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psnet.ahrq.gov/node/46099/psn-pdf
May 31, 2017 - A quality improvement approach to standardization and
sustainability of the hand-off process.
May 31, 2017
Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and
Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1).
doi:10.1136/bmjquality.u222156.w8291.
https:…
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psnet.ahrq.gov/node/46996/psn-pdf
May 23, 2018 - How to incorporate quality improvement and patient
safety projects in your training.
May 23, 2018
Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety
Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.1053/j.gastro.2018.03.044.
https://psnet…
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psnet.ahrq.gov/node/60532/psn-pdf
May 27, 2020 - Improving timely recognition and treatment of sepsis in
the pediatric ICU.
May 27, 2020
Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU.
Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005.
https://psnet.ahrq.gov/issue/improv…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/checkpoint-tool.docx
June 01, 2021 - Directions: This tool is intended to help facilities with formulate and execute local antibiotic stewardship interventions. When initiating an intervention, complete this form to the extent possible, and update it to document progress during the intervention. Checkpoint Tool – Long-Term Care
AHRQ Safety Program for Imp…
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psnet.ahrq.gov/node/866244/psn-pdf
July 10, 2024 - Optimizing the use of dose error reduction software on
intravenous infusion pumps.
July 10, 2024
Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous
infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385.
https://psnet.ahrq.gov/issue/optimizi…
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psnet.ahrq.gov/node/46772/psn-pdf
March 04, 2019 - Case: a second victim support program in pediatrics:
successes and challenges to implementation.
March 4, 2019
Dukhanin V, Edrees HH, Connors CA, et al. Case: A Second Victim Support Program in Pediatrics:
Successes and Challenges to Implementation. J Pediatr Nurs. 2018;41:54-59.
doi:10.1016/j.pedn.2018.01.011.
h…
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psnet.ahrq.gov/node/852451/psn-pdf
August 16, 2023 - The impact of transition to a digital hospital on
medication errors (TIME study).
August 16, 2023
Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors
(TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w.
https://psnet.ahrq.gov/issue/imp…
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psnet.ahrq.gov/node/45563/psn-pdf
October 19, 2016 - Using a change model to reduce the risk of surgical site
infection.
October 19, 2016
Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-
955.
https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
Surgical site infections can resul…
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psnet.ahrq.gov/node/44450/psn-pdf
November 23, 2016 - The wisdom of patients and families: ignore it at our peril.
November 23, 2016
Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603-
604. doi:10.1136/bmjqs-2015-004573.
https://psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
Narrative elemen…
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psnet.ahrq.gov/node/47989/psn-pdf
August 14, 2019 - Ambulatory safety nets to reduce missed and delayed
diagnoses of cancer.
August 14, 2019
Emani S, Sequist TD, Lacson R, et al. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
of Cancer. Jt Comm J Qual Patient Saf. 2019;45(8):552-557. doi:10.1016/j.jcjq.2019.05.010.
https://psnet.ahrq.gov/issue/ambula…
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psnet.ahrq.gov/node/72683/psn-pdf
January 27, 2021 - Analysis of patient safety risk management call data
during the COVID?19 pandemic.
January 27, 2021
Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID?19
pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457.
https://psnet.ahrq.gov/issue/analysis-patien…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-3.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Developing Your Charter
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Buildi…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-18.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.18. Major Factors that Facilitate Lean Success
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Ca…
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psnet.ahrq.gov/node/45528/psn-pdf
October 26, 2016 - Implementing the RISE second victim support programme
at the Johns Hopkins Hospital: a case study.
October 26, 2016
Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the
Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. doi:10.1136/bmjopen-2016-011708.
…
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psnet.ahrq.gov/node/45044/psn-pdf
May 11, 2016 - Creating a nurse-led culture to minimize horizontal
violence in the acute care setting: a multi-interventional
approach.
May 11, 2016
Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in
the Acute Care Setting: A Multi-Interventional Approach. J Nurses Prof Dev.…
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psnet.ahrq.gov/node/44105/psn-pdf
April 29, 2015 - What to expect when you're evaluating healthcare
improvement: a concordat approach to managing
collaboration and uncomfortable realities.
April 29, 2015
Brewster L, Aveling E-L, Martin G, et al. What to expect when you're evaluating healthcare improvement: a
concordat approach to managing collaboration and uncomfo…
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psnet.ahrq.gov/node/43201/psn-pdf
May 21, 2014 - New HHS Data Shows Major Strides Made in Patient
Safety, Leading to Improved Care and Savings.
May 21, 2014
Washington, DC: US Department of Health and Human Services; May 7, 2014.
https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-
care-and-savings
Comparing safety…
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www.ahrq.gov/patient-safety/settings/hospital/resource/index.html
February 01, 2025 - Hospitals and Health Systems
Tools and resources for Hospitals, Long-term Care Facilities, and Primary Care Facilities
Hospital Resources Toolkits, recommendations, and other resources for hospitals and hospital administrators to improve quality, reduce errors, and increase patient safety. Communication and O…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-intro.pdf
May 18, 2023 - HCBS CAHPS Survey Database: What You Need to Know - INTRO
Participating in the 2022 CAHPS® Home and
Community-Based Services (HCBS CAHPS)
Survey Database: What You Need to Know
A Webcast Presented by the AHRQ CAHPS User Network
May 18, 2023
12:30 – 1:30 pm ET
2
Webcast Technical Info
• Audio issues
• Poor C…
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psnet.ahrq.gov/node/838127/psn-pdf
September 21, 2022 - Opioid dependence and overdose after surgery: rate, risk
factors, and reasons.
September 21, 2022
Wylie JA, Kong L, Barth RJ. Opioid dependence and overdose after surgery: rate, risk factors, and
reasons. Ann Surg. 2022;276(3):e192-e198. doi:10.1097/sla.0000000000005546.
https://psnet.ahrq.gov/issue/opioid-depende…