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digital.ahrq.gov/organization/upper-peninsula-health-care-network
January 01, 2023 - Upper Peninsula Health Care Network
Critical Access Hospital Partnership Health Information Technology Implementation - 2009
Principal Investigator
Wheeler, Donald
Project Name
Critical Access Hospital Partnership Health Information Technology Implementation
…
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psnet.ahrq.gov/node/45932/psn-pdf
May 18, 2017 - Polypharmacy.
May 18, 2017
Zagaria MAE, ed. Clin Geriatr Med. 2017;33:153-292.
https://psnet.ahrq.gov/issue/polypharmacy
Older patients are likely to be prescribed multiple medications, which can increase risks. Articles in this
special issue explore polypharmacy in a variety of care settings and provide tactics f…
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psnet.ahrq.gov/node/48026/psn-pdf
July 10, 2019 - Network of Patient Safety Databases.
July 10, 2019
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/network-patient-safety-databases
The Patient Safety Organization (PSO) program seeks to gather and analyze nonidentifiable patient safety
incident data to track concerns and reduce risks. Thi…
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psnet.ahrq.gov/node/47348/psn-pdf
September 05, 2018 - Hospital-Acquired Condition Reduction Program
(HACRP).
September 5, 2018
QualityNet. Centers for Medicare and Medicaid Services.
https://psnet.ahrq.gov/issue/hospital-acquired-condition-hac-reduction-program
Eliminating hospital-acquired harm requires policy, organizational, and individual approaches to motivate
…
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psnet.ahrq.gov/node/48190/psn-pdf
June 17, 2024 - APSF Stoelting Conference.
June 17, 2024
Anesthesia Patient Safety Foundation. Markell Conference Center, Somerville, MA, September 4–5, 2024.
https://psnet.ahrq.gov/issue/apsf-stoelting-conference
Anesthesia is a high-risk activity that has achieved safety successes. This hybrid conference explored
topics related…
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psnet.ahrq.gov/node/39585/psn-pdf
June 09, 2010 - Bar code technology and medication administration error.
June 9, 2010
Young J, Slebodnik M, Sands L. Bar Code Technology and Medication Administration Error. J Patient Saf.
2010;6(2):115-120. doi:10.1097/pts.0b013e3181de35f7.
https://psnet.ahrq.gov/issue/bar-code-technology-and-medication-administration-error
This…
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psnet.ahrq.gov/node/73173/psn-pdf
April 21, 2021 - Racism and Health.
April 21, 2021
Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/racism-and-health
Ethnic and social inequities have a substantial impact on the safety and effectiveness of health care. This
US Centers for Disease Control and Prevention (CDC) initiative provides access to …
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psnet.ahrq.gov/node/44226/psn-pdf
November 03, 2015 - The Patient Survival Handbook.
November 3, 2015
Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015.
https://psnet.ahrq.gov/issue/patient-survival-handbook
Engaging patients in their care is increasingly advocated as a way to improve safety. This book
recommends actions for patients and families to reduce risk…
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psnet.ahrq.gov/node/38530/psn-pdf
April 01, 2009 - Assessing the impact of an educational program on
decreasing prescribing errors at a university hospital.
April 1, 2009
Peeters MJ, Pinto SL. Assessing the impact of an educational program on decreasing prescribing errors at
a university hospital. J Hosp Med. 2009;4(2):97-101. doi:10.1002/jhm.387.
https://psnet.ah…
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psnet.ahrq.gov/node/45226/psn-pdf
January 04, 2017 - AHRQ Research Summit on Improving Diagnosis in
Health Care.
January 4, 2017
Rockville, MD; Agency for Healthcare Research and Quality: September 28, 2016.
https://psnet.ahrq.gov/issue/ahrq-research-summit-improving-diagnosis-health-care
Research is increasingly focusing on diagnostic errors and strategies to reduc…
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psnet.ahrq.gov/node/37413/psn-pdf
November 14, 2011 - Patient Safety Tools: Improving Safety at the Point of
Care.
November 14, 2011
https://psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
Produced in conjunction with its Partnerships in Implementing Patient Safety (PIPS) grant program,
AHRQ has released 17 freely available toolkits to help ho…
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psnet.ahrq.gov/node/74766/psn-pdf
June 24, 2024 - Patient handoffs.
June 24, 2024
Arora V, Farnan J. UpToDate. June 24, 2024.
https://psnet.ahrq.gov/issue/patient-handoffs-0
The change of an inpatient’s location or handoffs between teams can fragment care due to communication,
information, and knowledge gaps. This review examines in-patient transition safety issu…
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psnet.ahrq.gov/node/42447/psn-pdf
July 24, 2013 - Economic Analysis of Medical Malpractice Liability and Its
Reform.
July 24, 2013
Arlen J. New York, NY: New York University School of Law; May 9, 2013. Public Law Research Paper No.
13-25.
https://psnet.ahrq.gov/issue/economic-analysis-medical-malpractice-liability-and-its-reform
This report describes a ma…
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psnet.ahrq.gov/node/39344/psn-pdf
March 03, 2010 - Mistake-proofing healthcare: why stopping processes
may be a good start.
March 3, 2010
Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus
Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007.
https://psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopp…
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psnet.ahrq.gov/node/61002/psn-pdf
September 17, 2020 - Patient Safety
September 17, 2020
Organisation for Economic Co-operation and Development.
https://psnet.ahrq.gov/issue/patient-safety-21
Organizations worldwide are focusing efforts on reducing the conditions that contribute to medical error.
This website provides a collection of reports and other resources that c…
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psnet.ahrq.gov/node/42975/psn-pdf
February 26, 2014 - State-Wide Initiative to Standardize the Compounding of
Oral Liquids in Pediatrics.
February 26, 2014
Michigan Pharmacists Association; MPA.
https://psnet.ahrq.gov/issue/state-wide-initiative-standardize-compounding-oral-liquids-pediatrics
Children are often prescribed oral liquid medications due to difficulty swa…
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psnet.ahrq.gov/node/45291/psn-pdf
November 30, 2016 - Just Bag It.
November 30, 2016
National Comprehensive Cancer Network.
https://psnet.ahrq.gov/issue/just-bag-it
Vincristine is a chemotherapy agent that can have serious consequences if administered incorrectly.
Drawing from guidelines and expert opinion regarding vincristine administration, this campaign advocates…
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psnet.ahrq.gov/node/43233/psn-pdf
June 17, 2014 - Quality and safety education for nurses: a nursing
leadership skills exercise.
June 17, 2014
Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ.
2014;53(6):356-361. doi:10.3928/01484834-20140512-01.
https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-15.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.15. Hip and Knee Replacement
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 Hosp…
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psnet.ahrq.gov/node/37788/psn-pdf
May 28, 2008 - Durable improvements in efficiency, safety, and
satisfaction in the operating room.
May 28, 2008
Heslin MJ, Doster BE, Daily SL, et al. Durable improvements in efficiency, safety, and satisfaction in the
operating room. J Am Coll Surg. 2008;206(5):1083-9; discussion 1089-90.
doi:10.1016/j.jamcollsurg.2008.02.006.
…