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psnet.ahrq.gov/node/44529/psn-pdf
September 30, 2015 - Learning from no-fault treatment injury claims to improve
the safety of older patients.
September 30, 2015
Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam
Med. 2015;13(5):472-4. doi:10.1370/afm.1810.
https://psnet.ahrq.gov/issue/learning-no-fault-treatment…
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psnet.ahrq.gov/node/60627/psn-pdf
June 24, 2020 - Second opinions improve healthcare outcomes and
reduce costs.
June 24, 2020
Hébert AR. Second opinions improve healthcare outcomes and reduce costs. Employee Benefit News.
2020;June 8.
https://psnet.ahrq.gov/issue/second-opinions-improve-healthcare-outcomes-and-reduce-costs
Second opinions are a strategy for redu…
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psnet.ahrq.gov/node/50876/psn-pdf
April 22, 2021 - Veterans Accountability Improvement Act.
April 22, 2021
SB 1307, 117th Congress: 2021.
https://psnet.ahrq.gov/issue/veterans-accountability-improvement-act
Reporting clinicians who exhibit practice behaviors that are detrimental to safety is challenged by system
and cultural norms. This legislation aims to strengt…
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psnet.ahrq.gov/node/37432/psn-pdf
November 29, 2009 - The Pennsylvania Learning Exchange: Helping States
Improve and Integrate Patient Safety
Initiatives—Summary Report.
November 29, 2009
Hanlon C; Rosenthal J. Portland, ME: National Academy for State Health Policy; 2007.
https://psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate…
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psnet.ahrq.gov/node/41710/psn-pdf
November 08, 2012 - Improving teamwork on general medical units: when
teams do not work face-to-face.
November 8, 2012
McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams
do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478.
https://psnet.ahrq.gov/issue/improving-tea…
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psnet.ahrq.gov/node/34991/psn-pdf
June 22, 2009 - Use of failure mode and effects analysis in improving the
safety of i.v. drug administration.
June 22, 2009
Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug
administration. Am J Health Syst Pharm. 2005;62(9):917-20.
https://psnet.ahrq.gov/issue/use-failure-mode-an…
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psnet.ahrq.gov/node/36117/psn-pdf
July 19, 2006 - A Safer Place for Patients: Learning to Improve Patient
Safety.
July 19, 2006
House of Commons Committee on Public Accounts. London: The Stationery Office Limited; June 2006.
https://psnet.ahrq.gov/issue/safer-place-patients-learning-improve-patient-safety-0
Using data from approximately 974,000 patient safety inc…
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psnet.ahrq.gov/node/44760/psn-pdf
July 10, 2024 - Collaborative for Accountability and Improvement.
July 10, 2024
University of Washington.
https://psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
Communication-and-resolution programs (CRPs) are a promising strategy to improve respectful and
effective discussions with patients and families after …
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psnet.ahrq.gov/node/39915/psn-pdf
December 18, 2014 - Improving the quality of discharge communication with
an educational intervention.
December 18, 2014
Key-Solle M, Paulk E, Bradford K, et al. Improving the quality of discharge communication with an
educational intervention. Pediatrics. 2010;126(4):734-9. doi:10.1542/peds.2010-0884.
https://psnet.ahrq.gov/issue/im…
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psnet.ahrq.gov/node/851926/psn-pdf
August 02, 2023 - Improving Patient Safety Culture – A Practical Guide.
August 2, 2023
London, UK: NHS England; July 2023.
https://psnet.ahrq.gov/issue/improving-patient-safety-culture-practical-guide
A strong patient safety culture needs nurturing to serve as a foundation for launching and sustaining
improvements. This toolkit pro…
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digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-american/final-report
January 01, 2023 - Communication-Focused Technologies for Improving the Health of Young African-American Women - Final Report
Citation
Jack B, Bickmore T, Cuoco M, et al. Communication-Focused Technologies for Improving the Health of Young African-American Women - Final Report. (Prepared by Boston University under Contr…
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digital.ahrq.gov/location/usa-ms-jackson
January 01, 2023 - USA, MS, Jackson
The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology
Description
This project looked at the ability of EHRs to facilitate patient outcomes tracking, improve provider com…
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digital.ahrq.gov/ahrq-funded-projects/can-risk-score-alerts-improve-office-care-chest-pain/citation/electronic-risk
January 01, 2023 - Electronic risk alerts to improve primary care management of chest pain: a randomized, controlled trial.
Citation
Sequist TD, Morong SM, Marston A, et al. Electronic risk alerts to improve primary care management of chest pain: a randomized, controlled trial. J Gen Intern Med 2012;27(4):438-44.
…
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digital.ahrq.gov/ahrq-funded-projects/improving-uptake-and-use-personal-health-records/final-report
January 01, 2023 - Improving Uptake and Use of Personal Health Records - Final Report
Citation
Bates, D. Improving Uptake and Use of Personal Health Records - Final report. (Prepared by Brigham and Women's Hospital under Grant No. R18 HS018656). Rockville, MD: Agency for Healthcare Research and Quality, 2012.
PDF…
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-decision-support-evidence-based-pharmacotherapy-3
January 01, 2023 - Improving medication adherence in a regional healthcare information exchange using a scalable, claims-driven, and service-oriented approach.
Citation
Del Fiol G, Kawamoto K, LaPointe NM, et al. Improving medication adherence in a regional healthcare information exchange using a scalable, claims-driven…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
January 01, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requ…
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digital.ahrq.gov/ahrq-funded-projects/implementation-novel-multi-platform-evidence-based-clinical-decision-support
January 01, 2024 - Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System
Project Final Report ( PDF , 411.3 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessar…
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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - Patient Safety in Office-Based Care Settings
January 31, 2024
Ricciardi R, Lee M, Mossburg S. Patient Safety in Office-Based Care Settings. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
The Institute of Medicine’s 2000 publication To Err Is Human summarized res…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-riverside-handoffs-webcast-hansford.pdf
January 01, 2023 - Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Hansford and Murray
Assessing Patient Safety Culture to
Improve Hospital Handoffs
Ashley Hansford, BS, CPPS
Patient Safety Manager
Lauren Murray, MSN, RN, CMSRN
Director of Nursing, Med/Surg Unit
Riverside Health Sys…
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www.ahrq.gov/pqmp/publications/search.html?page=0
January 01, 2021 - All Publications
The following list presents materials published as a result of the AHRQ-CMS Pediatric Quality Measures Program (PQMP).
Results
1 - 25 of 107 Publications
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Provider Specialty and R…