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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - An example of a related initiative that I’m especially excited about is our learning and action network
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www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
April 01, 2013 - Along about that same time, our involvement with the CLABSI-CUSP initiative was a nice springboard for
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cdsic.ahrq.gov/sites/default/files/2023-08/User%20Guide_SMD%20Planning_%20Implementation_%20Reporting_508.pdf
January 01, 2023 - Establishing a multidisciplinary initiative for
interoperable electronic health record innovations at
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
April 02, 2018 - Timely Antibiotics for Children With Severe Sepsis or Septic Shock
1
Timely Antibiotics for Children with Severe Sepsis or
Septic Shock
Section 1. Basic Measure Information
1.A. Measure Name
Timely Antibiotics for Children with Severe Sepsis or Septic Shock
1.B. Measure Number
0230
1.C. Measure Descript…
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psnet.ahrq.gov/node/41701/psn-pdf
September 26, 2019 - The CUSP Method
September 26, 2019
The CUSP Method.
https://psnet.ahrq.gov/issue/cusp-method
The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital
by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in
several landmark pat…
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psnet.ahrq.gov/node/34995/psn-pdf
February 03, 2011 - The Research on Adverse Drug Events and Reports
(RADAR) project.
February 3, 2011
Bennett CL, Nebeker JR, Lyons A, et al. The Research on Adverse Drug Events and Reports (RADAR)
project. JAMA. 2005;293(17):2131-40.
https://psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project
This article su…
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psnet.ahrq.gov/node/44856/psn-pdf
September 29, 2017 - Antibiotic Stewardship in Acute Care: A Practical
Playbook.
September 29, 2017
National Quality Partners. Washington, DC: National Quality Forum; 2016.
https://psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook
Antimicrobial stewardship has been promoted as a strategy to improve patient safe…
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psnet.ahrq.gov/node/60755/psn-pdf
August 05, 2020 - Patient safety from executive hospital management to
wards: a qualitative study identifying factors influencing
implementation.
August 5, 2020
Conner T, Unsworth J, Machin A. Patient safety from executive hospital management to wards: a
qualitative study identifying factors influencing implementation. J Nurs Manag…
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psnet.ahrq.gov/node/847056/psn-pdf
April 05, 2023 - Early diagnosis of cancer: systems approach to support
clinicians in primary care.
April 5, 2023
Black GB, Lyratzopoulos G, Vincent CA, et al. Early diagnosis of cancer: systems approach to support
clinicians in primary care. BMJ. 2023;380:e071225. doi:10.1136/bmj-2022-071225.
https://psnet.ahrq.gov/issue/early-di…
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psnet.ahrq.gov/node/867527/psn-pdf
January 15, 2025 - Interventions to improve timely cancer diagnosis: an
integrative review.
January 15, 2025
Graber ML, Winters BD, Matin R, et al. Interventions to improve timely cancer diagnosis: an integrative
review. Diagnosis (Berl). 2024;Epub Oct 18. doi:10.1515/dx-2024-0113.
https://psnet.ahrq.gov/issue/interventions-improve-…
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psnet.ahrq.gov/node/46324/psn-pdf
August 09, 2017 - IHI Framework for Improving Joy in Work.
August 9, 2017
Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a…
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psnet.ahrq.gov/node/74871/psn-pdf
October 01, 2023 - AHRQ Safety Program for MRSA Prevention.
February 14, 2023
Rockville, MD: Agency for Healthcare Research and Quality. April 2022 – October 2023.
https://psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention
Methicillin-resistant Staphylococcus aureus (MRSA) infections are a persistent challenge in hospitals. Thi…
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psnet.ahrq.gov/node/44538/psn-pdf
October 21, 2015 - Timing of the diagnosis of attention-deficit/hyperactivity
disorder and autism spectrum disorder.
October 21, 2015
Miodovnik A, Harstad E, Sideridis G, et al. Timing of the Diagnosis of Attention-Deficit/Hyperactivity
Disorder and Autism Spectrum Disorder. Pediatrics. 2015;136(4):e830-7. doi:10.1542/peds.2015-1502.…
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psnet.ahrq.gov/node/43602/psn-pdf
October 15, 2014 - Classifying errors in preventable and potentially
preventable trauma deaths: a 9-year review using the
Joint Commission's standardized methodology.
October 15, 2014
Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma
deaths: a 9-year review using the Joint Com…
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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/46276/psn-pdf
August 02, 2017 - Vital signs: changes in opioid prescribing in the United
States, 2006-2015.
August 2, 2017
Guy GP, Zhang K, Bohm MK, et al. Vital Signs: Changes in Opioid Prescribing in the United States, 2006-
2015. MMWR Morb Mortal Wkly Rep. 2017;66(26):697-704. doi:10.15585/mmwr.mm6626a4.
https://psnet.ahrq.gov/issue/vital-sig…
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psnet.ahrq.gov/node/74729/psn-pdf
February 02, 2022 - Healing our own: a randomized trial to assess benefits of
peer support.
February 2, 2022
Rivera-Chiauzzi EY, Smith HA, Moore-Murray T, et al. Healing our own: a randomized trial to assess
benefits of peer support. J Patient Saf. 2022;18(1):e308-e314. doi:10.1097/pts.0000000000000771.
https://psnet.ahrq.gov/issue/h…
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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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psnet.ahrq.gov/node/45009/psn-pdf
March 30, 2016 - Fatal mistakes.
March 30, 2016
Kliff S. Vox Media. March 15, 2016.
https://psnet.ahrq.gov/issue/fatal-mistakes
Health professionals involved in medical errors experience psychological stress, which can have serious
consequences if they are unable to cope with their mistake. Reporting on the second victim phenomeno…
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www.ahrq.gov/opioids/whats-new/newsroom.html
December 01, 2022 - Opioids and Substance Use Disorders Newsroom
AHRQ's blog posts, infographics, and announcements on its latest efforts to help end the opioid epidemic.
AHRQ provides an overview of its ongoing work on opioids with regular posts on the AHRQ Views blog. The Agency also announces new findings and initiatives with…