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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…
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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.
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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
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Table of Contents
Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions
Discussio…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure4.html
June 01, 2018 - Chartbook on Care Coordination
Integration of Medication Information
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Table of Contents
Chartbook on Care Coordination
Acknowledgments
Care Coordination
Trends in Care Coordination Measures
Transitions of Care
Preventable Emergency Department Visits
Potentially Avo…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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."
…
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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…
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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…
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effectivehealthcare.ahrq.gov/products/breast-cancer-risk-reduction/research
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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…
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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
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Ch…
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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
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapt…
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effectivehealthcare.ahrq.gov/products/alcohol-misuse/research