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4201. Using Data to Reduce Disparities and Improve Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/reduce-disparities.html
      February 01, 2025 - Using Data to Reduce Disparities and Improve Quality Resource: Using Data to Reduce Disparities and Improve Quality: A Guide for Health Care Organizations (PDF, 1 MB; 14 pages) This brief recommends strategies that primary care practices and health care organizations can use to effectively organize and inter…

4202. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43579/psn-pdf
      October 08, 2014 - Implications of Health Literacy for Public Health: Workshop Summary. October 8, 2014 Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; 2014. ISBN: 9780309303651. https://psnet.ahrq.gov/issue…

4203. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47738/psn-pdf
      February 06, 2019 - ISMP Guidelines for Safe Electronic Communication of Medication Information. February 6, 2019 Horsham, PA: Institute for Safe Medication Practices; January 2019. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information Inaccurate or incomplete data in electronic health reco…

4204. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47456/psn-pdf
      April 30, 2019 - ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. April 30, 2019 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices Standardized practices have not been uniformly adopted to support safe IV medicati…

4205. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74194/psn-pdf
      December 15, 2021 - Age-related COVID-19 vaccine mix-ups. December 15, 2021 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. December 6, 2021.  https://psnet.ahrq.gov/issue/age-related-covid-19-vaccine-mix-ups Vaccine missteps are known to …

4206. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72829/psn-pdf
      March 10, 2021 - Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. March 10, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and- optimization Alert…

4207. AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/pcor/index.html
      July 01, 2015 - AHRQ Projects Funded by the Patient-Centered Outcomes Research Trust Fund The Agency for Healthcare Research and Quality's (AHRQ) Patient-Centered Outcomes Research Trust Fund projects for training and career development, and dissemination and implementation. Public Law 111-148 established the Patient-Cente…

4208. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43633/psn-pdf
      November 05, 2014 - An integrative review: fatigue among nurses in acute care settings. November 5, 2014 Smith-Miller CA, Shaw-Kokot J, Curro B, et al. An integrative review: fatigue among nurses in acute care settings. J Nurs Adm. 2014;44(9):487-94. doi:10.1097/NNA.0000000000000104. https://psnet.ahrq.gov/issue/integrative-review-fa…

4209. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45668/psn-pdf
      September 29, 2017 - Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. September 29, 2017 Gupta R, Moriates C, Harrison JD, et al. Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. BMJ Qual Saf. 2017;26(6):475-483. doi:10.1136/bm…

4210. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40654/psn-pdf
      January 01, 2012 - The computerized rounding report: implementation of a model system to support transitions of care. December 15, 2011 Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7. doi:10.1016/j.jss.2011.04.015. …

4211. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42949/psn-pdf
      February 19, 2014 - Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. February 19, 2014 Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. Ann Pharmacot…

4212. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60711/psn-pdf
      July 22, 2020 - Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. July 22, 2020 Maa T, Scherzer DJ, Harwayne-Gidansky I, et al. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. J Allergy Clin Immunol Pract. 2020;8(4):1239-1246.e3. doi:10.1016/j.jaip.…

4213. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46551/psn-pdf
      October 25, 2017 - Inpatient notes: diagnostic excellence starts with an incessant watch. October 25, 2017 Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447. https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce…

4214. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840163/psn-pdf
      November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians…

4215. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43284/psn-pdf
      November 28, 2016 - Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. November 28, 2016 Corbally MT, Tierney E. Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. Int J Pediatr. 2014;2014:791490. doi:10.1155/2014/791490. htt…

4216. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41917/psn-pdf
      May 04, 2022 - ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding Technology. May 4, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-sterile-compounding-and-safe-use-sterile-compounding- technology This updated report describes b…

4217. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46640/psn-pdf
      August 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. August 8, 2018 Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044. https://psnet.ahrq.gov/issue/idea4ps-…

4218. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837000/psn-pdf
      May 06, 2022 - Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. May 6, 2022 Institute for Safe Medication Practices and the Just Culture Company. May 6, 2022. https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath- …

4219. How to Implement a Team-Based Model in Primary Care: Learning Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/practice-team.html
      November 01, 2018 - How to Implement a Team-Based Model in Primary Care: Learning Guide Resource: The Practice Team This online learning module provides a comprehensive overview and guidance for practices to implement a team-based model of primary care to enhance quality of care and productivity. Resources to support Key Drive…

4220. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42301/psn-pdf
      July 22, 2013 - Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. July 22, 2013 Ahmed M, Arora S, Baker P, et al. Building capacity and capability for patient safety education: a train-the- trainers programme for senior doctors. BMJ Qual Saf. 2013;22(8):618-25. doi:1…