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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/index.html
February 01, 2024 - Preventing Pressure Ulcers in Hospitals
Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure ulcer prevention that we want to use?
4. How…
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psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and
May 01, 2019 - Review
A systematic review of evidence on the links between patient experience and clinical safety and effectiveness.
Citation Text:
Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;…
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psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning
May 22, 2024 - Commentary
Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events.
Citation Text:
McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…
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www.ahrq.gov/news/blog/ahrqviews/2st-century-ai.html
October 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
Healthcare’s Next Technological Frontier: 21st Century Artificial Intelligence
OCT
24
2024
By
Robert Otto Valdez, Ph.D., M.H.S.A.;
Chris Dymek, Ed.D.; and
Kevin Chaney, M.G.S.
In recent days, we at AHRQ have been excited by the ent…
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www.ahrq.gov/news/newsroom/case-studies/202304.html
October 01, 2023 - Online Training Enables Primary Care Providers in Rural New Mexico to Prescribe Medication for Opioid Use Disorders
Search All Impact Case Studies
October 2023
Rural primary care practices in New Mexico have expanded on an AHRQ initiative to offer proven medication-assisted treatment to patients with opio…
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www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day-2024.html
September 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
On World Patient Safety Day, AHRQ Highlights the Urgent Need to Address Diagnostic Safety
SEP
16
2024
By
Robert Otto Valdez, Ph.D., M.H.S.A., and
Craig A. Umscheid, M.D., M.S.
Robert Otto Valdez, Ph.D., M.H.S.
As the healthcar…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0193_08-12-2009.pdf
January 01, 2009 - Effective Health Care
Topic Number(s): 0184-0193
Document Completion Date: 2-23-10
1
Results of Topic Selection Process & Next Steps
Interventions to improve prescription medication adherence will be considered for refinement as an
umbrella review of systematic reviews to outline current evi…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence3.html
April 01, 2025 - Four Pillars for Sustainable Centers of Excellence
Alignment
Previous Page Next Page
Table of Contents
Four Pillars for Sustainable Centers of Excellence
Introduction
Center of Excellence Operations
Alignment
Integration
Leadership Support
Windows of Opportunity
Conclusion
Acknowledg…
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psnet.ahrq.gov/issue/promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles
July 31, 2019 - Study
Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan.
Citation Text:
Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication d…
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psnet.ahrq.gov/issue/impact-health-information-technology-management-and-follow-test-results-systematic-review
August 19, 2020 - Review
The impact of health information technology on the management and follow-up of test results—a systematic review.
Citation Text:
Georgiou A, Li J, Thomas J, et al. The impact of health information technology on the management and follow-up of test results - a systematic review. J A…
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digital.ahrq.gov/ahrq-funded-projects/improving-uptake-and-use-personal-health-records/annual-summary/2010
January 01, 2010 - Improving Uptake and Use of Personal Health Records - 2010
Project Name
Improving Uptake and Use of Personal Health Records
Principal Investigator
Bates, David
Organization
Brigham and Women's Hospital
Funding Mechanism
PAR: HS08-270: Utilizing Health Information Te…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2010
January 01, 2010 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2010
Project Name
Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings
Prin…
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psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infections-patients-inevitable-conditions-or-medical-malpractice
June 23, 2021 - Review
Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice?
Citation Text:
Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Int J Environ …
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psnet.ahrq.gov/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text-communication
February 17, 2021 - Study
Safety risks and workflow implications associated with nursing-related free-text communication orders.
Citation Text:
Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 20…
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psnet.ahrq.gov/issue/family-conferences-facilitate-deprescribing-older-outpatients-frailty-and-polypharmacy
July 29, 2020 - Study
Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial.
Citation Text:
Mortsiefer A, Löscher S, Pashutina Y, et al. Family conferences to facilitate deprescribing in older outpatients with frailty…
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psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among
June 11, 2010 - Study
Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients.
Citation Text:
Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support program to identify adverse ev…
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digital.ahrq.gov/sites/default/files/docs/page/AL_case_study_0.pdf
March 01, 2010 - Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency
Case Study: Collaborating to Improve the
Quality of Care: Lessons Learned from the
Alabama Medicaid Agency
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human…
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psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
July 16, 2019 - Study
Classic
Evaluation of perioperative medication errors and adverse drug events.
Citation Text:
Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events. Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000…
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psnet.ahrq.gov/issue/association-between-night-time-surgery-and-occurrence-intraoperative-adverse-events-and
October 13, 2021 - Study
Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications.
Citation Text:
Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. Cortegi…
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psnet.ahrq.gov/issue/human-factors-and-safety-analysis-methods-used-design-and-redesign-electronic-medication
April 10, 2024 - Review
Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systematic review.
Citation Text:
Awad S, Amon K, Baillie A, et al. Human factors and safety analysis methods used in the design and redesign of electronic medi…