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psnet.ahrq.gov/node/47295/psn-pdf
September 24, 2018 - Using learning communities to support adoption of health
care innovations.
September 24, 2018
Carpenter D, Hassell S, Mardon R, et al. Using Learning Communities to Support Adoption of Health Care
Innovations. Jt Comm J Qual Patient Saf. 2018;44(10):566-573. doi:10.1016/j.jcjq.2018.03.010.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/865723/psn-pdf
June 18, 2024 - Using AHRQ’s SOPS Hospital Survey and Workplace
Safety Item Set: Experiences From a State Hospital
Association.
June 18, 2024
Agency for Healthcare Research and Quality. May 23, 2024.
https://psnet.ahrq.gov/issue/using-ahrqs-sops-hospital-survey-and-workplace-safety-item-set-experiences-
state-hospital
An unders…
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psnet.ahrq.gov/node/863222/psn-pdf
February 28, 2024 - Systematic review of morbidity and mortality meeting
standardization: does it lead to improved professional
development, system improvements, clinician
engagement, and enhanced patient safety culture?
February 28, 2024
Steel EJ, Janda M, Jamali S, et al. Systematic review of morbidity and mortality meeting standar…
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www.ahrq.gov/hai/carb/index.html
May 01, 2022 - Combating Antibiotic-Resistant Bacteria
AHRQ works alongside Federal Agencies across the Government as part of the Task Force for Combating Antibiotic-Resistant Bacteria (CARB). The goal of this Task Force is to reduce antibiotic resistance by carrying out the actions described in the National Action Plan for C…
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psnet.ahrq.gov/node/43438/psn-pdf
February 23, 2018 - Safety-I and Safety-II: The Past and Future of Safety
Management.
February 23, 2018
Hollnagel E. Aldershot, Hampshire, England: Ashgate; 2014. ISBN: 9781472423085.
https://psnet.ahrq.gov/issue/safety-i-and-safety-ii-past-and-future-safety-management
Historically, the approach to patient safety has been more reacti…
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www.ahrq.gov/npsd/data/spotlights.html
February 01, 2025 - NPSD Data Spotlights
Below are the first three of an anticipated series of NPSD Data Spotlights to be published periodically. They will call attention to specific NPSD data and may include both quantitative and qualitative analyses. For example, future Data Spotlights may focus on data new to the NPSD Dashboar…
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www.ahrq.gov/npsd/data/index.html
October 01, 2021 - Data Reporting Tools
The Network of Patient Safety Databases (NPSD) uses non-identifiable data received through the Patient Safety Organization Privacy Protection Center (PSOPPC) from PSOs and, eventually, other data sources to develop various informational products for the public, such as the NPSD Dashboards…
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digital.ahrq.gov/2020-year-review/research-dissemination
January 01, 2020 - Research Dissemination
Dissemination of research findings is an important part of the research process, passing on the benefits to other researchers, healthcare providers and systems, vendors, policymakers, patients, and other stakeholders in order to support replication of successful …
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psnet.ahrq.gov/node/50746/psn-pdf
December 18, 2019 - The influence of organizational culture, climate and
commitment on speaking up about medical errors.
December 18, 2019
Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on
speaking up about medical errors. J Nurs Manag. 2019;28(1):130-138. doi:10.1111/jonm.12906.
https:…
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www.ahrq.gov/cpi/about/nac/snac-shenkman.html
November 01, 2019 - SNAC Member: Elizabeth A. Shenkman, Ph.D.
Professor and Chair
Department of Health Outcomes and Biomedical Informatics
University of Florida College of Medicine
Elizabeth A. Shenkman, Ph.D., is the chair of the Department of Health Outcomes and Biomedical Informatics and the co-director of the University of…
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www.ahrq.gov/cpi/about/nac/pcortf-snac/hasnain-wynia.html
November 01, 2022 - Subcommittee Member: Romana Hasnain-Wynia
Romana Hasnain-Wynia, Ph.D.
Chief Research Officer
Office of Research
Denver Health
Romana Hasnain-Wynia, Ph.D., is chief research officer at Denver Health, where she oversees research and sponsored programs through the Office of Research. She mentors junior and …
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www.ahrq.gov/cpi/about/nac/snac-pancholi.html
December 01, 2021 - SNAC Member: Mamatha S. Pancholi, M.S.
Chief Data Officer and Senior Advisor to the Director
Office of the Director
Agency for Healthcare Research and Quality
Mamatha S. Pancholi, M.S., joined the Agency for Healthcare Research and Quality (AHRQ) in 1993 and has served in several capacities during her tenur…
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www.ahrq.gov/hai/tools/ambulatory-surgery/about.html
May 01, 2017 - About the Toolkit Development
Background
The Agency for Healthcare Research and Quality (AHRQ) funded a 4-year project to reduce HAIs and other surgical complications in ambulatory surgery centers by applying the Comprehensive Unit-based Safety Program. This program, which was conducted in 665 ASCs across the…
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/healthit-advisor-handbook.html
June 01, 2024 - Obtaining and Using Data in Practice Improvement: A Handbook for Health IT Advisors and Practice Facilitators
This handbook provides the in-depth information Health Information Technology (IT) Advisors need to effectively provide health IT-related assistance for primary care practices to support the…
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digital.ahrq.gov/organization/university-pennsylvania
January 01, 2023 - University of Pennsylvania
Electronic Health Record Use, Work Environments, and Patient Outcomes
Description
The purpose of this research was to investigate the relationships between electronic health record adoption and usability, work environment, and patient and nurse outco…
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digital.ahrq.gov/sites/default/files/docs/page/CDS_challenges_and_barriers.pdf
July 30, 2007 - The CDSC project team is focusing on chronic disease management and prevention screening
that are common … The GLIDES project team is focusing on the ambulatory pediatric setting, with an aim to
improve the … Focusing on
effective CDS design and delivery while also being dependent on wider workflow and system
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/nUKZWGKL2FA2Z5fZ3eCrDU
November 22, 2023 - emphasized the importance of
integrating oral health into primary care medical settings, primarily
focusing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
January 24, 2008 - that of the team, provide constructive
feedback, and cor
re
The facilitator plays a key role in focusing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
June 02, 2025 - Abt Single-Sided Body Template
On-Time Falls Prevention: Electronic Reports
Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are:
· On-Time Falls High-Risk Report.
· Quarterly Summary of Falls Risk Facto…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/registries-guide_executive.pdf
April 01, 2007 - Layout 1
User’s Guide to
Registries Evaluating
Patient Outcomes:
Summary
Advancing Excellence in Health Care • www.ahrq.gov
Agency for Healthcare Research and Quality
The Effective Health Care Program of the Agency for Healthcare Research and Quality (AHRQ) conducts and
supports research focused on…