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  1. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-2-slides.pdf
    December 31, 2021 - Module 2 Slides: Systems Change: Laying the Foundation, Leadership and Action Plans Systems Change: Laying the Foundation, Leadership and Action Plans K i m N e w l i n , R N , C N S , A N P - C K a t h l e e n T r a y n o r , RN, MS, FAACVPR F e b r u a r y 2 7 , 2 0 2 0 Module 2 American Hospital A…
  2. psnet.ahrq.gov/web-mm/hemolysis-holdup
    July 03, 2016 - Hemolysis Holdup Citation Text: Lehman CM. Hemolysis Holdup. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  3. www.ahrq.gov/hai/pfp/haccost2017-discuss.html
    November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussion Previous Page Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussio…
  4. www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure4.html
    June 01, 2018 - Chartbook on Care Coordination Integration of Medication Information Previous Page Next Page Table of Contents Chartbook on Care Coordination Acknowledgments Care Coordination Trends in Care Coordination Measures Transitions of Care Preventable Emergency Department Visits Potentially Avo…
  5. digital.ahrq.gov/location/usa-me-augusta
    January 01, 2023 - USA, ME, Augusta Improving Health Information Technology Implementation in a Rural Health System Description Implemented an outpatient EMR in a rural health system using distinct phases to match the expected learning curve and to reduce the potential loss of practice productiv…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33976/psn-pdf
    December 18, 2008 - Medical errors: overcoming the challenges. December 18, 2008 Kalra J. Medical errors: overcoming the challenges. Clin Biochem. 2004;37(12):1063-71. https://psnet.ahrq.gov/issue/medical-errors-overcoming-challenges This commentary introduces several initiatives intended to help reduce medical error, such as developm…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41471/psn-pdf
    June 20, 2012 - Patients taking their own medications while in the hospital. June 20, 2012 PA-PSRS Patient Saf Advis. June 2012;9:50-57.  https://psnet.ahrq.gov/issue/patients-taking-their-own-medications-while-hospital Discussing errors related to hospital patients' use of personal medications, this newsletter article provi…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39589/psn-pdf
    February 13, 2018 - Common cause analysis. February 13, 2018 Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35. https://psnet.ahrq.gov/issue/common-cause-analysis This article describes how one health care system used a multi-event analysis process to identify medication errors, implement system-level improvements, a…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38683/psn-pdf
    November 03, 2012 - Errors in Laboratory Medicine and Patient Safety. November 3, 2012 Plebani M, ed. Clinica Chimica Acta. 2009;404(1):1-86. https://psnet.ahrq.gov/issue/errors-laboratory-medicine-and-patient-safety This collection of papers presented at an international conference on laboratory medicine focuses on efforts to reduce…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37106/psn-pdf
    August 15, 2007 - Experts offer smart tips for smart pumps. August 15, 2007 Gebhart F. Drug Topics. July 23, 2007. https://psnet.ahrq.gov/issue/experts-offer-smart-tips-smart-pumps This article describes how robust drug libraries developed for programmable smart pumps can help reduce medication errors associated with traditional in…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39744/psn-pdf
    September 13, 2010 - Are you using checklists? Check! September 13, 2010 McNellis B, AAPA QCC of the. Are you using checklists? Check!. JAAPA. 2010;23(7):24-6, 31. https://psnet.ahrq.gov/issue/are-you-using-checklists-check This piece emphasizes how checklists can be effective tools to prevent medical error and reduce communication fa…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35320/psn-pdf
    September 14, 2005 - How business intelligence can improve patient safety. September 14, 2005 Wanless S, McManaway J. Metaphor Analytics. August 30, 2005. https://psnet.ahrq.gov/issue/how-business-intelligence-can-improve-patient-safety This article illustrates how hospitals can use their own administrative and patient data to reduce h…
  13. www.ahrq.gov/topics/safety-net.html
    Topic: Safety Net AHRQ has research, tools and resources related to safety net. Safety net practices are defined by the Institute of Medicine (IOM) as “those providers that organize and deliver a significant level of health care and other needed services to uninsured, Medicaid and other vulnerable patients." …
  14. digital.ahrq.gov/principal-investigator/odell-david-d
    January 01, 2023 - Odell, David D. Development and Implementation of the REmote Telehealth User-Reported caNcer Surveillance (RETURNS) Program for Lung Cancer Description This research will improve upon and evaluate a telehealth lung cancer surveillance program that combines patient-reported out…
  15. www.ahrq.gov/teamstepps-program/resources/additional/sbar.html
    July 01, 2023 - TeamSTEPPS Additional Video: SBAR in Inpatient Medical Teams   YouTube embedded video: https://www.youtube-nocookie.com/embed/nbJPAumzJrc TeamSTEPPS: SBAR in Inpatient Medical Teams (1:36) SBAR stands for situation, background, assessment and recommendation. It’s a proven tool to quickly summarize and com…
  16. effectivehealthcare.ahrq.gov/products/breast-cancer-risk-reduction/research
  17. www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
    January 01, 2024 - Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care Final Progress Report Reducing Adverse Drug Events from Anticoagulants, Diabetes Agents and Opioids in Primary Care Principal Investigator: Andrea M. Wessell, PharmD Team Members: Steven M. Orns…
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb18.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B18: Handout for Inservice #2, How to Reduce Falls in Nursing Facilities Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Ch…
  19. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb16.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B16: Pre and Posttests for Inservice #2, How to Reduce Falls, Spanish Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapt…
  20. effectivehealthcare.ahrq.gov/products/alcohol-misuse/research