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psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
November 16, 2015 - Newspaper/Magazine Article
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals.
Citation Text:
Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…
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www.ahrq.gov/news/newsroom/case-studies/201503.html
March 01, 2015 - Gulf Breeze Hospital in Florida Shows Consistent Improvement in Hospital Survey of Consumers
Search All Impact Case Studies
March 2015
Gulf Breeze Hospital (GBH), a 65-bed, acute-care facility near Pensacola, FL, has improved patient experiences by using AHRQ's Hospital Consumer Assessment of Healthcare Pr…
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psnet.ahrq.gov/issue/ask-or-not-ask-results-formative-assessment-video-empowering-patients-ask-their-health-care
June 28, 2013 - Image/Poster
To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene.
Citation Text:
To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their h…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-teamstepps-webcast-bakdash.pdf
January 01, 2022 - Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast - Bakdash
AHRQ’s Surveys on Patient Safety Culture®
(SOPS®) Program
Jonathan Bakdash, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
5
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and science-bas…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/163-central-line-rounds-form.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Central Line Rounds Tool
Communication among and between the multidisciplinary healthcare team about patient care goals is a vital part of delivering quality patient care. In addition to daily goal sheets, a central line rounding tool can assist the team in addressing the need fo…
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www.ahrq.gov/talkingquality/measures/setting/physician/measurement-sets.html
January 01, 2023 - Major Physician Measurement Sets
Because physician-level measurement sets were introduced relatively recently—and some are still in development—they have not yet been widely implemented by report card sponsors. The measure sets listed here have been endorsed, in whole or in part, by the National Quality Forum …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-SOPS_101_Webcast-GRAY-Overview.pdf
June 02, 2025 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Gray (Overview)
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
What is Patient Safety Culture?
13
AHRQ Surveys on Patient Safety Culture
• Surveys …
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psnet.ahrq.gov/issue/focusing-health-care-safety
January 16, 2008 - Special or Theme Issue
Focusing on Health Care Safety.
Citation Text:
Focusing on Health Care Safety. IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems and Humans. 2004;34(601):689-778.
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-8.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Table 4.8. Effect Size of SATIS-PHI/CRC Intervention on Screening Rates
Previous Page Next Page
Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary
1. Introduction
2. Descripti…
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psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
July 17, 2024 - Toolkit
TeamSTEPPS for Diagnosis Improvement.
Citation Text:
TeamSTEPPS for Diagnosis Improvement.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
June 13, 2018 - Toolkit
ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices.
Citation Text:
ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Horsham, PA: Institute for Safe Medication Practices; 2018.
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psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults
May 11, 2017 - Organizational Policy/Guidelines
ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults.
Citation Text:
ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. Horsham, PA: Institute for Safe Medication Practices; May 2017.
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www.ahrq.gov/news/newsroom/case-studies/202303.html
October 01, 2023 - University of Georgia Health Center Relies on AHRQ Survey to Assess Culture of Safety and Quality
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October 2023
The University of Georgia Health Center (UHC) used AHRQ’s Medical Office Survey on Patient Safety Culture ™ (SOPS ® ) to conduct a required assessment to evaluate …
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digital.ahrq.gov/health-care-theme/meaningful-use
January 01, 2023 - Meaningful Use
Impact of Meaningful Use on Clinical Workflow in Emergency Departments
Description
This research investigated how electronic health record use affected clinical workflow, efficiency, and quality of care in the emergency department, and developed recommendations …
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digital.ahrq.gov/location/usa-sc-charleston
January 01, 2023 - USA, SC, Charleston
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
Description
This research aims to examine a health system’s four telehealt…
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digital.ahrq.gov/care-setting/perioperativeoperative
January 01, 2023 - Perioperative/Operative
EnhanCed HandOffs (ECHO)
Description
This research will develop and evaluate a machine learning-augmented and telemedicine-augmented sociotechnical intervention for postoperative handoffs to reduce the risks of patient complications and improve patien…
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psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill
May 05, 2018 - Newspaper/Magazine Article
Oral chemotherapy: not just an ordinary pill.
Citation Text:
Oral chemotherapy: not just an ordinary pill. ISMP Canada. SafeMedicineUse. August 19, 2015;6:1-2.
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psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
August 01, 2012 - Book/Report
Classic
Advances in Patient Safety: New Directions and Alternative Approaches.
Citation Text:
Advances in Patient Safety: New Directions and Alternative Approaches. Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publicatio…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-204-obesity-disposition-comments.pdf
December 01, 2017 - Disposition of Comments for CER 204 Methods for Evaluating Natural Experiments in Obesity
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title:
Methods for Evaluating Natural Experiments in Obesity: A Systematic Evidence Review
Draft review available for public comment from Sept…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/crohns-disease-future_research.pdf
July 01, 2016 - It was noted by one stakeholder that when assessing outcomes for children, the
Pediatric CDAI should … It was noted by one stakeholder that when assessing outcomes for children, the
Pediatric CDAI should