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www.ahrq.gov/sites/default/files/2024-01/baker-report.pdf
January 01, 2024 - Final Report: Modeling Risk and Reducing Liability through Better Communication and Teamwork
Agency for Healthcare Research and Quality
Modeling Risk and Reducing Liability through
Better Communication and Teamwork
FINAL REPORT
April 2012
Presented to:
James Battles
Agency for Healthcare Research and Quality
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
June 02, 2025 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process
Integrating Teamwork Tools into CUSP Efforts
Shannon Davila, RN, MSN, CIC, CPQH
New Jersey Hospital Association
Slides adapted from original source:
Barbara Edson, RN, MBA, MHA
VP, Clinical Quality, Health Research &…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/reduce.html
March 01, 2017 - Reduce Unnecessary Urine Culturing and Overuse of Antibiotics
Know When To Order Urine Cultures
Educational module and tools that summarize why more urine cultures lead to more catheter-associated urinary tract infection diagnoses, and provide tools to use to appropriately identify when to order a urine cul…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
December 01, 2017 - Building a Team and Process to Reduce CAUTI Risk
Slide Presentation
Slide 1
Mohamad Fakih, MD, MPH
Professor of Medicine
Wayne State University School of Medicine
Medical Director, Infection Prevention and Control
St. John Hospital and Medical Center
Barbara Lucas, MD, MHSA
Project Consultant
Mich…
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www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
January 01, 2024 - Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care
Final Report
TIPI Systems to Reduce Errors in Emergency Cardiac Care
Principal Investigator: Harry P. Selker, MD, MSPH
Tufts-New England Medical Center, Boston, MA
Dates of Project: September 15, 2000, to August 31, 2004
Project Offi…
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www.ahrq.gov/sites/default/files/2025-03/greenes-report.pdf
January 01, 2025 - Final Progress Report: Automated Lab Test Followup To Reduce Medical Errors
Principal Investigator/Program Director (Last, first, middle): Greenes, David S.
Automated Lab Test Follow-up to Reduce Medical Errors
Principal Investigator: David S. Greenes, MD
Department of Medicine, Children’s Hospital Boston
Team …
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www.ahrq.gov/sites/default/files/2025-03/thomas-report.pdf
January 01, 2025 - Final Progress Report: Caregiver innovations to reduce harm in Neonatal Intensive Care
Title: Caregiver innovations to reduce harm in Neonatal Intensive Care (P30HS024459);…
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psnet.ahrq.gov/issue/experimental-evidence-structured-information-sharing-networks-reducing-medical-errors
December 15, 2021 - Study
Experimental evidence for structured information-sharing networks reducing medical errors.
Citation Text:
Centola D, Becker J, Zhang J, et al. Experimental evidence for structured information–sharing networks reducing medical errors. Proc Natl Acad Sci U S A. 2023;120(31):e21082901…
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psnet.ahrq.gov/issue/computer-based-simulation-reduce-ehr-related-chemotherapy-ordering-errors
October 27, 2021 - Study
Computer-based simulation to reduce EHR-related chemotherapy ordering errors.
Citation Text:
Wyatt KD, Freedman EB, Arteaga GM, et al. Computer‐based simulation to reduce EHR‐related chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496.
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psnet.ahrq.gov/issue/differential-diagnosis-checklists-reduce-diagnostic-error-differentially-randomised
September 23, 2020 - Study
Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment.
Citation Text:
Kämmer JE, Schauber SK, Hautz SC, et al. Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. Med Educ. 2021;55(10):1172-1…
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psnet.ahrq.gov/issue/reducing-unacceptable-missed-doses-pharmacy-assistant-supported-medicine-administration
June 07, 2023 - Study
Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration.
Citation Text:
Baqir W, Jones K, Horsley W, et al. Reducing unacceptable missed doses: pharmacy assistant-supported medicine administration. Int J Pharm Pract. 2015;23(5):327-332. doi:10.1111/…
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psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
June 29, 2022 - EMERGING INNOVATIONS
Reducing hospital harm: establishing a command centre to foster situational awareness.
Citation Text:
Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885.
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digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-american/citation/hospitals
January 01, 2023 - How hospitals reengineer their discharge processes to reduce readmissions.
Citation
Mitchell SE, Martin J, Holmes S, et al. How hospitals reengineer their discharge processes to reduce readmissions. J Healthc Qual. 2016 Mar-Apr;38(2):116-26. PMID: 26042743.
Link
https://www.ncbi.nlm.nih.gov/p…
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effectivehealthcare.ahrq.gov/products/psychiatric-readmissions/research-protocol
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digital.ahrq.gov/national-webinars/reducing-provider-burden-through-better-health-it-design
January 01, 2023 - Reducing Provider Burden through Better Health IT Design
Event Date:
January 25, 2018 | 2:30pm – 4:00pm ET
Event Materials:
Presentation Slides ( PDF , 4.35 MB) Q&A ( PDF , 330 KB)
Your browser does not support inline frames. Please go to https://youtu.be/nIynw5Oji…
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psnet.ahrq.gov/issue/coproduced-family-reporting-intervention-improve-safety-surveillance-and-reduce-disparities
September 06, 2023 - Study
A coproduced family reporting intervention to improve safety surveillance and reduce disparities.
Citation Text:
Khan A, Baird JD, Mauskar S, et al. A coproduced family reporting intervention to improve safety surveillance and reduce disparities. Pediatrics. 2024;154(4):e2023065245…
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effectivehealthcare.ahrq.gov/products/psychiatric-readmissions/technical-brief
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psnet.ahrq.gov/issue/when-policy-meets-physiology-challenge-reducing-resident-work-hours
January 10, 2017 - Study
When policy meets physiology: the challenge of reducing resident work hours.
Citation Text:
Lockley SW, Landrigan CP, Barger LK, et al. When policy meets physiology: the challenge of reducing resident work hours. Clin Orthop Relat Res. 2006;449:116-127.
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psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review
August 26, 2020 - Review
Effectiveness of double checking to reduce medication administration errors: a systematic review.
Citation Text:
Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603.…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/psychiatric-readmissions_disposition-comments.pdf
May 21, 2015 - Disposition of Comments for Technical Brief 21, Management Strategies To Reduce Psychiatric Readmissions
Technical Brief Disposition of Comments Report
Research Review Title: Management Strategies To Reduce Psychiatric Readmissions
Draft review available for public comment from December 1, 2014 to Dece…