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psnet.ahrq.gov/node/37372/psn-pdf
August 06, 2008 - Hospitals look to improve informed consent process.
August 6, 2008
O'Reilly KB.
https://psnet.ahrq.gov/issue/hospitals-look-improve-informed-consent-process
This article discusses the impact of health literacy on patient care and describes initiatives to improve
patients' comprehension of informed consent for proc…
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www.ahrq.gov/nursing-home/resources/core-elements-antibiotic-stewardship.html
June 01, 2021 - Core Elements of Antibiotic Stewardship for Nursing Homes
Resource: Core Elements of Antibiotic Stewardship for Nursing Homes
This document adapts the CDC Core Elements of Hospital Antibiotic Stewardship into practical ways to initiate or expand antibiotic stewardship activities in nursing homes.
Source: …
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psnet.ahrq.gov/node/38858/psn-pdf
August 12, 2009 - Quality and Safety Education.
August 12, 2009
Dolansky MA, Singh MK, eds. Qual Manag Health Care. 2009;18(3):149-227.
https://psnet.ahrq.gov/issue/quality-and-safety-education
This special issue covers topics related to implementing successful patient safety and quality educational
initiatives, such as curriculum …
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psnet.ahrq.gov/node/41980/psn-pdf
January 16, 2013 - Handoff Communication Tools.
January 16, 2013
Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8.
https://psnet.ahrq.gov/issue/handoff-communication-tools
This newsletter issue highlights initiatives and tools developed to improve handoff communication in
Massachusetts.
https://psnet.ahrq…
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pso.ahrq.gov/pso/apollo-publishing-inc
January 14, 2009 - SHARE:
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Apollo Publishing, Inc.
PSO Number: P0031 Components of Parent Org(s): N/A
Effective Date and Time of I…
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pso.ahrq.gov/pso/acce-healthcare-technology-foundation
November 26, 2008 - SHARE:
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ACCE Healthcare Technology Foundation
PSO Number: P0017 Components of Parent Org(s): N/A
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pso.ahrq.gov/pso/failsafe-pso
September 22, 2017 - SHARE:
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FailSafe PSO
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Newsura, Inc.
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www.ahrq.gov/topics/medication-safety.html
Topic: Medication: Safety
AHRQ offers patient education materials for healthcare professionals to reduce risks related to adverse drug events, including links to fact sheets, research, and government initiatives.
California Hospital Reduced Infections, Improved Diabetes C…
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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-Aydin_2.pdf
January 01, 2021 - Healthcare Improvement’s (IHI) 2006 “Protecting 5 Million
Lives from Harm” pressure ulcer prevention initiative
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs027248-kowalkowski-final-report-2023.pdf
January 01, 2023 - Personalized Clinical Decision Support to Improve Participation in Hospital at Home – Final Report
Personalized Clinical Decision Support to Improve Participation in Hospital at
Home
Final Report
Principal Investigators:
Marc Kowalkowski, PhD
Andrew McWilliams, MD, MPH
Team Members:
Shih-Hsiung Chou, Ph…
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - 2021
Patient Safety Innovations
Missouri Quality Initiative
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psnet.ahrq.gov/node/73202/psn-pdf
April 28, 2021 - An initiative to improve the management of clinically
significant test results in a large health care
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psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - Meds-to-Beds Programs
Meds-to-Beds (M2B) is a unique quality improvement initiative aimed at preventing
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
July 01, 2023 - institution level)
7
4 Rs
SCRIPT
AIM is a national data‐driven maternal safety and quality improvement initiative
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - July 14, 2010
Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus
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psnet.ahrq.gov/node/33976/psn-pdf
December 18, 2008 - Medical errors: overcoming the challenges.
December 18, 2008
Kalra J. Medical errors: overcoming the challenges. Clin Biochem. 2004;37(12):1063-71.
https://psnet.ahrq.gov/issue/medical-errors-overcoming-challenges
This commentary introduces several initiatives intended to help reduce medical error, such as developm…
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psnet.ahrq.gov/node/36677/psn-pdf
February 21, 2007 - Hospitals win safety award for simple changes.
February 21, 2007
Sipkoff M. Drug Topics. January 22, 2007.
https://psnet.ahrq.gov/issue/hospitals-win-safety-award-simple-changes
This article spotlights two Philadelphia hospitals recognized for their innovative medication safety initiatives:
use of color-coded sto…
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psnet.ahrq.gov/node/39167/psn-pdf
February 16, 2011 - Quality and Safety in Medicine.
February 16, 2011
Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.
https://psnet.ahrq.gov/issue/quality-and-safety-medicine
This collection of articles highlights efforts to improve quality and safety in academic health centers by
establishing teamwork initiat…
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pso.ahrq.gov/pso/community-medical-foundation-patient-safety
January 07, 2009 - SHARE:
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Community Medical Foundation for Patient Safety
PSO Number: P0029 Components of Parent Org(s): N/A
Effe…
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BREF PSO
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Biomedical Research and Education Foundation
Ef…