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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/index.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
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Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
Chapter 2. Conceptual Framework and Design
Chapter 3. Description of Methods
Chapter 4. Results an…
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psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
September 19, 2012 - Study
Losing the moment: understanding interruptions to nurses' work.
Citation Text:
Hall LMG, Pedersen C, Fairley L. Losing the moment: understanding interruptions to nurses' work. J Nurs Adm. 2010;40(4):169-176. doi:10.1097/NNA.0b013e3181d41162.
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/methods/measures.html
August 01, 2018 - EvidenceNOW: Evaluation Measures
Evaluation Measures
EvidenceNOW cooperatives will collect practice-level data from participating primary care practices on the clinical quality measures that correspond to each of the ABCS of heart health. The EvidenceNOW evaluation measures were initially determined by AHRQ a…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
June 01, 2017 - Sustainability Tool - Sustainability Module
Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts.
How to use this tool: The Implementation Team leader (or individual designated by the leader) should complete this checklist.
Us…
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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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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-1.xlsx
June 01, 2012 - ADHD Chart Review Elements
ADHD Chart Abstraction Tool Template (with example data)
Patient ID Race Ethnicity Gender Payer Preferred Language Age ADHD Diagnosis Date (range 12/11 - 6/12) **Please remove this column before submitting Patient diagnosed between Dec 2…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section1.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
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Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices and Complications
Example…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20131008_cg/4_Rick_Evans_slides_41-46.pdf
January 01, 2013 - Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement
The Practice Engagement Model
Service Cabinets Created for Clinical Areas
• Collaborative Data Analysis
Identification areas for improvement &
indicators
• Target Setting
Specific targets for CY 2013
• Collaborative Action Plannin…
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psnet.ahrq.gov/issue/taking-aim-infusion-confusion
June 06, 2018 - Commentary
Taking aim at infusion confusion.
Citation Text:
Burdeu G, Crawford R, Van de Vreede M, et al. Taking aim at infusion confusion. J Nurs Care Qual. 2006;21(2):151-159.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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cdsic.ahrq.gov/cdsic/year3-period-performance-report
September 30, 2024 - :
Skip to main content
HHS.gov
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Main navigation
CDS Home
CDS Innovation Collaborative
An official website of the Department of Health & Human Services
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www.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
July 01, 2023 - Making Health Care Safer II
An Updated Critical Analysis of the Evidence for Patient Safety Practices
This evidence report updates the 2001 report, Making Health Care Safer: A Critical Analysis of Patient Safety Practices.
Select for a list of 22 patient safety strategies discussed in the new report that a…
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www.ahrq.gov/news/newsroom/case-studies/202504.html
June 01, 2025 - Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety
Search All Impact Case Studies
June 2025
Harborview Medical Center in Seattle, Washington, has improved patient safety across its facilities using AHRQ’s Quality Indicators (QIs) — standardized measures used to assess and m…
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psnet.ahrq.gov/issue/simulation-obstetric-anesthesia
January 12, 2011 - Review
Simulation in obstetric anesthesia.
Citation Text:
Pratt SD. Focused review: simulation in obstetric anesthesia. Anesth Analg. 2012;114(1):186-90. doi:10.1213/ANE.0b013e3182377bbc.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/conclusions.html
October 01, 2015 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Conclusions and Implications
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Table of Contents
Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Executive Summary
Introduction
Methods
Overview o…
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www.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program
Select for:
Planning Grant Evaluation Report ( PDF , 715 KB)
Demonstration Grant Evaluation Report ( PDF , 928 KB)
On September 9, 2009, President Obama directed the Secretary of the U.S. Department of H…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/crosson-jc-etz-rs-wu-s
January 01, 2023 - Crosson JC, Etz RS, Wu S, et al. "Meaningful use of electronic prescribing in 5 exemplar primary care practices."
Reference
Crosson JC, Etz RS, Wu S, et al. Meaningful use of electronic prescribing in 5 exemplar primary care practices. Ann Fam Med 2011 Sep-Oct;9(5):392-7.
[Link]
Abstract
PU…
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psnet.ahrq.gov/issue/pharmacy-nursing-intervention-improve-accuracy-and-completeness-medication-histories
May 29, 2014 - Commentary
Pharmacy–nursing intervention to improve accuracy and completeness of medication histories.
Citation Text:
Tessier EG, Henneman EA, Nathanson BH, et al. Pharmacy–nursing intervention to improve accuracy and completeness of medication histories. American Journal of Health-Sys…
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digital.ahrq.gov/principal-investigator/dowding-dawn
January 01, 2023 - Dowding, Dawn
Reinterpreting the nursing record for an electronic context.
Citation
Hardiker NR, Dowding D, Dykes PC, Sermeus W. Reinterpreting the nursing record for an electronic context. Int J Med Inform. 2019 Jul;127:120-126. doi: 10.1016/j.ijmedinf.2019.04.021. Epub 2019…
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psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment
December 19, 2014 - Commentary
There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment.
Citation Text:
Rudolph JW, Simon R, Dufresne RL, et al. There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Si…
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digital.ahrq.gov/principal-investigator/manojlovich-milisa
January 01, 2023 - Manojlovich, Milisa
It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technologies in hospitals.
Citation
Lafferty M, Harrod M, Krein S, Manojlovich M. It's like sending a message in a bottle: A qualitative study of the c…