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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/healthitpatientsafetyitemset-hospitals-pilottestreport.pdf
March 01, 2018 - Pilot Study Results From the 2017 Health Information Technology Patient Safety Supplemental Item Set for Hospitals
Pilot Study Results From the 2017
AHRQ Surveys on Patient Safety Culture (SOPSTM)
Health Information Technology Patient Safety
Supplemental Item Set for Hospitals
Prepared for:
Agency for Healthca…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
January 01, 2004 - Beyond the Dusty Shelf: Shifting Paradigms and Effecting Change
383
Beyond the Dusty Shelf: Shifting
Paradigms and Effecting Change
Dwight McNeill, Howard Holland, Kerm Henriksen
Abstract
This paper addresses how to make happen the improvements in the quality of
health care that have been identified from si…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
March 03, 2008 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center
A Model of Care Delivery to Reduce Falls
in a Major Cancer Center
Nancy E. Kline, PhD, RN, CPNP, FAAN; Bridgette Thom, MS; Wayne Quashie, MPH, RN;
Patricia Brosnan, MPH, RN; Mary Dowling, MSN, RN
Abstract
Falls are a leading cause of injuries…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - outpatient setting may
occasionally experience a fall, but it is not likely that they are going to a clinic
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/transfer.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Electronic Reports
Transfer Risk Report
Table 1. Sample High-Risk Transfer Report
Facility Name:
Unit:
Report Date:
Resident Name and Advance Directive Status
# ED Visits Within:
ED Discharg…
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www.ahrq.gov/funding/training-grants/grants/active/t32/T32-jhu1.html
October 01, 2014 - Johns Hopkins University, Baltimore
Institutional Training Programs
AHRQ funds 18 institutions which recruit and train predoctoral and/or postdoctoral health services researchers. Details on characteristics of the Johns Hopkins University program and its self-identified areas of research interest are describe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/ICEChecklist4-cleaning-dialysis-station.pdf
June 02, 2025 - ICE Checklist 4: Cleaning and Disinfection of the Dialysis Station
…
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www.ahrq.gov/research/publications/search.html?page=12
February 01, 2015 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 121 - 130 of 191 Publications displayed
Find Publications by Keyword or To…
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www.ahrq.gov/research/publications/search.html?page=2
September 01, 2023 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 21 - 30 of 191 Publications displayed
Find Publications by Keyword or Topi…
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www.ahrq.gov/research/publications/search.html?page=6
August 01, 2017 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 61 - 70 of 191 Publications displayed
Find Publications by Keyword or Topi…
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www.ahrq.gov/es/tools/index.html?page=4
October 01, 2024 - 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 …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/16-engaging-stakeholders-pitch.docx
June 01, 2023 - AHRQ Safety Program for Improving
Surgical Care and Recovery
Developing an Elevator Pitch: A Tool for Building and Communicating a Vision for the Program
What Is This Tool?
Once your team has identified stakeholders for the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical Care a…
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www.ahrq.gov/news/blog/ahrqviews/opportunity-improve-healthcare.html
May 01, 2022 - AHRQ Views: Blog posts from AHRQ leaders
Seizing the Opportunity to Improve Healthcare for All
MAY
10
2022
By
Robert Otto Valdez,
Ph.D., M.H.S.A.
Hello, friends. After many decades of admiring AHRQ—its mission, work, and people—I am deeply honored to lead this organization. I…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g1_combo_availablecomprehensiveqiguides.pdf
June 02, 2025 - Available Comprehensive Quality Improvement Guides
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Available Comprehensive Quality Improvement Guides
What is the purpose of this tool? This tool provides information on oth…
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
November 01, 2016 - Toolkit 2. Common Suspected Infections: Communication and Decisionmaking for Four Infections
Toolkit Effectiveness
When tested in six nursing homes in an intervention group and six in a comparison group, this toolkit demonstrated a small reduction in prescribing in the intervention group relative to the compa…
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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…
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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…
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www.ahrq.gov/teamstepps-program/evidence-base/labor.html
May 01, 2023 - TeamSTEPPS Research/Evidence Base: Labor and Delivery
Block M., Ehrenworth J. F., et al. (2013). Measuring handoff quality in labor and delivery: Development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). Joint Commission Journal on Quality and Patient Safety 3…
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www.ahrq.gov/news/newsroom/case-studies/201518.html
July 01, 2015 - New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety
Search All Impact Case Studies
July 2015
Description
New York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system, uses several AHRQ resources to improve patient care…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-3.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
Rationale for Improvement Tools
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Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immed…