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AHRQ: Agency for Healthcare Research and Quality

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  1. | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/tools/index.html
    December 01, 2015 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More The SHARE Approach Five-step process for clinicians and their patients More EvidenceNOW Tools for Change Helping practices implement evidence More Tools The …

  2. 141-Cusp-Tip-Sheet-Assembling-Team (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/141-cusp-tip-sheet-assembling-team.docx
    April 01, 2025 - CUSP Tip Sheet: Assembling the CUSP Team Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Purpose Teamwork and interprofessional collaboration are important to high-quality patient care. A culture of teamwork and learning from mistakes helps improve patient safety. The Compre…

  3. What Will Be the Subject of Your Health Care Quality Report? | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/plan/subject.html
    December 01, 2022 - What Will Be the Subject of Your Health Care Quality Report? The subject of a quality report could be any level of the health care system, including: Health plans and insurance carriers. Hospitals. Medical groups or clinics. Individual clinicians. Nursing homes. Home health agencies. Behavioral …

  4. Job Aid: Joy in Work (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-joy-in-work.pdf
    June 02, 2025 - Job Aid: Joy in Work Primary Care Practice Facilitator Training Series 1 Job Aid: Joy in Work Joy in work is one of three categories of common goals practices have for improvement. Joy in work is central to good patient care and in recognition of this, the national triple aim has been expanded to…

  5. Job Aid: Standardized Quality Measures (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-standardized-quality-measures.pdf
    June 02, 2025 - Job Aid: Standardized Quality Measures Primary Care Practice Facilitator Training Series 1 Job Aid: Standardized Quality Measures Familiarity with the standardized quality measures that payers and regulatory groups use is an important part of a practice facilitator's core knowledge. Standar…

  6. 149-Cusp-Tip-Sheet-Assembling-Team (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/149-cusp-tip-sheet-assembling-team.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Tip Sheet: Assembling the CUSP Team ICU & Non-ICU Purpose Teamwork and interprofessional collaboration are important to high-quality patient care. A culture of teamwork and learning from mistakes helps improve patient safety. The Comprehensive Unit-based Safety Program (CUS…

  7. Job Aid: Practice Assessments and Surveys (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-practice-assessments.pdf
    June 02, 2025 - Job Aid: Practice Assessments and Surveys Primary Care Practice Facilitator Training Series 1 Job Aid: Practice Assessments and Surveys Overview Practice assessments and surveys are simple and non-threatening ways for a practice to gather information, generate ideas for improvements, and test and…

  8. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
    January 01, 2022 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on Appropriations requested “AHRQ to convene a cross agency working …

  9. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. | PSNet

    psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event
    September 14, 2022 - Study Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. Citation Text: Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious…

  10. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. | PSNet

    psnet.ahrq.gov/issue/seen-through-their-eyes-residents-reflections-cognitive-and-contextual-components-diagnostic
    November 18, 2013 - Study Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. Citation Text: Ogdie AR, Reilly JB, Pang WG, et al. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic…

  11. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety-breakdowns-mixed
    October 30, 2024 - Study Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. Citation Text: Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. J Patient Saf.…

  12. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. | PSNet

    psnet.ahrq.gov/issue/infections-and-interaction-rituals-organisation-clinician-accounts-speaking-or-remaining
    November 03, 2015 - Study Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. Citation Text: Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…

  13. Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/effect-world-health-organization-checklist-patient-outcomes-stepped-wedge-cluster-randomized
    June 03, 2020 - Study Classic Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. Citation Text: Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outc…

  14. The effect of a rapid response team on major clinical outcome measures in a community hospital. | PSNet

    psnet.ahrq.gov/issue/effect-rapid-response-team-major-clinical-outcome-measures-community-hospital
    October 19, 2022 - Study The effect of a rapid response team on major clinical outcome measures in a community hospital. Citation Text: Dacey MJ, Mirza ER, Wilcox V, et al. The effect of a rapid response team on major clinical outcome measures in a community hospital. Crit Care Med. 2007;35(9):2076-82. …

  15. Promising practices for improving hospital patient safety culture. | PSNet

    psnet.ahrq.gov/issue/promising-practices-improving-hospital-patient-safety-culture
    December 09, 2020 - Study Classic Promising practices for improving hospital patient safety culture. Citation Text: Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.00…

  16. Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted to a computerized physician order entry system. | PSNet

    psnet.ahrq.gov/issue/identifying-and-quantifying-medication-errors-evaluation-rapidly-discontinued-medication
    February 03, 2011 - Study Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted to a computerized physician order entry system. Citation Text: Koppel R, Leonard CE, Localio R, et al. Identifying and quantifying medication errors: evaluation of rapidl…

  17. Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions. | PSNet

    psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions
    March 20, 2024 - Study Comparing the variability of ingredient, strength, and dose form information from electronic prescriptions with RxNorm drug product descriptions. Citation Text: Lester CA, Flynn AJ, Marshall VD, et al. Comparing the variability of ingredient, strength, and dose form information fro…

  18. Work-related critical incidents in hospital-based health care providers and the risk of post-traumatic stress symptoms, anxiety, and depression: a meta-analysis. | PSNet

    psnet.ahrq.gov/issue/work-related-critical-incidents-hospital-based-health-care-providers-and-risk-post-traumatic
    April 12, 2023 - Study Work-related critical incidents in hospital-based health care providers and the risk of post-traumatic stress symptoms, anxiety, and depression: a meta-analysis. Citation Text: de Boer J, Lok A, Verlaat EV't, et al. Work-related critical incidents in hospital-based health care pr…

  19. The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department. | PSNet

    psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic
    February 13, 2019 - Study The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department. Citation Text: Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a direct observation stud…

  20. Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospective study. | PSNet

    psnet.ahrq.gov/issue/drug-related-hospitalizations-tertiary-care-internal-medicine-service-canadian-hospital
    April 22, 2011 - Study Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospective study. Citation Text: Samoy LJ, Zed PJ, Wilbur K, et al. Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospecti…
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