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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
    May 01, 2017 - Provide a comprehensive starting point for each unit to consider as it establishes its processes for ensuring
  2. digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-overview
    January 01, 2021 - right people at the right times, so that clinicians can make the best care decisions, all the while ensuring
  3. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/Medical-Office-Users-Guide-2021.pdf
    January 01, 2021 - AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide USER’S GUIDE MEDICAL OFFICE SURVEY ON PATIENT SAFETY CULTURE PATIENT SAFETY AHRQ Medical Office Survey on Patient Safety Culture: User’s Guide Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human …
  4. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/plan-do-check-act-cycle
    January 01, 2023 - Plan-Do-Check-Act Cycle Acronym PDCA Also Known As Deming Cycle Plan-Do-Study-Act (PDSA) Cycle Shewhart Cycle Description Plan-do-check-act (PDCA) is a four step cycle that allows you to implement change, solve problems, and continuously improve processes. Its cyclical nature a…
  5. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/focus-group
    January 01, 2023 - Focus Group Also Known As Discussion Forum Description A focus group is comprised of a collection of several individuals who all discuss a particular subject, voicing and discussing their opinions and ideas on that subject. Uses To collect preliminary data for surveys or int…
  6. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/5w2h
    January 01, 2023 - 5W2H Also Known As Five Ws and Two Hs Who, What, When, Where, Why, How, How much Description 5W2H is a tool that provides guiding questions when assessing a process or problem. The five W's-who, what, when, where, and why, and the two H's-how and how much - force you to consider various …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47134/psn-pdf
    March 04, 2019 - Association of hydrocodone schedule change with opioid prescriptions following surgery. March 4, 2019 Habbouche J, Lee JS, Steiger R, et al. Association of Hydrocodone Schedule Change With Opioid Prescriptions Following Surgery. JAMA Surg. 2018;153(12):1111-1119. doi:10.1001/jamasurg.2018.2651. https://psnet.ahrq.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43687/psn-pdf
    November 12, 2014 - Changes in medical errors after implementation of a handoff program. November 12, 2014 Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556. https://psnet.ahrq.gov/issue/changes-medical-er…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46394/psn-pdf
    August 29, 2018 - Sustained user engagement in health information technology: the long road from implementation to system optimization of computerized physician order entry and clinical decision support systems for prescribing in hospitals in England. August 29, 2018 Cresswell K, Lee L, Mozaffar H, et al. Sustained User Engagement…
  10. CHG Bathing (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-bathing.docx
    March 01, 2022 - CHG Bathing Patients With Devices: Prevent Infections During Your Hospital Stay PATIENTSection 10-7 BATHE Daily With Chlorhexidine (CHG) Cloths AHRQ Pub. No. 20(22)-0036 March 2022 During your stay, bathing will occur every day with a special antiseptic (CHG) that removes germs and prevents infection better t…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/senior-leader-checklist.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care: CEO/Senior Leader Checklist AHRQ Safety Program for Perinatal Care CEO/Senior Leader Checklist CEO/Senior Leader Checklist Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science o…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41967/psn-pdf
    May 10, 2013 - A comparative review of patient safety initiatives for national health information technology. May 10, 2013 Magrabi F, Aarts J, Nohr C, et al. A comparative review of patient safety initiatives for national health information technology. Int J Med Inform. 2013;82(5):e139-48. doi:10.1016/j.ijmedinf.2012.11.014. htt…
  13. www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-9.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.9. Training Curriculum Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital …
  14. psnet.ahrq.gov/issue/pharmacists-play-key-role-patient-safety
    March 29, 2023 - Newspaper/Magazine Article Pharmacists play key role in patient safety. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 6, 2005 Description of a successful model from Duke…
  15. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-8.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 8: Medication Reconciliation Process Physician Focus Group—Interview Questions Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medicati…
  16. www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-8.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation Previous Page Next Page Table of Contents Medications at Trans…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39674/psn-pdf
    July 14, 2010 - The management of test results in primary care: does an electronic medical record make a difference? July 14, 2010 Elder NC, McEwen TR, Flach J, et al. The management of test results in primary care: does an electronic medical record make a difference? Fam Med. 2010;42(5):327-33. https://psnet.ahrq.gov/issue/manag…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37838/psn-pdf
    June 11, 2008 - Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network. June 11, 2008 Graham DG, Harris DM, Elder NC, et al. Mitigation of patient harm from testing errors in family medicine offices: a report from the American Ac…
  19. www.ahrq.gov/teamstepps-program/curriculum/situation/teach/mini.html
    July 01, 2023 - Mini-Session Training Content If you teach content from the Situation Monitoring Module in an even shorter format, focus on one or two specific situation monitoring tools that have been selected based on the participants’ needs. For this format, we recommend that you do the following: Using the overall Team…
  20. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-webcast-051623-ginsberg.pdf
    June 02, 2025 - HCBS CAHPS Survey Database: What You Need to Know - GINSBERG 5 AHRQ’S CAHPS® PROGRAM Caren Ginsberg, Ph.D., CPXP Director, CAHPS and Surveys on Patient Safety Culture (SOPS) Programs Center for Quality Improvement & Patient Safety, AHRQ 6 AHRQ’s Core Competencies • Health Systems Research: Invest in research…