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psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
December 16, 2020 - Study
The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study.
Citation Text:
Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia pro…
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psnet.ahrq.gov/issue/urgent-need-improve-health-care-quality-institute-medicine-national-roundtable-health-care
May 27, 2015 - Commentary
Classic
The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality.
Citation Text:
Chassin MR, Galvin RW. The urgent need to improve health care quality. Institute of Medicine National Roundtable o…
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psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-reports
April 22, 2016 - Study
Closing the loop with ambulatory staff on safety reports.
Citation Text:
Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009.
Copy Citation
Format:
DOI…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-brown.pdf
June 02, 2025 - HCBS CAHPS Survey Database: What You Need to Know - BROWN
Looking Forward: HCBS
Quality Measures Alignment
and HCBS CAHPS® Survey
Melanie Brown, PhD, Technical Director
Division of Community Systems Transformation, Disabled and Elderly Health
Programs Group, Center for Medicaid and CHIP Services, Centers for Medic…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
May 01, 2017 - Module 3: PowerPoint Presentation
Management Practices for Sustainability
Module 3: Problem Solving
and Escalation
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-4-EF
May 2017
Module 3: Problem Solving and Escalation | ‹#›
AHRQ Safety Program for Ambulatory Surgery
Management Practices for…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
June 01, 2017 - Management Practices for Sustainability Module 5: Visual Management
Slide 1: Management Practices for Sustainability Module 5: Visual Management
Management Practices for Sustainability
Module 5: Visual Management
Slide 2: A Frontline Management System To Promote Safety Standard Work
Image: This imag…
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/intro.html
September 01, 2015 - Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Previous Page Next Page
Table of Contents
Preventing CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Module 1: Overview
Module 2: Urinary Catheter Maintenance
Module 3: Conversations Around Device Necessity
Mo…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/perspectives-quality-improvement-collaboratives.pdf
January 01, 2018 - Perspectives on Implementing Quality Improvement Collaboratives Effectively: Qualitative Findings from the CHIPRA Quality Demonstration Grant Program
The Joint Commission Journal on Quality and Patient Safety 2018; 44:12–22
Perspectives on Implementing Quality Improvement
Collaboratives Effectively: Qualitative Fi…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-271-mental-health-pregnant-disposition-comments.pdf
July 31, 2024 - This review
does not aim to make
recommendations about
treatment. … As
expected, they were excluded
as not having the primary aim to
treat maternal mental health
disorders … the circle of
security interventions) that were
excluded as they were deemed
to have the primary aim … of
teaching parenting skills rather
than the primary aim of treating
perinatal mental health
conditions
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www.ahrq.gov/sites/default/files/publications/files/ccreroadmap.pdf
July 01, 2013 - These include the “Triple Aim” of the Institute for Healthcare
Improvement (http://www.ihi.org/offerings … The Triple Aim
includes improved patient experience of care, improved health of populations/communities … recommended preventive services—the focus of this Roadmap—contributes directly to
achieving the triple aim … should consider using the Reach,
Efficacy/Effectiveness, Adoption, Implementation, Maintenance (RE-AIM … Evaluating the public
health impact of health promotion interventions:
the RE-AIM framework.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021322-sarkar-final-report-2015.pdf
January 01, 2015 - preliminary data indicating
significant existing safety problems, we proposed two specific aims:
Aim … Aim 2: To conduct a pilot study to assess the feasibility of incorporating use of the
dashboard in … We conceptualized the on-going evaluation plan for our electronic dashboard using the
RE-AIM framework … Table 2 includes a summary of these measures in the context of the
RE-AIM framework and … Evaluating the public health impact of health
promotion interventions: the RE-AIM framework.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022955-thompson-final-report-2020.pdf
January 01, 2020 - Aim 2: To examine racial differences in specific categories of eHealth activity among AfAm and white … Aim 3: To explore the role of eHealth activity in the broader context of personal health information … Aim 4: To establish survivor-centered design principles that will be applied to the development of an … However, this target sample size was based on
an exploratory aim that proposed to compare survivors … Therefore, we dropped the exploratory aim.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
September 08, 2015 - In PDSA cycles, the
practices define a quality improvement
aim related to a Child Core Set measure, … test an approach to achieving that aim,
measure and reflect on the results, and
then refine the
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www.ahrq.gov/sites/default/files/2024-05/berry2-report.pdf
January 01, 2024 - Specific Aim 1: Measure the current status of CC/EM implementation in the United States
Objective 1A: … Specific Aim 2: Identify implementation approaches, contextual factors, and local adaptation strategies … Specific Aim 3: Create an implementation toolkit based on lessons learned from adopters to accelerate … The
aim of this project was to understand the current efforts that have gone into the implementation
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
June 30, 2025 - Key Findings/Impact: Aim 1: The personal protective equipment (PPE) scale
showed adequate reliability … Aim 2: Failure in implementation of the transfer form
largely resulted from lack of history for record-keeping … Aim 3:
Labor costs were the major cost factor in caring for those with C. difficile. … Aim 4:
Analyses of hospital discharge data indicated individual patient characteristics were
the main
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effectivehealthcare.ahrq.gov/sites/default/files/ebc-challenge-case-130621.pdf
June 01, 2013 - The primary aim of the EBC Challenge was to test a new mechanism for engaging a key
audience—NP and … A second aim was to generate ideas for (and practical examples of) how best to
communicate evidence-based
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
April 01, 2025 - SAFETY
2
Examples of Project Findings
This collection of AHRQ-funded work includes projects that aim
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psnet.ahrq.gov/node/836775/psn-pdf
March 23, 2022 - Embracing multiple aims in healthcare improvement and
innovation.
March 23, 2022
Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation.
Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006.
https://psnet.ahrq.gov/issue/embracing-multiple-aims-healthc…
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digital.ahrq.gov/funding-mechanism/health-information-security-and-privacy-collaborative-hispc
January 01, 2023 - Health Information Security and Privacy Collaborative (HISPC)
Privacy and Security Solutions for Interoperable Health Information Exchange / Oregon
Description
Thirty-three states and 1 territory formed the HISPC, which aims to address the privacy and security challenges prese…
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psnet.ahrq.gov/node/41456/psn-pdf
September 26, 2016 - Paradoxical effects of a hospital-based, multi-intervention
programme aimed at reducing medication round
interruptions.
September 26, 2016
Tomietto M, Sartor A, Mazzocoli E, et al. Paradoxical effects of a hospital-based, multi-intervention
programme aimed at reducing medication round interruptions. J Nurs Manag. …