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psnet.ahrq.gov/issue/do-variations-hospital-mortality-patterns-after-weekend-admission-reflect-reduced-quality
April 12, 2019 - Study
Classic
Do variations in hospital mortality patterns after weekend admission reflect reduced quality of care or different patient cohorts? A population-based study.
Citation Text:
Concha OP, Gallego B, Hillman K, et al. Do variations in hospital mortality …
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psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
August 15, 2018 - Study
Association between end-of-rotation resident transition in care and mortality among hospitalized patients.
Citation Text:
Denson JL, Jensen A, Saag HS, et al. Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients. JAMA. 2016;316(2…
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psnet.ahrq.gov/issue/patients-and-families-teachers-mixed-methods-assessment-collaborative-learning-model-medical
July 12, 2017 - Study
Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention.
Citation Text:
Langer T, Martinez W, Browning DM, et al. Patients and families as teachers: a mixed methods assessment of a collaborative lea…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/menu-program-brochure.pdf
June 02, 2025 - The L.A. Net Practice Facilitation Menu
A Menu for Quality Improvement in Primary Care Practices
Practice Facilitation Services The L.A. Net
L.A Net provides quality improvement support to its members Practice Facilitation through a team of primary care Practice Facilitators.
L.A. Net …
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit3-minimum-criteria.html
September 01, 2017 - Toolkit 3. Minimum Criteria for Common Infections Toolkit
Toolkit Effectiveness
The design and information in the toolkit is based on published expert consensus 1-2 . The Suspected UTI SBAR Form and the letter were tested in Texas and resulted in a 30% reduction of use in unnecessary antibiotics. 3
Overview…
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/sbar.html
November 01, 2019 - Tool: SBAR
SBAR, which stands for Situation, Background, Assessment, and Recommendation (or Request), is a structured communication framework that can help teams share information about the condition of a patient or team member or about another issue your team needs to address.
In phrasing a conversation with…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/150-cusp-tip-sheet-celebrating-success.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
CUSP Tip Sheet:
Celebrating Success and Spreading MRSA Prevention Beyond the Unit
ICU & Non-ICU
Purpose
Recognizing success, large and small, both early on and long term is important to sustainability. Communicating success can help frontline personnel have the courage to speak …
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psnet.ahrq.gov/issue/feasibility-and-added-value-executive-walkrounds-long-term-care-organizations-netherlands
January 07, 2015 - Study
Feasibility and added value of Executive WalkRounds in long term care organizations in the Netherlands.
Citation Text:
van Dusseldorp L, de Waal GH-, Hamers H, et al. Feasibility and Added Value of Executive WalkRounds in Long Term Care Organizations in the Netherlands. Jt Comm J Q…
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www.ahrq.gov/patient-safety/resources/simulation-issue-brief3.html
July 01, 2024 - Simulation To Improve Patient Safety: Getting Started
Leverage Patient Safety Infrastructure
Previous Page Next Page
Table of Contents
Simulation To Improve Patient Safety: Getting Started
Introduction
Leverage Patient Safety Infrastructure
Use Simulation To Adopt and Adapt Best Practices
Us…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/physengagement-slides/Physician-Engagement-Sept-13-2011-508.ppt
January 01, 2011 - Project Report - Lean Sigma
Physician Engagement
*
Story of cardiac surgeon not doing check list. Cardiac SICU one year zero infections, then BAM! two infections linked to one noncompliant cardiac surgeon. Or other example story of physicians not being engaged in QI
*
One of the issues we hear our teams talk ab…
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psnet.ahrq.gov/innovation/assessing-impact-virtual-medication-history-technicians-medication-reconciliation
December 01, 2021 - EMERGING INNOVATIONS
Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies.
Citation Text:
Gadallah A, McGinnis B, Nguyen B, et al. Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. Int J C…
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digital.ahrq.gov/sites/default/files/docs/page/2006Root_052411comp.pdf
June 16, 2021 - Utah Health Information Network Evaluation Method Summary
uhin
Utah Health Information Network
Evaluation Method Summary
AHRQ 2006
Jan Root, Ph.D.
Assistant Executive Director
uhin
UHIN Pilot
Submitter Receiver Message Format
Hospital Providers (clinical
messages)
Payers (claim
attachments)
Discharge
su…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-instructions-requesting-deidentified-sops-data.pdf
January 01, 2024 - SOPS® Database Information and Instructions for Requesting De-identified SOPS Database Data
Instructions for Requesting De-identified SOPS data– April 2024 1
Agency for Healthcare Research and Quality (AHRQ)
SOPS® Database
Information and Instructions for Requesting De-identified SOPS Database Data
Thi…
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/normothermia-audit.html
December 01, 2017 - Normothermia Audit Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
Patients’ perioperative core temperatures should be maintained at normothermia to prevent surgical site infection (SSI). Normothermia enables adequate immune functioning and perfusion to surgical site tissue…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/normothermia_audit.docx
December 01, 2017 - Tool: Normothermia Audit
AHRQ Safety Program for Surgery
Normothermia Audit Tool
Introduction
Problem Statement
Patients’ perioperative core temperatures should be maintained at normothermia to prevent surgical site infection (SSI). Normothermia enables adequate immune functioning and perfusion to surgical site tissue…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load5.html
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy
A Future Vision for Better Diagnostic Outcomes
Previous Page Next Page
Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cognitive Load…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/gastateataglance.pdf
March 01, 2012 - Georgia State at a Glance
…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mastateataglance.pdf
March 01, 2012 - Massachusetts State at a Glance
…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/pastateataglance.pdf
March 01, 2012 - Pennsylvania State at a Glance
…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mdstateataglance.pdf
March 01, 2012 - Maryland State at a Glance
…