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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - Making Just Culture a Reality: One Organization's
Approach
October 1, 2007
Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
Perspective
We've all been there...something goes wrong,…
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psnet.ahrq.gov/node/33684/psn-pdf
May 01, 2009 - Patient Safety: A Perspective from Office Practice
May 1, 2009
Baron RJ. Patient Safety: A Perspective from Office Practice. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
Perspective
Most patient interactions with the health care system occur in the outpatien…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
August 01, 2012 - Spotlight Case
Spotlight Case
No News May Not Be Good News
1
2
Source and Credits
This presentation is based on the August 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Carlton R. Moore, MD, MS; University of North Carolina, School of Medicin…
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psnet.ahrq.gov/node/49515/psn-pdf
July 01, 2006 - Over Not So Easy
July 1, 2006
Cucina R. Over Not So Easy. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/over-not-so-easy
The Case
A 62-year-old woman with end-stage liver disease was hospitalized for recurrent variceal bleeding. On
admission, she reported allergies to a number of medications as well as a …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
June 02, 2025 - Hospital Survey on Patient Safety
SOPS
TM
Hospital Survey
Version: 1.0
Language: English
Note
• For more information on getting started, selecting a sample, determining data collection methods,
establishing data collection procedures, conducting a Web-based survey, and preparing and
analyz…
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - Section 2: Explanation of Key Concepts and Tools
This section contains explanations and illustrations to help you better understand and appreciate the importance of situation monitoring and TeamSTEPPS situation monitoring tools. If you teach this content or want additional insights on how the material can be mo…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/new-sops-workplace-safety-zebrak.pdf
July 22, 2022 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - Zebrak
Workplace Safety Supplemental Items
for the SOPS Hospital Survey
Katarzyna Zebrak, PhD
Senior Study Director
Westat
►
►
►
Workplace Safety Supplemental Items
• Designed as a supplemental item set that can be added toward
the end of th…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apa2.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix A: Family Information Packet (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet
Coaching in the …
-
www.ahrq.gov/es/sops/bibliography/index.html?page=3
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
151-200 of 505 Bibliography Items displayed
Pagination
« first
« First
‹ previous
‹‹
1
2
3
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b5_pdi_assessingtrendscomparators.pdf
March 20, 2016 - Assessing Indicator Rates Using Trends and Comparators
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool B.5 i
Assessing Indicator Rates Using Trends and Comparators
What is the purpose of this tool? This tool provides guidance on how to assess your hospita…
-
www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apa2.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix A: Family Information Packet (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet
Coaching in the …
-
psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - Communication With Consultants
Citation Text:
Cohn SL. Communication With Consultants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/index.html
June 01, 2020 - Uses of Quality Measurement
Child Health Care Quality Toolbox
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
A clear plan for using quality measurement is a prerequisite to a successful quality measurement strategy. An established plan hel…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
March 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case March 2007
Failure to Report
Source and Credits
This presentation is based on the March 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Patrice L. Spath, BA, RHIT, Brown-Sp…
-
psnet.ahrq.gov/node/49695/psn-pdf
October 01, 2013 - Finding Fault With the Default Alert
October 1, 2013
Baysari M. Finding Fault With the Default Alert. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/finding-fault-default-alert
The Case
A 33-year-old man with known refractory epilepsy and developmental delay was admitted to the hospital
after experiencing …
-
www.ahrq.gov/sites/default/files/2024-07/mitchell-report.pdf
January 01, 2024 - Final Progress Report: Shared Decision Making in Vulnerable Populations
Final Progress Report
Shared Decision Making in Vulnerable Populations:
Suzanne Mitchell, MD, MS
Principal Investigator: Suzanne Mitchell, MD, MS
Team Members: Brian Jack, MD (Primary mentor); Nancy Kressin, PhD (BMC);
Paul Schroy, MD, MS (…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-slides.pdf
February 09, 2022 - Understanding Your Workflow
Processes to Prepare for Systems
Change
S te v e n Ke tey i a n , P h D
M c Ke n z i e Pe c k m a n , M S , AC S M -
C E P
Module 3
Today’s Training Session
2
PURPOSE
Training sessions guided by the Million
Hearts®/AACVPR Cardiac Rehabilitation
Change Package (CRCP), locate…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-qi-ny.pdf
June 02, 2025 - Provider CHCANYS Qualitative Interview Guide
HealthyHearts NYC
Provider/Quality Improvement Team Lead (CHCANYS) Qualitative Interview Guide
My name is ______. I am from NYU School of Medicine. We are evaluating the HealthyHearts NYC (HHNYC)
program, which has provided practice facilitators (PF) to practices to h…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/040-ss-training-clinic-patient-ed.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Staff Training: Teaching Patients To Decolonize at Home
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Adapted from: “Toolkit for Decolonization of Non-ICU Patients…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects Tool
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is a Defect?
A defect is any clinical or operational event or situation that you would not want to happen again. This could include incidents…