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psnet.ahrq.gov/node/47275/psn-pdf
November 19, 2018 - The authors found
the innovation to be widely accepted by perioperative teams, demonstrating its potential … universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
https://psnet.ahrq.gov/issue/innovation-perioperative-patient-safety
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psnet.ahrq.gov/issue/development-pilot-study-and-psychometric-analysis-ahrq-surveys-patient-safety-culture-sops
December 09, 2020 - Patient Safety Innovations
Rescue Improvement Conference Innovation … Innovation, and Innovation Hubs.
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psnet.ahrq.gov/node/73852/psn-pdf
October 27, 2021 - https://psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention … https://psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care … https://psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
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psnet.ahrq.gov/node/60267/psn-pdf
March 01, 2021 - Health
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovation … Disclaimer
This innovation was identified by the AHRQ PSNet Editorial Team from the AHRQ Health Care … This particular innovation was identified by the Editorial Team as one of continued interest and importance … Context of the Innovation
Founded as a ministry of the Cathedral Church of St. … Innovation Patient Safety Focus
The SASH program personalized care coordination services successfully
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psnet.ahrq.gov/node/74691/psn-pdf
January 01, 2021 - of Medicine Revised
Safer Diagnosis (Safer Dx) Instrument
January 26, 2022
https://psnet.ahrq.gov/innovation … the tool (e.g., Safer Stroke Dx)
have found it to yield accurate results.4,5
https://psnet.ahrq.gov/innovation … https://psnet.ahrq.gov//mailto:hardeeps@bcm.edu
Context of the Innovation
Wrong or delayed diagnoses … Sustaining This Innovation
Sustainability is more likely if the work can be embedded into an existing … Additionally, sustaining the innovation requires the following:
Prioritizing diagnosis-related initiatives
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psnet.ahrq.gov/innovation/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
September 08, 2021 - Innovation
Contact … The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation
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psnet.ahrq.gov/innovation/awareness-human-factors-operating-theatres-during-covid-19-pandemic
January 13, 2021 - Innovation
Contact … Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation … Patient Safety Innovations
Rescue Improvement Conference Innovation
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psnet.ahrq.gov/issue/wish-patient-safety-forum
June 24, 2015 - WISH Patient Safety Forum
Citation Text:
WISH Patient Safety Forum World Innovation … Share
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May 3, 2017
World Innovation … Cite
Citation
Citation Text:
WISH Patient Safety Forum World Innovation
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psnet.ahrq.gov/issue/roundtable-public-policy-affecting-patient-safety
June 15, 2016 - Preventing medication errors in hospitals through a systems approach and technological innovation … Innovation, and Innovation Hubs.
October 5, 2022
Who killed patient safety?
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psnet.ahrq.gov/node/47380/psn-pdf
September 05, 2018 - Operating management system for high reliability:
leadership, accountability, learning and innovation … Operating management system for high reliability: Leadership,
accountability, learning and innovation
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - Facebook
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February 23, 2022
Innovation … Innovation Patient Safety Focus
The initiative addresses the inappropriate use of, and complications … Context of the Innovation
The innovation took place in the context of increased use of PICCs, with … Sustaining This Innovation
The following actions can be useful to help sustain the innovation: 18 Designating … The inclusion of an innovation in PSNet does not constitute or imply an endorsement by the U.S.
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - Needs
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovation … Disclaimer
This innovation was identified by the AHRQ PSNet Editorial Team from the AHRQ Health Care … This particular innovation was identified by the Editorial Team as one of continued interest and importance … Frequent readmissions: The national Medicare 30-day readmission rate at the time of innovation
design … Getting Started with This Innovation
https://caretransitions.health/
https://caretransitions.health/
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psnet.ahrq.gov/issue/health-professional-networks-vector-improving-healthcare-quality-and-safety-systematic-review
December 13, 2023 - Analysis of programs that have successfully stimulated innovation to tackle safety issues, such as the … relationships in complex systems, and how these relationships influence dissemination of knowledge and innovation—has
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psnet.ahrq.gov/node/72618/psn-pdf
December 23, 2020 - Medical Decisions that Improve Care
Value and Quality of Care
December 23, 2020
https://psnet.ahrq.gov/innovation … https://psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions … rollout, but also those interventions that are not
working and should be suspended.1
Context of the Innovation … Getting Started with This Innovation
Get the health system or hospital leadership’s support. … Sustaining This Innovation
Some nudge projects will require a one-time change to the EHR.
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psnet.ahrq.gov/issue/implementing-comprehensive-unit-based-safety-program-cusp-improve-patient-safety-academic
April 21, 2016 - Operating management system for high reliability: leadership, accountability, learning and innovation … Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation … July 21, 2020
Influences on the adoption of patient safety innovation in primary care
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psnet.ahrq.gov/innovation/clinician-collaboration-improve-clinical-decision-support-clickbusters-initiative
October 21, 2020 - EMERGING INNOVATIONS
Clinician collaboration to improve clinical decision support: the Clickbusters initiative.
Citation Text:
Clinician collaboration to improve clinical decision support: the Clickbusters initiative. Mc Coy AB, Russo EM, Johnson KB, et al. Clinician collaboration to improve clini…
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psnet.ahrq.gov/innovation/implementation-medication-reconciliation-risk-stratification-tool-integrated-within
April 12, 2023 - EMERGING INNOVATIONS
Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.
Citation Text:
Chu ES, El-Kareh R, Biondo A, et al. Implementation of a medication reconciliation risk stratif…
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - Share
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April 7, 2022
Innovation … Innovation Patient Safety Focus
The focus of the innovation is the prevention of healthcare-associated … Getting Started with This Innovation
To get started with the innovation, members of the VTE Collaborative … Sustaining This Innovation
To make this innovation sustainable, the prospective collaborative team … The inclusion of an innovation in PSNet does not constitute or imply an endorsement by the U.S.
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psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety
July 14, 2021 - Innovation, and Innovation Hubs.
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psnet.ahrq.gov/issue/rise-health-coalition
January 08, 2020 - IHI Innovation Report. … Patient Safety Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation