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psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care
setting.
January 2, 2017
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/42399/psn-pdf
December 29, 2014 - Information technology interventions to improve
medication safety in primary care: a systematic review.
December 29, 2014
Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in
primary care: a systematic review. Int J Qual Health Care. 2013;25(5):590-8. doi:10.1093/intq…
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psnet.ahrq.gov/node/844040/psn-pdf
February 08, 2023 - A customized triggers program: a children's hospital's
experience in improving trigger usability.
February 8, 2023
Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's
experience in improving trigger usability. Pediatrics. 2023;151(2):e2022056452. doi:10.1542/peds.2022-…
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psnet.ahrq.gov/node/854820/psn-pdf
October 25, 2023 - A multi-method exploratory evaluation of a service
designed to improve medication safety for patients with
monitored dosage systems following hospital discharge.
October 25, 2023
Alqenae FA, Steinke DT, Belither H, et al. A multi-method exploratory evaluation of a service designed to
improve medication safety for …
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psnet.ahrq.gov/node/37534/psn-pdf
February 13, 2008 - Measurable outcomes of quality improvement in the
trauma intensive care unit: the impact of a daily quality
rounding checklist.
February 13, 2008
DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive
care unit: the impact of a daily quality rounding checklist. J …
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psnet.ahrq.gov/node/44626/psn-pdf
November 04, 2015 - "SWARMing" to improve patient care: a novel approach to
root cause analysis.
November 4, 2015
Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause
Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501.
https://psnet.ahrq.gov/issue/swarming-improve-patient-care-…
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www.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/index.html
March 01, 2021 - EvidenceNOW in Action
EvidenceNOW cooperatives have provided tailored support to small practices in their regions to help them use evidence and data to enhance patient care. For example, external consultants helped practices use their electronic health record data to identify at-risk patients and improve care. …
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psnet.ahrq.gov/node/40231/psn-pdf
February 23, 2011 - Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase.
February 23, 2011
Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase. BMJ. 2011;342:d199. doi:10.1136/bmj.d199…
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psnet.ahrq.gov/node/44687/psn-pdf
June 21, 2016 - Free From Harm: Accelerating Patient Safety
Improvement Fifteen Years After To Err Is Human.
June 21, 2016
Boston, MA: National Patient Safety Foundation; 2015.
https://psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-
human
This report provides an objective assessmen…
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psnet.ahrq.gov/node/47322/psn-pdf
September 12, 2018 - Crossing the Global Quality Chasm: Improving Health
Care Worldwide.
September 12, 2018
Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,
Engineering, and Medicine. Washington DC: National Academies Press; August 2018. ISBN:
9780309483087.
https://psnet.ahrq.gov/issue/cros…
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www.ahrq.gov/cahps/news-and-events/events/webinar-051222.html
June 01, 2022 - The Power of Patient Stories for Improving the Patient Experience (Webcast)
Thursday, May 12, 2022
Contents
Summary
Speakers and Presentation Slides
Recording
Summary
This AHRQ webcast provided an overview of the Consumer Assessment of Healthcare Providers and Systems (CAHPS ® ) Narrative Item…
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www.ahrq.gov/cpi/about/organization/orgchart/organizational-chart.html
July 01, 2025 - AHRQ Organization Chart
Office of the Director Roger D. Klein, M.D., J.D., FCAP, Director Mamatha S. Pancholi, Deputy Director for Programs Jeffrey "Jay" Toven, Executive Officer Office of Extramural Research, Education and Priority Populations Francis D. Chesley, Jr., M.D., Director Directs the sci…
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psnet.ahrq.gov/node/50855/psn-pdf
January 29, 2020 - Is one-pen, one-patient achievable in the hospital? A
quality improvement project to reduce risks of inadvertent
insulin pen sharing at a large academic medical center.
January 29, 2020
Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality
Improvement Project to Reduce Risks …
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digital.ahrq.gov/program/general-patient-safety-program-center-quality-improvement-and-patient-safety
January 01, 2023 - General Patient Safety Program, Center for Quality Improvement and Patient Safety
Program Link: https://www.ahrq.gov/patient-safety/index.html
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model…
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digital.ahrq.gov/principal-investigator/simonaitis-linas
January 01, 2023 - Simonaitis, Linas
Enhanced Medication Histories - Final Report
Citation
Simonaitis L. Enhanced Medication Histories - Final Report. (Prepared by Indiana University and Regenstrief Institute under Contract No. 290-06-0013-2.) AHRQ Publication No. 11-0077-EF. Rockville, MD: Agen…
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - Browse Author Resources
Meet PSNet's Editorial Team The PSNet editorial team is committed to producing the highest quality patient safety content. The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that PSNet content is accurate, reliable, and…
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integrationacademy.ahrq.gov/products/ibh-lexicon/practice-differences
July 01, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
September 01, 2005 - Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative
105
Using Reported Primary Care
Errors to Develop and Implement
Patient Safety Interventions: A
Report from the ASIPS Collaborative
David R. West, John M. Westfall, Rodrigo Araya-G…
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digital.ahrq.gov/ahrq-funded-projects/improving-rural-healthcare-transitions-through-health-information-exchange
January 01, 2023 - Improving Rural Healthcare Transitions Through Health Information Exchange
Project Final Report ( PDF , 659.26 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represe…
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digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2012
January 01, 2012 - Improving Laboratory Monitoring in Community Practices: A Randomized Trial - 2012
Project Name
Improving Laboratory Monitoring in Community Practices: A Randomized Trial
Principal Investigator
Simon, Steven
Organization
Brigham and Women's Hospital
Funding Mechanism
…