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psnet.ahrq.gov/node/46135/psn-pdf
July 11, 2017 - Two-state collaborative study of a multifaceted
intervention to decrease ventilator-associated events.
July 11, 2017
Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease
Ventilator-Associated Events. Crit Care Med. 2017;45(7):1208-1215.
doi:10.1097/CCM.0000000000…
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psnet.ahrq.gov/node/46542/psn-pdf
June 19, 2018 - Improving admission medication reconciliation with
pharmacists or pharmacy technicians in the emergency
department: a randomised controlled trial.
June 19, 2018
Pevnick JM, Nguyen C, Jackevicius CA, et al. Improving admission medication reconciliation with
pharmacists or pharmacy technicians in the emergency depar…
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psnet.ahrq.gov/node/43773/psn-pdf
May 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million
Fewer Patient Harms: Interim Update on 2013 Annual
Hospital-Acquired Condition Rate and Estimates of Cost
Savings and Deaths Averted From 2010 to 2013.
May 1, 2015
Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. …
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psnet.ahrq.gov/node/42081/psn-pdf
April 09, 2013 - Types and origins of diagnostic errors in primary care
settings.
April 9, 2013
Singh H, Giardina TD, Meyer AND, et al. Types and origins of diagnostic errors in primary care settings.
JAMA Intern Med. 2013;173(6):418-425. doi:10.1001/jamainternmed.2013.2777.
https://psnet.ahrq.gov/issue/types-and-origins-diagnosti…
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psnet.ahrq.gov/issue/vha-national-patient-safety-improvement-handbook
April 12, 2019 - Organizational Policy/Guidelines
VHA National Patient Safety Improvement Handbook.
Save
Save to your library
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January 17, 2012
A handbook developed by the …
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psnet.ahrq.gov/node/37462/psn-pdf
January 06, 2017 - Medication errors associated with code situations in U.S.
hospitals: direct and collateral damage.
January 6, 2017
Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S.
Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf. 2016;34(1):46-56.
doi:10.1016/…
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psnet.ahrq.gov/node/847717/psn-pdf
April 19, 2023 - Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19
pandemic: a "zero harm" approach.
April 19, 2023
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19 pan…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking1.html
September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Previous Page Next Page
Table of Contents
Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts for Understanding Probability
Probability and the Diagnostic Pathway
Futu…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship3.html
August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Background
Previous Page Next Page
Table of Contents
Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Introduction
Background
Diagnostic Error in the Testing Process
Diagnostic …
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psnet.ahrq.gov/node/39730/psn-pdf
December 21, 2014 - Surgical case listing accuracy: failure analysis at a high-
volume academic medical center.
December 21, 2014
Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume
academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archsurg.2010.112.
https://psnet.a…
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psnet.ahrq.gov/node/43785/psn-pdf
May 01, 2015 - Evaluation of the effectiveness of a surgical checklist in
Medicare patients.
May 1, 2015
Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in
Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277.
https://psnet.ahrq.gov/issue/evaluation-effec…
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psnet.ahrq.gov/node/44034/psn-pdf
January 19, 2016 - Surgical checklist implementation project: the impact of
variable WHO checklist compliance on risk-adjusted
clinical outcomes after national implementation: a
longitudinal study.
January 19, 2016
Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impact of Variable
WHO Checklist C…
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digital.ahrq.gov/location/usa-mo-st-louis
January 01, 2023 - USA, MO, St. Louis
EnhanCed HandOffs (ECHO)
Description
This research will develop and evaluate a machine learning-augmented and telemedicine-augmented sociotechnical intervention for postoperative handoffs to reduce the risks of patient complications and improve patient-cen…
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psnet.ahrq.gov/node/44925/psn-pdf
July 27, 2018 - Improving safety for hospitalized patients: much progress
but many challenges remain.
July 27, 2018
Kronick R, Arnold S, Brady J. Improving Safety for Hospitalized Patients: Much Progress but Many
Challenges Remain. JAMA. 2016;316(5):489-90. doi:10.1001/jama.2016.7887.
https://psnet.ahrq.gov/issue/improving-safety…
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psnet.ahrq.gov/node/45555/psn-pdf
June 15, 2017 - Variations in GPs' decisions to investigate suspected
lung cancer: a factorial experiment using multimedia
vignettes.
June 15, 2017
Sheringham J, Sequeira R, Myles J, et al. Variations in GPs' decisions to investigate suspected lung
cancer: a factorial experiment using multimedia vignettes. BMJ Qual Saf. 2017;26(6…
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digital.ahrq.gov/technology/generative-artificial-intelligence
January 01, 2023 - Generative Artificial Intelligence
Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using Large Language Models and Machine Learning
Description
This research uses large language models and machine learning to retrospectively analyze electronic hea…
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/utah
January 01, 2023 - Utah
Team Description
The Utah Department of Health (UDOH) has subcontracted with RTI International to address privacy and security issues affecting the exchange of electronic health information. Known as eHealth, the secure sharing of health information electronically is safer for patient…
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www.ahrq.gov/topics/pressure-ulcers.html
Pressure Ulcers
Each year, more than 2.5 million people in the United States develop pressure ulcers. These skin lesions bring pain, associated risk for serious infection, and increased health care utilization. Pressure ulcers are associated with longer hospital stays and increased morbidity and m…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/aSTzfuKHZtT8_PjfJjuck5
March 01, 2013 - Reducing maternal intimate partner violence after the birth of a child: a
randomized, controlled trial
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
January 01, 2018 - Microsoft PowerPoint - Updated Handouts - Read-Only
REDUCING MEDICATIONS SAFELY
TO MEET LIFE’S CHANGES … taking:_____________________
Your dose: _____________________________________________
WHY CONSIDER REDUCING … Adapted from “Reducing Medications Safely to Meet Life’s Changes, Focus on Benzodiazepine Receptor Agonists