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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/engineering-learning-healthcare-system-look-future-workshop-summary
June 15, 2011 - Book/Report
Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary.
Citation Text:
Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of …
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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/issue/triggers-and-targeted-injury-detection-systems-tids-expert-panel-meeting-conference-summary
October 23, 2019 - Meeting/Conference Proceedings
Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report.
Citation Text:
Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report. Rockville, MD: Agency for Healthcare…
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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/860049/psn-pdf
January 04, 2024 - children with chronic medical
conditions, in combination with standardized handoffs and discharge 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/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.…
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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/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/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/node/43853/psn-pdf
March 11, 2015 - Expressing concern and writing it down: an experimental
study investigating transfer of information at nursing
handover.
March 11, 2015
Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study
investigating transfer of information at nursing handover. J Adv Nurs. 2015;71(1):…
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psnet.ahrq.gov/improvement-tools
February 26, 2025 - Improvement Resources Overview
Patient Safety Innovations highlight important innovations that can lead to improvements in patient safety, while Toolkits provide the practical applications of PSNet research and concepts for front line providers to use in their day to day work. Together these support the implementatio…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - Transition Techniques Used by HROs
Verbal, face-to-face interactive questioning coordinated with written summaries
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psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
August 15, 2012 - Book/Report
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis.
Citation Text:
Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Add…
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psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
July 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary
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September 23, 2024
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psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-disparities-health-care
June 15, 2011 - Book/Report
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.
Citation Text:
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Pres…
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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/node/854641/psn-pdf
October 18, 2023 - Ranking of the Rate of State Medical Boards’ Serious
Disciplinary Actions, 2019-2021.
October 18, 2023
Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023.
https://psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021
There are recognized systemic w…
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psnet.ahrq.gov/issue/incorporating-health-information-technology-workflow-redesign-request-information-summary
September 29, 2017 - Book/Report
Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report.
Citation Text:
Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. Carayon P, Karsh B-T, Cartmill RS, et al.…