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  1. www.ahrq.gov/patient-safety/resources/simulation-issue-brief4.html
    July 01, 2024 - Simulation To Improve Patient Safety: Getting Started Use Simulation To Adopt and Adapt Best Practices Previous Page Next Page Table of Contents Simulation To Improve Patient Safety: Getting Started Introduction Leverage Patient Safety Infrastructure Use Simulation To Adopt and Adapt Best Prac…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool5_portfolio_des.pptx
    June 02, 2025 - Tool 5: Portfolio Design Tool 5: Portfolio Design Brief Description: A PowerPoint deck that includes examples of readmission reduction portfolios that can be modified to develop the data-informed, multifaceted “portfolio” of readmission reduction efforts in your hospital. Purpose: To facilitate the formulation of you…
  3. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight07.pdf
    February 01, 2014 - Supplement to Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? Supplement to Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? February 2014 Evaluati…
  4. www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight07.html
    February 01, 2014 - Supplement to Evaluation Highlight No. 7 How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? February 2014 Evaluation Highlight No. 7 is the seventh in a series of reports that present descriptive and analytic findings from the national evaluation of the …
  5. www.ahrq.gov/news/newsroom/case-studies/201718.html
    April 01, 2018 - Los Angeles County Health Center Uses CAHPS To Shorten Wait Times Search All Impact Case Studies April 2018 Feedback from patients on AHRQ's Consumer Assessment of Healthcare Providers and Systems Clinician & Group Survey (CG-CAHPS) told officials at San Fernando, CA-based Northeast Valley Health Corporat…
  6. www.ahrq.gov/news/newsroom/case-studies/cp31103.html
    October 01, 2014 - University of Missouri Uses AHRQ's Health Literacy Toolkit to Train and Coach Physicians Search All Impact Case Studies September 2011 The University of Missouri Center for Health Policy, through funding from Health Literacy Missouri, a nonprofit organization based in St. Louis, incorporated AHRQ's "Health …
  7. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-process-mapping.pdf
    June 02, 2025 - Job Aid: Process Mapping Primary Care Practice Facilitator Training Series 1 Job Aid: Process Mapping Overview Process mapping, also called workflow mapping, allows a practice to "see" an entire work process from beginning to end. When to use process mapping Use process mapping to help a p…
  8. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
    May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load Interplay …
  9. psnet.ahrq.gov/issue/residents-responses-medical-error-coping-learning-and-change
    August 03, 2009 - Study Residents' responses to medical error: coping, learning, and change. Citation Text: Engel KG, Rosenthal M, Sutcliffe K. Residents' responses to medical error: coping, learning, and change. Acad Med. 2006;81(1):86-93. Copy Citation Format: Google Scholar PubMed BibTe…
  10. psnet.ahrq.gov/issue/measuring-hospital-wide-activity-volume-patient-safety-and-infection-control-multi-centre
    January 15, 2009 - Study Measuring hospital-wide activity volume for patient safety and infection control: a multi-centre study in Japan. Citation Text: Hayashida K, Imanaka Y, Fukuda H. Measuring hospital-wide activity volume for patient safety and infection control: a multi-centre study in Japan. BMC H…
  11. psnet.ahrq.gov/issue/family-centered-rounds
    April 24, 2018 - Commentary Family-centered rounds. Citation Text: Mittal V. Family-centered rounds. Pediatr Clin North Am. 2014;61(4):663-70. doi:10.1016/j.pcl.2014.04.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  12. psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
    January 12, 2022 - Study Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems. Citation Text: Armbruster DA, Alexander DB. Sample to sample carryover: a source of analytical laboratory error and its relevance to integra…
  13. psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety
    May 15, 2024 - Commentary Antimicrobial stewardship and patient safety. Citation Text: Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356. doi:10.1016/j.aorn.2016.08.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
  14. psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-dashboards-board-level
    February 22, 2010 - Newspaper/Magazine Article Reducing harm to patients. Using patient safety dashboards at the board level. Citation Text: Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5. Copy Citation …
  15. psnet.ahrq.gov/issue/variability-pharmacy-interpretations-physician-prescriptions
    September 25, 2008 - Study Variability in pharmacy interpretations of physician prescriptions. Citation Text: Wolf MS, Shekelle PG, Choudhry NK, et al. Variability in pharmacy interpretations of physician prescriptions. Med Care. 2009;47(3):370-373. doi:10.1097/MLR.0b013e31818af91a. Copy Citation For…
  16. psnet.ahrq.gov/issue/long-term-solution-malpractice-crises-reduce-harm-patients
    September 12, 2018 - Commentary Long-term solution to malpractice crises: reduce harm to patients. Citation Text: Schoenbaum S, Segel K. Long-term solution to malpractice crises: reduce harm to patients. Physician Exec. 2006;32(2):26-9, 31. Copy Citation Format: Google Scholar PubMed BibTeX E…
  17. psnet.ahrq.gov/issue/fixing-broken-ehr-him-working-spotlight-solve-common-ehr-issues
    March 30, 2016 - Newspaper/Magazine Article Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Citation Text: Fixing a broken EHR: HIM working in the spotlight to solve common EHR issues. Butler M. J AHIMA. March 2015;86:18-23. Copy Citation Save Save to…
  18. psnet.ahrq.gov/issue/patient-safety-traditional-and-evolving-nontraditional-office-setting
    September 14, 2011 - Commentary Patient Safety in the Traditional and Evolving Nontraditional Office Setting Citation Text: Keats JP, Gambone JC. Patient Safety in the Traditional and Evolving Nontraditional Office Setting. Clin Obstet Gynecol. 2019;62(3):580-593. doi:10.1097/GRF.0000000000000471. Copy Cit…
  19. psnet.ahrq.gov/issue/night-and-day-shedding-light-hours-care
    September 28, 2010 - Commentary Like night and day — shedding light on off-hours care. Citation Text: Shulkin DJ. Like night and day--shedding light on off-hours care. N Engl J Med. 2008;358(20):2091-3. doi:10.1056/NEJMp0707144. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…
  20. psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
    February 01, 2013 - Review How safe is my intensive care unit? Methods for monitoring and measurement. Citation Text: Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8. Copy Citation For…