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psnet.ahrq.gov/issue/dont-abandon-second-victims-medical-errors
September 26, 2017 - Commentary
Don't abandon the "second victims" of medical errors.
Citation Text:
Smetzer JL. Don't abandon the "second victims" of medical errors. Nursing (Brux). 2012;42(2):54-8. doi:10.1097/01.NURSE.0000410310.38734.e0.
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cds.ahrq.gov/sites/default/files/cds/artifact/106/HWI_2017.pptx
January 01, 2017 - Slide 1
Background
Methods
Impact of Multiple Clinician Focused Interventions on Childhood Obesity Documentation and Management
For more information, please contact:
Email: michelj@email.chop.edu
Jeremy Michel, MD, MHS1,2, Jeffrey Miller, MAS1, Emil…
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psnet.ahrq.gov/issue/focusing-health-care-safety
January 16, 2008 - Special or Theme Issue
Focusing on Health Care Safety.
Citation Text:
Focusing on Health Care Safety. IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems and Humans. 2004;34(601):689-778.
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psnet.ahrq.gov/issue/hospital-rphs-weigh-new-jcaho-patient-safety-goals
May 20, 2020 - Newspaper/Magazine Article
Hospital R.Ph.s weigh in on new JCAHO patient safety goals.
Citation Text:
Hospital R.Ph.s weigh in on new JCAHO patient safety goals. Vecchione A. Drug Topics. July 11, 2005
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psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us
March 01, 2017 - Newspaper/Magazine Article
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us.
Citation Text:
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. Lewis M. Nautilus. February 9, 2017.
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psnet.ahrq.gov/issue/reduce-medication-errors-through-following-metrics
December 21, 2022 - Newspaper/Magazine Article
Reduce medication errors through following metrics.
Citation Text:
Reduce medication errors through following metrics. Drug Formulary Review. June 1, 2009.
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digital.ahrq.gov/organization/university-iowa
January 01, 2023 - University of Iowa
Improving Identification And Coordination Of Mobility Interventions In The ICU Using Clinical Decision Support
Description
The study will develop and test a vendor-compatible clinical decision support system to support intensive care unit nurses and physical…
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digital.ahrq.gov/location/usa-ia-iowa-city
January 01, 2023 - USA, IA, Iowa City
Improving Identification And Coordination Of Mobility Interventions In The ICU Using Clinical Decision Support
Description
The study will develop and test a vendor-compatible clinical decision support system to support intensive care unit nurses and physical…
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psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
June 13, 2018 - Toolkit
ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices.
Citation Text:
ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Horsham, PA: Institute for Safe Medication Practices; 2018.
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digital.ahrq.gov/program-overview/research-stories/choosing-what-clinicians-see-electronic-health-record-can-reduce-cognitive-burden-and-improve
January 01, 2023 - Choosing What Clinicians See in an Electronic Health Record Can Reduce Cognitive Burden and Improve Decision Making
Theme:
Optimizing Care Delivery for Clinicians
Subtheme:
Improving Healthcare Technology Design to Advance Patient Safety
Giving clinicians the ability to customize the patie…
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integrationacademy.ahrq.gov/sites/default/files/2020-06/AHRQ_Lexicon_Collateral_Terms.pdf
January 01, 2020 - Integrated Behavioral Health & Primary Care: Terms To Know
Integrating Behavioral Health
and Primary Care
INTEGRATED BEHAVIORAL
HEALTH & PRIMARY CARE:
TERMS TO KNOW
WHAT TO WORK TOWARD: General Goals of an Integrated Behavioral Health Practice
Integrated care. Tightly
integrated practice teams
with a unified …
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-overvw.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Universal ICU Decolonization Protocol Overview
Previous Page Next Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
Referenc…
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-overvw.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Universal ICU Decolonization Protocol Overview
Previous Page Next Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
Referenc…
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www.ahrq.gov/ncepcr/tools/case-studies/overview.html
August 01, 2014 - Case Studies of Exemplary Primary Care Practice Facilitation Training Programs
Overview
Previous Page Next Page
Table of Contents
Case Studies of Exemplary Primary Care Practice Facilitation Training Programs
Overview
Training Program Summary: HealthTeamWorks’ Coach University
Training Program…
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www.ahrq.gov/news/newsroom/case-studies/cquips1201.html
October 01, 2014 - AHRQ Patient Safety Surveys, TeamSTEPPS Used in Georgia Nursing Homes and Hospitals
Search All Impact Case Studies
January 2012
Alliant/GMCF, the Medicare Quality Improvement Organization (QIO) for Georgia, used AHRQ's patient safety culture surveys and team training tools in tandem to help nursing homes an…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
October 01, 2014 - Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation
Search All Impact Case Studies
April 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Health Care Excel, the Indiana Quality Improvement Organization (QIO), worked with two providers in the St…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-3.html
September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors
Previous Page Next Page
Table of Contents
Strategies for Improving Clinician Psychological Safety in Reporting and D…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/055-guide-nursing-practice.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Decolonization Nursing Practice Guide
Use this guide to help ensure that all nursing practice procedures and leadership support are in place to actively support the decolonization intervention.
Engagement & Collaboration
Determine Which Patients Need Treatment
CHG Bath Docume…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-ed-kdd.pdf
March 10, 2021 - PQMP Asthma ED Visit Quality Metric Key Driver Diagram
PQMP Asthma ED Visit Quality Metric Key Driver Diagram
Authors: Keith Robinson, MD, FAAP; Christine Pellegrino, MS; Judy Shaw, EdD, MPH, RN, FAAP Updated 3/10/2021
SMART Aim:
Key Drivers Secondary Drivers Examples of Interventions
Reduce the # of ED
visits/…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017075-sequist-final-report-2010.pdf
January 01, 2010 - Can Risk Score Alerts Improve Office Care for Chest Pain? - Final Report
Grant Final Report
Grant ID: 5R18HS017075-03
Can Risk Score Alerts Improve Office Care
for Chest Pain?
Inclusive Dates: 09/01/07 - 08/31/10
Principal Investigator:
Thomas Dean Sequist, MD, MPH
Team Members:
Thomas H. Lee, M…