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psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
March 23, 2012 - Book/Report
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care.
Citation Text:
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Washington DC: National Quality Forum; 2010.
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psnet.ahrq.gov/issue/evidence-under-judgment-can-we-oversee-our-own-decision-making
May 21, 2019 - Commentary
Evidence under judgment: can we oversee our own decision making?
Citation Text:
Zilberberg MD. Evidence Under Judgment. Arch Intern Med. 2011;171(16). doi:10.1001/archinternmed.2011.355.
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psnet.ahrq.gov/issue/preprinted-order-sets-safety-intervention-pediatric-sedation
April 16, 2010 - Study
Preprinted order sets as a safety intervention in pediatric sedation.
Citation Text:
Broussard M, Bass PF, Arnold CL, et al. Preprinted order sets as a safety intervention in pediatric sedation. J Pediatr. 2009;154(6):865-8. doi:10.1016/j.jpeds.2008.12.022.
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psnet.ahrq.gov/issue/call-excellence
May 20, 2009 - Commentary
A call to excellence.
Citation Text:
Clancy CM, Scully T. A call to excellence. Health Aff (Millwood). 2003;22(2):113-5.
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psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis
November 18, 2011 - Book/Report
Maximize Patient Safety with Advanced Root Cause Analysis.
Citation Text:
Maximize Patient Safety with Advanced Root Cause Analysis. Corbett C, Clapper C, Johnson KM, et al. Middleton, MA: HCPro; 2004. ISBN: 1578393485
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psnet.ahrq.gov/issue/benefits-rapid-response-system-community-hospital
July 02, 2019 - Commentary
Benefits of a rapid response system at a community hospital.
Citation Text:
Gessner P. Benefits of a Rapid Response System at a Community Hospital. The Joint Commission Journal on Quality and Patient Safety. 2016;33(6). doi:10.1016/s1553-7250(07)33040-7.
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psnet.ahrq.gov/issue/why-patient-safety-such-tough-nut-crack
May 03, 2023 - Commentary
Why patient safety is such a tough nut to crack.
Citation Text:
Leistikow IP, Kalkman CJ, de Bruijn H. Why patient safety is such a tough nut to crack. BMJ. 2011;342:d3447. doi:10.1136/bmj.d3447.
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psnet.ahrq.gov/issue/recognizing-ordinary-extraordinary-insight-way-we-work-improve-patient-safety-outcomes
December 12, 2012 - Commentary
Recognizing the ordinary as extraordinary: insight into the "way we work" to improve patient safety outcomes.
Citation Text:
Henneman EA. Recognizing the Ordinary as Extraordinary: Insight Into the "Way We Work" to Improve Patient Safety Outcomes. Am J Crit Care. 2017;26(4):27…
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psnet.ahrq.gov/issue/ncicle-pathways-excellence-expectations-optimal-clinical-learning-environment-achieve-safe
October 18, 2017 - Book/Report
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021.
Citation Text:
NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quali…
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psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes
December 10, 2024 - Meeting/Conference Proceedings
New AHRQ SOPS Workplace Safety Supplemental Item Set for Nursing Homes.
Citation Text:
New AHRQ SOPS Workplace Safety Supplemental Item Set for Nursing Homes. Agency for Healthcare Research and Quality. January 24, 2023.
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psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-best-practices
February 12, 2020 - Newspaper/Magazine Article
Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices.
Citation Text:
Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute care edition. July 3…
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psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-improve-safety
June 15, 2022 - Newspaper/Magazine Article
Education is “predictably disappointing” and should never be relied upon alone to improve safety.
Citation Text:
Education is “predictably disappointing” and should never be relied upon alone to improve safety. ISMP Medication Safety Alert! Acute care edition. …
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psnet.ahrq.gov/issue/taking-aim-infusion-confusion
June 06, 2018 - Commentary
Taking aim at infusion confusion.
Citation Text:
Burdeu G, Crawford R, Van de Vreede M, et al. Taking aim at infusion confusion. J Nurs Care Qual. 2006;21(2):151-159.
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psnet.ahrq.gov/issue/improving-patient-safety-intersection-safety-culture-clinician-and-staff-support-and-patient
April 15, 2015 - Book/Report
Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations.
Citation Text:
Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations. Miller RG, …
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psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
December 24, 2008 - Toolkit
Classic
TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety.
Citation Text:
TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. Department of Health and Human Services, Agency for Healthcare Research and Qua…
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digital.ahrq.gov/location/usa-dc-washington
January 01, 2023 - USA, DC, Washington
Improving Health Data Quality by Assessing and Enhancing Semantic Integrity
Description
This research will develop and validate advanced statistical and machine learning methods to assess and improve representational semantic integrity of terminologies in l…
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psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care-proceedings-workshop-brief
September 12, 2018 - Book/Report
Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief.
Citation Text:
Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC…
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digital.ahrq.gov/type-care/internal-medicine
January 01, 2023 - Internal Medicine
Real-Time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions
Description
This research will use digital health tools leveraging patient-reported outcomes and data from electronic health records to engage individuals with multiple…
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digital.ahrq.gov/ahrq-funded-projects/assessing-effects-ehr-optimization-interventions-primary-care
August 01, 2024 - Assessing the Effects of EHR Optimization Interventions in Primary Care
Project Description
Providing healthcare organizations with evidence-based insights may empower them to implement electronic health record (EHR)-optimization strategies that deliver maximum potential for im…
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digital.ahrq.gov/2020-year-review/research-summary/improving-care-transitions-hospitalized-patients-pharmacy-integrated-transitions-program
January 01, 2020 - Improving Care Transitions of Hospitalized Patients With the Pharmacy Integrated Transitions Program
Standardizing the hospital-to-skilled nursing facility transition by using a structured handoff between clinical teams along with a pharmacist to monitor patient medications during the transition may improve care co…