually signify real improvements
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter1.html
December 01, 2017 - guidance of the community and of Tribal leadership; and making positive, sustainable, and measurable improvements … current scientific research and evidence-based best practices, SDPI grant programs have made tremendous improvements … by those with diabetes has increased dramatically. 2 At the same time, there have been documented improvements
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/fetters.html
October 01, 2015 - Incremental improvements in PCMH implementation would also yield positive effects on quality of care … Incremental improvements in PCMH implementation were not associated with cost savings for either population … Additionally, the PCMH transformation efforts led to improvements in the process and quality of patient
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psnet.ahrq.gov/node/45803/psn-pdf
March 27, 2017 - The investigators found that integrated training that combines technical and social
improvements, such … as Lean, resulted in more effective improvements.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
June 02, 2025 - This exercise will help you better understand your culture and consider interventions that lead to improvements … the Culture Item Discussion Form (next page) to document the issues that surface and any suggested improvements
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digital.ahrq.gov/principal-investigator/federman-alex-d
January 01, 2023 - Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements … Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements
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psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
February 01, 2023 - April 29, 2018
IV vincristine survey shows safety improvements needed. … April 29, 2018
ADC survey shows some improvements, but unnecessary risks still exist.
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-slides.html
December 01, 2017 - Anticipate problems to help teams sustain improvements. … Slide 8: Premortem Exercise
Step 2
Generate the reasons for this failure to sustain improvements
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psnet.ahrq.gov/node/44776/psn-pdf
April 15, 2016 - Best practices for chemotherapy administration in
pediatric oncology: quality and safety process
improvements … Best Practices for Chemotherapy Administration in Pediatric
Oncology: Quality and Safety Process Improvements
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
June 01, 2023 - compliance with process measures (elements of your ISCR pathway), you can evaluate whether there are improvements … Discuss any issues with implementation and modify approach, as needed (see examples in month 4)
Update on improvements … Discuss any issues with implementation and modify approach, as needed (see examples in month 4)
Update on improvements … Discuss any issues with implementation and modify approach, as needed (see examples in month 4)
Update on improvements … Revisit activities/tips listed in months 10–12 to sustain your improvements and consider more opportunities