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psnet.ahrq.gov/issue/interventions-improve-communication-hospital-discharge-and-rates-readmission-systematic
January 12, 2022 - Review
Interventions to improve communication at hospital discharge and rates of readmission: a systematic review and meta-analysis.
Citation Text:
Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and rates of readmission. JAMA Netw Open. …
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psnet.ahrq.gov/issue/operational-failures-detected-frontline-acute-care-nurses
July 19, 2023 - Study
Operational failures detected by frontline acute care nurses.
Citation Text:
Stevens KR, Engh EP, Tubbs-Cooley HL, et al. Operational Failures Detected by Frontline Acute Care Nurses. Res Nurs Health. 2017;40(3):197-205. doi:10.1002/nur.21791.
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psnet.ahrq.gov/issue/lessons-walking-medical-distancing-tightrope
October 21, 2020 - Commentary
Lessons from walking the medical distancing tightrope.
Citation Text:
Jenkins I, Sebasky M, Bell J, et al. Lessons from walking the medical distancing tightrope. Jt Comm J Qual Patient Saf. 2020;46(9):542-545. doi:10.1016/j.jcjq.2020.05.006.
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psnet.ahrq.gov/issue/implementing-standardized-safe-surgery-program-reduces-serious-reportable-events
October 30, 2024 - Study
Implementing a standardized safe surgery program reduces serious reportable events.
Citation Text:
Loftus T, Dahl D, OHare B, et al. Implementing a standardized safe surgery program reduces serious reportable events. J Am Coll Surg. 2015;220(1):12-17.e3. doi:10.1016/j.jamcollsurg.2…
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psnet.ahrq.gov/issue/evidence-based-organization-and-patient-safety-strategies-european-hospitals
January 20, 2016 - Study
Evidence-based organization and patient safety strategies in European hospitals.
Citation Text:
Suñol R, Wagner C, Arah OA, et al. Evidence-based organization and patient safety strategies in European hospitals. Int J Qual Health Care. 2014;26 Suppl 1:47-55. doi:10.1093/intqhc/mzu0…
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psnet.ahrq.gov/issue/framework-patient-safety-defense-nuclear-industry-based-high-reliability-model
June 14, 2017 - Commentary
A framework for patient safety: a defense nuclear industry-based high-reliability model.
Citation Text:
Birnbach DJ, Rosen LF, Williams L, et al. A framework for patient safety: a defense nuclear industry--based high-reliability model. Jt Comm J Qual Patient Saf. 2013;39(5):…
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psnet.ahrq.gov/issue/was-close-call-endorsing-broad-definition-near-misses-health-care
August 31, 2016 - Commentary
"That was a close call": endorsing a broad definition of near misses in health care.
Citation Text:
Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479.
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psnet.ahrq.gov/issue/making-infection-prevention-and-control-everyones-business-hospital-staff-views-patient
April 29, 2015 - Study
Making infection prevention and control everyone's business? Hospital staff views on patient involvement.
Citation Text:
Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Health Expect. 2019;22…
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psnet.ahrq.gov/issue/supporting-second-victims-patient-safety-events-shouldnt-these-communications-be-covered
November 06, 2019 - Commentary
Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege?
Citation Text:
de Wit ME, Marks CM, Natterman JP, et al. Supporting second victims of patient safety events: shouldn't these communications be covered by legal pri…
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psnet.ahrq.gov/issue/framing-patient-safety-initiatives-working-model-and-case-example
April 05, 2017 - Commentary
Framing patient safety initiatives: working model and case example.
Citation Text:
Kruger N, Hurley A, Gustafson M. Framing patient safety initiatives: working model and case example. J Nurs Adm. 2006;36(4):200-204.
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psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations
February 19, 2020 - Commentary
Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature.
Citation Text:
Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's p…
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psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
March 24, 2019 - Study
Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions?
Citation Text:
Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon…
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psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations
May 11, 2016 - Study
Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate.
Citation Text:
Mello MM, Armstrong S, Greenberg Y, et al. Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate. He…
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psnet.ahrq.gov/issue/association-between-patient-safety-indicators-and-medical-malpractice-risk-evidence-florida
September 28, 2022 - Study
The association between patient safety indicators and medical malpractice risk: evidence from Florida and Texas.
Citation Text:
Black BS, Wagner AR, Zabinski Z. The Association between Patient Safety Indicators and Medical Malpractice Risk: Evidence from Florida and Texas. Am J Hea…
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psnet.ahrq.gov/issue/program-access-depressive-symptoms-and-medical-errors-among-resident-physicians-disability
May 19, 2021 - Study
Program access, depressive symptoms, and medical errors among resident physicians with disability.
Citation Text:
Meeks LM, Pereira-Lima K, Frank E, et al. Program access, depressive symptoms, and medical errors among resident physicians with disability. JAMA Netw Open. 2021;4(12):…
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psnet.ahrq.gov/issue/coping-errors-operating-room-intraoperative-strategies-postoperative-strategies-and-sex
September 09, 2020 - Study
Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences.
Citation Text:
D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex difference…
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psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women
August 04, 2021 - Study
Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.
Citation Text:
Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.113…
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psnet.ahrq.gov/issue/safer-care-improving-caregiver-comprehension-discharge-instructions
October 26, 2022 - Study
SAFER Care: improving caregiver comprehension of discharge instructions.
Citation Text:
Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031.
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psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fall-risk-screening-scores
December 07, 2022 - Study
Patient perception of fall risk and fall risk screening scores.
Citation Text:
Solares NP, Calero P, Connelly CD. Patient perception of fall risk and fall risk screening scores. J Nurs Care Qual. 2023;38(2):100-106. doi:10.1097/ncq.0000000000000645.
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digital.ahrq.gov/sites/default/files/docs/page/2006Cain_052411comp.pdf
January 01, 2007 - Start the conversation
NOW
WORKGROUPS
COMMUNITY
ONC
INFRASTRUCTURE
20052004
FHA Strategic
Plan … Biosurveillance
• Consumer Empowerment
• Chronic Care
• Electronic Healthcare Records
• 2006 Strategic Plan … Kelly, Accenture NHIN
Keith Norris, Drew University
Identified issues
Breakout sessions
Action plan … IRB issues
Diverse needs, perceptions,
readiness to engage
Need for a coherent voice
Action plan … Office of the National Coordinator Health IT Roadmap To-Date
Agenda
Developments of the day
Action plan