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www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
January 01, 2024 - Participants were asked why those error-associated patterns might occur
and what procedural and behavioral
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017855-friedman-final-report-2013.pdf
January 01, 2013 - Longitudinal Telephony & Multiple Disease Management System to Improve Ambulatory Care for Complex Patients - Final Report
Grant Final Report
Grant ID: 1R18HS017855
Longitudinal Telephony & Multiple Disease
Management System to Improve Ambulatory Care for
Complex Patients
Inclusive Project Dates:…
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psnet.ahrq.gov/issue/defining-high-quality-and-effective-morbidity-and-mortality-conference-systematic-review
September 30, 2012 - Review
Defining a high-quality and effective morbidity and mortality conference: a systematic review.
Citation Text:
Beaulieu-Jones BR, Wilson S, Howard DS, et al. Defining a high-quality and effective morbidity and mortality conference: a systematic review. JAMA Surg. 2023;158(12):1336-…
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psnet.ahrq.gov/issue/quality-care-and-quality-life-balancing-patient-safety-and-physician-burnout
September 27, 2023 - Commentary
Quality of care and quality of life: balancing patient safety and physician burnout.
Citation Text:
Minkoff H, O'Brien J, Berkowitz R. Quality of care and quality of life: balancing patient safety and physician burnout. Obstet Gynecol. 2024;144(3):e50-e55. doi:10.1097/aog.0000…
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psnet.ahrq.gov/issue/effect-electronic-prescribing-medication-errors-and-adverse-drug-events-systematic-review
October 30, 2013 - Review
The effect of electronic prescribing on medication errors and adverse drug events: a systematic review.
Citation Text:
Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am M…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/syphilis-nonpregnant-adults-adolescents-screening-final-rec-bulletin.pdf
September 27, 2022 - U.S. Preventive Services Task Force Issues Final Recommendation on Screening for Syphilis Infection
http://www.uspreventiveservicestaskforce.org 1
U.S. Preventive Services Task Force Issues
Final Recommendation on Screening for Syphilis Infection
Task Force recommends screening people at increased risk fo…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-t-taq-questionnaire.pdf
June 02, 2025 - TeamSTEPPS Teamwork Attitudes Questionnaire
TeamSTEPPS Teamwork Attitudes Questionnaire
The TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) is designed to assess attitudes
related to team structure and the four essential skills taught in TeamSTEPPS. The 30-item self-
report tool uses 5…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-table11-figures1-2.pdf
May 15, 2015 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Table 11 and Figures 1 & 2
Table 11: Evidence Regarding Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure
Type of
Evidence
Key Findings
Level of
Evidence
(USPSTF
Ranking*)
Citations
Clinica…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix D
CANDOR Tool
PROCESS
QUESTIONS TO REVIEW
Y/N
CONTRIBUTING OR CAUSAL FACTOR Y/N
FINDINGS /
COMMENTS
COMMUNICATION
Did all caregivers have access to all pertinent information needed to make the best decisions for the patient? (e.g.,…
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www.ahrq.gov/teamstepps-program/evidence-base/education.html
June 01, 2023 - TeamSTEPPS Research/Evidence Base: Inter-Professional Education
Andersen P, Coverdale S, Kelly M, Forster S. Interprofessional simulation: Developing teamwork using a two-tiered debriefing approach. Clin Simul Nurs. 2018;20:15-23. doi: 10.1016/j.ecns.2018.04.003. PMID: 130262697.
Baker, M. J., & Durham, C. …
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www.ahrq.gov/talkingquality/resources/design/testing.html
September 01, 2019 - Testing the Design of a Quality Report By Getting User Feedback
User testing with people who represent your intended audience is the best way to ensure that your report design is clear and effective.
Use Interviews To Collect Feedback From Users
For most purposes, you will learn much more from users if you …
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www.ahrq.gov/talkingquality/resources/writing/tip7.html
November 01, 2019 - Tip 7. Test a Health Care Quality Report With Your Audience
Members of your intended audience are the ones who will decide whether your report card is worth reading, and whether they can understand and use it. This means that feedback from readers is the “gold standard” of how well your report card is working…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-12.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-12. Measure 9: Physician satisfaction with service coordination (Alzheimer’s Service Coordination Program Physician Survey)
Previous Page Next Page
Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
…
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www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool10.html
May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Tool 10. Sample Brochure
Previous Page Next Page
Table of Contents
Integrating Primary Care Practices and Community-based Resources to Manage Obesity
Acknowledgements
Support
Foreword
Oregon Rural Practice-bas…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-13.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-13. Measure 10: Changes in clinicians’ knowledge of available services in the local community (ASCP Physician Survey)
Previous Page Next Page
Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Execu…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-16.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-16. Measure 13: Clinician discussion of treatment plan with patients or family caregivers (ASCP Physician Survey)
Previous Page Next Page
Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Executive…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-14.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-14. Measure 11: Whether or not a clinician would refer any family caregiver to intervention in the future (ASCP Physician Survey)
Previous Page Next Page
Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgem…
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-apptabA-15.html
October 01, 2013 - Potential Measures for Clinical-Community Relationships
A-15. Measure 12: Clinician receipt of treatment plan from the service coordinator (ASCP Physician Survey)
Previous Page Next Page
Table of Contents
Potential Measures for Clinical-Community Relationships
Acknowledgements
Executive Summary …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-2-presentation.pdf
May 01, 2007 - Just Culture Webcast Presentation
University of North Carolina Health System
13
Celeste Mayer, PhD
University of North Carolina Health Care
System, Chapel Hill, NC
UNC Medical Center
• Public Academic Medical Center
• Memorial, Children’s, Neurosciences, Women’s and
Cancer Hospital
• ~850 beds
• Chapel Hill, N…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/app-c.html
October 01, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Appendix C. Methodological References Cited by Grantees
Previous Page
Table of Contents
Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Background
A Practical…