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psnet.ahrq.gov/node/42084/psn-pdf
July 02, 2014 - Promoting a culture of safety as a patient safety strategy:
a systematic review.
July 2, 2014
Weaver SJ, Lubomksi LH, Wilson RF, et al. Promoting a culture of safety as a patient safety strategy: a
systematic review. Ann Intern Med. 2013;158(5 Pt 2):369-74. doi:10.7326/0003-4819-158-5-201303051-
00002.
https://ps…
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psnet.ahrq.gov/node/60973/psn-pdf
September 30, 2020 - During the pandemic, aspire to identify and prevent
medication errors and to avoid blaming attitudes.
September 30, 2020
ISMP Medication Safety Alert! Acute care edition. August 27, 2020;25(17).
https://psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-
blaming-attitudes
…
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digital.ahrq.gov/ahrq-funded-projects/privacy-and-security-solutions-interoperable-hie-ak
January 01, 2023 - Privacy and Security Solutions for Interoperable Health Information Exchange / Alaska
Project Description
Project Details -
Completed
Contract Number
290-05-0015-RTI-034
Funding Mechanism(s)
Health Information Security and Privacy Colla…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.doc
January 01, 1999 - Comprehensive Antibiogram Toolkit: Phase 3
Sample Procedures
[NURSING HOME NAME]
[DATE]
Purpose and Scope
This procedure covers the use of an antibiogram at [NURSING HOME NAME]. Antibiotics are among the most commonly prescribed pharmaceuticals in long-term-care settings, yet reports indicate that a high proportion …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/addressing-emerging-needs-09132023-welcome.pdf
June 02, 2025 - AHRQ CAHPS Program: Addressing Emergining Needs for Patient Experience Measurement & Improvement webcast - WELCOME
AHRQ’s CAHPS Program: Addressing Emerging Needs
for Patient Experience Measurement and Improvement
A Webinar Presented by the AHRQ CAHPS User Network
Wednesday, September 13
12:00 – 1:00 pm ET
Webc…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/1-case-mix-mode-adjustments-webcast-welcome.pdf
June 02, 2025 - The Rationale for Case Mix and Mode Adjustments - Opening Slide Presentation
AHRQ’s CAHPS Surveys: The Rationale for
Case Mix and Mode Adjustments
A Webinar Presented by the AHRQ CAHPS User Network
Wednesday, June 5
1:00 – 2:00 pm ET
Webcast Technical Info
• Audio issues
• Poor Connection
• Use Q&A: For Quest…
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www.ahrq.gov/patient-safety/reports/healthaffairs.html
March 01, 2019 - AHRQ-Funded Patient Safety Research Featured in Health Affairs
AHRQ-funded research studies focused on critical aspects of patient safety and health information technology were published in a November 2018 patient safety-themed issue of Health Affairs . As part of its commitment to lead patient-safety efforts …
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www.ahrq.gov/ncepcr/research/care-coordination/index.html
September 01, 2022 - Care Coordination
Care coordination, a key element for delivery of quality primary care, involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. This means that the patient's needs an…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2018_cg_cahps_chartbook_execsummary.pdf
January 01, 2018 - 2018 CAHPS Clinician & Group Survey Database Chartbook Executive Summary
How 313,706 pa1tients from 2,024 medica l practices
reported 6 measures of patient experience based on the 2018
Consumer Assessment of Healthcare Providers and Systems
(CAHPS) Clinician & Group Survey Database.
Provider
85%
of patien…
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psnet.ahrq.gov/node/48073/psn-pdf
June 19, 2019 - Special Section on Human Factors and Ergonomics in the
Operating Room: Contributions That Advance Surgical
Practice.
June 19, 2019
Hallbeck MS, Paquet V, eds. Appl Ergon. 2019;78:248-308.
https://psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions-
advance-surgical
Surg…
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psnet.ahrq.gov/node/74269/psn-pdf
January 19, 2022 - Safety culture, safety climate, and safety performance in
healthcare facilities: a systematic review.
January 19, 2022
Noor Arzahan IS, Ismail Z, Yasin SM. Safety culture, safety climate, and safety performance in healthcare
facilities: A systematic review. Safety Sci. 2022;147:105624. doi:10.1016/j.ssci.2021.10562…
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psnet.ahrq.gov/node/861283/psn-pdf
January 24, 2024 - What and when to debrief: a scoping review examining
interprofessional clinical debriefing.
January 24, 2024
Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining
interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1136/bmjqs-2023-016730.
https://p…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyex1-text.html
July 01, 2018 - Guide to Patient and Family Engagement
Exhibit 1. Preliminary Conceptual Framework (Text Description)
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next …
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www.ahrq.gov/talkingquality/explain/support/index.html
July 01, 2016 - Supporting Consumers in Using Information on Health Care Quality
The ultimate goal for comparative quality reports is for consumers and patients to use them. All of the recommendations in this Web site are intended to help you plan, design, and disseminate your report in a way that maximizes the likelihood th…
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psnet.ahrq.gov/node/60152/psn-pdf
March 25, 2020 - Errors during resuscitation: the impact of perceived
authority on delivery of care.
March 25, 2020
Delaloye NJ, Tobler K, O?Neill T, et al. Errors during resuscitation: the impact of perceived authority on
delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000359.
https://psnet.ahrq.gov/issue/e…
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digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/using-artificial-intelligence-improve-health-and-healthcare
January 01, 2018 - Using Artificial Intelligence to Improve Health and Healthcare
Artificial intelligence (AI), defined as the ability of computers to learn human-like functions or tasks, has shown great promise. What was previously considered the sole domain of human cognition is already being leveraged suc…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections.html
May 01, 2017 - Toolkit Sections
Implementation
Implementation Guide : It may be helpful to review this guide before starting a project to reduce infections and other complications in your ambulatory surgery center. The guide takes users step by step through the execution of technical and cultural interventions surroundi…
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digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - The AHRQ Health IT Value Grant Initiative: A Programmatic Review of the Peer-Reviewed Literature
The AHRQ Health IT Value Grant Initiative:
A Programmatic Review of the Peer-Reviewed
Literature
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ehc-research-gaps-telehealth.pdf
April 01, 2023 - AHRQ Evidence-based Practice Center Program Research Gaps Summary: Telehealth
AHRQ EVIDENCE-BASED PRACTICE CENTER (EPC)
PROGRAM RESEARCH GAPS SUMMARY:
TELEHEALTH
An AHRQ EPC Program publication summarizing evidence gaps identified across recent
EPC Program reviews for select healthcare topics addressing telehea…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/shareddec-1.pdf
September 08, 2016 - Shared Decisionmaking To Improve Patient Safety, Education, and Empowerment
Case Study
Problem Addressed
In many health care situations, there is not necessarily a
“correct” decision. Often, multiple options are available,
such as testing or treatment, where risks and expected
outcomes must be balanced with patie…