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psnet.ahrq.gov/node/846125/psn-pdf
March 15, 2023 - Update and Implement Clinical Protocols During a
Time of Crisis
March 15, 2023
https://psnet.ahrq.gov/innovation … Innovation Patient Safety Focus
The I-READI framework innovation provides a step-by-step guide for healthcare … The innovation also requires that team members have skills and experience with aggregate root-cause … However, the innovation team emphasizes that material resources are less important than the
ability … Adoption Considerations Use by Others (Use By Other Organizations)
The innovation team published an
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psnet.ahrq.gov/node/849598/psn-pdf
May 31, 2023 - Customized Alert Settings
Help Improve Management of Sepsis
May 31, 2023
https://psnet.ahrq.gov/innovation … The innovation team believes that the remote nature of the CAT is a key factor to the success of the … Innovation Patient Safety Focus
The innovation focused on reducing mortality by improving response to … Getting Started with This Innovation
To start the innovation, implementing teams must assess hospital … Sustaining This Innovation
According to the innovation team, to sustain the innovation requires the
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psnet.ahrq.gov/node/48014/psn-pdf
July 10, 2019 - Patient safety morning report: innovation in teaching core
patient safety principles to third-year medical … Patient Safety Morning Report: Innovation in Teaching Core
Patient Safety Principles to Third-Year Medical … https://psnet.ahrq.gov/issue/patient-safety-morning-report-innovation-teaching-core-patient-safety- … https://psnet.ahrq.gov/issue/patient-safety-morning-report-innovation-teaching-core-patient-safety-principles-third-year … https://psnet.ahrq.gov/issue/patient-safety-morning-report-innovation-teaching-core-patient-safety-principles-third-year
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psnet.ahrq.gov/node/40303/psn-pdf
May 16, 2019 - Safer Hospital Care: Strategies for Continuous
Innovation, Second Edition. … ISBN: 9780367178482
https://psnet.ahrq.gov/issue/safer-hospital-care-strategies-continuous-innovation … This publication provides various strategies to drive innovation in patient safety, including how to … https://psnet.ahrq.gov/issue/safer-hospital-care-strategies-continuous-innovation
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psnet.ahrq.gov/issue/facilitation-surgical-innovation-it-possible-speed-introduction-new-technology-while
August 20, 2018 - Study
Facilitation of surgical innovation: is it possible to speed the introduction … Facilitation of Surgical Innovation: Is It Possible to Speed the Introduction of New Technology While … In the field of surgery, innovation ranges from small improvements to drastic change, but there is … Facilitation of Surgical Innovation: Is It Possible to Speed the Introduction of New Technology While
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psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
July 23, 2024 - Share
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May 31, 2023
Innovation … Patient Safety Focus
The innovation was developed to prevent patient falls in inpatient facilities … Context of the Innovation
Patient falls during hospital stays are a common adverse event. … Sustaining This Innovation
The innovation team reports that sustaining the innovation requires several … 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/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
October 19, 2022 - System innovation: Concord Hospital.
Citation Text:
Uhlig PN, Brown J, Nason AK, et al. … System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672. … System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672.
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psnet.ahrq.gov/node/72737/psn-pdf
February 09, 2021 - Data-Driven Decision Making and MAT to
Reduce Mortality Rates
February 9, 2021
https://psnet.ahrq.gov/innovation … Results
The innovation has been successful at the following:3
Reduced all-cause mortality. … However, since establishing the innovation, clinical operations are now sustainable through reimbursement … Getting Started with This Innovation
When launching this innovation, the Geisinger team recommends keeping … Sustaining This Innovation
Geisinger has found that by establishing reimbursement contracts both with
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psnet.ahrq.gov/node/72837/psn-pdf
September 01, 2022 - Originally published on March 11, 2021
Last updated on March 16, 2021
https://psnet.ahrq.gov/innovation … Innovation Patient Safety Focus
https://psnet.ahrq.gov//#2
Project Nurture focuses on working with … Getting Started with This Innovation
When getting started with this innovation, there is a need for … Sustaining This Innovation
As mentioned, this innovation is unlikely to generate ROI or be financially … 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/60064/psn-pdf
March 18, 2020 - IHI Innovation Report.
March 18, 2020
Laderman M, Renton M. … https://psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation … https://psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-report … https://psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-report
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psnet.ahrq.gov/curated-library/video-library
August 10, 2025 - Process
PSNet’s Submit an Innovation feature allows organizations to share successfully implemented … Watch the video below to learn more about the Submit an Innovation process.
… Audio-Described Version (1 minute, 8 seconds)
Learn About the Submit an Innovation Process … Learn About the Submit an Innovation Process
PSNet’s Submit an Innovation feature allows organizations … Watch the video below to learn more about the Submit an Innovation process.
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psnet.ahrq.gov/node/39871/psn-pdf
September 22, 2010 - Kaiser Permanente's innovation on the front lines.
September 22, 2010
McCreary L. … Kaiser Permanente's innovation on the front lines. Harv Bus Rev. 2010;88(9):92, 94-7, 126. … https://psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines
This article describes how innovation … https://psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines
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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - Continue as a Guest
Track and save your innovation
in My Innovations
Edit your innovation … Your Innovations
Please select your preferred way to submit an innovation. … Note that even if you have an account, you can still choose to submit an innovation as a guest. … Continue as a Guest
Track and save your innovation
in My Innovations
Edit your innovation … Track and save your innovation
in My Innovations.
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psnet.ahrq.gov/node/47975/psn-pdf
May 29, 2019 - Surgical Innovation, New Techniques and Technologies:
A Guide to Good Practice. … https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice … https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice … https://psnet.ahrq.gov/issue/facilitation-surgical-innovation-it-possible-speed-introduction-new-technology-while
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation … In 2010, KP developed the e-Autopsy/e-Biopsy (eA/eB) methodology, an innovation designed to compile cases … Innovation Patient Safety Focus
The innovation focused on reducing diagnostic errors for certain diagnoses … Funding Sources
The innovation uses internal funding via hired staff at the organization. … 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/41064/psn-pdf
March 02, 2012 - Blending evidence and innovation: improving intershift
handoffs in a multihospital setting. … Blending evidence and innovation: improving intershift handoffs in a
multihospital setting. … https://psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital … https://psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital-setting … https://psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital-setting
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psnet.ahrq.gov/node/36564/psn-pdf
January 12, 2011 - Preventing medication errors in hospitals through a
systems approach and technological innovation: a … Preventing medication errors in hospitals through a systems approach and
technological innovation: a … psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-
technological-innovation … psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation … psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - Safety Nets to Reduce Missed and Delayed
Diagnoses of Cancer
July 31, 2023
https://psnet.ahrq.gov/innovation … Date First Implemented
2017-01-01
Problem Addressed
The purpose of the innovation is twofold: (1) … After the innovation team developed colonoscopy registries, a
chart review was conducted to confirm … Context of the Innovation
Across the field of radiology, there is concern about clinically necessary … Sustaining This Innovation
Keys to sustaining this innovation are as follows:
Seek and obtain support
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psnet.ahrq.gov/node/38406/psn-pdf
January 23, 2012 - Enhancing safety reporting in adult ambulatory oncology
with a clinician champion: a practice innovation … Enhancing safety reporting in adult ambulatory oncology with a
clinician champion: a practice innovation … psnet.ahrq.gov/issue/enhancing-safety-reporting-adult-ambulatory-oncology-clinician-champion-
practice-innovation … psnet.ahrq.gov/issue/enhancing-safety-reporting-adult-ambulatory-oncology-clinician-champion-practice-innovation … psnet.ahrq.gov/issue/enhancing-safety-reporting-adult-ambulatory-oncology-clinician-champion-practice-innovation
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psnet.ahrq.gov/node/34589/psn-pdf
January 04, 2017 - System
innovation: Veterans Health Administration National
Center for Patient Safety. … System innovation:
Veterans Health Administration National Center for Patient Safety. … https://psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-veterans-health … https://psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-veterans-health-administration … https://psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-veterans-health-administration