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psnet.ahrq.gov/node/35500/psn-pdf
February 22, 2010 - Toward a new paradigm in hospital-based pediatric
education: the development of an onsite simulator
program.
February 22, 2010
Weinstock PH, Kappus LJ, Kleinman ME, et al. Toward a new paradigm in hospital-based pediatric
education: the development of an onsite simulator program. Pediatr Crit Care Med. 2005;6(6):6…
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psnet.ahrq.gov/node/844055/psn-pdf
February 08, 2023 - National patient safety goal to improve health care equity.
February 8, 2023
R3 Report. December 20, 2022;38:1-8.
https://psnet.ahrq.gov/issue/national-patient-safety-goal-improve-health-care-equity
Health care inequities persist despite increasing awareness they negatively affect quality, safety, and
patient cent…
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psnet.ahrq.gov/node/845655/psn-pdf
March 08, 2023 - Crisis in the Lakeshore Hospital ER.
March 8, 2023
Derfel A. Montreal Gazette. February 24- March 1, 2023
https://psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er
Emergency room failures are often rooted in system weaknesses. This series examines six patient deaths
associated with emergency care that, w…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3obj.html
October 01, 2014 - Module 3: Falls Prevention and Management
Learning and Performance Objectives
Previous Page Next Page
Table of Contents
Module 3: Falls Prevention and Management
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Appendix. Additional Tools and Resources
Know…
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www.ahrq.gov/patients-consumers/patient-involvement/patients-risk-of-falls.html
September 01, 2015 - New Tools Help Health Providers Reduce Patients' Risk of Falls
For older adults, falls are serious, no matter the setting. These falls can cause bone fractures, disability, and even death. Among people 75 and older, falls are far more likely to cause admissions into a long term care facility than for adults 10…
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www.ahrq.gov/ncepcr/tools/transform-qi/facilitation/sms-heart-health.html
February 01, 2025 - Implementing Self-Management Support for Heart Health
Resource: Self-Management Support Strategies for Improving CVD Risk Factors—Practice Engagement! (PPTX, 248 KB) This presentation describes the evidence for providing self-management support (SMS) and distinguishes it from patient education. It explains t…
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digital.ahrq.gov/organization/fairview-health-services
January 01, 2023 - Fairview Health Services
A Community-Shared Clinical Abstract to Improve Care - 2010
Principal Investigator
Connelly, Donald
Project Name
A Community-Shared Clinical Abstract to Improve Care
A Community-Shared Clinical Abstract to Improve …
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psnet.ahrq.gov/node/39161/psn-pdf
December 09, 2009 - Medication reconciliation at an academic medical center:
implementation of a comprehensive program from
admission to discharge.
December 9, 2009
Murphy EM, Oxencis CJ, Klauck JA, et al. Medication reconciliation at an academic medical center:
implementation of a comprehensive program from admission to discharge. A…
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psnet.ahrq.gov/node/45747/psn-pdf
December 21, 2016 - Implementing No Interruption Zones in the perioperative
environment.
December 21, 2016
Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-
540. doi:10.1016/j.aorn.2016.09.018.
https://psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environme…
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www.ahrq.gov/evidencenow/tools/asprin-workflow.html
November 01, 2018 - Aspirin Workflow: Ensuring Evidence-Based Care with Medical Assistants
Resource: Aspirin Workflow (PDF, 112 KB, 1 page)
This workflow shows how medical assistants can provide a check to ensure that evidence-based care is delivered, which supports Key Driver 4: Create and support high functioning teams to …
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www.ahrq.gov/takeheart/assessing/index.html
August 01, 2023 - Assessing TAKEheart
Through our assessment of TAKEheart, we learned many lessons that will help guide future work in this area.
Our Evaluation Report Executive Summary describes the project activities, key findings, lessons learned, and recommendations for future similar efforts. Our Hybrid Cardiac Rehabilita…
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psnet.ahrq.gov/node/41966/psn-pdf
January 30, 2013 - Reasons for not reporting patient safety incidents in
general practice: a qualitative study.
January 30, 2013
Kousgaard MB, Joensen AS, Thorsen T. Reasons for not reporting patient safety incidents in general
practice: a qualitative study. Scand J Prim Health Care. 2012;30(4):199-205.
doi:10.3109/02813432.2012.732…
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www.ahrq.gov/evidencenow/projects/urinary/resources/healthy-hearts-recruitment-letter.html
January 01, 2019 - Back to MUI Resources
Healthy Hearts Northwest Practice Recruitment Letter
Resource
Available on the AHRQ website
Summary
This resource is an example of a recruitment flyer that describes the research project, the benefits of practice participation, and a form that practices …
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www.ahrq.gov/evidencenow/projects/urinary/resources/partnerships-heart-health.html
January 01, 2019 - Back to MUI Resources
Join the Primary Care Partnerships to Advance Heart Health Recruitment Flyer
Resource
Available on the AHRQ website (PDF, 495 KB)
Summary
This practice recruitment flyer from the EvidenceNow Healthy Hearts NYC project is an example of how to present the …
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psnet.ahrq.gov/node/44487/psn-pdf
September 23, 2015 - Patient safety and quality improvement: terminology.
September 23, 2015
Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev.
2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology
To Err Is…
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psnet.ahrq.gov/node/837001/psn-pdf
April 27, 2022 - Final Report of the Ockenden Review.
April 27, 2022
London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294.
https://psnet.ahrq.gov/issue/final-report-ockenden-review
Maternal and baby harm in healthcare is a sentinel event manifested by systemic failure. This report serves
as the final conclusions of an i…
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psnet.ahrq.gov/node/45808/psn-pdf
December 19, 2017 - A concept analysis of systems thinking.
December 19, 2017
Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum.
2017;52(4):323-330. doi:10.1111/nuf.12196.
https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking
Systems thinking focuses on enabling an organization t…
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psnet.ahrq.gov/node/45809/psn-pdf
October 29, 2017 - Three perspectives on changes in resident work
environment and duty hours.
October 29, 2017
Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908.
https://psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
In July 2017, the ACGME modified resident physici…
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www.ahrq.gov/pqmp/measures/initial-risk-assessment.html
August 01, 2021 - Initial Risk Assessment for Immobility-Related Pressure Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission
Measure Domain: Management of Acute Conditions
Measure Sub-Domain: Pediatric Intensive Care Unit (PICU)
PQMP COE: PMCOE
Associated NQF # and Name: None
Products:
Fact She…
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psnet.ahrq.gov/node/45788/psn-pdf
March 01, 2017 - Latest Results From the "FIRST" Trial.
March 1, 2017
J Am Coll Surg. 2017;224:103-159.
https://psnet.ahrq.gov/issue/latest-results-first-trial
The Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial examined residency program
response to duty hour rules. This special issue features studies ex…