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psnet.ahrq.gov/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm
May 19, 2021 - The 3-year project resulted in a significant reduction in both bleeding and thrombotic episodes. … May 19, 2021
Project BOOST implementation: lessons learned. … September 10, 2014
Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization
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psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
April 10, 2024 - 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 … A Quality Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic
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psnet.ahrq.gov/issue/implementing-bedside-handoff-emergency-department-practice-improvement-project
November 14, 2018 - Implementing bedside handoff in the emergency department: a practice improvement project … Implementing Bedside Handoff in the Emergency Department: A Practice Improvement Project. … Implementing Bedside Handoff in the Emergency Department: A Practice Improvement Project.
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psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts
February 25, 2015 - Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project … Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Project … Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Project … Resources From the Same Author(s)
Evaluating ambulatory practice safety: the PROMISES Project … April 12, 2014
Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project
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psnet.ahrq.gov/issue/effects-multicentre-teamwork-and-communication-programme-patient-outcomes-results-triad
January 16, 2013 - communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project … communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project … communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project … on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project … on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project
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psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our-understanding
March 11, 2009 - Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. … Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. … Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. … Assessing the effectiveness of quality improvement strategies in Europe: the MARQuIS project
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psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning
April 01, 2010 - Study
Quality improvement for patient safety: project-level versus program-level … Quality improvement for patient safety: project-level versus program-level learning. … Quality improvement for patient safety: project-level versus program-level learning.
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psnet.ahrq.gov/issue/implementation-and-adaptation-re-engineered-discharge-red-five-california-hospitals
August 04, 2021 - Project Re-Engineered Discharge (RED) was an AHRQ-funded randomized trial that successfully reduced … Investigators found that leadership commitment , a strong safety culture , and fidelity to Project … Two sites did not sustain the project because they lacked these factors.
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psnet.ahrq.gov/issue/addressing-delays-medication-administration-patients-transferred-hospital-nursing-home-pilot
November 16, 2022 - administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project … administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project … administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project
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psnet.ahrq.gov/issue/inappropriate-medication-use-elderly-results-quality-improvement-project-99-primary-care
January 18, 2013 - Inappropriate medication use in the elderly: results from a quality improvement project … Inappropriate medication use in the elderly: Results from a quality improvement project in 99 primary … Inappropriate medication use in the elderly: Results from a quality improvement project in 99 primary … April 8, 2018
Diagnostic errors in primary care pediatrics: Project RedDE.
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psnet.ahrq.gov/issue/improving-safety-culture-adult-medical-units-through-multidisciplinary-teamwork-and
February 18, 2011 - on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project … on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project … on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project … communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project
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psnet.ahrq.gov/issue/do-remote-community-telepharmacies-have-higher-medication-error-rates-traditional-community
October 17, 2012 - Evidence from the North Dakota Telepharmacy Project. … Evidence from the North Dakota Telepharmacy Project. … Evidence from the North Dakota Telepharmacy Project. … Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project
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psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants
August 14, 2014 - Implementing an interprofessional patient safety learning initiative: insights from participants, project … Implementing an interprofessional patient safety learning initiative: insights from participants, project … Implementing an interprofessional patient safety learning initiative: insights from participants, project … on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project
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psnet.ahrq.gov/issue/improving-patient-safety-using-sterile-cockpit-principle-during-medication-administration
September 12, 2016 - safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project … safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project … safety using the sterile cockpit principle during medication administration: a collaborative, unit-based 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/development-and-sustainability-inpatient-outpatient-discharge-handoff-tool-quality
August 04, 2015 - Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project … Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project … Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project … February 8, 2017
The Veterans Affairs shift change physician-to-physician handoff project
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psnet.ahrq.gov/node/866699/psn-pdf
September 11, 2024 - AHRQ-Funded Patient Safety Project Highlights:
Improving Patient Safety by Enhancing Medication Safety … September 11, 2024
Ahrq-Funded Patient Safety Project Highlights: Improving Patient Safety By Enhancing … https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety-enhancing-medication … https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety-enhancing-medication … https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-healthcare-safety-engaging-patients
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - on the project. … The first project focused on increasing the rate of generic prescribing. … Ensure the nudge project has a clear hypothesis. … on the project. … Depending on the project, different team members will be required for implementation.
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psnet.ahrq.gov/issue/implementation-and-spread-simple-and-effective-way-improve-accuracy-medicines-reconciliation
March 04, 2009 - improve the accuracy of medicines reconciliation on discharge: a hospital-based quality improvement project … improve the accuracy of medicines reconciliation on discharge: a hospital-based quality improvement project … improve the accuracy of medicines reconciliation on discharge: a hospital-based quality improvement project … Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project
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psnet.ahrq.gov/issue/patient-safety-external-beam-radiotherapy-guidelines-risk-assessment-and-analysis-adverse
March 15, 2017 - radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project … guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project … guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project … May 30, 2012
Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project
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psnet.ahrq.gov/issue/fidelity-and-impact-patient-safety-huddles-teamwork-and-safety-culture-evaluation-huddle
August 25, 2021 - huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project … huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project … huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project