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psnet.ahrq.gov/node/41775/psn-pdf
December 18, 2014 - Measuring adverse events and levels of harm in pediatric
inpatients with the Global Trigger Tool.
December 18, 2014
Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric
inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e1206-14. doi:10.1542/peds.2012-01…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/finklestein.pdf
December 19, 2014 - Comprehensive Informatics Framework for Comparative Effectiveness Research Dissemination
Research to Help Underserved Populations
Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness
Research Products
Comprehensive Informatics Framework for Comparative Effectiveness Research Dissemination
D…
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psnet.ahrq.gov/node/43367/psn-pdf
May 01, 2015 - Promoting Patient Safety Through Effective Health
Information Technology Risk Management.
May 1, 2015
Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND Health. Washington, DC:
Office of the National Coordinator for Health Information Technology; May 2014. RR-654-DHHSNCH.
https://psnet.ahrq.…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/exh3.html
October 01, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Exhibit 3. Items Classified by Estimating Costs Grantees as Direct and Indirect Cost Elements
Previous Page Next Page
Table of Contents
Estimating the Costs of Primary Care Transformation: A Practical Guide a…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-new-sops-workplace-safety-ginsberg.pdf
June 02, 2025 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - Ginsberg
AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) Program
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
6
AHRQ’s SOPS Program
• Initiated and funded by AHRQ since 2001 to advance the understanding,
measu…
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psnet.ahrq.gov/node/42211/psn-pdf
April 24, 2013 - An organizational assessment of disruptive clinician
behavior: findings and implications.
April 24, 2013
Walrath JM, Dang D, Nyberg D. An Organizational Assessment of Disruptive Clinician Behavior. J Nurs
Care Qual. 2012;28(2):110-121. doi:10.1097/ncq.0b013e318270d2ba.
https://psnet.ahrq.gov/issue/organizational-a…
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psnet.ahrq.gov/node/37874/psn-pdf
April 18, 2011 - Interprofessional handover and patient safety in
anaesthesia: observational study of handovers in the
recovery room.
April 18, 2011
Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia:
observational study of handovers in the recovery room. Br J Anaesth. 2008;101(3):332-…
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psnet.ahrq.gov/node/60887/psn-pdf
September 09, 2020 - Human-based errors involving smart infusion pumps: a
catalog of error types and prevention strategies.
September 9, 2020
Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of
error types and prevention strategies. Drug Saf. 2020;43(11):1073-1087. doi:10.1007/s40264…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/case-study.docx
March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Antibiotic Stewardship
Case Study Worksheet
Instructions:
1. Divide into small groups of two to three people.
2. Ask each group to work through each part of the case scenario, p…
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psnet.ahrq.gov/node/60176/psn-pdf
April 01, 2020 - Health and social care-associated harm amongst
vulnerable children in primary care: mixed methods
analysis of national safety reports.
April 1, 2020
Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in
primary care: mixed methods analysis of national safety reports…
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www.ahrq.gov/research/findings/index.html
March 01, 2025 - Research Findings & Reports
Summaries of research findings and reports
EPC Evidence-Based Reports The Agency for Healthcare Research and Quality (AHRQ), through its EPCs, sponsors the development of various reports to assist public- and private-sector organizations in their efforts to improve the quality of h…
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www.ahrq.gov/research/findings/ta/index.html
May 01, 2025 - Technology Assessment Program
The Technology Assessment (TA) Program at the Agency for Healthcare Research and Quality (AHRQ) provides evidence reviews for the Centers for Medicare & Medicaid Services (CMS) and associated payers to inform coverage decisions and provide information to its carriers.
This web …
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digital.ahrq.gov/national-webinars/optimizing-data-visualization-improve-care
January 01, 2023 - Optimizing Data Visualization to Improve Care
Event Date:
October 19, 2022 | 1:00pm – 2:30pm ET
Event Materials:
Presentation Slides ( PDF , 2.64 MB). Q&As ( PDF , 101 KB).
Your browser does not support inline frames. Please go to https://youtu.be/fF6sFmfdrwc to vi…
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www.ahrq.gov/hai/tools/ambulatory-surgery/index.html
March 01, 2023 - Toolkit To Improve Safety in Ambulatory Surgery Centers
The Toolkit To Improve Safety in Ambulatory Surgery Centers helps ambulatory surgery centers (ASCs) make care safer for their patients. ASCs can use the toolkit to apply the proven principles and methods of AHRQ's Comprehensive Unit-based Safety Program (C…
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www.ahrq.gov/cahps/news-and-events/events/webinar-100620.html
October 01, 2020 - Introducing the CAHPS Emergency Department Survey (ED CAHPS)
Tuesday, October 6, 2020
Summary
Speakers
Recording
Summary
This AHRQ webcast introduced the Consumer Assessment of Healthcare Providers and Systems Emergency Department Survey (ED CAHPS) as a new way to assess patients' experience wit…
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018214-olson-final-report-2012.pdf
January 01, 2012 - While developing countries may use cell phones more widely
to influence health, within the United States
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Developing hospitalwide policies and procedures related to pressure ulcer prevention and treatment.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight02.html
May 01, 2013 - The choice of different tools creates numerous challenges for policymakers and researchers, but by developing
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4.html
October 01, 2014 - Developing hospitalwide policies and procedures related to pressure ulcer prevention and treatment.
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hcup-us.ahrq.gov/db/nation/nis/APS_DRGsDefManualV26Public.pdf
April 01, 2010 - In developing and maintaining APS-DRGs®, Ingenix has developed a classification
system that:
• Is compatible … general, since the inception of
DRGs, this approach has been viewed as the most effective strategy for developing … In
developing and enhancing the APS-DRGs®, clinicians evaluate diagnoses,
procedures and other patient … The following guidelines were used in developing the APS-DRGs®. … In developing MS-DRGs, CMS reviewed over 13,000 ICD-9-CM diagnosis codes to
evaluate their assignment