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psnet.ahrq.gov/issue/thoughtless-design-electronic-health-record-drives-overuse-purposeful-design-can-nudge
July 17, 2024 - Commentary
Emerging Classic
Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care.
Citation Text:
Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purp…
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psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality
October 14, 2020 - Commentary
The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Imp…
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psnet.ahrq.gov/issue/increasing-use-smart-pump-drug-libraries-nurses-continuous-quality-improvement-project
September 09, 2020 - Commentary
Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.
Citation Text:
Harding AD. Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project. Am J Nurs. 2012;112(1):26-37. doi:10.1097/…
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psnet.ahrq.gov/issue/role-continuous-quality-improvement-and-psychological-safety-predicting-work-arounds
July 31, 2008 - Study
The role of continuous quality improvement and psychological safety in predicting work-arounds.
Citation Text:
Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44. do…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-qdr-appendixb-measure-category-2.pdf
January 01, 2023 - 2023 National Healthcare Quality and Disparities Report - Appendix B. Quality Trends and Disparities Tables: Access to Care
AHRQ Publication No. 23(24)-0091-EF
December 2023
2023 National Healthcare Quality and Disparities Report
Appendix B. Quality Trends and Disparities Tables: Access to Care
Access to healt…
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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapd.html
February 01, 2014 - Identifying Key Areas for Delivery System Research
Appendix D: Four Suggested Key Areas
Previous Page
Table of Contents
Identifying Key Areas for Delivery System Research
Executive Summary
Identifying Key Areas for Delivery System Research
Conclusion
References
Appendix A: Priority Topic…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-facilitator-guide.pdf
November 01, 2019 - Sustaining Stewardship Activities Acute Care
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Sustaining Stewardship Activities
Acute Care
Slide Title and Commentary Slide Number and Slide
Sustaining Stewardship Activities
Acute Care
SAY: …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
January 01, 2018 - Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from Idaho’s experience during the quality
demonstration funded by the Centers for Medicare
& Medicaid Services (CMS) through the C…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-baseline-sw.pdf
April 04, 2016 - ENSW Baseline Semi-Structured Interview Guide
…
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digital.ahrq.gov/ahrq-funded-projects/artificial-intelligence-based-health-it-tools-optimize-critical-care
January 01, 2025 - Artificial Intelligence-Based Health Information Technology Tools to Optimize Critical Care Pharmacist Resources Through Adverse Drug Event Prediction
Project Description
Publications
Research Story
Developing artificial intelligence-based health information technol…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly
January 01, 2023 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home
Project Final Report ( PDF , 218.24 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are r…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
April 21, 2008 - Patient Safety Learning Pilot: Narratives from the Frontlines
Patient Safety Learning Pilot: Narratives from
the Frontlines
Shirley E. Kellie, MD, MSc; James B. Battles, PhD; Nancy M. Dixon, PhD;
Harold S. Kaplan, MD; Barbara Rabin Fastman, MHA
Abstract
Although patient safety experts have focused on event…
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - Program Overview: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Program Overview
Say:
You have embarked on a unique journey.
Slide 2: Mead Quotation
Say:
Margaret Mead was a popular and sometimes controversial cultural anthropologist in the ’60s and ’70s. This statement still resona…
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www.ahrq.gov/antibiotic-use/long-term-care/safety/improve-use.html
June 01, 2021 - Improving Antibiotic Use Is a Patient Safety Issue
After viewing or presenting this presentation viewers will be able to—
Discuss the potential harms associated with antibiotic use.
Recognize that patient harm is largely preventable.
Recognize that changes to the system, not just to the behavior of …
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www.ahrq.gov/antibiotic-use/ambulatory-care/improve/prescribing.html
September 01, 2022 - Why Should Your Practice Focus on Improving Antibiotic Prescribing?
After viewing or presenting this presentation, viewers will be able to—
Explain why optimizing antibiotic prescribing is necessary for patient safety.
Understand how antibiotic stewardship teams can improve antibiotic prescribing practi…
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www.ahrq.gov/antibiotic-use/ambulatory-care/improve/communication.html
September 01, 2022 - Improving Communication Between Members of the Practice Around Antibiotic Decisions
After viewing or presenting this presentation, viewers will be able to—
Explain how to improve teamwork in the practice.
Identify members of the practice who should be involved in developing management strategies for pa…
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www.ahrq.gov/topics/hospital-discharge.html
Topic: Hospital Discharge
AHRQ has research, tools and resources for clinicians to improve the hospital discharge process, including the Re-Engineered Discharge Toolkit.
Improving Hospital Discharge Through Medication Reconciliation and Education
Improving the Emerg…
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psnet.ahrq.gov/node/40018/psn-pdf
November 17, 2010 - Emergency medicine quality improvement and patient
safety curriculum.
November 17, 2010
Kelly JJ, Thallner E, Broida RI, et al. Emergency Medicine Quality Improvement and Patient Safety
Curriculum. Academic Emergency Medicine. 2010;17. doi:10.1111/j.1553-2712.2010.00897.x.
https://psnet.ahrq.gov/issue/emergency-me…
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psnet.ahrq.gov/node/37082/psn-pdf
January 02, 2017 - Improving rapid response systems: progress, issues, and
future directions.
January 2, 2017
Ovretveit J, Suffoletto J-A. Improving rapid response systems: progress, issues, and future directions.
https://psnet.ahrq.gov/issue/improving-rapid-response-systems-progress-issues-and-future-directions
The authors discuss …
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psnet.ahrq.gov/node/36609/psn-pdf
January 14, 2011 - Anaesthetists' management of oxygen pipeline failure:
room for improvement.
January 14, 2011
Weller JM, Merry AF, Warman GR, et al. Anaesthetists' management of oxygen pipeline failure: room for
improvement. Anaesthesia. 2007;62(2):122-6.
https://psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failur…