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psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
January 12, 2011 - Commentary
TeamSTEPPS: assuring optimal teamwork in clinical settings.
Citation Text:
Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual. 2007;22(3):214-7.
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psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition
April 30, 2008 - Toolkit
AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition.
Citation Text:
AHRQ Health Literacy Universal Precautions Toolkit. 3rd edition. Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication No. 15-0023-EF.
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/reports-congress/third-annual-report-congress-high-priority-evidence-gaps-clinical-preventive-services
December 01, 2013 - Third Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services
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The U.S. Preventive Services Task Force (USPSTF or Task Force) has released it…
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digital.ahrq.gov/ahrq-funded-projects/improving-technology-innovation-medicaid-programs
January 01, 2023 - Improving Technology Innovation in Medicaid Programs
Project Final Report ( PDF , 296.73 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No…
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psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
November 10, 2017 - Book/Report
Classic
Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition.
Citation Text:
Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. Dekker S. Boca Raton, FL: CRC Press; 2017. ISBN: 978147…
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psnet.ahrq.gov/issue/commission-inquiry-hormone-receptor-testing
May 26, 2021 - Book/Report
Commission of Inquiry on Hormone Receptor Testing.
Citation Text:
Commission of Inquiry on Hormone Receptor Testing. Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.
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psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world
March 23, 2022 - Book/Report
Classic
Safer Healthcare: Strategies for the Real World.
Citation Text:
Safer Healthcare: Strategies for the Real World. Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016
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www.ahrq.gov/news/newsroom/case-studies/201802.html
August 01, 2018 - Connecticut Hospital Reduces Pressure Injuries Using AHRQ Toolkit
Search All Impact Case Studies
May 2018
Saint Francis Hospital and Medical Center, a 617-bed hospital in Hartford, CT, reduced hospital-acquired pressure injuries by more than 60 percent using an AHRQ toolkit. Preventing Pressure Ulcers in H…
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
January 08, 2014 - Book/Report
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care.
Citation Text:
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Washington DC; United States Government Accountabil…
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digital.ahrq.gov/location/usa-wi-madison
January 01, 2023 - USA, WI, Madison
Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children
Description
This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-time…
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psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-blue-through-daily-operations
October 09, 2013 - Book/Report
High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare.
Citation Text:
High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. van Stralen D, Byrum SL, Inozu B. Nor…
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digital.ahrq.gov/organization/university-wisconsin-madison
January 01, 2023 - University of Wisconsin - Madison
Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children
Description
This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregive…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pptx
June 02, 2025 - PowerPoint Presentation
Use these PowerPoint slides for any presentations for which they may be useful.
These slides may be useful earlier on in the process than during implementation; feel free to use them at any point in your QI process.
Modify as needed to suit your hospital – you may wish to delete sections of sl…
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psnet.ahrq.gov/issue/behind-human-error-second-edition
April 13, 2018 - Book/Report
Classic
Behind Human Error, Second Edition.
Citation Text:
Behind Human Error, Second Edition. Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537.
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www.ahrq.gov/talkingquality/about/index.html
August 01, 2016 - About TalkingQuality
Purpose of TalkingQuality: To Improve Consumer Reports on Health Care Quality
TalkingQuality is a comprehensive resource and guide for organizations that produce and disseminate reports to consumers on the quality of care provided by health care organizations (e.g., hospitals, health plan…
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psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technology
June 15, 2022 - Special or Theme Issue
Improving Usability, Safety and Patient Outcomes With Health Information Technology.
Citation Text:
Improving Usability, Safety and Patient Outcomes With Health Information Technology. Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257…
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psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
March 27, 2005 - Meeting/Conference Proceedings
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”?
Citation Text:
The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed. Proceedings of the 4th International Workshop…
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psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
October 28, 2020 - Review
The spectrum of medical errors: when patients sue.
Citation Text:
Grant-Kels J, Kels B. The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 6.2. Horizon Hospital—Lakeview Healthcare
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. C…
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digital.ahrq.gov/
January 01, 2023 - AHRQ National Webinar: Prepping for the Future - Digital Solutions for Aging Populations
October 8, 2025 | 2:30pm – 4:00pm ET
Program Impact: Transforming Healthcare Through Digital Innovation
Discover ways digital healthcare research is powering real-world solutions.
Annual Report: Improving Healt…