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psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
June 21, 2016 - Study
Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma.
Citation Text:
Haut ER, Lau BD, Kraenzlin FS, et al. Improved prophylaxis and decreased rates o…
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psnet.ahrq.gov/issue/creating-safety-culture-childrens-and-womens-health-centre-british-columbia
June 03, 2020 - Commentary
Creating a safety culture at the Children's and Women's Health Centre of British Columbia.
Citation Text:
Verschoor KN, Taylor A, Northway TL, et al. Creating a safety culture at the Children's and Women's Health Centre of British Columbia. J Pediatr Nurs. 2007;22(1):81-6.
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psnet.ahrq.gov/issue/mapping-research-culture-and-safety-high-risk-organizations-arguments-sociotechnical
August 09, 2017 - Commentary
Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding of safety culture.
Citation Text:
Naevestad T-O. Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding of…
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psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
January 17, 2018 - Commentary
Not thinking clearly? Play a game, seriously!
Citation Text:
Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-1868. doi:10.1001/jama.2016.14174.
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DOI Google Scholar PubMed BibTeX EndNote X3 X…
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psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and
August 12, 2020 - Commentary
Systems approach and systems engineering applied to health care: improving patient safety and health care delivery.
Citation Text:
Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Ravitz AD, Sapirstein A, Pha…
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psnet.ahrq.gov/issue/public-comment-period-extended-strategies-improve-patient-safety-draft-report-congress-public
June 16, 2021 - Press Release/Announcement
Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine.
Citation Text:
Public comment period extended for strategies to improve patient safety: Draft Re…
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psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
August 30, 2023 - Commentary
The morbidity and mortality meeting: time for a different approach?
Citation Text:
Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-8. doi:10.1136/archdischild-2015-309536.
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DOI Googl…
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psnet.ahrq.gov/issue/moderate-success-quality-care-improvement-efforts-three-observations-situation
May 06, 2015 - Commentary
The moderate success of quality of care improvement efforts: three observations on the situation.
Citation Text:
Katz-Navon T, Naveh E, Stern Z. The moderate success of quality of care improvement efforts: three observations on the situation. International Journal for Qualit…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017167-kopal-final-report-2011.pdf
January 01, 2011 - Evaluation of a Computerized Clinical Decision Support System and EHR-Linked Registry to Improve the Management of Hypertension in a Community Health Center
Grant Final Report
Grant ID: 5R18HS017167
Evaluation of a Computerized Clinical Decision
Support System and EHR-Linked Registry to Improve
the Mana…
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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/46840/psn-pdf
June 20, 2018 - Interventions to improve employee health and well-being
within health care organizations: a systematic review.
June 20, 2018
Williams SP, Malik HT, Nicolay CR, et al. Interventions to improve employee health and well-being within
health care organizations: A systematic review. J Healthc Risk Manag. 2018;37(4):25-51…
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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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