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  1. Quality Improvement | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/research/quality/index.html
    September 01, 2022 - Quality Improvement Quality improvement (QI) is essential to achieving the triple aim of improving the health of the population, enhancing patient experiences and outcomes, and reducing the per capita cost of care, and to improving provider experience. AHRQ provides research, tools, and resources to improve qua…

  2. September 18: Strengthening Partnerships with Patients and Families to Assess and Improve the Experience of Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/cahps-webcast.html
    August 01, 2025 - September 18: Strengthening Partnerships with Patients and Families to Assess and Improve the Experience of Care Date: September 18, 2025 Time: 11:00 AM - 3:00 PM EDT This free virtual research meeting from AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program will focus on the integ…

  3. Research Career Enhancement Awards for Established Investigators in Patient-Centered Outcomes Research (PCOR) | Agency for Healthcare Research and Quality

    www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdpa12115.html
    June 01, 2018 - Research Career Enhancement Awards for Established Investigators in Patient-Centered Outcomes Research (PCOR) AHRQ Training Projects Funded by PCOR Trust Fund PA-12-115 These career development awards allow flexibility for established investigators to devote a minimum of 50 percent effort across a 6-month …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46518/psn-pdf
    October 29, 2017 - Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. October 29, 2017 Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Academic Primary Care Practice. Jt …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44430/psn-pdf
    October 28, 2015 - The role of dynamic trade-offs in creating safety—a qualitative study of handover across care boundaries in emergency care. October 28, 2015 Sujan M, Spurgeon P, Cooke M. The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emergency care. Reliab Eng Syst Saf.…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46706/psn-pdf
    March 20, 2018 - Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors. March 20, 2018 Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps.201700269. https://psnet.ahrq.gov/iss…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47398/psn-pdf
    December 22, 2018 - Simulation-based clinical rehearsals as a method for improving patient safety. December 22, 2018 Arnold J, Cashin M, Olutoye OO. Simulation-Based Clinical Rehearsals as a Method for Improving Patient Safety. JAMA Surg. 2018;153(12):1143-1144. doi:10.1001/jamasurg.2018.3526. https://psnet.ahrq.gov/issue/simulation-…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47015/psn-pdf
    May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal error. May 9, 2018 Porter S. HealthLeaders Media. April 26, 2018. https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45617/psn-pdf
    November 30, 2016 - Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. November 30, 2016 Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043. https://psnet.ahrq.gov/issue/walk…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46421/psn-pdf
    November 08, 2017 - A novel ICU hand-over tool: the glass door of the patient room. November 8, 2017 Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44028/psn-pdf
    April 01, 2015 - Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. April 1, 2015 Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response. BMJ Qual Saf. 2015;24(…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45563/psn-pdf
    October 19, 2016 - Using a change model to reduce the risk of surgical site infection. October 19, 2016 Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949- 955. https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection Surgical site infections can resul…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47604/psn-pdf
    December 21, 2018 - Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. December 21, 2018 Nickel WK, Weinberger SE, Guze PA, et al. Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. Ann Intern Med. 2018;169(11):796-799. doi:10.7…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853611/psn-pdf
    September 20, 2023 - Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. September 20, 2023 Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. J Patient Saf. 2023;19…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40365/psn-pdf
    February 12, 2014 - Strategies for learning from failure. February 12, 2014 Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. https://psnet.ahrq.gov/issue/strategies-learning-failure Failures are inevitable in any industry, especially in one as complex as health care. The ability to learn from fai…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867702/psn-pdf
    September 01, 2021 - Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. September 1, 2021 Agency for Healthcare Research and Quality. Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. September 2021. https://psnet.ahrq.gov/issue/toolkit-reduce-cauti-and-other-hais-long-term-care-facilities Cathete…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47558/psn-pdf
    November 14, 2018 - What we can do about maternal mortality—and how to do it quickly. November 14, 2018 Mann S, Hollier LM, McKay K, et al. What We Can Do about Maternal Mortality - And How to Do It Quickly. New Engl J Med. 2018;379(18):1689-1691. doi:10.1056/NEJMp1810649. https://psnet.ahrq.gov/issue/what-we-can-do-about-maternal-mo…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43614/psn-pdf
    October 22, 2014 - Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. October 22, 2014 Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;21(6):515-20. doi:10.1097/MOH.000…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37294/psn-pdf
    May 21, 2013 - Improving Hand-Off Communication. May 21, 2013 Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. https://psnet.ahrq.gov/issue/improving-hand-communication The process of transferring primary responsibility for patient care is commonly referred to as a handoff. Handoffs are inherently dange…

  20. Thomson Reuters Healthcare, Inc. | Digital Healthcare Research

    digital.ahrq.gov/organization/thomson-reuters-healthcare-inc
    January 01, 2023 - Thomson Reuters Healthcare, Inc. Structuring Care Recommendations for Clinical Decision Support - 2011 Principal Investigator Osheroff, Jerry Project Name Structuring Care Recommendations for Clinical Decision Support Design of a Toolkit t…
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