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psnet.ahrq.gov/node/34993/psn-pdf
June 22, 2009 - Five system barriers to achieving ultrasafe health care.
June 22, 2009
Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern
Med. 2005;142(9):756-64.
https://psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
This commentary builds on the…
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psnet.ahrq.gov/node/46365/psn-pdf
September 06, 2017 - Learning to overcome hierarchical pressures to achieve
safer patient care: an interprofessional simulation for
nursing, medical, and physician assistant students.
September 6, 2017
Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve
Safer Patient Care: An Interprofess…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-gabbay.pdf
April 01, 2015 - A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania
A Multipayer Patient-Centered Medical Home Initiative in
Pennsylvania
Principal Investigator: Robert A. Gabbay, MD, PhD
Institution: Pennsylvania State University Hershey Medical Center
AHRQ Grant Number: R18 HS019150
Overview…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/infectionprevchcklst.doc
June 02, 2025 - Infection Preventionist Checklist
Who should use this tool? Infection preventionists.
Checklist Items
Leader Responsible
Date
Started
1. Meet with the CEO and hospital project leader to learn about the initiative and understand the infection prevention (IP) roles.
2. Introduce the project to all IP s…
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www.ahrq.gov/news/blog/ahrqviews/ahrq-35th-anniversary.html
March 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ Commemorates 35 Years as an Independent Science Agency
MAR
7
2024
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
I am thrilled to announce that 2024 represents a momentous milestone: the 35th anniversary of the Agency for Healthcare …
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www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008
The National Quality Forum
Fall Policy Conference 2008
Principal Investigator: Dwight McNeil
Team Members: S. Callahan, L. Gorban,
D. McNeill, and B. Yelin
9/30/08-9/29/09
Federal Project Official: Karen Ho
Supported by: Agen…
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psnet.ahrq.gov/node/36833/psn-pdf
March 03, 2011 - Achieving the National Quality Forum's "Never Events":
prevention of wrong site, wrong procedure, and wrong
patient operations.
March 3, 2011
Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events":
prevention of wrong site, wrong procedure, and wrong patient operations. Ann S…
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psnet.ahrq.gov/node/35081/psn-pdf
March 29, 2007 - Achieving Safe and Reliable Healthcare: Strategies and
Solutions.
March 29, 2007
Leonard MS, Frankel A, Simmonds T, Vega KB. Chicago, IL: Health Administration Press; 2004.
https://psnet.ahrq.gov/issue/achieving-safe-and-reliable-healthcare-strategies-and-solutions
The authors provide examples of tools and methods…
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digital.ahrq.gov/ahrq-funded-projects/barriers-meaningful-use-medicaid/annual-summary/2012
January 01, 2012 - Barriers to Meaningful Use in Medicaid - 2012
Project Name
Barriers to Meaningful Use in Medicaid
Principal Investigator
Thompson, Chuck
Organization
RTI International
Funding Mechanism
Medicaid/CHIP Technical Assistance Contract
Contract Number
290-07-10079…
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psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
November 11, 2020 - Commentary
Use of complex adaptive systems metaphor to achieve professional and organizational change.
Citation Text:
Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…
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psnet.ahrq.gov/issue/education-service-partnership-achieve-safety-and-quality-improvement-competencies-nursing
August 30, 2023 - Commentary
An education-service partnership to achieve safety and quality improvement competencies in nursing.
Citation Text:
Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing. Journal of Nursing Education. 2011;50(12).…
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psnet.ahrq.gov/issue/just-culture-improving-safety-achieving-substantive-procedural-and-restorative-justice
October 19, 2022 - Commentary
'Just culture': improving safety by achieving substantive, procedural and restorative justice.
Citation Text:
Dekker SWA, Breakey H. ‘Just culture:’ Improving safety by achieving substantive, procedural and restorative justice. Saf Sci. 2016;85. doi:10.1016/j.ssci.2016.01.018.…
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psnet.ahrq.gov/node/36760/psn-pdf
August 23, 2011 - A plan for achieving significant improvement in patient
safety.
August 23, 2011
Johnson K, Maultsby CC. A plan for achieving significant improvement in patient safety. J Nurs Care Qual.
2007;22(2):164-71.
https://psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
The authors describe the u…
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psnet.ahrq.gov/node/47468/psn-pdf
October 24, 2018 - Procuring Interoperability: Achieving High-Quality,
Connected, and Person-Centered Care.
October 24, 2018
Pronovost P, Johns MME, Palmer S, et al, eds. Washington, DC: National Academy of Medicine; 2018.
ISBN: 9781947103122.
https://psnet.ahrq.gov/issue/procuring-interoperability-achieving-high-quality-connected-a…
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psnet.ahrq.gov/node/47207/psn-pdf
July 19, 2018 - National quality program achieves improvements in
safety culture and reduction in preventable harms in
community hospitals.
July 19, 2018
Frush K, Chamness C, Olson B, et al. National Quality Program Achieves Improvements in Safety Culture
and Reduction in Preventable Harms in Community Hospitals. Jt Comm J Qual P…
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psnet.ahrq.gov/node/44462/psn-pdf
January 22, 2016 - An overview of research priorities in surgical simulation:
what the literature shows has been achieved during the
21st century and what remains.
January 22, 2016
Johnston MJ, Paige JT, Aggarwal R, et al. An overview of research priorities in surgical simulation: what
the literature shows has been achieved during t…
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psnet.ahrq.gov/node/60539/psn-pdf
July 10, 2017 - Understanding facilitators and barriers to care
transitions: insights from Project ACHIEVE Site Visits.
July 10, 2017
Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights
from Project ACHIEVE Site Visits. Jt Comm J Qual Patient Saf. 2017;43(9):433-447.
doi:1…
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digital.ahrq.gov/ahrq-funded-projects/improving-rural-health-care-implementing-innovative-integration-solutions/annual-summary/2008
January 01, 2008 - Improving Rural Health Care: Implementing Innovative Integration Solutions - 2008
Project Name
Improving Rural Health Care: Implementing Innovative Integration Solutions
Principal Investigator
Sims, Thomas
Organization
Mt. Ascutney Hospital and Health Center
Funding M…
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psnet.ahrq.gov/node/43526/psn-pdf
December 15, 2014 - Achieving a climate for patient safety by focusing on
relationships.
December 15, 2014
Manojlovich M, Kerr M, Davies B, et al. Achieving a climate for patient safety by focusing on relationships.
Int J Qual Health Care. 2014;26(6):579-84. doi:10.1093/intqhc/mzu068.
https://psnet.ahrq.gov/issue/achieving-climate-pa…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence
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Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspectives on Di…