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psnet.ahrq.gov/issue/cross-sectional-analysis-investigating-organizational-factors-influence-near-miss-error
September 25, 2013 - Study
A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists.
Citation Text:
Patterson ME, Pace HA. A Cross-sectional Analysis Investigating Organizational Factors That Influence Near-Miss Error Reporting Among …
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psnet.ahrq.gov/issue/safety-climate-and-its-association-office-type-and-team-involvement-primary-care
August 08, 2012 - Study
Safety climate and its association with office type and team involvement in primary care.
Citation Text:
Gehring K, Schwappach DLB, Battaglia M, et al. Safety climate and its association with office type and team involvement in primary care. Int J Qual Health Care. 2013;25(4):394-4…
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psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment
March 02, 2016 - Study
Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011.
Citation Text:
Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® …
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www.ahrq.gov/news/newsroom/case-studies/201906.html
November 01, 2019 - AHRQ Tools Improve Care, Safety for St. Luke’s University Health Network Obstetric Patients
Search All Impact Case Studies
November 2019
St. Luke’s University Health Network—a non-profit, integrated network providing services at nine hospitals and more than 300 sites in Pennsylvania and New Jersey—is improv…
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www.ahrq.gov/news/blog/ahrqviews/delivery-primary-care.html
November 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ’s Research and Tools Help Transform Delivery of Primary Care
NOV
7
2022
By
Tess
Miller,
Dr.P.H.
The unprecedented challenges of COVID-19 underscored the vital role played by the Nation’s vast network of primary care practices—a…
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www.ahrq.gov/evidencenow/projects/heart-health/index.html
March 01, 2024 - Advancing Heart Health
An AHRQ Initiative
The Problem
The Nation's primary care practices have been challenged in recent decades by fragmentation of the healthcare system, a lack of resources to meet patient needs, and limited access to an infrastructure to support quality improvement (QI). As a result, m…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
March 01, 2023 - Grantee Profile
Developing Innovative Simulation-Based Training to Improve Patient Safety in Radiation Oncology
Lukasz Mazur, Ph.D.
Associate Professor of Radiation Oncology
UNC School of Medicine
Lukasz Mazur, Ph.D.
“AHRQ funding enabled me and my team to develop innovative simulation-based…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-schoenthaler.html
March 01, 2024 - Grantee Profile
Tailoring Digital Technologies To Improve Outcomes Among Minorities With Chronic Conditions
Antoinette Schoenthaler, Ed.D.
Associate Director of the Center for Healthful Behavior Change
New York University Langone Health
Antoinette Schoenthaler, Ed.D.
“Funding from AHRQ has b…
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psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic
October 19, 2022 - Study
Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program.
Citation Text:
Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a reali…
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psnet.ahrq.gov/issue/decrease-hospital-wide-mortality-rate-after-implementation-commercially-sold-computerized
December 07, 2016 - Study
Classic
Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.
Citation Text:
Longhurst CA, Parast L, Sandborg CI, et al. Decrease in hospital-wide mortality rate after implementation…
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psnet.ahrq.gov/issue/patients-partners-learning-unexpected-events
December 15, 2021 - Study
Patients as partners in learning from unexpected events.
Citation Text:
Etchegaray J, Ottosen M, Aigbe A, et al. Patients as Partners in Learning from Unexpected Events. Health Serv Res. 2016;51 Suppl 3:2600-2614. doi:10.1111/1475-6773.12593.
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Format:
DOI…
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psnet.ahrq.gov/issue/it-not-fault-health-care-team-it-way-system-works-mixed-methods-quality-improvement-study
March 24, 2019 - Study
"It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care.
…
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psnet.ahrq.gov/issue/improving-appropriate-use-peripherally-inserted-central-catheters-through-statewide
April 14, 2021 - Study
Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis.
Citation Text:
Heath M, Bernstein SJ, Paje D, et al. Improving appropriate use of peripherally inserted central catheters throu…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
January 01, 2023 - Evaluation of AHRQ's On-time Pressure Ulcer Program
Project Description
Annual Summaries
Publications
Project Details -
Completed
Contract Number
290-06-0011-8
Funding Mechanism(s)
Accelerating Change and Transformation in O…
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psnet.ahrq.gov/issue/can-patients-contribute-enhancing-safety-and-effectiveness-test-result-follow-qualitative
August 19, 2020 - Study
Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop.
Citation Text:
Thomas J, Dahm MR, Li J, et al. Can patients contribute to enhancing the safety and effectiveness of test‐result follow‐u…
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psnet.ahrq.gov/issue/primary-care-collaboration-improve-diagnosis-and-screening-colorectal-cancer
July 13, 2022 - Study
Classic
Primary care collaboration to improve diagnosis and screening for colorectal cancer.
Citation Text:
Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for Colorectal Cancer. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/connecting-patients-and-clinicians-anticipated-effects-open-notes-patient-safety-and-quality
March 20, 2017 - Commentary
Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care.
Citation Text:
Bell SK, Folcarelli PH, Anselmo MK, et al. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of…
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psnet.ahrq.gov/issue/evaluation-quality-do-not-use-medication-abbreviation-audits-key-enabler-successful
September 15, 2021 - Study
Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback.
Citation Text:
Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler…
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psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation
February 23, 2022 - Study
Evaluation of communication and safety behaviors during hospital-wide code response simulation.
Citation Text:
Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:…
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psnet.ahrq.gov/issue/status-implementation-world-health-organization-multimodal-hand-hygiene-strategy-united
November 13, 2024 - Study
Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities.
Citation Text:
Allegranzi B, Conway L, Larson EL, et al. Status of the implementation of the World Health Organization multimodal hand …