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psnet.ahrq.gov/issue/target-achieve-zero-preventable-trauma-deaths-through-quality-improvement
March 03, 2011 - Study
A target to achieve zero preventable trauma deaths through quality improvement.
Citation Text:
Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159.
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psnet.ahrq.gov/issue/joint-commissions-ongoing-professional-practice-evaluation-process-costly-ineffective-and
July 01, 2017 - Study
The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture.
Citation Text:
Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ine…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/implement/action-plan.html
March 01, 2017 - Facility Action Plan Template
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplish the work. In order to implement activities identified, goals and obj…
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psnet.ahrq.gov/issue/avoiding-unintended-consequences-growth-medical-care-how-might-more-be-worse
April 24, 2018 - Commentary
Classic
Avoiding the unintended consequences of growth in medical care: how might more be worse?
Citation Text:
Fisher ES, Welch HG. Avoiding the unintended consequences of growth in medical care: how might more be worse? JAMA. 1999;281(5):446-53.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
May 01, 2017 - Module 3: PowerPoint Presentation
Management Practices for Sustainability
Module 3: Problem Solving
and Escalation
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-4-EF
May 2017
Module 3: Problem Solving and Escalation | ‹#›
AHRQ Safety Program for Ambulatory Surgery
Management Practices for…
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psnet.ahrq.gov/issue/expressing-concern-and-writing-it-down-experimental-study-investigating-transfer-information
November 17, 2014 - Study
Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover.
Citation Text:
Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing …
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psnet.ahrq.gov/issue/surgical-ward-round-checklist-improving-patient-safety-and-clinical-documentation
March 17, 2021 - Study
The surgical ward round checklist: improving patient safety and clinical documentation.
Citation Text:
Krishnamohan N, Maitra I, Shetty VD. The surgical ward round checklist: improving patient safety and clinical documentation. J Multidiscip Healthc. 2019;12:789-794. doi:10.2147/JM…
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psnet.ahrq.gov/issue/effectiveness-interventions-improve-adverse-drug-reaction-reporting-healthcare-professionals
August 28, 2024 - Review
Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review
Citation Text:
Li R, Zaidi STR, Chen T, et al. Effectiveness of interventions to improve adverse drug reaction reporting by healthcare pr…
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/monitor-patient-outcomes
January 01, 2013 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
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Integrating Behavioral Health & Primary Care
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digital.ahrq.gov/type-care/ambulatory-care
January 01, 2023 - Ambulatory Care
Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology
Description
This research develops and evaluates an artificial intelligence-enhanced pretreatment peer-review pr…
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psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting
March 09, 2022 - Study
An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.
Citation Text:
Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.…
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psnet.ahrq.gov/issue/measuring-and-improving-diagnostic-safety-primary-care-addressing-twin-pandemics-diagnostic
September 07, 2022 - Commentary
Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout.
Citation Text:
Olson APJ, Linzer M, Schiff GD. Measuring and Improving Diagnostic Safety in Primary Care: Addressing the “Twin” Pandemics of Di…
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psnet.ahrq.gov/issue/final-report-prioritization-patient-safety-practices-new-rapid-review-or-rapid-response
December 21, 2022 - Book/Report
Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series.
Citation Text:
Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer …
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psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement
August 01, 2012 - Commentary
Omissions of care in nursing homes: a uniform definition for research and quality improvement.
Citation Text:
Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11…
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psnet.ahrq.gov/issue/comparison-and-interpretation-urinalysis-performed-nephrologist-versus-hospital-based
March 14, 2016 - Study
Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory.
Citation Text:
Tsai JJ, Yeun JY, Kumar VA, et al. Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laborato…
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psnet.ahrq.gov/issue/reported-medication-events-paediatric-emergency-research-network-sharing-improve-patient
April 03, 2013 - Study
Reported medication events in a paediatric emergency research network: sharing to improve patient safety.
Citation Text:
Shaw KN, Lillis KA, Ruddy RM, et al. Reported medication events in a paediatric emergency research network: sharing to improve patient safety. Emerg Med J. 20…
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psnet.ahrq.gov/issue/using-co-design-develop-collective-leadership-intervention-healthcare-teams-improve-safety
October 02, 2019 - Commentary
Emerging Classic
Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture.
Citation Text:
Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for He…
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digital.ahrq.gov/health-care-theme/technology-usability
January 01, 2023 - Technology Usability
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation…
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psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient
June 15, 2016 - Study
Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety.
Citation Text:
Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection prevention and control campaign fo…
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digital.ahrq.gov/ahrq-funded-projects/examining-feasibility-and-effectiveness-mhealth-solution-designed-enhance
August 01, 2024 - Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain
Project Description
Improving patient engagement in physical therapy (PT) through remote therapeutic monit…