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  1. www.ahrq.gov/news/newsroom/case-studies/202502.html
    February 01, 2025 - Kaiser Permanente School of Anesthesia Uses AHRQ’s Surveys on Patient Safety Culture®, TeamSTEPPS® Search All Impact Case Studies February 2025 Kaiser Permanente (KP) School of Anesthesia in Pasadena, California, uses AHRQ’s  Surveys on Patient Safety Culture (SOPS®) to improve ambulatory care and expand d…
  2. psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-discontinuation-opioid-pain-medicines-and-requires-label
    March 12, 2010 - Government Resource FDA identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide prescribers on gradual, individualized tapering. Citation Text: FDA identifies harm reported from sudden discontinuation of opioid pain medicines and …
  3. psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosing-errors-when-switching-between
    April 08, 2020 - Government Resource FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. Citation Text: FDA Drug Safety Communication: FDA cautions about dosing errors when switchi…
  4. www.ahrq.gov/cahps/surveys-guidance/surgical/about/survey-measures.html
    April 01, 2018 - CAHPS Surgical Care Survey Measures For more information: Patient Experience Measures from the CAHPS Surgical Care Survey (PDF, 641 KB) To learn about selecting scores to report and displaying the results to consumers, refer to How To Report Results of the CAHPS Clinician & Group Survey (PDF, 971 KB). I…
  5. www.ahrq.gov/news/newsroom/case-studies/cquips0609.html
    October 01, 2014 - AHRQ's Patient Safety Culture Survey Used to Set Baselines for Improvements at Chicago Hospital Search All Impact Case Studies May 2006 In December 2004, Northwestern Memorial Hospital in Chicago administered AHRQ's Hospital Survey on Patient Safety Culture to establish a baseline for assessment of cultur…
  6. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-material-guide.html
    May 01, 2017 - Material Use Guide - Patient and Family Engagement in the Surgical Environment Module Overview Defining Patient and Family Engagement and its Benefits Slides 4-7 Patient and Family Expectations in the ASC Slides 8-10 Barriers, Facilitators, and Motivators Slides…
  7. psnet.ahrq.gov/issue/enhanced-morbidity-and-mortality-meeting-and-patient-safety-education-specialty-trainees
    December 31, 2012 - Study Enhanced morbidity and mortality meeting and patient safety education for specialty trainees. Citation Text: Singh HP, Durani P, Dias JJ. Enhanced Morbidity and Mortality Meeting and Patient Safety Education for Specialty Trainees. J Patient Saf. 2019;15(1):37-48. doi:10.1097/PTS.0…
  8. psnet.ahrq.gov/issue/building-nursing-intellectual-capital-safe-use-information-technology-systematic-review
    June 23, 2009 - Review Building nursing intellectual capital for safe use of information technology: a systematic review. Citation Text: Poe SS. Building nursing intellectual capital for safe use of information technology: a systematic review. J Nurs Care Qual. 2011;26(1):4-12. doi:10.1097/NCQ.0b013e31…
  9. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-emergency-dept-webinar-analysis.pdf
    June 02, 2025 - Introducing the CAHPS Emergency Department Survey (ED CAHPS) - Parast Analysis of ED CAHPS Survey Data 33 Layla Parast, Ph.D., Senior Statistician, RAND ED CAHPS Item Scoring Two recommended options:  Linear mean scoring  Response options are rescaled from 0 (worst) to 100 (best) with equal intervals betw…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pdf
    June 02, 2025 - Improvement Methods Overview Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Tool D.1 Slide 1 • Use these PowerPoint slides for any presentations for which they may be useful. • These slides may be useful earlier on in the process than during implementation; feel free t…
  11. www.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
    December 01, 2012 - aligns business activities with the organization's vision and strategy, improves internal and external communications
  12. digital.ahrq.gov/ahrq-funded-projects/implementing-low-literacy-multimedia-information-technology-system-enhance/annual-summary/2012
    January 01, 2012 - Implementing a Low-Literacy, Multimedia Information Technology System to Enhance Patient-Centered Cancer Care - 2012 Project Name Implementing a Low-Literacy, Multimedia Information Technology System to Enhance Patient-Centered Cancer Care Principal Investigator Hahn, Elizabeth O…
  13. digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2012
    January 01, 2012 - Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System - 2012 Project Name Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System Principal Investigator Ciemins, Elizabeth …
  14. digital.ahrq.gov/ahrq-funded-projects/quantifying-electronic-medical-record-usability-improve-clinical-workflow
    January 01, 2023 - Quantifying Electronic Medical Record Usability to Improve Clinical Workflow Project Final Report ( PDF , 785.43 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repre…
  15. digital.ahrq.gov/ahrq-funded-projects/implementing-low-literacy-multimedia-information-technology-it-system-enhance/annual-summary/2011
    January 01, 2011 - Implementing a Low-Literacy, Multimedia Information Technology (IT) System to Enhance Patient-Centered Cancer Care - 2011 Project Name Implementing a Low-Literacy, Multimedia Information Technology System to Enhance Patient-Centered Cancer Care Principal Investigator Hahn, Elizabeth …
  16. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.pdf
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat Toolkit 1. Suspected UTI SBAR Toolkit Tool 2. Clinician Letter [PRINTED ON NURSING HOME OR MEDICAL DIRECTOR’S STATIONERY] [Date] [Prescribing Clinician Name] Recipient Address City, State Zip] Re: Change in protocol regarding u…
  17. psnet.ahrq.gov/
    March 25, 2025 - This website is up to date as of March 24, 2025. You will not be able to register for an account and will no longer be able to obtain Continuing Medical Education (CME), Maintenance of Certification (MOC), or Continuing Pharmacy Education (CPE) credits. We are not taking submissions for WebM&M cases, Innovations, Train…
  18. www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2022_chartbook_infographic.pdf
    January 01, 2022 - 2022 Medicaid and Children's Health Insurance (CHIP) Chartbook Infographic 2022 Health Plan Survey Database This overview of results summarizes how Medicaid and Children's Health Insurance Program (CHIP) health plan enrollees assess their health plan based on the 2022 Consumer Assessment of Healthcare Providers…
  19. www.ahrq.gov/patient-safety/settings/hospital/candor/modules/worksheet2.html
    August 01, 2022 - Building the Business Case for CANDOR Worksheet AHRQ Communication and Optimal Resolution Toolkit Purpose: To provide guidance to leaders and staff who are building a business case for implementing the Communication and Optimal Resolution (CANDOR) process in their organization. Who should use this tool?   …
  20. www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict-resolution-slides/slides.html
    October 01, 2014 - Conflict Resolution (Slide Presentation) On the CUSP: Stop BSI This PowerPoint slide presentation was shown on October 12, 2010. Contents Slide 1. Conflict Resolution Slide 2. What is Conflict? Slide 3. Views of Conflict Slide 4. Sources of Conflict Slide 5. Types of Conflict Slide 6. Goal of Co…