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psnet.ahrq.gov/issue/organizational-culture-important-context-addressing-and-improving-hospital-community-patient
December 30, 2014 - Study
Organizational culture: an important context for addressing and improving hospital to community patient discharge.
Citation Text:
Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for addressing and improving hospital to community pa…
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psnet.ahrq.gov/issue/improving-safety-and-quality-care-enhanced-teamwork-through-operating-room-briefings
May 11, 2019 - Commentary
Improving safety and quality of care with enhanced teamwork through operating room briefings.
Citation Text:
Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10…
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digital.ahrq.gov/ahrq-funded-projects/improving-electronic-health-records-patient-education-materials
January 01, 2023 - Improving Electronic Health Records Patient Education Materials
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-09-00012I-4
Funding Mechanism(s)
National Resource Center for …
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psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-across-us
July 20, 2022 - Study
Implementation of an antibiotic stewardship program in long-term care facilities across the US.
Citation Text:
doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181.
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Format:
DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant
August 03, 2017 - Commentary
Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about.
Citation Text:
Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health care delivery system: you ca…
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psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety
September 03, 2011 - Study
Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.
Citation Text:
Lau H, Litman KC. Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. Jt Comm J Qual Patient Saf. 2011;37(9):400-408.
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psnet.ahrq.gov/issue/development-and-evaluation-3-day-patient-safety-curriculum-advance-knowledge-self-efficacy
July 01, 2016 - Study
Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students.
Citation Text:
Aboumatar HJ, Thompson DA, Wu AW, et al. Development and evaluation of a 3-day patient safety curriculum to advance knowl…
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psnet.ahrq.gov/issue/seips-101-and-seven-simple-seips-tools
October 03, 2013 - Commentary
SEIPS 101 and seven simple SEIPS tools.
Citation Text:
Holden RJ, Carayon P. SEIPS 101 and seven simple SEIPS tools. BMJ Qual Saf. 2021;30(11):901-910. doi:10.1136/bmjqs-2020-012538.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical-emergency-unit
January 04, 2010 - Study
Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit.
Citation Text:
McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469.…
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psnet.ahrq.gov/issue/positioning-continuing-education-boundaries-and-intersections-between-domains-continuing
July 03, 2016 - Review
Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement.
Citation Text:
Kitto S, Bell M, Peller J, et al. Positioning continuing education: boundaries and intersections …
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psnet.ahrq.gov/issue/informing-design-new-pragmatic-registry-stimulate-near-miss-reporting-ambulatory-care
January 12, 2011 - Review
Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care.
Citation Text:
Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3)…
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psnet.ahrq.gov/issue/improving-quality-and-safety-care-medical-ward-review-and-synthesis-evidence-base
November 03, 2015 - Review
Improving the quality and safety of care on the medical ward: a review and synthesis of the evidence base.
Citation Text:
Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A review and synthesis of the evidence base. Eur J Inte…
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psnet.ahrq.gov/issue/using-lean-automation-human-touch-improve-medication-safety-step-closer-perfect-dose
September 16, 2015 - Study
Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose."
Citation Text:
Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose". Jt Co…
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psnet.ahrq.gov/issue/equipped-overcoming-barriers-change-improve-quality-care-theories-change
May 23, 2018 - Commentary
Equipped: overcoming barriers to change to improve quality of care (theories of change).
Citation Text:
Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):1…
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psnet.ahrq.gov/issue/improving-diagnosis-feedback-and-deliberate-practice-one-one-coaching-diagnostic-maturation
July 06, 2022 - Study
Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation.
Citation Text:
Sinha P, Pischel L, Sofair AN. Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. Diagnosis (Berl). 2021;8(2):…
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digital.ahrq.gov/sites/default/files/docs/resource/Karen_Fox_IQHIT_Q4_Measures_of_Impact_for_BLUES_Project.pdf
June 16, 2021 - Measures of Impact for BLUES project
Measures of Impact for BLUES project
Lead Agency: Delta Health Alliance
There has been significant discussion about how to effectively measure the BLUES project’s
impact during the past quarter. Although no baseline data is available at this time, the table
below solidifie…
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digital.ahrq.gov/ahrq-funded-projects/self-management-reminders-technology-smart-appraisal-integrated-phr/annual-summary/2011
January 01, 2011 - Self Management & Reminders with Technology: SMART Appraisal of an Integrated PHR - 2011
Project Name
Self Management & Reminders with Technology: SMART Appraisal of an Integrated Personal Health Record
Principal Investigator
Roberts, Mark Stenius
Organization
University of P…
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psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system
July 08, 2020 - Commentary
Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system.
Citation Text:
Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …
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psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk-harm
December 06, 2017 - Book/Report
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm.
Citation Text:
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. Washington, DC: United States Government Accountability Office; October 201…
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psnet.ahrq.gov/issue/improving-patient-safety-avoiding-unread-imaging-exams-national-va-enterprise-electronic
March 12, 2025 - Study
Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record.
Citation Text:
Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 20…