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digital.ahrq.gov/ahrq-funded-projects/comprehensive-information-technology-it-solution-quality-and-patient-safety
January 01, 2023 - Comprehensive Information Technology (IT) Solution for Quality and Patient Safety
Project Final Report ( PDF , 330.88 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 necessarily …
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digital.ahrq.gov/ahrq-funded-projects/improving-health-information-technology-implementation-rural-health-system/annual-summary/2008
January 01, 2008 - Improving Health Information Technology Implementation in a Rural Health System - 2008
Project Name
Improving Health Information Technology Implementation in a Rural Health System
Principal Investigator
Mingle, Daniel
Organization
Mainegeneral Medical Center
Funding M…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/95-tenn-join-us-handout.pdf
June 02, 2025 - Tenessee Heart Healthy Network Join Us Handout
The Tennessee Heart Health Network is a state-wide initiative
to support primary care practices and improve heart health
BENEFITS TO YOUR PRACTICE AND PATIENTS
By joining the TN Heart Health Network, your practice will:
• Get access to training and certification for …
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www.ahrq.gov/sops/events/webinars/just-culture.html
December 01, 2018 - Webcast: Using Just Culture To Improve Hospital SOPS Results
November 9, 2016
Summary
Speakers and Presentation Slides
Recordings
Transcript
Summary
On November 9, 2016, the Agency for Healthcare Research and Quality (AHRQ) hosted a webcast featuring Just Culture initiatives that helped improve …
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psnet.ahrq.gov/node/46784/psn-pdf
January 11, 2023 - Patient Safety Learning Laboratories: Advancing Patient
Safety through Design, Systems Engineering, and Health
Services Research (R18 Clinical Trial Optional).
January 11, 2023
Rockville, MD: Agency for Healthcare Research and Quality. PA-21-266.
https://psnet.ahrq.gov/issue/patient-safety-learning-laboratories-ad…
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psnet.ahrq.gov/node/45679/psn-pdf
January 03, 2018 - Global Guidelines on the Prevention of Surgical Site
Infection.
January 3, 2018
Global Guidelines on the Prevention of Surgical Site Infection.
https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
Efforts to reduce surgical site infections have achieved some success. The World Health O…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults4.html
September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Conclusion
Previous Page Next Page
Table of Contents
State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults
Introduction
Unique Challenges in Approaching Diagnostic Safety in …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship9.html
August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Conclusion
Previous Page Next Page
Table of Contents
Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Introduction
Background
Diagnostic Error in the Testing Process
Diagnostic …
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www.ahrq.gov/nursing-home/materials/index.html
March 01, 2022 - Materials by Topic
Following are selected COVID-19 nursing home safety and quality improvement resources for nursing homes on a range of topics including preventing the spread of COVID-19, vaccination, leadership, management and quality improvement, and staff and resident well-being.
Preventing the Spread o…
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psnet.ahrq.gov/node/72702/psn-pdf
February 03, 2021 - Outcomes from Wake Up Safe, the pediatric anesthesia
quality improvement initiative.
February 3, 2021
Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality
improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044.
https://psnet.ahrq.gov/issue/out…
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psnet.ahrq.gov/node/44294/psn-pdf
October 03, 2017 - You can't understand something you hide: transparency
as a path to improve patient safety.
October 3, 2017
Wachter R, Kaplan GS, Gandhi T, et al. Health Affairs Blog. June 22, 2015.
https://psnet.ahrq.gov/issue/you-cant-understand-something-you-hide-transparency-path-improve-patient-
safety
Transparency is recogn…
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psnet.ahrq.gov/node/46222/psn-pdf
June 21, 2017 - Enhanced time out: an improved communication process.
June 21, 2017
Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570.
doi:10.1016/j.aorn.2017.03.014.
https://psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
The Universal Protocol requires hospitals t…
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psnet.ahrq.gov/node/43142/psn-pdf
June 15, 2014 - Development and sustainability of an inpatient-to-
outpatient discharge handoff tool: a quality improvement
project.
June 15, 2014
Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge
handoff tool: a quality improvement project. Jt Comm J Qual Patient Saf. 2014;40(5…
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psnet.ahrq.gov/node/33993/psn-pdf
March 02, 2011 - Improving patient care. My right knee.
March 2, 2011
Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5.
https://psnet.ahrq.gov/issue/improving-patient-care-my-right-knee
Dr. Donald Berwick writes this compelling piece as a personal reflection on the current deficiencies in
health…
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psnet.ahrq.gov/node/47979/psn-pdf
May 01, 2019 - Inpatient notes: just what the doctor ordered—checklists
to improve diagnosis.
May 1, 2019
Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor
Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.7326/M19-0829.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/866555/psn-pdf
August 21, 2024 - Using behavioral insights to strengthen strategies for
change. Practical applications for quality improvement in
healthcare.
August 21, 2024
Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical
applications for quality improvement in healthcare. J Patient Saf. 2024;20(5…
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psnet.ahrq.gov/node/45227/psn-pdf
January 21, 2017 - Implementing delivery room checklists and
communication standards in a multi-neonatal ICU quality
improvement collaborative.
January 21, 2017
Bennett SC, Finer N, Halamek LP, et al. Implementing Delivery Room Checklists and Communication
Standards in a Multi-Neonatal ICU Quality Improvement Collaborative. Jt Comm …
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psnet.ahrq.gov/node/46403/psn-pdf
September 06, 2017 - Supplemental Issue: Quality and Safety Education for
Nurses (QSEN) program.
September 6, 2017
Quality and Safety Education for Nurses.
https://psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program
Patient safety and quality improvement competencies are developed through interprof…
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psnet.ahrq.gov/node/42862/psn-pdf
January 15, 2014 - VA Health Care: Improvements Needed in Processes
Used to Address Providers' Actions That Contribute to
Adverse Events.
January 15, 2014
Draper D. Washington, DC: United States Government Accountability Office; December 3, 2013.
Publication GAO-14-55.
https://psnet.ahrq.gov/issue/va-health-care-improvements-needed…
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psnet.ahrq.gov/node/46425/psn-pdf
September 13, 2017 - Optimizing Crisis Resource Management to Improve
Patient Safety and Team Performance--A Handbook for
Acute Care Health Professionals.
September 13, 2017
Brindley P, Cardinal P, eds. Ottawa, ON, Canada: Royal College of Physicians and Surgeons of Canada;
2017. ISBN: 9781926588414.
https://psnet.ahrq.gov/issue/opti…