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psnet.ahrq.gov/node/46822/psn-pdf
April 12, 2019 - Effect of an in-hospital multifaceted clinical pharmacist
intervention on the risk of readmission: a randomized
clinical trial.
April 12, 2019
Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist
Intervention on the Risk of Readmission: A Randomized Clinical Trial…
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psnet.ahrq.gov/node/44180/psn-pdf
June 21, 2015 - "Never events" and the quest to reduce preventable harm.
June 21, 2015
Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient
Saf. 2015;41(6):279-288.
https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
The introduction of the term never event…
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digital.ahrq.gov/sites/default/files/docs/page/tool-3-1-goals-worksheet-poster.pptx
June 16, 2021 - Tools 3.1 Goals Worksheet Poster
Step 1. REVIEW
Goals
Slide 1
INSTRUCTION: Review what goals can be achieved with e-prescribing, Here are examples:
Reduce medication errors.
Reduce the time spent on phone calls, faxing, and call-backs to pharmacies.
Automate prescription renewal requests and authorization processes.
I…
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digital.ahrq.gov/ahrq-funded-projects/reducing-disparities-health-care-quality-priority-populations-approach-focused/citation/hit
January 01, 2023 - Health information technology and quality of health care: strategies for reducing disparities in underresourced settings.
Citation
Millery M, Kukafka R. Health information technology and quality of health care: strategies for reducing disparities in underresourced settings. Med Care Res Rev. 2010 Oct;…
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digital.ahrq.gov/ahrq-funded-projects/reducing-disparities-health-care-quality-priority-populations-approach-focused/citation/innovative
January 01, 2023 - Innovative strategies to reduce disparities in the quality of prenatal care in underresourced settings.
Citation
Lu MC, Kotelchuck M, Hogan VK, et al. Innovative strategies to reduce disparities in the quality of prenatal care in underresourced settings. Med Care Res Rev. 2010 Oct;67(5 Suppl):198S-230…
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psnet.ahrq.gov/node/44289/psn-pdf
November 23, 2024 - Reducing adverse obstetrical outcomes through safety
sciences.
November 23, 2024
Ennen CS, Satin AJ. UpToDate. October 16, 2024.
https://psnet.ahrq.gov/issue/reducing-adverse-obstetrical-outcomes-through-safety-sciences
This review explores the evidence on integrating teamwork, simulation, and unit-based programs …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use
1
Changing the System To Improve Patient Safety
Long-Term Care
Slide Title and Commentary
Slide Number and Slide
Changing the System To Improve Patient Safety
SAY:
Hello, and welcome to this presentation: “Changing the System To Improve Patient Safety.”
Sl…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
January 01, 2024 - AHRQ Patient Safety Tools and Resources
Diagnostic Excellence
Calibrate Dx is a self-evaluation tool for clinicians to
improve their diagnostic decision making. This resource
provides structured exercises and tools to help clinicians
learn from reviewing their clinical practice. Anyone
whose scope of practice i…
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digital.ahrq.gov/ahrq-funded-projects/reducing-disparities-health-care-quality-priority-populations-approach-focuse-1
January 01, 2023 - Reducing Disparities in Health Care Quality in Underresourced Settings Using Health IT Strategies: Expert Meeting Summary.
Citation
Reducing Disparities in Health Care Quality in Under-Resourced Settings Using Health IT and Other Quality Improvement Strategies. Expert summary of a meeting at the Agenc…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/human-immunodeficiency-virus-hiv-infection-screening-2013
April 15, 2013 - Convincing evidence also shows that identification and treatment of HIV-positive pregnant women dramatically reduces … initiation of ART in HIV-positive patients with CD4 counts less than 0.200 × 10 9 cells/L markedly reduces
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/dementia-agitation-aggression_research-protocol.pdf
November 13, 2014 - The reduced stress threshold model states that dementia reduces
an individual’s ability to experience
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0718-140819.pdf
March 11, 2013 - Topic 0589 Cleaning and Monitoring of HAIs NSD SJ Clean
Surface Cleaning, Disinfection, and Monitoring of
Cleaning to Reduce Hospital Acquired I…
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www.ahrq.gov/news/newsroom/case-studies/201527.html
September 01, 2015 - AHRQ Tools Help Wisconsin Hospitals Post Big Quality, Safety Gains
Search All Impact Case Studies
September 2015
Several AHRQ resources have helped Wisconsin hospitals improve the quality and safety of care for more than 4,400 patients. This resulted in a savings of $45.6 million through 2013, according to …
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digital.ahrq.gov/technology/health-information-exchange
January 01, 2024 - Health Information Exchange
Health Information Exchange Utilization and Inter-Hospital Transfer Outcomes - Final Report
Citation
Usher M. Health Information Exchange Utilization and Inter-Hospital Transfer Outcomes – Final Report. (Prepared by University of Minnesota under Gr…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-trautner.html
October 01, 2023 - Grantee Profile
Reducing Harms from Unsafe Use of Antibiotics and Preventing the Spread of Antibiotic Resistance
Barbara Wells Trautner, M.D., Ph.D.
Professor of Infectious Diseases and Health Services Research
Michael E. DeBakey VA Medical Center
Baylor College of Medicine
Barbara Wells Trau…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2003
January 01, 2003 - Kuperman GJ et al. 2003 "Computer physician order entry: benefits, costs, and issues."
Reference
Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med 2003;139(1):31-39.
Abstract
"Several analyses have detected substantial quality problems througho…
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digital.ahrq.gov/technology/artificial-intelligence
January 01, 2025 - Artificial Intelligence
Preliminary analysis of the impact of lab results on large language model generated differential diagnoses.
Citation
Bhasuran B, Jin Q, Xie Y, Yang C, Hanna K, Costa J, Shavor C, Han W, Lu Z, He Z. Preliminary analysis of the impact of lab results on la…
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www.ahrq.gov/hai/tools/surgery/about.html
December 01, 2017 - About the Toolkit Development
The toolkit was developed as part of the AHRQ Safety Program for Surgery, a national implementation project to reduce surgical site infections and other complications in hospitals. The 3-year project brought together subject matter experts and participating hospitals across the co…
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digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-3
January 01, 2023 - A Patient and Family Member Fall Prevention Educational (ED) tool to identify fall risk and engage them in creating individualized plan to reduce risks (Chapter 3; Figures 13 and 14; separate specifications document)
Citation
A Patient and Family Member Fall Prevention Educational (ED) tool to identif…
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www.ahrq.gov/topics/medical-errors.html
Topic: Medical Errors
Medical errors can occur anywhere in the health care system--in hospitals, clinics, surgery centers, doctors' offices, nursing homes, pharmacies, and patients' homes--and can have serious consequences. Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. AHRQ has sponsore…