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psnet.ahrq.gov/issue/striving-zero-error-patient-surgical-journey-through-adoption-aviation-style-challenge-and
July 10, 2017 - journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project … journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project … journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project
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psnet.ahrq.gov/issue/drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and
September 15, 2011 - Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project … Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project … Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project
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psnet.ahrq.gov/issue/effects-introduction-who-surgical-safety-checklist-hospital-mortality-cohort-study
April 24, 2018 - A qualitative analysis of the Keystone ICU project found that many factors beyond the checklist itself … May 18, 2022
The 5th National Audit Project (NAP5) on accidental awareness during general … November 12, 2014
5th National Audit Project (NAP5) on accidental awareness during general
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psnet.ahrq.gov/issue/what-if-transforming-diagnostic-research-leveraging-diagnostic-process-map-engage-patients
October 27, 2021 - This report highlights one project as an example of how to involve patients as partners in diagnostic … , 2024
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AHRQ-Funded Patient Safety Project
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psnet.ahrq.gov/node/867013/psn-pdf
October 23, 2024 - Reducing automated dispensing cabinet overrides in the
peri-anesthesia care unit: a quality improvement project … Reducing automated dispensing cabinet overrides in the peri-
anesthesia care unit: a quality improvement project … The overall override rate decreased from 17% to 4% by the end of the 18-month
project period, with a … While not an aim of the project, time to
pharmacist verification also decreased, thus potentially lessening
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psnet.ahrq.gov/node/850160/psn-pdf
June 07, 2023 - The Ohio Maternal Safety Quality Improvement Project:
initial results of a statewide perinatal hypertension … The Ohio Maternal Safety Quality Improvement Project: initial
results of a statewide perinatal hypertension … https://psnet.ahrq.gov/issue/ohio-maternal-safety-quality-improvement-project-initial-results-statewide … https://psnet.ahrq.gov/issue/ohio-maternal-safety-quality-improvement-project-initial-results-statewide-perinatal … https://psnet.ahrq.gov/issue/ohio-maternal-safety-quality-improvement-project-initial-results-statewide-perinatal
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psnet.ahrq.gov/node/50855/psn-pdf
January 29, 2020 - A
quality improvement project to reduce risks of inadvertent
insulin pen sharing at a large academic … A Quality
Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic … https://psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce … https://psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent … https://psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
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psnet.ahrq.gov/node/47394/psn-pdf
January 27, 2019 - Evaluating the implementation of Project Re-Engineered
Discharge (RED) in five Veterans Health Administration … Evaluating the Implementation of Project Re-Engineered Discharge
(RED) in Five Veterans Health Administration … https://psnet.ahrq.gov/issue/evaluating-implementation-project-re-engineered-discharge-red-five-veterans … Project Re-Engineered Discharge (RED)
was designed to improve the hospital discharge process. … This qualitative study evaluated the
implementation of Project RED across five Veterans Health Administration
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psnet.ahrq.gov/node/46155/psn-pdf
December 21, 2017 - A national implementation project to prevent catheter-
associated urinary tract infection in nursing … A National Implementation Project to Prevent Catheter-Associated
Urinary Tract Infection in Nursing … https://psnet.ahrq.gov/issue/national-implementation-project-prevent-catheter-associated-urinary-tract … , similar to
the Keystone ICU project. … The project was
conducted over a 2-year period across 48 states.
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psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
November 16, 2022 - This study describes a multi-disciplinary quality improvement project aimed at increasing the percentage … After seven months, the project resulted in an increase in medication reconciliation at admission, and
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psnet.ahrq.gov/issue/tips-safer-surgery
December 22, 2021 - Surgical Care Improvement Project. … Twitter
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May 4, 2015
Surgical Care Improvement Project … Surgical Care Improvement Project. … Improving the implementation and adherence of the surgical safety checklist: a quality improvement project … December 22, 2021
Quality improvement for patient safety: project-level versus program-level
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psnet.ahrq.gov/node/841789/psn-pdf
July 01, 2022 - The REPAIR Project.
July 1, 2022
University of California San Francisco, San Francisco, CA. … https://psnet.ahrq.gov/issue/repair-project
Systemic racism reduces the effectiveness and safety of … The REPAIR (
REParations and Anti-Institutional Racism) Project is examining the impact of racism on … https://psnet.ahrq.gov/issue/repair-project
https://psnet.ahrq.gov/issue/anti-black-racism-chronic-condition
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psnet.ahrq.gov/issue/outcomes-quality-improvement-project-educating-nurses-medication-administration-and-errors
April 24, 2018 - Study
Outcomes of a quality improvement project for educating nurses on medication … Outcomes of a quality improvement project for educating nurses on medication administration and errors … Outcomes of a quality improvement project for educating nurses on medication administration and errors
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psnet.ahrq.gov/issue/impact-post-fall-huddles-repeat-fall-rates-and-perceptions-safety-culture-quasi-experimental
December 30, 2014 - and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project … and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project … and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project
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psnet.ahrq.gov/issue/improving-feedback-junior-doctors-prescribing-errors-mixed-methods-evaluation-quality
July 11, 2018 - Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project … Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project … Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project
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psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system
July 14, 2018 - framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project … framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project … framework in a large integrated health care system: a pre-post quasi-experimental quality improvement project
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psnet.ahrq.gov/issue/error-reduction-and-performance-improvement-emergency-department-through-formal-teamwork
June 24, 2015 - improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project … improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project … improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project
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psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate-nurse-medication
September 24, 2016 - Study
The AMÉLIE project: failure mode, effects and criticality analysis: a model … The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication … The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication
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psnet.ahrq.gov/issue/implementation-josie-king-care-journal-pediatric-intensive-care-unit-quality-improvement
November 21, 2016 - Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project … Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project … Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project
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psnet.ahrq.gov/issue/ahrq-health-services-research-projects-making-health-care-safer-ambulatory-care-settings-and
April 01, 2024 - May 25, 2022
AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence … July 7, 2021
AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence