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psnet.ahrq.gov/node/841760/psn-pdf
December 21, 2022 - Pursuit of "endpoint diagnoses" as a cognitive forcing
strategy to avoid premature diagnostic closure.
December 21, 2022
Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to
avoid premature diagnostic closure. Diagnosis (Berl). 2022;9(4):421-429. doi:10.1515/dx-202…
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psnet.ahrq.gov/node/45142/psn-pdf
November 18, 2016 - Explanation and elaboration of the SQUIRE (Standards for
Quality Improvement Reporting Excellence) Guidelines,
V.2.0: examples of SQUIRE elements in the healthcare
improvement literature.
November 18, 2016
Goodman D, Ogrinc G, Davies L, et al. Explanation and elaboration of the SQUIRE (Standards for Quality
Impro…
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psnet.ahrq.gov/node/43188/psn-pdf
May 21, 2014 - Training induces cognitive bias: the case of a simulation-
based emergency airway curriculum.
May 21, 2014
Park C, Stojiljkovic L, Milicic B, et al. Training induces cognitive bias: the case of a simulation-based
emergency airway curriculum. Simul Healthc. 2014;9(2):85-93. doi:10.1097/SIH.0b013e3182a90304.
https:/…
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psnet.ahrq.gov/node/44051/psn-pdf
August 02, 2015 - Sustainability and long-term effectiveness of the WHO
surgical safety checklist combined with pulse oximetry in
a resource-limited setting: two-year update from Moldova.
August 2, 2015
Kim RY, Kwakye G, Kwok AC, et al. Sustainability and long-term effectiveness of the WHO surgical safety
checklist combined with pu…
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psnet.ahrq.gov/node/46376/psn-pdf
December 07, 2017 - User-centered collaborative design and development of
an inpatient safety dashboard.
December 7, 2017
Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an
Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685.
doi:10.1016/j.jcjq.2017.05.010.
https…
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psnet.ahrq.gov/node/44493/psn-pdf
September 19, 2016 - Interventions in health organisations to reduce the impact
of adverse events in second and third victims.
September 19, 2016
Mira JJ, Lorenzo S, Carrillo I, et al. Interventions in health organisations to reduce the impact of adverse
events in second and third victims. BMC Health Serv Res. 2015;15:341. doi:10.1186/…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-4.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.4. Chronology of Quality Improvement and Lean at Suntown Hospital
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakev…
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psnet.ahrq.gov/node/72744/psn-pdf
February 17, 2021 - Association between in-clinic opioid administration and
discharge opioid prescription in urgent care: a
retrospective cohort study.
February 17, 2021
Calcaterra SL, Lou Y, Everhart RM, et al. Association between in-clinic opioid administration and discharge
opioid prescription in urgent care: a retrospective cohor…
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psnet.ahrq.gov/node/45745/psn-pdf
August 02, 2017 - Emergency diagnosis of cancer and previous general
practice consultations: insights from linked patient
survey data.
August 2, 2017
Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice
consultations: insights from linked patient survey data. Br J Gen Pract. 2017;67(65…
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psnet.ahrq.gov/node/44253/psn-pdf
August 24, 2015 - Acceptability and feasibility of the Leapfrog computerized
physician order entry evaluation tool for hospitals outside
the United States.
August 24, 2015
Cho IS, Lee J-H, Choi S-K, et al. Acceptability and feasibility of the Leapfrog computerized physician order
entry evaluation tool for hospitals outside the Unit…
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psnet.ahrq.gov/node/60005/psn-pdf
March 04, 2020 - What if?: Transforming Diagnostic Research by
Leveraging a Diagnostic Process Map to Engage Patients
in Learning from Errors.
March 4, 2020
Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A
Diagnostic Process Map To Engage Patients In Learning From Errors. Washin…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-questions.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making in Long Term Care_Questions
The Four Moments of
Antibiotic Decision Making
in Long-Term Care
Moment 1
Make the Diagnosis
Does the resident have symptoms
that suggest an infection?
• Fever
• Productive cough
• Dysuria
• Purulence from skin
• Warm, red skin
Moment 2
Cu…
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psnet.ahrq.gov/node/36045/psn-pdf
November 10, 2011 - IHI announces that hospitals participating in 100,000
Lives Campaign have saved an estimated 122,300 lives.
November 10, 2011
https://psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved-
estimated-122300-lives
In December 2004, the Institute for Healthcare Improvement (IHI) …
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www.ahrq.gov/sdoh/whats-new.html
December 01, 2020 - What’s New
AHRQ Releases a New Family of SDOH Data Files to Facilitate Research
One of AHRQ’s goals is to facilitate health services research, especially research that focuses on priority populations , by recognizing the impact from social determinants of health. Through funding from the Patient-Centered Out…
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psnet.ahrq.gov/node/34700/psn-pdf
January 04, 2017 - Reducing adverse drug events: lessons from a
breakthrough series collaborative.
January 4, 2017
Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough
series collaborative. Jt Comm J Qual Improv. 2000;26(6):321-31.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-event…
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psnet.ahrq.gov/node/48094/psn-pdf
June 19, 2019 - New persistent opioid use after postoperative intensive
care in US veterans.
June 19, 2019
Karamchandani K, Pyati S, Bryan W, et al. New Persistent Opioid Use After Postoperative Intensive Care
in US Veterans. JAMA Surg. 2019;154(8):778-780. doi:10.1001/jamasurg.2019.0899.
https://psnet.ahrq.gov/issue/new-persiste…
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psnet.ahrq.gov/node/73296/psn-pdf
May 19, 2021 - AHRQ Safety Program for Methicillin-Resistant
Staphylococcus Aureus Prevention. Request for Proposal
Comment.
May 19, 2021
Agency for Healthcare Research and Quality. May 3, 2021. Fed Register. 2021;86(83):23366-23369.
https://psnet.ahrq.gov/issue/ahrq-safety-program-methicillin-resistant-staphylococcus-aureus-pre…
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www.ahrq.gov/ncepcr/research/care-coordination/index.html
September 01, 2022 - Care Coordination
Care coordination, a key element for delivery of quality primary care, involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. This means that the patient's needs an…
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - CA-MRSA Skin Infections: An Ounce of Prevention is
Worth a Pound of Cure
October 1, 2012
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet].
2012.
https://psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
Case Objectives
Identify risk f…
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN
August 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…