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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - January 6, 2017
Why admitting to mistakes can help doctors (and patients).
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digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery
January 01, 2024 - understand what outcomes are important to them, as well as what information about their personal situations doctors
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psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - This portal enables access to comparative quality and safety data from doctors & clinicians, hospital
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/CreatinganEffectiveCustomerServiceTrainingProgram20120501Transcript52312.pdf
May 01, 2012 - across the organization, we were here to make this a better place for our
patients to get care, our doctors
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/resources.html
July 01, 2022 - Access Engaging Doctors in the Health Care Revolution to gain an understanding of what motivates health
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www.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - , people treat each other with respect. ( More about this item: "People" means all staff, including doctors
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psnet.ahrq.gov/node/49800/psn-pdf
July 01, 2017 - The Hidden Harms of Hand Sanitizer
July 1, 2017
Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
The Case
A 57-year-old woman with a history of alcohol abuse and severe depression was admitted to the hospital
for community-acquired pn…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - Spotlight Case [MONTH] 2003
Spotlight Case
Treatment Challenges After Discharge
*
*
Source and Credits
This presentation is based on the November 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Chase Coffey, MD, Henry Ford Health System,…
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psnet.ahrq.gov/node/33817/psn-pdf
October 01, 2016 - Health Care Data Science for Quality Improvement and
Patient Safety
October 1, 2016
Rajkomar A. Health Care Data Science for Quality Improvement and Patient Safety. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
Perspective
Background
Ha…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_factsheet.docx
December 01, 2017 - Glucose Control Factsheet
Glucose Control Factsheet
Facts About Glucose Control and the Prevention of Surgical Site Infections
Definition of Tight Glucose Control
Tight glucose control refers to getting as close to a normal (nondiabetic) blood glucose level as you safely can. Ideally, this means levels between 70 an…
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www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
December 01, 2012 - Learn from Defects Tool
CUSP Toolkit
Health care organizations can increase the extent to which they learn from defects.
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be h…
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www.ahrq.gov/research/findings/final-reports/ptflow/section3.html
April 01, 2020 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Section 3. Measuring Emergency Department Performance
Previous Page Next Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Execut…
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www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndapb.html
December 01, 2012 - Recommendations to Improve Children's Health Care Quality Measures
Background Report on the 2012 Process
This background report describes the process used to identify, evaluate, and select children's health care quality measures to be recommended for addition to the initial core set of 24 measures released by…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/theresa-famolaro-slides-12-45.pdf
July 22, 2019 - Ambulatory Surgery Center SOPS: What You Need to Know Webcast
The SOPS Ambulatory Surgery Center
Survey
Theresa Famolaro, MPS, MS, MBA
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
https://www.ahrq.gov/sops
Development of the ASC SOPS
• ASC SOPS was develop…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - Learn From Defects Tool
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect.
Wh…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-SOPS_101_Webcast-FAMOLARO.pdf
January 01, 2020 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Famolaro
The SOPS Databases
Theresa Famolaro, MPS, MS, MBA
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
23
SOPS Databases
Hospital
630
Hospitals
Nursing
Home
191
Nursing Homes
Medical
Office…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-slides.pptx
September 01, 2022 - The “Never Antibiotic” Diagnoses: Acute Bronchitis – Slides
AHRQ Safety Program for Improving Antibiotic Use
The “Never Antibiotics” Diagnoses:
Acute Bronchitis
Ambulatory Care
AHRQ Pub. No. 17(22)-0030
September 2022
Acute Bronchitis
AHRQ Safety Program for Improving Antibiotic Use – Ambulatory Care
1
Objective…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
May 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case May 2005
Diagnosing Diagnostic Mistakes
Source and Credits
This presentation is based on the May 2005 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Robert McNutt, MD; Richard A…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-component-kit.docx
May 01, 2017 - Module 4: Component Kit
Standard Work Observation Component Kit
Contents
1. Why Standard Work Observation? 2
Connections to Other Components 3
2. Tips 3
3. Plan-Do-Study-Act “Ramp”: Observe Checklist Use Regularly 5
4. Example 6
Using the Observations 6
1. Why Standard Work Observation?
As you’ve adapted a surgi…
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www.ahrq.gov/news/newsletters/e-newsletter/919.html
July 01, 2024 - AHRQ Views: Arm in Arm With AcademyHealth, AHRQ Is Poised To Build on Successes in Health Services Research
Issue Number
919
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
July 2, 2024
AHRQ Stats: Services Used by People With High Expenses Among people in th…