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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
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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
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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 …
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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…
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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…
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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 …
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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.…
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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…
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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…
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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…
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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…
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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…
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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
…
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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
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March 6, 2005
Description of a successful model from Duke…
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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…
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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…
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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…
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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…
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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…
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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…