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psnet.ahrq.gov/node/60555/psn-pdf
January 01, 2021 - Putting the patient in patient safety investigations:
barriers and strategies for involvement.
June 3, 2020
Busch IM, Saxena A, Wu AW. Putting the patient in patient safety investigations: barriers and strategies for
involvement. J Patient Saf. 2021;17(5):358-362. doi:10.1097/pts.0000000000000699.
https://psnet.ah…
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psnet.ahrq.gov/node/43440/psn-pdf
August 13, 2014 - Hospital Experiences Using Electronic Health Records to
Support Medication Reconciliation.
August 13, 2014
Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July
2014. NIHCR Research Brief No. 17.
https://psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health…
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psnet.ahrq.gov/node/47855/psn-pdf
June 19, 2019 - Medication Overload: America's Other Drug Problem.
June 19, 2019
Brownlee S; Garber J. Brookline, MA: Lown Institute; 2019.
https://psnet.ahrq.gov/issue/medication-overload-americas-other-drug-problem
Overprescribing is a common problem that contributes to patient harm. This report examines financial,
clinical, an…
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psnet.ahrq.gov/node/42233/psn-pdf
May 01, 2013 - From the school of nursing quality and safety officer:
nursing students' use of safety reporting tools and their
perception of safety issues in clinical settings.
May 1, 2013
Cooper E. From the school of nursing quality and safety officer: nursing students' use of safety reporting
tools and their perception of saf…
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digital.ahrq.gov/ahrq-funded-projects/empowering-cancer-patients-through-innovations-information-technology-based/final-report
January 01, 2023 - Empowering Cancer Patients Through Innovations in Information Technology-Based Reporting of Precision Medicine - Final Report
Citation
Gray S. Empowering Cancer Patients Through Innovations in Information Technology-Based Reporting of Precision Medicine - Final Report. (Prepared by Beckman Research In…
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digital.ahrq.gov/ahrq-funded-projects/designing-demographics-optimizing-usability-patient-portals/final-report
January 01, 2023 - Designing for Demographics-Optimizing the Usability of Patient Portals - Final Report
Citation
Naheed A. Designing for Demographics-Optimizing the Usability of Patient Portals - Final Report. (Prepared by MedStar Health Research Institute under Grant No. R03 HS026298). Rockville, MD: Agency for Health…
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psnet.ahrq.gov/node/38907/psn-pdf
January 03, 2017 - Applying Toyota Production System principles to a
psychiatric hospital: making transfers safer and more
timely.
January 3, 2017
Young JQ, Wachter R. Applying Toyota Production System principles to a psychiatric hospital: making
transfers safer and more timely. Jt Comm J Qual Patient Saf. 2009;35(9):439-448.
https…
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psnet.ahrq.gov/node/34570/psn-pdf
March 07, 2005 - Measuring the Success of the Regional Medication Safety
Program for Hospitals.
March 7, 2005
Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
The Regional Medication Safety Prog…
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psnet.ahrq.gov/node/837042/psn-pdf
April 04, 2022 - Leadership Response to a Sentinel Event: Respectful,
Effective Crisis Management.
April 4, 2022
Institute for Healthcare Improvement.
https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management
Crisis management skills are valuable at both the organizational and clinical …
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psnet.ahrq.gov/node/35383/psn-pdf
January 02, 2017 - North Mississippi Medical Center: a focus on quality,
safety, and financial critical success factors.
January 2, 2017
Murphree J, Englert J, Koch K, et al. North Mississippi Medical Center: a focus on quality, safety, and
financial critical success factors. Jt Comm J Qual Patient Saf. 2005;31(10):545-53.
https://p…
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psnet.ahrq.gov/node/34697/psn-pdf
December 08, 2010 - Sentinel events. In memory of Ben—a case study.
December 8, 2010
Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5.
https://psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study
Written from the perspective of a risk manager, the author tells the story of a medication a…
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www.ahrq.gov/evidencenow/tools/oars-model.html
November 01, 2018 - Building Rapport with Patients: OARS Communication Skills
Resource: The OARS Model: Essential Communication Skills
This short tool describes OARS—a set of verbal and non-verbal communication skills that helps clinicians and educators in primary care practices to engage and build rapport with patients and a…
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psnet.ahrq.gov/node/74762/psn-pdf
February 09, 2022 - Start the year off right by addressing these top 10
medication safety concerns from 2021.
February 9, 2022
ISMP Medication Safety Alert! Acute care edition. January 27, 2022;27(2):1-6.
https://psnet.ahrq.gov/issue/start-year-right-addressing-these-top-10-medication-safety-concerns-2021
Medication errors are a cons…
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psnet.ahrq.gov/node/60574/psn-pdf
June 10, 2020 - Preventing a parallel pandemic - a national strategy to
protect clinicians' well-being.
June 10, 2020
Dzau VJ, Kirch D, Nasca TJ. Preventing a parallel pandemic - a national strategy to protect clinicians' well-
being. N Engl J Med. 2020;383(6):513-515. doi:10.1056/nejmp2011027.
https://psnet.ahrq.gov/issue/preven…
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digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-oh
January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / Ohio
Project Description
Project Details -
Completed
Contract Number
290-05-0015-RTI-020
Funding Mechanism(s)
Health Information Security and Privacy Collabo…
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
June 01, 2020 - Followup of patient complaints to institutions, licensing boards, and accrediting organizations.
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effectivehealthcare.ahrq.gov/sites/default/files/assessing-quality.ppt
January 01, 2010 - Different institutions may use the word “quality” for varied purposes.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/assessing-quality.ppt
January 01, 2010 - Different institutions may use the word “quality” for varied purposes.
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - Lastly, institutions can take steps to improve the use of alarms and combat alarm fatigue.
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psnet.ahrq.gov/web-mm/medication-mix-bad-worse
March 01, 2018 - Prior to adding a medication to formulary, ISMP encourages institutions to consider the error potential