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psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-us-hospitals
December 12, 2014 - Facility and Group Administrators
Quality and Safety Professionals
Quality Improvement Strategies
Institutional
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psnet.ahrq.gov/issue/drill-down-root-cause-analysis
June 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional
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psnet.ahrq.gov/issue/checklist-recognize-limits-harness-its-power
September 07, 2016 - September 30, 2020
Establishing a multi-institutional quality and patient safety consortium
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psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-implementation
January 06, 2017 - November 8, 2013
Sleep deprivation: a call for institutional rules.
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psnet.ahrq.gov/issue/error-reduction-through-team-leadership-applying-aviations-crm-model-or
September 25, 2013 - Related Resources From the Same Author(s)
Sleep deprivation: a call for institutional
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psnet.ahrq.gov/issue/healthcare-management-strategies-interdisciplinary-team-factors
November 13, 2011 - Resources From the Same Author(s)
Interdisciplinary team training identifies discrepancies in institutional
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psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
September 21, 2009 - September 21, 2009
Institutional COVID-19 protocols: focused on preparation, safety,
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psnet.ahrq.gov/node/42166/psn-pdf
June 10, 2018 - Drawn curtains, muted alarms, and diverted attention lead
to tragedy in the postanesthesia care unit.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.
https://psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-
postanesthesia-care-unit
This n…
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psnet.ahrq.gov/node/36469/psn-pdf
September 27, 2010 - Evaluating sample medications in primary care: a
practice-based research network study.
September 27, 2010
Hansen LB, Saseen JJ, Westfall JM, et al. Evaluating sample medications in primary care: a practice-
based research network study. Jt Comm J Qual Patient Saf. 2006;32(12):688-692.
https://psnet.ahrq.gov/issue…
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www.ahrq.gov/evidencenow/tools/pdsa-form.html
November 01, 2018 - Fillable Plan Do Study Act (PDSA) Tool for Health Care Quality Improvement (QI)
Resource: Plan Do Study Act (PDSA) Form (PDF, 971 KB, 2 pages)
Practices can use this fillable Plan Do Study Act (PDSA) tool to design and test changes to improve health care quality. Using this form can be helpful to primary c…
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psnet.ahrq.gov/node/36189/psn-pdf
February 15, 2010 - Identification errors involving clinical laboratories: a
College of American Pathologists Q-Probes study of
patient and specimen identification errors at 120
institutions.
February 15, 2010
Pathologists C of A, Valenstein PN, Raab SS, et al. Identification errors involving clinical laboratories: a
College of Amer…
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www.ahrq.gov/cpi/about/nac/pcortf-snac/pincus.html
November 01, 2022 - Subcommittee Member: Harold A. Pincus
Harold A. Pincus, M.D.
Professor and Vice Chair
Department of Psychiatry
Co-Director
Irving Institute for Clinical and Translational Research
Columbia University
Harold A. Pincus, M.D., is professor and vice chair of the Department of Psychiatry and co-director of …
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psnet.ahrq.gov/node/41699/psn-pdf
July 08, 2016 - Best Care at Lower Cost: The Path to Continuously
Learning Health Care in America.
July 8, 2016
Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committee on the Learning Health Care System in
America, Institute of Medicine. Washington, DC: National Academies Press; 2012. ISBN: 9780309260732.
https://psnet.ahr…
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - MM : In terms of institutional programs, the current parlance for those is communication-and-resolution
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psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
March 01, 2008 - to dedicate the resources and faculty support to an untested endeavor was a direct reflection of the institutional
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - MM : In terms of institutional programs, the current parlance for those is communication-and-resolution
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www.ahrq.gov/sites/default/files/2024-01/zimring-report.pdf
January 01, 2024 - AHRQ Final Progress Report: Impacts of the Physical Environment on Healthcare
FINAL PROGRESS/STATUS REPORT
18 December 2006
IMPACTS OF THE PHYSICAL ENVIRONMENT ON HEALTHCARE
AHRQ Grant Identification Number: #1R13HS015962-01
Dates of the project: 9/1/2005–8/31/2006
Total amount of the project: $25,000
Goal of…
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psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state-hospitals
February 22, 2017 - Book/Report
Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals.
Citation Text:
Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018.
Copy …
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psnet.ahrq.gov/issue/pathways-patient-safety
May 06, 2015 - Toolkit
Pathways for Patient Safety.
Citation Text:
Pathways for Patient Safety. Chicago, IL: Health Research and Educational Trust, Institute for Safe Medication Practices, Medical Group Management Association; 2009.
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digital.ahrq.gov/sites/default/files/docs/citation/asthmacarewithhit_081011comp.pdf
July 01, 2011 - Pilot and Final Implementation Sites, Project Champions, and Implementation Activities ..... 16
Build Institutional … Build Institutional Support
Dr. … Brottman, Principal Investigator, is building institutional support among the
organizational leadership … Milestones and Timeline
Aspect of Project Milestone/Activity Milestone Completion Date
Build institutional … support –
clinics Pilot site warm-ups* complete May-June 2008
Build institutional support –
clinics