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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…
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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 …
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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
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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…
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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 …
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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…
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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
…
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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…
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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…
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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…
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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? …
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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…