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www.ahrq.gov/news/newsroom/case-studies/202504.html
June 01, 2025 - Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety
Search All Impact Case Studies
June 2025
Harborview Medical Center in Seattle, Washington, has improved patient safety across its facilities using AHRQ’s Quality Indicators (QIs) — standardized measures used to assess and m…
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digital.ahrq.gov/ahrq-funded-projects/improving-health-information-technology-implementation-rural-health-system
January 01, 2023 - Improving Health Information Technology Implementation in a Rural Health System
Project Final Report ( PDF , 871.19 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 re…
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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/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/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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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/patient-safety/resources/mednet-guide/index.html
November 01, 2014 - Implementing a State-Level Quality Improvement Collaborative
A Resource Guide From the Medicaid Network for Evidence-based Treatment (MEDNET)
This Resource Guide is designed to help State agencies and policymakers, as well as other stakeholders, implement a State-level quality improvement collabor…
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digital.ahrq.gov/organization/avera-health
January 01, 2023 - Avera Health
Electronic Prescribing and Decision Support to Improve Rural Primary Care Quality - 2011
Principal Investigator
Veline, James
Project Name
Electronic Prescribing and Decision Support to Improve Rural Primary Care Quality
Elect…
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psnet.ahrq.gov/node/40108/psn-pdf
July 28, 2013 - Toward Improving the Outcome of Pregnancy: Enhancing
Perinatal Health Through Quality, Safety and Performance
Initiatives (TIOP III).
July 28, 2013
Berns SD, ed. White Plains, NY: March of Dimes; December 2010.
https://psnet.ahrq.gov/issue/toward-improving-outcome-pregnancy-enhancing-perinatal-health-through-
qua…
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psnet.ahrq.gov/node/41073/psn-pdf
January 18, 2012 - Quality improvement in medical education: current state
and future directions.
January 18, 2012
Wong BM, Levinson W, Shojania KG. Quality improvement in medical education: current state and future
directions. Med Educ. 2012;46(1):107-19. doi:10.1111/j.1365-2923.2011.04154.x.
https://psnet.ahrq.gov/issue/quality-im…
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psnet.ahrq.gov/node/37840/psn-pdf
June 28, 2016 - Engaging Patients as Safety Partners: a Guide for
Reducing Errors and Improving Satisfaction.
June 28, 2016
Spath P, ed. Chicago, IL: AHA Press; 2008. ISBN: 9781556483530.
https://psnet.ahrq.gov/issue/engaging-patients-safety-partners-guide-reducing-errors-and-improving-
satisfaction
This book discusses strategie…
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psnet.ahrq.gov/node/39476/psn-pdf
April 28, 2010 - Pharmacy–nursing intervention to improve accuracy and
completeness of medication histories.
April 28, 2010
Tessier EG, Henneman EA, Nathanson BH, et al. Pharmacy–nursing intervention to improve accuracy and
completeness of medication histories. American Journal of Health-System Pharmacy. 2010;67(8).
doi:10.2146/aj…
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psnet.ahrq.gov/node/836791/psn-pdf
August 21, 2024 - TeamSTEPPS for Diagnosis Improvement.
August 21, 2024
TeamSTEPPS for Diagnosis Improvement.
https://psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
The recognition of diagnosis as a team activity is energizing new diagnostic process initiatives. Building on
the established TeamSTEPPS® principles, this new Te…
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psnet.ahrq.gov/node/35695/psn-pdf
February 23, 2015 - Communication in critical care environments: mobile
telephones improve patient care.
February 23, 2015
Soto RG, Chu LF, Goldman JM, et al. Communication in critical care environments: mobile telephones
improve patient care. Anesth Analg. 2006;102(2):535-41.
https://psnet.ahrq.gov/issue/communication-critical-care-…
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psnet.ahrq.gov/node/41064/psn-pdf
March 02, 2012 - Blending evidence and innovation: improving intershift
handoffs in a multihospital setting.
March 2, 2012
Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a
multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097/NCQ.0b013e318241cb3b.
https://psnet.ahrq…
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psnet.ahrq.gov/node/40382/psn-pdf
May 25, 2011 - What has change management in industry got to do with
improving patient safety?
May 25, 2011
Noble DJ, Lemer C, Stanton E. What has change management in industry got to do with improving patient
safety? Postgrad Med J. 2011;87(1027):345-348. doi:10.1136/pgmj.2010.097923.
https://psnet.ahrq.gov/issue/what-has-chang…
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psnet.ahrq.gov/node/37191/psn-pdf
October 06, 2011 - Improving quality through effective implementation of
information technology in healthcare.
October 6, 2011
Øvretveit J, Scott T, Rundall TG, et al. Improving quality through effective implementation of information
technology in healthcare. Int J Qual Health Care. 2007;19(5):259-66.
https://psnet.ahrq.gov/issue/im…
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psnet.ahrq.gov/node/41009/psn-pdf
December 21, 2011 - Improving ambulatory patient safety: learning from the
last decade, moving ahead in the next.
December 21, 2011
Wynia MK, Classen DC. Improving Ambulatory Patient Safety. JAMA. 2011;306(22):2504-2505.
doi:10.1001/jama.2011.1820.
https://psnet.ahrq.gov/issue/improving-ambulatory-patient-safety-learning-last-decade-…
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psnet.ahrq.gov/node/41161/psn-pdf
February 22, 2012 - An education-service partnership to achieve safety and
quality improvement competencies in nursing.
February 22, 2012
Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement
Competencies in Nursing. Journal of Nursing Education. 2011;50(12). doi:10.3928/01484834-20110916-
02.
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psnet.ahrq.gov/node/36653/psn-pdf
January 18, 2011 - Enhancing patient safety: improving the patient handoff
process through appreciative inquiry.
January 18, 2011
Shendell-Falik N, Feinson M, Mohr BJ. Enhancing patient safety: improving the patient handoff process
through appreciative inquiry. J Nurs Adm. 2007;37(2):95-104.
https://psnet.ahrq.gov/issue/enhancing-pa…