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psnet.ahrq.gov/issue/identification-latent-safety-threats-using-high-fidelity-simulation-based-training
June 26, 2019 - Study
Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams.
Citation Text:
Wetzel EA, Lang TR, Pendergrass TL, et al. Identification of Latent Safety Threats Using High-Fidelity Simulation-Based Training with Mult…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/long-term-care-adults-future_research.pdf
July 01, 2013 - The
sample size was limited by standards and guidelines for statistical surveys administered by the
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/migraine-emergency_research-protocol.pdf
July 18, 2011 - Evidence-based Practice Center Systematic Review Protocol
Source: www.effectivehealthcare.ahrq.gov
Published Online: July 18, 2011
Evidence-based Practice Center Systematic Review Protocol
Project Title: Acute Migraine Treatment in Emergency Settings
I. Background and Objectives for the Systematic…
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digital.ahrq.gov/document-type/project-sunset-review
January 01, 2023 - Project Sunset Review
Lessons Learned, Successes, and Barriers
Description
A project/sunset review summarizes the challenges, solutions, and lessons of a recently completed project. This review pertains to a project that standardized pressure ulcer data elements and electronic…
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digital.ahrq.gov/population/non-hispanic-or-latino
January 01, 2023 - Non-Hispanic or Latino
Evaluation of Computer Generated After-Visit Summaries to Support Patient-Centered Care
Description
This project utilized input from patients and clinicians in order to develop three test versions of an after visit summary (AVS), and employed a randomize…
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psnet.ahrq.gov/node/33959/psn-pdf
January 17, 2012 - Healthcare Failure Mode and Effect Analysis.
January 17, 2012
National Center for Patient Safety.
https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis
These materials provide an introduction to the purpose of healthcare failure mode and effect analysis
(HFMEA), the steps of the HFMEA process, a…
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psnet.ahrq.gov/node/37069/psn-pdf
December 20, 2007 - Standardising wristbands improves patient safety.
December 20, 2007
National Patient Safety Agency. Safer Practice Notice. July 2007;(24):1-2.
https://psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety
This notice highlights the importance of standardizing wristband design and information to make…
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psnet.ahrq.gov/node/41980/psn-pdf
January 16, 2013 - Handoff Communication Tools.
January 16, 2013
Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8.
https://psnet.ahrq.gov/issue/handoff-communication-tools
This newsletter issue highlights initiatives and tools developed to improve handoff communication in
Massachusetts.
https://psnet.ahrq…
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psnet.ahrq.gov/node/36228/psn-pdf
July 31, 2012 - How hospital design saves lives.
July 31, 2012
Blum A. Bloomberg. August 14, 2006.
https://psnet.ahrq.gov/issue/how-hospital-design-saves-lives
This article discusses how hospital design, including standardized operating rooms, better ventilation
systems, and green design can improve patient safety and decrea…
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digital.ahrq.gov/sites/default/files/docs/page/2006King_051611comp.pdf
June 16, 2021 - User
Exchange receives data &
manages data transformation
• Mapping of Data
• Parsing of Data
• Standardization
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016143-shank-final-report-2009.pdf
January 01, 2009 - by-laws for the regional sharing of health information.
1.5 Develop regional security policies and standards … right of members, HIPAA
compliance, proper use, ownership, cost and liability sharing and technology standards
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psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - Turn the Other Cheek
March 1, 2012
Starling J. Turn the Other Cheek. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/turn-other-cheek
The Case
A 56-year-old man underwent two skin biopsies to evaluate clinically concerning lesions. The first biopsy
was diagnostic for squamous cell carcinoma (SCC) and docume…
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psnet.ahrq.gov/node/612828/psn-pdf
February 23, 2022 - Delayed Diagnosis of Kidney Transplant Complications
February 23, 2022
Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
Objectives
Recognition, early evaluation, and management of kidney …
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psnet.ahrq.gov/node/49626/psn-pdf
May 01, 2011 - Outbreak
May 1, 2011
Rothman R, Stapleton S. Outbreak. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/outbreak
The Case
A 36-year-old healthy man developed an acute febrile illness associated with a vesicular rash. He
presented to an urgent care clinic where he was diagnosed with varicella infection ("chic…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos
U
N
C H E A L T H C A R E S Y S T E M
U
N
C H E A L T H C A R E
Culture of Safety Improvement Project
UNC Medical Center
29
U
N
C H …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
March 01, 2011 - Spotlight Case July 2008
Spotlight Case March 2011
Volume Too Low: In and Out
Pediatric Patient Safety
*
*
Source and Credits
This presentation is based on the March 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Marlene Miller, MD, MSc…
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www.ahrq.gov/sites/default/files/2024-12/doi-report.pdf
January 01, 2024 - Final Progress Report: Optimizing Detection of MRSA Carriage
Title of the project:
Optimizing Detection of MRSA Carriage
Principal investigator and team members:
Yohei Doi (principal investigator)
Diana Pakstis (research director)
Charma Chaussard (research coordinator)
Jessica O’Hara (laboratory technician…
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psnet.ahrq.gov/node/850362/psn-pdf
June 14, 2023 - Home Medications Contribute to a Unique Opportunity for
Error on Discharge from the Hospital
June 14, 2023
Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from
the Hospital. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opp…
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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - Handoffs and Transitions
January 22, 2014
Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/handoffs-and-transitions
Annual Perspective 2014
Despite recent efforts to promote clinical integration, the United States health care system remains highly
fragmented. From it…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/public-summary-2015-cg-cahps-fedreg.pdf
January 01, 2015 - effects of survey reference time periods, sampling and population inclusions,
recall periods, and standards … Consortium will
continue to explore ways to measure the concept of “wait time” in a way that meets desired
standards … Hays et al, the CAHPS Medicare Survey includes a 10-item measure, but
a shorter measure may make standardization