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psnet.ahrq.gov/issue/integrating-implementation-science-quality-and-patient-safety-improvement-learning
January 24, 2024 - Study
Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and impact.
Citation Text:
Jeffs L, Bruno F, Zeng RL, et al. Integrating implementation science in a quality and patient safety improvement learning collabor…
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psnet.ahrq.gov/issue/improving-medication-reconciliation-comprehensive-evaluation-veterans-affairs-skilled-nursing
May 19, 2021 - Study
Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility.
Citation Text:
Baughman AW, Triantafylidis LK, O'Neil N, et al. Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing …
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psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety-incidents-primary
August 24, 2022 - Study
A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial.
Citation Text:
Chanelière M, Buchet-Poyau K, Keriel-Gascou M, et al. A multifaceted risk management program to improve the report…
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psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and
May 01, 2019 - Review
A systematic review of evidence on the links between patient experience and clinical safety and effectiveness.
Citation Text:
Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;…
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psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-pediatric-oncology-patients
July 19, 2023 - Study
Eliminating central line associated bloodstream infections in pediatric oncology patients: a quality improvement effort.
Citation Text:
Willis DN, Looper K, Malone RA, et al. Eliminating central line associated bloodstream infections in pediatric oncology patients: a quality improv…
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psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm
August 10, 2022 - Study
Classic
Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm.
Citation Text:
Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/faclearncusp.docx
January 01, 2009 - SAY:
The “Learn About CUSP” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit introduces CUSP and provides an overview of resources to use when applying the CUSP model.
Slide 1
SAY:
This module offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and expl…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-18.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.18. Major Factors that Facilitate Lean Success
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Ca…
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www.ahrq.gov/hai/telemedicine/index.html
June 01, 2024 - AHRQ Safety Program for Telemedicine
This ongoing implementation project is a national effort to develop and implement a bundle of evidence-based interventions to improve antibiotic use in the telemedicine environment.
About This Project The AHRQ Safety Program for Telemedicine will work directly with healthc…
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psnet.ahrq.gov/node/45743/psn-pdf
June 21, 2017 - Strategies for improving the value of the radiology report:
a retrospective analysis of errors in formally over-read
studies.
June 21, 2017
Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis
of errors in formally over-read studies. J Am Coll Radiol. 2017;1…
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psnet.ahrq.gov/node/45860/psn-pdf
July 21, 2017 - Modifying head nurse messages during daily
conversations as leverage for safety climate
improvement: a randomised field experiment.
July 21, 2017
Zohar D, Werber YT, Marom R, et al. Modifying head nurse messages during daily conversations as
leverage for safety climate improvement: a randomised field experiment. B…
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psnet.ahrq.gov/node/47398/psn-pdf
December 22, 2018 - Simulation-based clinical rehearsals as a method for
improving patient safety.
December 22, 2018
Arnold J, Cashin M, Olutoye OO. Simulation-Based Clinical Rehearsals as a Method for Improving Patient
Safety. JAMA Surg. 2018;153(12):1143-1144. doi:10.1001/jamasurg.2018.3526.
https://psnet.ahrq.gov/issue/simulation-…
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psnet.ahrq.gov/node/48126/psn-pdf
August 14, 2019 - Designing and pilot testing of a leadership intervention to
improve quality and safety in nursing homes and home
care (the SAFE-LEAD intervention).
August 14, 2019
Johannessen T, Ree E, Strømme T, et al. Designing and pilot testing of a leadership intervention to
improve quality and safety in nursing homes and hom…
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psnet.ahrq.gov/node/50872/psn-pdf
February 05, 2020 - An improved patient safety reporting system increases
reports of disruptive behavior in the perioperative setting.
February 5, 2020
Katz MG, Rockne WY, Braga R, et al. An improved patient safety reporting system increases reports of
disruptive behavior in the perioperative setting. Am J Surg. 2020;219(1):21-26.
do…
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psnet.ahrq.gov/node/44293/psn-pdf
July 08, 2015 - How can we improve the recognition, reporting and
resolution of medical device-related incidents in
hospitals? A qualitative study of physicians and
registered nurses.
July 8, 2015
Polisena J, Gagliardi AR, Clifford T. How can we improve the recognition, reporting and resolution of
medical device-related incident…
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psnet.ahrq.gov/node/42626/psn-pdf
October 02, 2013 - Improving patient safety in the ICU by prospective
identification of missing safety barriers using the Bow-Tie
prospective risk analysis model.
October 2, 2013
Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective
Identification of Missing Safety Barriers Using t…
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psnet.ahrq.gov/node/45783/psn-pdf
March 25, 2017 - Year-end resident clinic handoffs: narrative review and
recommendations for improvement.
March 25, 2017
Pincavage A, Donnelly MJ, Young JQ, et al. Year-End Resident Clinic Handoffs: Narrative Review and
Recommendations for Improvement. Jt Comm J Qual Patient Saf. 2017;43(2):71-79.
doi:10.1016/j.jcjq.2016.11.006.
…
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psnet.ahrq.gov/node/50748/psn-pdf
December 18, 2019 - Systematic review of interventions to improve safety and
quality of anticoagulant prescribing for therapeutic
indications for hospital inpatients
December 18, 2019
Frazer A, Rowland J, Mudge A, et al. Eur J Clin Pharmacol. 2019;75(12):1645-1657.
https://psnet.ahrq.gov/issue/systematic-review-interventions-imp…
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psnet.ahrq.gov/node/73659/psn-pdf
September 01, 2021 - Using a patient safety/quality improvement model to
assess telehealth for psychiatry and behavioral health
services among special populations during COVID-19 and
beyond.
September 1, 2021
Li L, Childs AW. J Psychiatr Pract. 2021;27(4):245-253.
https://psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-m…
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psnet.ahrq.gov/node/44942/psn-pdf
September 29, 2017 - Challenges in patient safety improvement research in the
era of electronic health records.
September 29, 2017
Russo E, Sittig DF, Murphy DR, et al. Challenges in patient safety improvement research in the era of
electronic health records. Healthc (Amst). 2016;4(4):285-290. doi:10.1016/j.hjdsi.2016.06.005.
https://…