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psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - April 24, 2019
An inpatient fall prevention initiative in a tertiary care hospital.
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www.ahrq.gov/talkingquality/assess/evaluation-plan.html
January 01, 2023 - useful, if sometimes thorny, discussions about exactly what you are trying to achieve, for whom, in your initiative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-facguide.docx
January 01, 2017 - Diagnoses
SAY:
If you are trying to use VAP as your outcome measure to see if your quality improvement initiative
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section3.html
October 01, 2015 - CHIPRA team used demonstration funds to accelerate the timeline for implementing an ongoing statewide initiative
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psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - medicine have all
identified the reduction of wrong site surgeries as a high priority patient safety initiative
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ced-topic-refinement.pdf
November 01, 2022 - Informative international publications were the work by Drummond and colleagues,
which was part of an initiative … Data Quality
Framework: A Report of the Data Quality Subcommittee of the NEST Coordinating Center - An
initiative … NESTcc) Methods
Framework: A Report of the Methods Subcommittee of the NEST Coordinating Center - An
initiative … checklist for evaluating the quality of observational cohort
studies for decision-making support GRACE Initiative
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-topic-refinement.pdf
November 01, 2022 - Informative international publications were the work by Drummond and colleagues,
which was part of an initiative … Quality
Framework: A Report of the Data Quality Subcommittee of the NEST Coordinating Center - An
initiative … NESTcc) Methods
Framework: A Report of the Methods Subcommittee of the NEST Coordinating Center - An
initiative … checklist for evaluating the quality of observational cohort
studies for decision-making support GRACE Initiative
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/observational-research-scores_research.pdf
May 01, 2012 - DEcIDE 33: Summary Variables in Observational Resesarch: Propensity Scores and Disease Risk Scores
Research from the Developing Evidence to Inform Decisions about Effectiveness (DEcIDE) Network
May 2012
Effective Health Care Program
Research Reports
Number 33
Summary Variables in Observational Research:
Prop…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hypofractionated-radiation-therapy-draft-appendix-d2.xlsx
January 01, 2024 - Draft - Primary Hypofractionated Radiation Therapy for Localized Prostate Cancer: Appendix D2 Tables
Table D-2. Intervention Details
Author, year KQ Trial Arms, number Arm Group Total dose, Gy Total number of fractions Dose/fraction, Gy Type of Radiation Therapy Treatment duration, wk Detailed intervention descriptio…
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psnet.ahrq.gov/node/36167/psn-pdf
June 29, 2011 - Nurses' and nursing assistants' perceptions of patient
safety culture in nursing homes.
June 29, 2011
Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing
homes. Int J Qual Health Care. 2006;18(4):281-6.
https://psnet.ahrq.gov/issue/nurses-and-nursing-assistants-per…
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psnet.ahrq.gov/node/44948/psn-pdf
February 14, 2017 - Safer Healthcare: Strategies for the Real World.
February 14, 2017
Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016
https://psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world
Written by two leaders in the patient safety field, Charles Vincent and Rene Amalberti, this book is available
for free dow…
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psnet.ahrq.gov/node/36280/psn-pdf
May 27, 2011 - Types of unintended consequences related to
computerized provider order entry.
May 27, 2011
Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized
provider order entry. J Am Med Inform Assoc. 2006;13(5):547-56.
https://psnet.ahrq.gov/issue/types-unintended-consequences-rela…
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psnet.ahrq.gov/node/851184/psn-pdf
July 05, 2023 - What causes delays in diagnosing blood cancers? A rapid
review of the evidence.
July 5, 2023
Black GB, Boswell L, Harris J, et al. What causes delays in diagnosing blood cancers? A rapid review of
the evidence. Prim Health Care Res Dev. 2023;24:e26. doi:10.1017/s1463423623000129.
https://psnet.ahrq.gov/issue/what-…
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psnet.ahrq.gov/node/45537/psn-pdf
July 27, 2018 - Patient Safety in Ambulatory Settings.
July 27, 2018
Shekelle PG, Sarkar U, Shojania K, et al. Technical Brief No. 27. Rockville, MD: Agency for Healthcare
Research and Quality; October 2016. AHRQ Publication No. 16-EHC033-EF.
https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings
Most patient safety rese…
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psnet.ahrq.gov/node/47368/psn-pdf
September 12, 2018 - Using co-design to develop a collective leadership
intervention for healthcare teams to improve safety
culture.
September 12, 2018
Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for
Healthcare Teams to Improve Safety Culture. Int J Environ Res Public Health. 20…
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digital.ahrq.gov/ahrq-funded-projects/linking-rural-providers-improve-patient-care-and-health
January 01, 2023 - Linking Rural Providers to Improve Patient Care and Health
Project Description
Project Details -
Completed
Grant Number
P20 HS015023
Funding Mechanism(s)
Transforming Healthcare Quality Through Information Technology (THQIT) - Planning …
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psnet.ahrq.gov/node/837062/psn-pdf
May 11, 2022 - Moving on after critical incidents in health care: a
qualitative study of the perspectives and experiences of
second victims
May 11, 2022
Buhlmann M, Ewens B, Rashidi A. Moving on after critical incidents in health care: a qualitative study of the
perspectives and experiences of second victims. J Adv Nurs. 2022;78…
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psnet.ahrq.gov/node/46886/psn-pdf
August 01, 2018 - Support strategies for health care professionals who are
second victims.
August 1, 2018
Hauk L. Support strategies for health care professionals who are second victims. AORN J. 2018;107(6):P7-
P9. doi:10.1002/aorn.12291.
https://psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victi…
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psnet.ahrq.gov/node/47175/psn-pdf
July 19, 2018 - Resolving the productivity paradox of health information
technology: a time for optimism.
July 19, 2018
Wachter R, Howell MD. Resolving the Productivity Paradox of Health Information Technology: A Time for
Optimism. JAMA. 2018;320(1):25-26. doi:10.1001/jama.2018.5605.
https://psnet.ahrq.gov/issue/resolving-product…
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psnet.ahrq.gov/node/73655/psn-pdf
September 01, 2021 - Influence of organizational climate and clinician morale
on seclusion and physical restraint use in inpatient
psychiatric units.
September 1, 2021
Anderson E, Mohr DC, Regenbogen I, et al. Influence of organizational climate and clinician morale on
seclusion and physical restraint use in inpatient psychiatric unit…