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psnet.ahrq.gov/node/50781/psn-pdf
January 08, 2020 - Harnessing the power of medical malpractice data to
improve patient care.
January 8, 2020
Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care.
J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393.
https://psnet.ahrq.gov/issue/harnessing-power-medic…
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psnet.ahrq.gov/node/44531/psn-pdf
September 30, 2015 - Never Events for Hospital Care in Canada: Safer Care for
Patients.
September 30, 2015
Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN:
9781460666180.
https://psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients
The never events list was dev…
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psnet.ahrq.gov/node/60951/psn-pdf
September 23, 2020 - A Guide to Patient Safety Improvement: Integrating
Knowledge Translation & Quality Improvement
Approaches.
September 23, 2020
Edmonton, Alberta; Canadian Patient Safety Institute: 2020. ISBN: 9781926541846.
https://psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality-
im…
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www.ahrq.gov/evidencenow/projects/urinary/resources/interactive-pathway-flowchart.html
January 01, 2023 - Back to MUI Resources
Interactive Urinary Incontinence Care Pathway Flowchart
Resource
This document is available on the AHRQ website (PDF, 173 KB)
Summary
This UI care pathway flowchart was created using draw.io by the EMPOWER study team to aid practices participating in the…
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www.ahrq.gov/evidencenow/heart-health/cholesterol/guideline.html
September 01, 2018 - 2013 ACC/AHA Guideline on Treatment of Cholesterol to Reduce CVD
Resource title: 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults .
Resource description: This clinical guideline, published in Circulation in 2011, outlines how to treat hig…
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psnet.ahrq.gov/node/842775/psn-pdf
January 18, 2023 - Safer Together Survey: Advancing Patient and Workforce
Safety
January 18, 2023
Cambridge, MA: Institute for Healthcare Improvement: January 2023.
https://psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety
The National Steering Committee for Patient Safety (NSC) was formed to engage w…
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psnet.ahrq.gov/node/35186/psn-pdf
July 13, 2005 - Saving lives: hospitals have signed on to a six-part plan
to avoid a multitude of unnecessary deaths.
July 13, 2005
Comarow A. US News & World Report. July 2005
https://psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary-
deaths
This article, accompanying the widely r…
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psnet.ahrq.gov/node/44159/psn-pdf
July 08, 2016 - Vital Signs: Core Metrics for Health and Health Care
Progress.
July 8, 2016
Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost,
Institute of Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309324939.
https://psnet.ahrq.gov/issue/vital-signs-cor…
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www.ahrq.gov/evidencenow/projects/urinary/resources/our-time-heart-health.html
January 01, 2019 - Back to MUI Resources
This Is Our Time! Are you Ready? Heart Health Now! Recruitment Brochure
Resource
Document available on the AHRQ website (PDF, 882 KB)
Summary
This document provides an example of an EvidenceNOW Cooperative's recruitment brochure. This brochure outlines p…
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psnet.ahrq.gov/node/45724/psn-pdf
July 21, 2017 - Remembering to learn: the overlooked role of
remembrance in safety improvement.
July 21, 2017
Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual
Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547.
https://psnet.ahrq.gov/issue/remembering-learn-overlooked-role-rem…
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psnet.ahrq.gov/node/46272/psn-pdf
January 01, 2019 - Deployment of a second victim peer support program: a
replication study.
September 24, 2017
Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication
study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031.
https://psnet.ahrq.gov/issue/deployment-second-…
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psnet.ahrq.gov/node/42907/psn-pdf
August 02, 2015 - Innovation in safety, and safety in innovation.
August 2, 2015
Eisenberg D, Wren SM. Innovation in safety, and safety in innovation. JAMA Surg. 2014;149(1):7-9.
doi:10.1001/jamasurg.2013.5112.
https://psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation
This commentary discusses systems-focused innovations…
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psnet.ahrq.gov/node/44332/psn-pdf
July 29, 2015 - Health IT Safety Center Roadmap.
July 29, 2015
RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology;
July 2015.
https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap
The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…
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psnet.ahrq.gov/node/38211/psn-pdf
May 21, 2009 - Effectiveness of a barcode medication administration
system in reducing preventable adverse drug events in a
neonatal intensive care unit: a prospective cohort study.
May 21, 2009
Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration system
in reducing preventable adverse…
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psnet.ahrq.gov/node/846455/psn-pdf
March 22, 2023 - Diagnostic Centers of Excellence (X01 Clinical Trial Not
Allowed).
March 22, 2023
PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023
https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed
Approaching diagnosis as a team activity is seen as a key approach to di…
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psnet.ahrq.gov/node/37577/psn-pdf
July 12, 2016 - Optimizing Graduate Medical Trainee (Resident) Hours
and Work Schedules to Improve Patient Safety.
July 12, 2016
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident)
Hours and Work Schedules to Improve Patient Safety. 2009. Washington DC; Institute of Medicine: ISBN:
9781…
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psnet.ahrq.gov/node/45890/psn-pdf
February 15, 2017 - A Framework for Safe, Reliable, and Effective Care.
February 15, 2017
Frankel A, Haraden C, Federico F, Lenoci-Edwards J. Cambridge, MA: Institute for Healthcare
Improvement and Safe & Reliable Healthcare; 2017.
https://psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care
A systems approach to safety ca…
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www.ahrq.gov/evidencenow/tools/team-huddle.html
February 01, 2025 - Implementing a Daily Team Huddle—AMA CME Module
Resource: Daily Team Huddles Boost Productivity and Teamwork This toolkit helps to identify strategies to incorporate daily huddles into practice workflows, to devise daily huddle structure, and to measure the success of the daily huddle for revisions. The resour…
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psnet.ahrq.gov/node/837979/psn-pdf
August 31, 2022 - Maternal Health Research Centers of Excellence (U54
Clinical Trial Optional).
August 31, 2022
National Institutes of Health. August 11, 2022. RFA-HD-23-035.
https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional
Maternity care is increasingly being recognized as …
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psnet.ahrq.gov/node/863764/psn-pdf
March 06, 2024 - Medication errors 2023: the year in review: January
through December.
March 6, 2024
Pharmacy Practice News; February 2024: Suppl 1-12.
https://psnet.ahrq.gov/issue/medication-errors-2023-year-review-january-through-december
The medication process has multiple steps in it that can open the door to mistakes. This ar…