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psnet.ahrq.gov/issue/role-theory-research-develop-and-evaluate-implementation-patient-safety-practices
September 20, 2011 - Commentary
The role of theory in research to develop and evaluate the implementation of patient safety practices.
Citation Text:
Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …
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psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan
February 17, 2011 - Study
Classic
Improving patient safety in intensive care units in Michigan.
Citation Text:
Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09…
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psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall
December 08, 2021 - Commentary
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home.
Citation Text:
Tzeng H-M, Jansen LS, Okpalauwaekwe U, et al. Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to …
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psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates
August 15, 2016 - Review
Medication safety in neonatal care: a review of medication errors among neonates.
Citation Text:
Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231.
Copy Ci…
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hcup-us.ahrq.gov/news/exhibit_booth/SEDDBrochure_050218.pdf
May 16, 2018 - What are the SEDD?
The State Emergency Department Databases
(SEDD) are part of the family of databases and
software tools developed for the Healthcare Cost
and Utilization Project (HCUP). The SEDD are a
set of longitudinal State-specific emergency
department databases included in the HCUP
family. The SEDD capture disch…
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psnet.ahrq.gov/issue/factors-impacting-patient-setup-analysis-and-error-management-during-breast-cancer
September 15, 2021 - Review
Factors impacting on patient setup analysis and error management during breast cancer radiotherapy.
Citation Text:
Costin I-C, Marcu LG. Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. Crit Rev Oncol Hematol. 2022;178:103798. doi…
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - significant patient safety issue; workforce safety is one of four foundational areas in the National Action Plan … The Implementation Resource Guide of the National Action Plan provides specific tactics and resources … Interview
In Conversation With...Amy Helwig about Health Plan … July 10, 2024
Perspectives on Safety
Health Plan
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - but instead maybe did some immediate mitigation and a learning team that resulted in a robust action plan … I think there are a lot of ways to do that, with the National Action Plan being one of them. … organizations feel they are from an intra-organizational learning perspective, which is on the National Action Plan
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/structured-handoff-rapid-research.pdf
January 01, 2025 - /rationale, tasks to complete overnight with plan/rationale, any questions)
One of these tools, SBAR … general hospital course, new events of the day, overall health status, upcoming
possibilities with plan … /rationale, tasks to complete overnight with plan/rationale, any questions.
2.2 Literature Searches … , Tasks to complete overnight with plan, ? … , tasks to complete overnight with plan, ?
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cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - Medicaid Services (CMS), to identify the provider type, classification, or specialty in the National Plan
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digital.ahrq.gov/sites/default/files/docs/resource/C4_Patient_Informed_Consent_Form.pdf
September 30, 2008 - the participant may receive
individualized care in the form of a specific evidence based treatment plan
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology7.html
April 01, 2025 - A patient might define timely as a plan that reduces the period of uncertainty.
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www.ahrq.gov/policymakers/chipra/overview/background/appendix-a6.html
December 01, 2009 - determine adherence to a measure is under the control of the clinician, clinic, hospital, the health plan
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
February 01, 2013 - along the way
Errors can happen in the final step—the clinician and patient executing a treatment plan
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www.ahrq.gov/sites/default/files/2024-07/liebman-hyman-report.pdf
January 01, 2024 - effective disclosure conversation after a medical error/adverse event and make them
available to help plan
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www.ahrq.gov/funding/grant-mgmt/noncomp.html
November 01, 2015 - the extent to which actual recruitment and retention of subjects is consistent with the recruitment plan
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs015188-huck-final-report-2008.pdf
January 01, 2008 - These Plan-Do-Study-Act (PDSA) workshops were held
regionally. … Although that had not been part of the original plan, there was
pressure from several hospitals in the
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www.ahrq.gov/sites/default/files/2024-09/khare-report.pdf
January 01, 2024 - He assembled a strong mentorship team
and identified didactic courses and a research plan to advance … A Plan-Do-Study-Act (PDSA) methodology was used for the process improvement.
6
Results:
For Aim
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - transmitted to a clinician, and then the final step—the clinician and patient executing a treatment plan—does … be effected—which includes contacting the patient and ensuring the patient carries out the treatment plan
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - the preferred agent, with ampicillin an acceptable alternative.16
Educational Recommendation
• Plan … that all personnel follow the safety protocols developed by the team to prevent BSI
and develop a plan