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psnet.ahrq.gov/issue/potentially-preventable-readmissions-conceptual-framework-rethink-role-primary-care-executive
November 01, 2016 - Book/Report
Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary.
Citation Text:
Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summa…
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - 170.314 (b)(1) Transitions of care—receive, display and incorporate transition of care/referral summaries
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psnet.ahrq.gov/issue/partnering-patients-drive-shared-decisions-better-value-and-care-improvement-workshop
September 23, 2015 - Meeting/Conference Proceedings
Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings.
Citation Text:
Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings. Roundtable on Value and …
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psnet.ahrq.gov/issue/building-case-health-literacy-proceedings-workshop
September 12, 2018 - Meeting/Conference Proceedings
Building the Case for Health Literacy: Proceedings of a Workshop.
Citation Text:
Building the Case for Health Literacy: Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2018. ISB…
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psnet.ahrq.gov/node/40086/psn-pdf
December 15, 2010 - The Safe Use Initiative and Health Literacy: Workshop
Summary.
December 15, 2010
Vancheri C; Roundtable on Health Literacy; Institute of Medicine. Washington, DC: National Academies
Press; 2010. ISBN-10: 0309159318.
https://psnet.ahrq.gov/issue/safe-use-initiative-and-health-literacy-workshop-summary
This publica…
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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February 26, 2025
Innovation
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - implemented several workshops that brought experts together to focus on different aspects of health literacy; summaries
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psnet.ahrq.gov/submit-innovations-landing
February 26, 2025 - Breadcrumb
Home
Improvement Resources
Innovations
Innovation Submissions
Individuals or organizations are encouraged to submit new or reimagined patient safety innovations that have been implemented, evaluated, sustained, and demonstrate significant improvement to patient safet…
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psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-highlights-themes-and
September 14, 2022 - Book/Report
HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work.
Citation Text:
HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. Farnborough, UK: Healthcare Safety Invest…
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psnet.ahrq.gov/node/39984/psn-pdf
June 08, 2011 - The Role of Human Factors in Home Health Care:
Workshop Summary.
June 8, 2011
Olson S. Committee on the Role of Human Factors in Home Healthcare, National Research Council.
Washington, DC: National Academies Press; 2010.
https://psnet.ahrq.gov/issue/role-human-factors-home-health-care-workshop-summary
This public…
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psnet.ahrq.gov/node/37819/psn-pdf
April 14, 2010 - Standardizing Medication Labels: Confusing Patients
Less, Workshop Summary.
April 14, 2010
Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice,
Institute of Medicine. Washington, DC: National Academies Press; 2008.
https://psnet.ahrq.gov/issue/standardizing-medica…
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psnet.ahrq.gov/issue/maternal-health-women-and-girls-african-descent-americas
September 02, 2015 - Book/Report
Maternal Health of Women and Girls of African Descent in the Americas.
Citation Text:
Maternal Health of Women and Girls of African Descent in the Americas. New York, NY: United Nations Population Fund; July 2023.
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psnet.ahrq.gov/node/40646/psn-pdf
July 27, 2011 - Engineering a Learning Healthcare System: A Look at the
Future: Workshop Summary.
July 27, 2011
Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of
Engineering. Washington, DC: The National Academies Press; 2011. ISBN: 9780309120647.
https://psnet.ahrq.gov/issue/engineering…
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psnet.ahrq.gov/issue/addressing-health-worker-burnout
May 25, 2022 - Book/Report
Addressing Health Worker Burnout.
Citation Text:
Addressing Health Worker Burnout. The U.S. Surgeon General’s Advisory on Building a Thriving Health Workforce. Washington DC: Office of the Surgeon General; May 2022.
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - in children with chronic medical conditions, in combination with standardized handoffs and discharge summaries
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psnet.ahrq.gov/issue/promoting-safety-and-quality-through-human-resource-practices-executive-summary
September 14, 2011 - Book/Report
Promoting Safety and Quality Through Human Resource Practices: Executive Summary.
Citation Text:
Promoting Safety and Quality Through Human Resource Practices: Executive Summary. McAlearney AS, Song P, Garman A, McHugh M, Caputo N. Rockville, MD: Agency for Healthcare Researc…
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - but is not limited to,
notifications, alerts and reminders, condition-specific order sets, clinical summaries
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - but is not limited to, notifications, alerts and reminders, condition-specific order sets, clinical summaries
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psnet.ahrq.gov/node/43579/psn-pdf
October 08, 2014 - Implications of Health Literacy for Public Health:
Workshop Summary.
October 8, 2014
Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health
Practice, Institute of Medicine. Washington, DC: National Academies Press; 2014. ISBN: 9780309303651.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/44330/psn-pdf
September 02, 2015 - Health Literacy: Past, Present, and Future: Workshop
Summary.
September 2, 2015
Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of
Medicine. Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015. ISBN:
9780309371544.
https://psnet.…