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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-integration-self-management-support/annual-summary/2011
January 01, 2011 - Health Information Technology to Support Integration of Self-Management Support in Primary Care Delivery - 2011
Project Name
Health Information Technology to Support Integration of Self-Management Support in Primary Care Delivery
Principal Investigator
Lamer, Christopher
Organiza…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/data
January 01, 2023 - Data Collection
Process Scorecard
Description
A process scorecard evaluates a process according to a set of predefined criteria. Based on the user's feedback, the scorecard gives a rating for the process and often times short recommendations according to the rating the process…
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psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
October 18, 2017 - Book/Report
Classic
Juran's Quality Handbook. 5th ed.
Citation Text:
Juran's Quality Handbook. 5th ed. Juran JM; Blanton GA. New York: McGraw Hill; 1999. ISBN: 9780071165396.
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psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing-pharmacy-and
March 14, 2023 - Newspaper/Magazine Article
Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.
Citation Text:
Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspe…
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psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
July 08, 2015 - Newspaper/Magazine Article
Technology and error-prevention strategies: why are we still overlooking the IV room?
Citation Text:
Technology and error-prevention strategies: why are we still overlooking the IV room? ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.…
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psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
June 10, 2018 - Newspaper/Magazine Article
Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors.
Citation Text:
Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. ISMP Medication Safety Alert! Acute care…
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psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety
June 10, 2018 - Webinar
Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety.
Citation Text:
Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. Institute for Safe Medication Practices. September 15, 2020.
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psnet.ahrq.gov/issue/pathologists-patients-and-diagnostic-errors-part-1-and-part-2
August 08, 2012 - Newspaper/Magazine Article
Pathologists, patients and diagnostic errors—part 1 and part 2.
Citation Text:
Pathologists, patients and diagnostic errors—part 1 and part 2. Miller N.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0024_06-09-2008.pdf
January 01, 2008 - Effective Health Care
Topic Number(s): 0087/0112
Document Completion Date: 6-26-09
1
Results of Topic Selection Process & Next Steps
Typical vs atypical antipsychotics will go forward for refinement as a comparative effectiveness or
effectiveness review. The scope of this topic, including p…
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www.ahrq.gov/news/newsroom/case-studies/201602.html
April 01, 2016 - Novant Health Uses AHRQ Tool to Assess and Improve Patient Communications
Search All Impact Case Studies
April 2016
Winston-Salem, N.C.-based Novant Health, the nation's fifth largest medical group, used AHRQ's Patient Education Materials Assessment Tool (PEMAT) to rework its patient education materials a…
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psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs
November 21, 2018 - Newspaper/Magazine Article
I-PASS checklist: a powerful tool for patient handoffs.
Citation Text:
I-PASS checklist: a powerful tool for patient handoffs. Peeples L. Pharmacy Practice News. October 10, 2018.
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psnet.ahrq.gov/issue/serious-reportable-events
March 21, 2018 - Government Resource
Serious Reportable Events.
Citation Text:
Serious Reportable Events. Nova Scotia Department of Health and Wellness.
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psnet.ahrq.gov/issue/patient-safety-23
October 31, 2018 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Dean J, Subbe C, eds. Future Healthc J. 2021;8(3):e559-e618.
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www.ahrq.gov/news/newsroom/case-studies/cquips1201.html
October 01, 2014 - AHRQ Patient Safety Surveys, TeamSTEPPS Used in Georgia Nursing Homes and Hospitals
Search All Impact Case Studies
January 2012
Alliant/GMCF, the Medicare Quality Improvement Organization (QIO) for Georgia, used AHRQ's patient safety culture surveys and team training tools in tandem to help nursing homes an…
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www.ahrq.gov/news/newsroom/case-studies/ktcquips91.html
October 01, 2014 - Two Indiana Facilities Use AHRQ Toolkit to Revise Medication Reconciliation
Search All Impact Case Studies
April 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Health Care Excel, the Indiana Quality Improvement Organization (QIO), worked with two providers in the St…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-SOPS_101_Webcast-GRAY-Overview.pdf
June 02, 2025 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Gray (Overview)
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
What is Patient Safety Culture?
13
AHRQ Surveys on Patient Safety Culture
• Surveys …
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psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
November 01, 2023 - Newspaper/Magazine Article
Unreadable barcodes and multiple barcodes on packages can lead to errors.
Citation Text:
Unreadable barcodes and multiple barcodes on packages can lead to errors. ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3.
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www.ahrq.gov/news/newsroom/case-studies/202303.html
October 01, 2023 - University of Georgia Health Center Relies on AHRQ Survey to Assess Culture of Safety and Quality
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October 2023
The University of Georgia Health Center (UHC) used AHRQ’s Medical Office Survey on Patient Safety Culture ™ (SOPS ® ) to conduct a required assessment to evaluate …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-AppendixA.pdf
June 02, 2025 - Calibrate Dx: A Resource to Improve Diagnostic Decisions - Appendix A
1
Appendix A.
Diagnostic Calibration Debrief Tool (1 of 2)
This tool can help you plan and summarize your efforts to calibrate your diagnostic performance and includes space
for your self-assessment, peer feedback, and ideas fo…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/dale_shaller_intro.pdf
March 17, 2015 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans
Excelling on CAHPS: Lessons from
Top-Performing Medicaid and CHIP
Health Plans
A Webcast Presented by the AHRQ CAHPS User Network
March 17, 2015
1:00 – 2:00 pm EDT
www.cahps.ahrq.gov
CAHPS Webcast Series
• Consumer Assessment …