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psnet.ahrq.gov/node/73431/psn-pdf
June 23, 2021 - Drive to Deprescribe.
June 23, 2021
The Society for Post-Acute and Long-Term Care Medicine.
https://psnet.ahrq.gov/issue/drive-deprescribe
Polypharmacy is a known challenge to patient safety. This collective program encourages long-term care
organizations, physicians, and pharmacists to take part in a learning net…
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psnet.ahrq.gov/node/42332/psn-pdf
June 12, 2013 - Quality improvement through implementation of
discharge order reconciliation.
June 12, 2013
Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order
reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050.
https://psnet.ahrq.gov/issue/quality-impr…
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psnet.ahrq.gov/node/42753/psn-pdf
November 20, 2013 - Dealing with a medical mistake: should physicians
apologize to patients?
November 20, 2013
Tabler NG Jr.
https://psnet.ahrq.gov/issue/dealing-medical-mistake-should-physicians-apologize-patients
This article discusses how apologies address patients' needs when a medical mistake has occurred and
how such disclosur…
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psnet.ahrq.gov/node/37704/psn-pdf
April 23, 2008 - Decreasing paediatric prescribing errors in a district
general hospital.
April 23, 2008
Davey AL, Britland A, Naylor RJ. Decreasing paediatric prescribing errors in a district general hospital.
Qual Saf Health Care. 2008;17(2):146-9. doi:10.1136/qshc.2006.021212.
https://psnet.ahrq.gov/issue/decreasing-paediatric-…
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psnet.ahrq.gov/node/42493/psn-pdf
August 14, 2013 - Partnering to prevent falls: using a multimodal
multidisciplinary team.
August 14, 2013
Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm.
2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a.
https://psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-m…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Case 5. Heights Hospital
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Case 3.…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/measuring-blood-pressure-future_research.pdf
August 01, 2012 - The VA medical system also contains electronic medical and
administrative data systems, which reduces … Resource Use, Size, and Duration
The reliance on observational data substantially reduces resource use … Resource Use, Size, and Duration
Use of existing observational data substantially reduces resource use
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/r9MoffF79edExY5m2V_koD
May 01, 2021 - CONCLUSIONS AND RELEVANCE Routine prenatal iron supplementation reduces the incidence
of iron deficiency … Conclusions
Routine prenatal iron supplementation reduces the incidence of iron
deficiency and iron deficiency … Prenatal iron
supplementation reduces maternal anemia, iron
deficiency, and iron deficiency anemia in
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psnet.ahrq.gov/node/41833/psn-pdf
November 14, 2012 - Risks related to patient bed safety.
November 14, 2012
Sharkey JE, Van Leuven K, Radovich P. Risks related to patient bed safety. J Nurs Care Qual.
2012;27(4):346-51. doi:10.1097/NCQ.0b013e318264744b.
https://psnet.ahrq.gov/issue/risks-related-patient-bed-safety
Reviewing the three major contributing factors to me…
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digital.ahrq.gov/ahrq-funded-projects/feedback-treatment-intensification-data-reduce-cardiovascular-disease-risk-2
January 01, 2023 - System-based participatory research in health care: an approach for sustainable translational research and quality improvement.
Citation
Schmittdiel JA, Grumbach K, Selby JV. System-based participatory research in health care: an approach for sustainable translational research and quality improvement.…
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www.ahrq.gov/topics/inpatient-care.html
Topic: Inpatient Care
Inpatient care is healthcare received within a hospital.
A Model for Sustaining and Spreading Safety Interventions
About the Toolkit Development
CAHPS Child Hospital Survey Measures
Eliminating CLABSI, A National Patient Safety Imp…
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psnet.ahrq.gov/node/38602/psn-pdf
January 14, 2025 - World Hand Hygiene Day.
January 14, 2025
World Health Organization
https://psnet.ahrq.gov/issue/save-lives-clean-your-hands
This global initiative raises awareness about hand hygiene as a strategy to reduce health care–associated
infections. The initiative highlights Save Lives: Clean Your Hands, an annual promoti…
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psnet.ahrq.gov/node/60162/psn-pdf
March 25, 2020 - Patient Safety Improvement Act of 2020.
March 25, 2020
SB 3380. 116th Congress (2020).
https://psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
This bill submits amendments to existing US federal law to strengthen state-organized efforts to improve
health care-associated infection control efforts, pediatri…
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psnet.ahrq.gov/node/41063/psn-pdf
January 27, 2012 - Perspective: ten thousand hours to patient safety, sooner
or later.
January 27, 2012
Pellegrini VD. Perspective: ten thousand hours to patient safety, sooner or later. Acad Med.
2012;87(2):164-7. doi:10.1097/ACM.0b013e31823f7202.
https://psnet.ahrq.gov/issue/perspective-ten-thousand-hours-patient-safety-sooner-or-…
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psnet.ahrq.gov/node/42613/psn-pdf
September 25, 2013 - Approaches to decreasing medication and other care
errors in the ICU.
September 25, 2013
Valentin A. Approaches to decreasing medication and other care errors in the ICU. Curr Opin Crit Care.
2013;19(5):474-9. doi:10.1097/MCC.0b013e328364d4f9.
https://psnet.ahrq.gov/issue/approaches-decreasing-medication-and-other…
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psnet.ahrq.gov/node/37087/psn-pdf
October 03, 2011 - Improving patient safety in the ED waiting room.
October 3, 2011
Blank FSJ, Santoro J, Maynard AM, et al. Improving patient safety in the ED waiting room. Journal of
emergency nursing: JEN : official publication of the Emergency Department Nurses Association.
2007;33(4):331-5.
https://psnet.ahrq.gov/issue/improvin…
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psnet.ahrq.gov/node/45064/psn-pdf
April 20, 2016 - Making Care Safer.
April 20, 2016
Agency for Healthcare Research and Quality. Priorities in Focus. March 2016.
https://psnet.ahrq.gov/issue/making-care-safer
The National Quality Strategy is part of AHRQ's ongoing efforts to enhance patient safety. This brief
summarizes the results of the Partnership for Patients …
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psnet.ahrq.gov/node/841489/psn-pdf
December 14, 2022 - Rise to Health Coalition.
December 14, 2022
Boston, MA; Institute for Healthcare Improvement: December 2022.
https://psnet.ahrq.gov/issue/rise-health-coalition
Systemic efforts to improve health equity support patient safety. This announcement highlights an initiative
for collective work to address four areas of e…
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psnet.ahrq.gov/node/36914/psn-pdf
March 21, 2017 - Reasons for after-hours calls by hospital floor nurses to
on-call physicians.
March 21, 2017
Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-
call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9.
https://psnet.ahrq.gov/issue/reasons-after-hours-call…
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psnet.ahrq.gov/node/37243/psn-pdf
December 16, 2011 - Raising the awareness of inpatient nursing staff about
medication errors.
December 16, 2011
Elnour AA, Ellahham NH, Qassas HIA. Raising the awareness of inpatient nursing staff about medication
errors. Pharm World Sci. 2008;30(2):182-90.
https://psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-…