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psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning
July 08, 2015 - Study
Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline.
Citation Text:
Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the front…
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psnet.ahrq.gov/issue/do-eps-change-their-clinical-behaviour-hallway-or-when-companion-present-cross-sectional
June 29, 2022 - Study
Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey.
Citation Text:
Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg …
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psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
June 13, 2011 - Study
Classic
Identification of in-hospital complications from claims data. Is it valid?
Citation Text:
Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is it valid? Med Care. 2000;38(8):785-95.
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psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident
September 11, 2024 - Review
Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes.
Citation Text:
Scott J, Sykes K, Waring J, et al. Systematic review of types of safety incidents and the processes and systems used for safety incident re…
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psnet.ahrq.gov/issue/exploring-attitudes-and-opinions-pharmacists-toward-delivering-prescribing-error-feedback
January 16, 2019 - Study
Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews.
Citation Text:
Lloyd M, Watmough SD, O'Brien S, et al. Exploring attitudes and opinions of pharmacists toward delivering prescribing …
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psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-systems
November 09, 2016 - Study
Pharmacists’ perceptions of error reporting systems.
Citation Text:
Hartt CM, Weigand H, MacDonald AJ, et al. Pharmacists’ perceptions of error reporting systems. J Patient Saf Risk Manag. 2024;29(6):268-273. doi:10.1177/25160435241288287.
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Format:
DOI Go…
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psnet.ahrq.gov/issue/simulating-quality-centralized-quality-improvement-and-patient-safety-simulation-curriculum
January 03, 2017 - Study
Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows.
Citation Text:
Luty JT, Oldham H, Smeraglio A, et al. Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for…
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psnet.ahrq.gov/issue/sustaining-improvement-hospital-wide-initiative-patient-safety-and-quality-systematic-scoping
September 01, 2021 - Review
Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review.
Citation Text:
Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. BMJ Open Qual…
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psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety-breakdowns-mixed
October 30, 2024 - Study
Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study.
Citation Text:
Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. J Patient Saf.…
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psnet.ahrq.gov/issue/good-practice-guides-medication-errors-part-1-and-part-2
August 03, 2016 - Book/Report
Good Practice Guides on Medication Errors: Part 1 and Part 2.
Citation Text:
Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264-016-04…
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psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators
June 02, 2010 - Study
Use of HIT for adverse event reporting in nursing homes: barriers and facilitators.
Citation Text:
Wagner LM, Castle NG, Handler S. Use of HIT for adverse event reporting in nursing homes: barriers and facilitators. Geriatr Nurs. 2013;34(2):112-5. doi:10.1016/j.gerinurse.2012.10.…
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psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
July 19, 2023 - Study
Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events.
Citation Text:
Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safe…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/state/how-to-guide/how-to-guide.pdf
August 01, 2024 - The guide includes effective approaches, lessons learned, and example materials from the Agency for Healthcare … In the sections below, we draw on the practice recruitment experi-
ences and lessons learned from across … Through
these efforts, it learned that practices were looking to support health
coaches, internal QI … In response to what they learned through this process, the cooperative
budgeted to include an annual … This guide aims to help by sharing what has been learned across the Agency for Healthcare Research
and
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digital.ahrq.gov/sites/default/files/docs/citation/ecare-plan-final-report.pdf
November 01, 2022 - Results and Lessons Learned
During the project and the testing period, our multimethod analysis yielded … important
lessons learned for each phase of the project, outlined in Table ES-1. … Lessons Learned by Project Phase
CFIR Construct Lesson Learned
Patient-
centeredness
User-centered … .............................................................................. 30
5.3 Key Lessons Learned … Conclusion
5.1 Factors
5.2 Limitations
5.3 Key Lessons Learned (EQ5)
5.3.1 Design
5.3.2 Development
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - Lessons Learned from Implementing a Place-Based, Racial Justice-Centered Approach to Health Equity.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/pbrn-webinar-2-highlighting-promoting.pdf
September 01, 2024 - AHRQ PBRN Webinar: Highlighting and Promoting the Value of PBRNs
Highlighting and Promoting the
Value of Practice - Based Research
Networks (PBRNs)
July 11, 2024
4 p.m. – 5 p.m. ET
Housekeeping and Logistics
• Closed Captioning is
available through Zoom.
• If you have questions,
submit them in the Q&A t…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
January 01, 2020 - Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2)
Contents
Page 1 of 2
4.A. Focusing on Microsystems
4.B. Understanding and Implementing the Improvement Cycle
Page 2 of 2
4.C. An Overview of Improvement Models
4.D. Tools To Enhance Quality Improvement Initiatives
References…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Assemble the Team and Engage Leadership
AHRQ Safety Program for Perinatal Care
Assemble the Team
and Engage Leadership for Perinatal Safety
AHRQ Publication No. 17-0003-2-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinata…
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psnet.ahrq.gov/periodic-issue/periodic-issue-472
February 26, 2025 - February 26, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repor…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.167_slideshow.ppt
January 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case January 2008
How Do Providers Recover from Errors?
Source and Credits
This presentation is based on the January 2008 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Colin P. West, MD, PhD, Mayo Clini…