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pbrn.ahrq.gov/evidencenow/tools/cvd-risk-calculator.html
February 01, 2022 - SHARE:
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EvidenceNOW
EvidenceNOW Model
Practice Facilitation
EvidenceNOW Projects
Tools for Change
Key Driver Diagram
Full Description of Key Drivers
More about the Diagram
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psnet.ahrq.gov/node/46292/psn-pdf
August 02, 2017 - Clinical alerts to decrease high-risk medication use in
older adults.
August 2, 2017
Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol
Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04.
https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
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www.ahrq.gov/evidencenow/tools/root-cause-analysis.html
February 01, 2025 - Using Root Cause Analysis to Improve Quality and Performance
Resource: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (PDF, 908 KB, 18 pages) Part of an AHRQ curriculum used to train practice facilitators, this resource describes how practices can use a roo…
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psnet.ahrq.gov/node/60064/psn-pdf
March 18, 2020 - Providing Safe, High-Quality Maternity Care in Rural US
Hospitals. IHI Innovation Report.
March 18, 2020
Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020.
https://psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-
report
Maternal care saf…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-online-disease-management-using-personal-health-record-system/final-report
January 01, 2023 - Patient-Centered Online Disease Management Using a Personal Health Record System - Final Report
Citation
Tang P. Patient-Centered Online Disease Management Using a Personal Health Record System - Final Report. (Prepared by Palo Alto Medical Foundation Research Institute under Grant No. R18 HS017179). …
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www.ahrq.gov/ncepcr/about/primary-care-research-conference-proceedings.html
January 01, 2023 - AHRQ’s 30th Anniversary Primary Care Research Conference: Proceedings
In December 2020, AHRQ held a Primary Care Research conference, which marked the 30th anniversary of the first primary care research conference convened in 1990 by the nascent Agency for Healthcare Policy and Research. The purpose of the 1990…
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psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
March 03, 2025 - IHI Patient Safety and Quality for Emerging Leaders
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Organization:
Organization
Institute for Healthcare Improvement (IHI)
…
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psnet.ahrq.gov/node/39819/psn-pdf
April 04, 2011 - Performance characteristics of a methodology to quantify
adverse events over time in hospitalized patients.
April 4, 2011
Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify
adverse events over time in hospitalized patients. Health Serv Res. 2011;46(2):654-78. doi:10.111…
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psnet.ahrq.gov/node/43186/psn-pdf
May 19, 2014 - ASPEN parenteral nutrition safety consensus
recommendations: translation into practice.
May 19, 2014
Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations:
translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.1177/0884533614531294.
https://psnet.ahr…
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psnet.ahrq.gov/node/60266/psn-pdf
April 29, 2020 - Diagnostic Strategy for the COVID-19 Pandemic – Bench
to Bedside to Blueprint for Policymakers.
April 22, 2020
Armstrong Institute for Patient Safety and Quality. April 29, 2020.
https://psnet.ahrq.gov/issue/diagnostic-strategy-covid-19-pandemic-bench-bedside-blueprint-policymakers
As the COVID-19 pandemic evolves…
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psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - Building a framework for trust: critical event analysis of
deaths in surgical care.
March 4, 2011
Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical
care. BMJ. 2005;330(7500):1139-42.
https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…
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psnet.ahrq.gov/node/47887/psn-pdf
August 07, 2019 - Nurses' safety motivation: examining predictors of
nurses' willingness to report medication errors.
August 7, 2019
Farag A, Lose D, Gedney-Lose A. Nurses' Safety Motivation: Examining Predictors of Nurses' Willingness
to Report Medication Errors. West J Nurs Res. 2019;41(7):954-972. doi:10.1177/0193945918815462.
h…
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psnet.ahrq.gov/node/43425/psn-pdf
July 03, 2016 - Graduate medical education's new focus on resident
engagement in quality and safety: will it transform the
culture of teaching hospitals?
July 3, 2016
Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and
Safety. Acad Med. 2014;89(10):1328-1330. doi:10.1097/acm.00000000000…
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psnet.ahrq.gov/node/38887/psn-pdf
August 26, 2009 - Measuring patient safety culture: an assessment of the
clustering of responses at unit level and hospital level.
August 26, 2009
Smits M, Wagner C, Spreeuwenberg P, et al. Measuring patient safety culture: an assessment of the
clustering of responses at unit level and hospital level. Quality and Safety in Health Ca…
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psnet.ahrq.gov/node/40878/psn-pdf
March 02, 2012 - Neonatal intensive care unit safety culture varies widely.
March 2, 2012
Profit J, Etchegaray J, Petersen L, et al. Neonatal intensive care unit safety culture varies widely. Arch Dis
Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635.
https://psnet.ahrq.gov/issue/neonatal-intensive-ca…
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psnet.ahrq.gov/node/851067/psn-pdf
June 28, 2023 - Assessing medication safety in settings not designated
solely for pediatric patients.
June 28, 2023
ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5.
https://psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients
Pediatric patients are at increa…
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psnet.ahrq.gov/node/46324/psn-pdf
August 09, 2017 - IHI Framework for Improving Joy in Work.
August 9, 2017
Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a…
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psnet.ahrq.gov/node/40962/psn-pdf
December 14, 2011 - American College of Surgeons' Committee on Trauma
performance improvement and patient safety program:
maximal impact in a mature trauma center.
December 14, 2011
Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma
Performance Improvement and Patient Safety program: …
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psnet.ahrq.gov/node/34890/psn-pdf
February 17, 2011 - Electronic alerts to prevent venous thromboembolism
among hospitalized patients.
February 17, 2011
Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized
patients. N Engl J Med. 2005;352(10):969-77.
https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thro…
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psnet.ahrq.gov/node/42191/psn-pdf
June 25, 2013 - Chemotherapy medication errors in a pediatric cancer
treatment center: prospective characterization of error
types and frequency and development of a quality
improvement initiative to lower the error rate.
June 25, 2013
Watts RG, Parsons K. Chemotherapy medication errors in a pediatric cancer treatment center: pro…