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psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
October 25, 2017 - Study
Failure to rescue female patients undergoing high-risk surgery.
Citation Text:
Wagner CM, Joynt Maddox KE, Ailawadi G, et al. Failure to rescue female patients undergoing high-risk surgery. JAMA Surg. 2024;160(1):29-36. doi:10.1001/jamasurg.2024.4574.
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psnet.ahrq.gov/issue/patient-participation-current-knowledge-and-applicability-patient-safety
February 01, 2011 - Commentary
Classic
Patient participation: current knowledge and applicability to patient safety.
Citation Text:
Longtin Y, Sax H, Leape L, et al. Patient participation: current knowledge and applicability to patient safety. Mayo Clin Proc. 2010;85(1):53-62. doi:…
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www.ahrq.gov/sdm/research/index.html
May 01, 2023 - Research in Shared Decision Making
Frameworks and Models in Shared Decision Making
Several frameworks and models of shared decision making (SDM) have been developed to describe the essential elements and core processes of SDM and how they can be achieved in clinical practice. Below we cite three commonly used…
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psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-morbidity
July 03, 2014 - Study
Association between implementation of a medical team training program and surgical morbidity.
Citation Text:
Young-Xu Y, Neily J, Mills PD, et al. Association between implementation of a medical team training program and surgical morbidity. Arch Surg. 2011;146(12):1368-73. doi:10.1…
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psnet.ahrq.gov/issue/quality-framework-remote-antenatal-care-qualitative-study-women-healthcare-professionals-and
October 21, 2020 - Study
Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders.
Citation Text:
Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with women, healthcare professiona…
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-hospitalized-patients-comparative-study-intensive-care-and
March 31, 2021 - Study
Classic
Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units.
Citation Text:
Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Me…
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cds.ahrq.gov/sites/default/files/workgroups/58631/CDS_Connect_Work_Group_February_2022_slides.pdf
January 01, 2022 - February 2022 CDS Connect Work Group Call
February 2022 CDS Connect Work Group Call
Agenda
Schedule Topic
3:00 – 3:01 Roll Call, Michelle Lenox (MITRE)
3:01 – 3:03 Review of the Agenda, Maria Michaels (CDC)
3:03 – 3:35 ACTIVATE project (Katherine Kim, MITRE)
3:35 – 3:50 Discussion about co-design for CDS deve…
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effectivehealthcare.ahrq.gov/sites/default/files/ebc-challenge-1stplace-qrmedica.pdf
January 01, 2013 - QR Medica Web Site
QR Medica
Home For Clinicians For Patients and Guardians About This Project References
This resource is meant to be used by nurse practitioners, physician assistants and patients alike. For the
providers, the resource contains evidence based care recommendations and clinical tools. Patients …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
December 01, 2017 - Barrier Identification and Mitigation Tool
AHRQ Safety Program for Surgery
AHRQ Safety Program for Surgery
Barrier Identification and Mitigation Tool
Introduction
Problem Statement
Guidelines summarizing evidence exist to help ensure that patients receive recommended interventions. In addition, consistent guidel…
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
December 01, 2017 - Barrier Identification and Mitigation Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
Guidelines summarizing evidence exist to help ensure that patients receive recommended interventions. In addition, consistent guideline adherence may significantly improve patient safety…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/advisors.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Working with Patient and Family Advisors
AHRQ Safety Program for Perinatal Care
Insert hospital logo here
Working With Patient
and Family Advisors:
Part 1. Introduction and Overview
[Hospital Name | Presenter name and title | Date of prese…
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digital.ahrq.gov/ahrq-funded-projects/leveraging-health-system-telehealth-and-informatics-infrastructure-create
January 01, 2024 - Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach
Project Final Report ( PDF , 336.02 KB) Disclaimer
Disclaimer
The findings and conclusions in thi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/implementation.pdf
May 01, 2017 - In this section, the slide sets, videos, and
tools highlight the following themes: (1) Communication … Tabletop Simulation Videos
Tabletop simulations are used to do dry "run-throughs" before adopting
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digital.ahrq.gov/sites/default/files/docs/page/final-eqm-report-6-21-12.pdf
May 01, 2012 - Findings and Lessons From the Enabling Quality Measurement Through Health IT Grant Initiative
AHRQ Health Information Technology Ambulatory Safety and Quality | EQMa
AHRQ Health Information Technology
Ambulatory Safety and Quality
Findings and Lessons
From the Enabling Quality
Measurement Through
Health IT Gr…
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www.ahrq.gov/hai/cusp/modules/identify/notes.html
December 01, 2012 - Identify Defects Through Sensemaking, Facilitator Notes
CUSP Toolkit
The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
Contents …
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-health-information-technology-portfolio-2011-annual-report.pdf
January 01, 2011 - • The Portfolio released the first in a series
of videos highlighting successful projects
from grantees … Other videos, as well as written stories,
are available at: http://healthit.ahrq.gov/
SuccessStories
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psnet.ahrq.gov/issue/latent-safety-threats-and-countermeasures-operating-theater-national-situ-simulation-based
February 22, 2023 - Study
Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study.
Citation Text:
Long JA, Webster CS, Holliday T, et al. Latent safety threats and countermeasures in the operating theater: a national in situ simulation-base…
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psnet.ahrq.gov/issue/patient-activation-related-fall-prevention-multisite-study
February 01, 2023 - Study
Patient activation related to fall prevention: a multisite study
Citation Text:
Christiansen TL, Lipsitz S, Scanlan M, et al. Patient activation related to fall prevention: a multisite study . Jt Comm J Qual Patient Saf. 2020. doi:10.1016/j.jcjq.2019.11.010.
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psnet.ahrq.gov/issue/work-nurses-provide-good-and-safe-services-children-receiving-hospital-home-qualitative
March 08, 2023 - Study
The work of nurses to provide good and safe services to children receiving hospital-at-home: a qualitative interview study from the perspectives of hospital nurses and physicians.
Citation Text:
Aasen L, Johannessen A‐K, Ruud Knutsen I, et al. The work of nurses to provide good and…
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psnet.ahrq.gov/issue/impact-professional-interpreters-outcomes-hospitalized-children-migrant-and-refugee-families
December 21, 2018 - Review
Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review.
Citation Text:
Boylen S, Cherian S, Gill FJ, et al. Impact of professional interpreters on outcomes for hospitalized c…