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psnet.ahrq.gov/node/33612/psn-pdf
May 01, 2005 - Organizational Change in the Face of Highly Public
Errors—I. The Dana-Farber Cancer Institute Experience
May 1, 2005
Conway JB, Weingart SN. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber
Cancer Institute Experience. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/organizat…
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www.ahrq.gov/practiceimprovement/delivery-initiative/bozicstudysnapshots/index.html
August 01, 2018 - The IHA Bundled Episode Payment and Gainsharing Demonstration
AHRQ Delivery System Research: Study Snapshot
The Agency for Healthcare Research and Quality awarded Integrated Healthcare Association and the RAND Corporation a demonstration and evaluation grant to develop and implement a bundled paym…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/ahrq-works/impact-burnout.pdf
July 01, 2017 - Physician Burnout
Physician Burnout
The health care environment—with its packed work
days, demanding pace, time pressures, and emotional
intensity—can put physicians and other clinicians at high
risk for burnout. Burnout is a long-term stress reaction
marked by emotional exhaustion, depersonalization,
and a la…
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www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/midwest.html
March 01, 2021 - EvidenceNOW: Midwest Cooperative
EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure to help smaller primary care practices improve the heart health of their patient…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
July 15, 2013 - Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation
Advanced Methods in Delivery System Research –
Planning, Executing, Analyzing, and
Reporting Research on
Delivery System Improvement
Webinar #4…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-team-assessment-tool.pdf
February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Team Assessment Tool
TeamSTEPPS® Team Assessment Tool
for Improving Diagnosis – Instructions
How to use this Team Assessment Tool
This tool assesses the maturity level of your healthcare setting in five critical teamwork
domains: Team Structure, Communication, Leadership, Situat…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
June 02, 2025 - How To Implement the Pressure Injury Prevention Program in Your Organization
How To Implement the
Pressure Injury Prevention Program in Your Organization
ADD Hospital Name here
Module 4
What We Have Done Thus Far
Up to this point, you have:
Looked at your organization’s readiness to improve pressure injury preventi…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/index.html
March 01, 2025 - Re-Engineered Discharge (RED) Toolkit
Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Sit…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
Overview
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressure ulcer prevention that…
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psnet.ahrq.gov/node/72616/psn-pdf
December 22, 2020 - Adverse Events in Dentistry
December 22, 2020
Kalenderian E, Walji MF, Fitall E, et al. Adverse Events in Dentistry. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/adverse-events-dentistry
Introduction
Similar to many other healthcare settings, dentistry carries with it inherent patient safety risks. D…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking5.html
September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis
References
Previous Page
Table of Contents
Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts for Understanding Probability
Probability and the Diagnostic Pathway
Future Vision …
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psnet.ahrq.gov/node/49671/psn-pdf
November 01, 2012 - Electrocardiogram Results: ***READ ME***
November 1, 2012
Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
The Case
A 63-year-old woman with labile hypertension presented to the emergency department (ED) with new onset
che…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
May 01, 2011 - Spotlight Case July 2008
Spotlight Case
Duty to Disclose Someone Else’s Error
*
*
Source and Credits
This presentation is based on the May 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Thomas H. Gallagher, MD University of Washington
…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
December 01, 2009 - Spotlight Case [MONTH] 2003
Spotlight Case
Standard Deviations
Source and Credits
This presentation is based on the December 2009
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: James E. Sabin, MD
Harvard Medical School; Harvard Pilgrim Heal…
-
www.ahrq.gov/gam/summaries/inclusion-criteria/index.html
October 01, 2018 - NGC and NQMC Inclusion Criteria
National Guideline Clearinghouse (NGC) Inclusion Criteria
Effective June 1, 2014, NGC used the 2011 definition of clinical practice guideline developed by the Institute of Medicine (IO). 1
Clinical practice guidelines are statements that include recommendations intended to op…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - Spotlight Case July 2008
Spotlight Case
The Safety and Quality of Long Term Care
*
*
Source and Credits
This presentation is based on the September 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Amy A. Vogelsmeier, PhD, RN, GCNS-BC, Uni…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english-2.0.docx
June 05, 2025 - SOPS Nursing Home Survey Version 2.0
SOPS® Nursing Home Survey
Version: 2.0
Language: English
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 analyzing data, and producing report…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.docx
June 02, 2025 - Ambulatory Procedure/Surgery Center Survey on Patient Safety
SOPS™ Ambulatory Surgery Center 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,…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.pdf
June 02, 2025 - Ambulatory Procedure/Surgery Center Survey on Patient Safety
SOPS
TM
Ambulatory Surgery Center Survey
Version: 1.0
Language: English
Note
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation_facnotes.docx
December 01, 2017 - Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements
Performing an SSI Investigation – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Performing an SSI Investigation
SAY:
In this module, you’ll learn about performing a surgical site infection or SSI investigation.
Slide …