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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
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Table of Contents
Simulation To Improve Patient Safety: Getting Started
Introduction
Leverage Patient Safety Infrastructure
Use Simulation To Adopt and Adapt Best Prac…
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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…
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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…
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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 …
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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…
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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 …
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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…
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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
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Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cognitive Load
Interplay …
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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.
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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…
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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.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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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…
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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.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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