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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2011
January 01, 2011 - Impact of Health IT Implementation on Diabetes Process and Outcome Measures - 2011
Project Name
Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures
Principal Investigator
Ballard, David J.
Organization
Baylor Research Institute
…
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psnet.ahrq.gov/issue/analyzing-and-discussing-human-factors-affecting-surgical-patient-safety-using-innovative
August 25, 2021 - Study
Analyzing and discussing human factors affecting surgical patient safety using innovative technology: creating a safer operating culture.
Citation Text:
van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors affecting surgical patient safety …
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psnet.ahrq.gov/issue/effect-burnout-among-physicians-observed-adverse-patient-outcomes-literature-review
October 27, 2021 - Review
Effect of burnout among physicians on observed adverse patient outcomes: a literature review.
Citation Text:
Mangory KY, Ali LY, Rø KI, et al. Effect of burnout among physicians on observed adverse patient outcomes: a literature review. BMC Health Serv Res. 2021;21(1):369. doi:10.…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
December 01, 2017 - On-Time Quality Improvement Program: On-Time Pressure Ulcer Prevention
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choose to integrate the pressure ulcer prevention reports into clinical practice. A menu …
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
March 01, 2019 - State at a Glance: South Carolina
Learn more about the CHIPRA quality demonstration projects being implemented in South Carolina.
South Carolina is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the C…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/md.html
March 01, 2019 - State at a Glance: Maryland
Learn more about the CHIPRA quality demonstration projects being implemented in Maryland.
Maryland is featured in the following reports from the National Evaluation:
Evaluation Highlight No . 4: How the CHIPRA quality demonstration elevated children on State health policy agend…
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psnet.ahrq.gov/issue/clinical-outcomes-home-based-medication-reconciliation-program-after-discharge-skilled
March 21, 2017 - Study
Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility.
Citation Text:
Delate T, Chester EA, Stubbings TW, et al. Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursin…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
June 02, 2025 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process
Integrating Teamwork Tools into CUSP Efforts
Shannon Davila, RN, MSN, CIC, CPQH
New Jersey Hospital Association
Slides adapted from original source:
Barbara Edson, RN, MBA, MHA
VP, Clinical Quality, Health Research &…
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www.ahrq.gov/tools/index.html
December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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psnet.ahrq.gov/issue/situation-awareness-and-mitigation-risk-associated-patient-deterioration-meta-narrative
December 08, 2021 - Review
Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice.
Citation Text:
Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associate…
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psnet.ahrq.gov/issue/making-safety-training-stickier-richer-model-safety-training-engagement-and-transfer
October 06, 2021 - Review
Making safety training stickier: a richer model of safety training engagement and transfer.
Citation Text:
Casey T, Turner N, Hu X, et al. Making safety training stickier: a richer model of safety training engagement and transfer. J Safety Res. 2021;78:303-313. doi:10.1016/j.jsr.2…
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psnet.ahrq.gov/issue/examining-variations-prescribing-safety-uk-general-practice-cross-sectional-study-using
July 22, 2015 - Study
Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical Practice Research Datalink.
Citation Text:
Stocks J, Kontopantelis E, Akbarov A, et al. Examining variations in prescribing safety in UK general practice: cross sectional stu…
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psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting
March 24, 2021 - Study
Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system.
Citation Text:
Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting system. J Trau…
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digital.ahrq.gov/ahrq-funded-projects/context-aware-knowledge-delivery-electronic-health-records/annual-summary/2010
January 01, 2010 - Context-Aware Knowledge Delivery into Electronic Health Records - 2010
Project Name
Context-Aware Knowledge Delivery into Electronic Health Records
Principal Investigator
Del Fiol, Guilherme
Organization
University of Utah
Funding Mechanism
PAR: HS09-087: Mentored R…
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psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients-medical-and-surgical
July 11, 2018 - Study
Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings.
Citation Text:
Murphy A, Griffiths P, Duffield C, et al. Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical setting…
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psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency
August 31, 2022 - Study
System factors affecting patient safety in the OR: an analysis of safety threats and resiliency.
Citation Text:
Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Ann Surg. 2021;274(1):…
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psnet.ahrq.gov/issue/application-aviation-black-box-principle-pediatric-cardiac-surgery-tracking-all-failures
October 07, 2013 - Study
Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room.
Citation Text:
Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric cardiac surgery: trac…
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psnet.ahrq.gov/node/41919/psn-pdf
December 12, 2012 - The best medicine for fixing the modern hospital.
December 12, 2012
https://psnet.ahrq.gov/issue/best-medicine-fixing-modern-hospital
This news article highlights how hospital design can help reduce infection rates, shorten length of stay, and
improve patient safety.
https://psnet.ahrq.gov/issue/best-medicine-fixi…
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psnet.ahrq.gov/node/37341/psn-pdf
January 20, 2010 - Patient-Centered Care: What Does It Take?
January 20, 2010
Shaller D. The Commonwealth Fund. October 2007.
https://psnet.ahrq.gov/issue/patient-centered-care-what-does-it-take
By sharing the insights of health care leaders, this report identifies important factors for integrating patient-
centered care into organi…
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digital.ahrq.gov/ahrq-funded-projects/promoting-use-integrated-personal-health-record-prevention/citation/vision
January 01, 2023 - A vision for patient-centered health information systems.
Citation
Krist AH, Woolf SH. A vision for patient-centered health information systems. JAMA 2011 Jan 19;305(3):300-1.
Link
http://www.ncbi.nlm.nih.gov/pubmed/21245186
Principal Investigator
Krist, Alexander H.
Project …