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  1. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-databases.pdf
    January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Famolaro The SOPS Databases Theresa Famolaro, MPS, MS, MBA Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat SOPS Databases 320 Hospitals Version 1.0 (2021) 172 Hospitals Version 2.0 (2021) 191 Nur…
  2. www.ahrq.gov/talkingquality/resources/design/testing.html
    September 01, 2019 - Testing the Design of a Quality Report By Getting User Feedback User testing with people who represent your intended audience is the best way to ensure that your report design is clear and effective. Use Interviews To Collect Feedback From Users For most purposes, you will learn much more from users if you …
  3. psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and
    January 03, 2017 - Study A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. Citation Text: Holmes J, Chipman M, Barbour T, et al. A simulation systems testing program using HFMEA methodology can effectively ide…
  4. psnet.ahrq.gov/issue/need-standardized-sign-out-emergency-department-survey-emergency-medicine-residency-and
    May 27, 2011 - Study Need for standardized sign-out in the emergency department: a survey of emergency medicine residency and pediatric emergency medicine fellowship program directors. Citation Text: Sinha M, Shriki J, Salness R, et al. Need for standardized sign-out in the emergency department: a su…
  5. psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar
    June 28, 2010 - Study Classic Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. Citation Text: Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events …
  6. www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirement1.html
    February 01, 2014 - Background Report on 2013 Retirement of Measures from the Child Core Set Abstract Previous Page Next Page Table of Contents Background Report on 2013 Retirement of Measures from the Child Core Set Abstract Background Methods Results Conclusions References Appendix A. Appendix B. …
  7. psnet.ahrq.gov/issue/impact-comprehensive-patient-safety-strategy-obstetric-adverse-events
    October 20, 2014 - Study Impact of a comprehensive patient safety strategy on obstetric adverse events. Citation Text: Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.0…
  8. psnet.ahrq.gov/issue/patient-safety-medical-imaging-joint-paper-european-society-radiology-esr-and-european
    September 30, 2010 - Commentary Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). Citation Text: Radiology ES of, Societies EF of R. Patient Safety in Medical Imaging: a joint paper of the European Society…
  9. psnet.ahrq.gov/issue/encouraging-patients-speak-about-problems-cancer-care
    March 11, 2013 - Study Encouraging patients to speak up about problems in cancer care. Citation Text: Mazor KM, Kamineni A, Roblin DW, et al. Encouraging patients to speak up about problems in cancer care. J Patient Saf. 2021;17(8):e1278-e1284. doi:10.1097/pts.0000000000000510. Copy Citation Format…
  10. psnet.ahrq.gov/issue/moving-knowledge-action-improving-safety-and-quality-care-patients-limited-english
    October 19, 2022 - Study Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. Citation Text: Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency.…
  11. psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-errors-and-barriers-reporting
    March 21, 2018 - Study Nurses' perceptions of causes of medication errors and barriers to reporting. Citation Text: Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33. Copy Citation Format: …
  12. psnet.ahrq.gov/issue/systematic-review-impact-health-information-technology-quality-efficiency-and-costs-medical
    March 30, 2022 - Review Classic Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Citation Text: Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality, efficiency, and …
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/alexander/alexander.pptx
    February 16, 2011 - Methods and Metrics Issues in Delivery Systems Research Methods and Metrics Issues in Delivery System Research JEFF ALEXANDER The University of Michigan The Challenge and Promise of Delivery System Research: A Meeting of AHRQ Grantees, Experts, and Stakeholders Doubletree Dulles – Sterling, Virginia February 16, 201…
  14. psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant
    December 15, 2021 - Study Communication matters when it comes to adverse events: associations of adverse events during implant treatment with patients' communication quality and trust assessments. Citation Text: Schrimpff C, Link E, Fisse T, et al. Communication matters when it comes to adverse events: asso…
  15. psnet.ahrq.gov/issue/promises-project
    January 30, 2019 - Multi-use Website The PROMISES Project. Citation Text: The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…
  16. psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
    June 08, 2022 - Study Debrief it all: a tool for inclusion of Safety-II. Citation Text: Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3. Copy Citation Format: DOI Google Schola…
  17. digital.ahrq.gov/sites/default/files/docs/survey/triage-prenatal-patient-safety-survey.pdf
    June 16, 2021 - Triage Prenatal Patient Safety Survey Triage Prenatal Patient Safety Survey Lehigh Valley Hospital; Allentown, Pennsylvania This is a questionnaire designed to be completed by physicians and clinical staff in a hospital. The tool includes questions to assess usability and attitudes regarding of…
  18. psnet.ahrq.gov/issue/application-strong-matrix-management-and-pdca-cycle-management-severe-covid-19-patients
    March 24, 2019 - Commentary The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Citation Text: Li Y, Wang H, Jiao J. The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Crit Care. 2020;24(1):157. d…
  19. psnet.ahrq.gov/issue/quality-framework-remote-antenatal-care-qualitative-study-women-healthcare-professionals-and
    October 21, 2020 - Study Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders. Citation Text: Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with women, healthcare professiona…
  20. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-facilitator-fundamentals.pdf
    April 02, 2025 - Job Aid: Facilitator Fundamentals Primary Care Practice Facilitator Training Series 1 Job Aid: Facilitator Fundamentals Adopt a strengths-based not deficit-based mindset Check yourself by asking:  Am I treating the individual as an "expert" on their own life and work?  Am I starting encounters and meeti…