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psnet.ahrq.gov/node/37671/psn-pdf
July 25, 2008 - Improving transfusion safety: implementation of a
comprehensive computerized bar code-based tracking
system for detecting and preventing errors.
July 25, 2008
Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a
comprehensive computerized bar code-based tracking system for de…
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psnet.ahrq.gov/node/41424/psn-pdf
June 27, 2012 - Practice-based learning and improvement: a two-year
experience with the reporting of morbidity and mortality
cases by general surgery residents.
June 27, 2012
Falcone JL, Lee KKW, Billiar TR, et al. Practice-based learning and improvement: a two-year experience
with the reporting of morbidity and mortality cases b…
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digital.ahrq.gov/principal-investigator/sun-carolyn-j
January 01, 2023 - Sun, Carolyn J.
IMProving Outcomes Related to Patients Through Advanced Nursing Technology (IMPORTANT) – Final Report
Citation
Sun C. IMProving Outcomes Related to Patients Through Advanced Nursing Technology (IMPORTANT) – Final Report. (Prepared by Hunter College under Grant …
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digital.ahrq.gov/organization/hawaii-primary-care-association
January 01, 2023 - Hawaii Primary Care Association
Holomua Project Improving Transitional Care in Hawaii - 2009
Principal Investigator
Sakuda, Christine M.
Project Name
Holomua Project Improving Transitional Care in Hawaii
Holomua Project-Improving Patient H…
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psnet.ahrq.gov/node/42413/psn-pdf
July 31, 2013 - A handoff protocol from the cardiovascular operating
room to cardiac ICU is associated with improvements in
care beyond the immediate postoperative period.
July 31, 2013
Kaufmnan J, Twite M, Barrett C, et al. A handoff protocol from the cardiovascular operating room to cardiac
ICU is associated with improvements i…
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psnet.ahrq.gov/node/41440/psn-pdf
August 17, 2016 - The Toolkit for Using the AHRQ Quality Indicators: How
To Improve Hospital Quality and Safety.
August 17, 2016
Rockville, MD: Agency for Healthcare Research and Quality; July 2016.
https://psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
This toolkit provides resou…
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psnet.ahrq.gov/node/42544/psn-pdf
December 18, 2013 - Communicating medication changes to community
pharmacy post-discharge: the good, the bad, and the
improvements.
December 18, 2013
Urban R, Paloumpi E, Rana N, et al. Communicating medication changes to community pharmacy post-
discharge: the good, the bad, and the improvements. Int J Clin Pharm. 2013;35(5):813-20.…
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psnet.ahrq.gov/node/42101/psn-pdf
April 03, 2013 - Applying Lean methods to improve quality and safety in
surgical sterile instrument processing.
April 3, 2013
Blackmore C, Bishop R, Luker S, et al. Applying lean methods to improve quality and safety in surgical
sterile instrument processing. Jt Comm J Qual Patient Saf. 2013;39(3):99-105.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/41188/psn-pdf
March 07, 2012 - Quality improvement and patient care checklists in
intrahospital transfers involving pediatric surgery
patients.
March 7, 2012
Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital
transfers involving pediatric surgery patients. J Pediatr Surg. 2012;47(1):112-8.
…
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psnet.ahrq.gov/node/43952/psn-pdf
March 04, 2015 - Improving resident morning sign-out by use of daily
events reports.
March 4, 2015
Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J
Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56.
https://psnet.ahrq.gov/issue/improving-resident-morning-sign-ou…
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psnet.ahrq.gov/node/42122/psn-pdf
May 23, 2013 - High-reliability emergency response teams in the
hospital: improving quality and safety using in situ
simulation training.
May 23, 2013
Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving
quality and safety using in situ simulation training. BMJ Qual Saf. 2013;2…
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psnet.ahrq.gov/node/44413/psn-pdf
October 07, 2015 - Improving transitions of care for patients on warfarin: the
Safe Transitions Anticoagulation Report.
October 7, 2015
Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe
transitions anticoagulation report. J Hosp Med. 2015;10(9):615-8. doi:10.1002/jhm.2393.
h…
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psnet.ahrq.gov/node/37262/psn-pdf
December 19, 2011 - Academic detailing to improve laboratory testing among
outpatient medication users.
December 19, 2011
Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient
medication users. Med Care. 2007;45(10):966-72.
https://psnet.ahrq.gov/issue/academic-detailing-improve-laborat…
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psnet.ahrq.gov/node/36106/psn-pdf
May 27, 2011 - Evidence-based red cell transfusion in the critically ill:
quality improvement using computerized physician order
entry.
May 27, 2011
Rana R, Afessa B, Keegan MT, et al. Evidence-based red cell transfusion in the critically ill: quality
improvement using computerized physician order entry. Crit Care Med. 2006;34(7…
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psnet.ahrq.gov/node/45545/psn-pdf
October 05, 2016 - How to Improve Electronic Health Record Usability and
Patient Safety.
October 5, 2016
Philadelphia, PA: Pew Charitable Trusts; September 6, 2016.
https://psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety
The usability of electronic health record (EHR) systems can affect clinici…
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psnet.ahrq.gov/node/34570/psn-pdf
March 07, 2005 - Measuring the Success of the Regional Medication Safety
Program for Hospitals.
March 7, 2005
Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
The Regional Medication Safety Prog…
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psnet.ahrq.gov/node/42380/psn-pdf
December 29, 2014 - Missed medication doses in hospitalised patients: a
descriptive account of quality improvement measures and
time series analysis.
December 29, 2014
Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive
account of quality improvement measures and time series analysi…
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psnet.ahrq.gov/node/47018/psn-pdf
June 13, 2018 - Opportunities to improve informed consent with AHRQ
training modules.
June 13, 2018
Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training
Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010.
https://psnet.ahrq.gov/issue/opportuniti…
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psnet.ahrq.gov/node/47288/psn-pdf
December 21, 2018 - Reframing and addressing horizontal violence as a
workplace quality improvement concern.
December 21, 2018
Taylor RA, Taylor SS. Reframing and addressing horizontal violence as a workplace quality improvement
concern. Nurs Forum. 2018;53(4):459-465. doi:10.1111/nuf.12273.
https://psnet.ahrq.gov/issue/reframing-and…
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psnet.ahrq.gov/node/34586/psn-pdf
July 21, 2009 - Sentara Norfolk General Hospital: accelerating
improvement by focusing on building a culture of safety.
July 21, 2009
Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by
focusing on building a culture of safety. Jt Comm J Qual Patient Saf. 2004;30(10):534-542.
http…