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psnet.ahrq.gov/issue/disparities-adverse-event-reporting-hospitalized-children
July 27, 2022 - Study
Disparities in adverse event reporting for hospitalized children.
Citation Text:
Halvorson EE, Thurtle DP, Easter A, et al. Disparities in adverse event reporting for hospitalized children. J Patient Saf. 2022;18(6):e928-e933. doi:10.1097/pts.0000000000001049.
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digital.ahrq.gov/track-3-improving-health-communities-through-regional-health-information-exchange-hie
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/guide-evaluation-quality-improvement-and-patient-safety-educational-programs-lessons-va-chief
February 26, 2020 - Commentary
A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program.
Citation Text:
Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety Educa…
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psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event
July 03, 2016 - Study
Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting.
Citation Text:
Rubin DS, Pesyna C, Jakubczyk S, et al. Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event Repo…
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psnet.ahrq.gov/issue/documenting-quality-improvement-and-patient-safety-efforts-quality-portfolio-statement
January 13, 2021 - Commentary
Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the Academic Hospitalist Taskforce.
Citation Text:
Taylor BB, Parekh V, Estrada CA, et al. Documenting quality improvement and patient safety efforts: the quality portfolio. A…
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psnet.ahrq.gov/issue/what-kinds-insights-do-safety-i-and-safety-ii-approaches-provide-critical-reflection-use
February 02, 2022 - Commentary
What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare.
Citation Text:
Sujan M, Lounsbury O, Pickup L, et al. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflect…
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs019745-fink-final-report-2012.pdf
January 01, 2012 - are likely to have chronic illnesses such as hypertension or diabetes, and
who are increasingly(9) going
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/public-reporting-cost-measures_disposition-comments.pdf
March 05, 2015 - the
symbols, as they were represented
on the website, would be easily
recognizable by consumers going
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/2023_Intervention_Content_T2DM_Part_Two_Counseling.xlsx
January 01, 2023 - Example Intervention Text
Example Patient-Facing Intervention Text: Prediabetes and Type 2 Diabetes: Part 2, Counseling
General Information
The example intervention text shown below is embedded in the Clinical Quality Language (CQL) files for the Prediabetes and Type 2 Diabetes: Part 2, Counseling artifact.
Implem…
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
February 01, 2024 - Implementation Planning
If your organization decides that implementing part or all of the TeamSTEPPS curriculum would be of value, carefully think through how to implement and sustain what you intend to teach. Successful and sustainable implementation begins with effective implementation planning.
Basis of Im…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 3: Selecting and Targeting Populations for a Care Management Program
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Plannin…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/instructions/preparing_questionnaire_cg30.pdf
September 01, 2015 - Preparing a Questionnaire Using the CAHPS Clinician & Group Survey
Preparing a Questionnaire Using the CAHPS Clinician & Group Survey
Document No. 2032
Updated 9/1/2015
CAHPS® Clinician & Group Survey and Instructions
Preparing a Questionnaire Using the
CAHPS® Clinician & Group Survey
Introduction .…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Optimize Briefings and Debriefings: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Optimize Briefings and Debriefings
Slide 2: Learning Objectives
Describe characteristics of effective briefings and debriefings.
Present the evidence bas…
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or16.pdf
June 16, 2014 - Link Plus - Self-Training Manual for Linkage
1
Link Plus - Self-Training Manual for Linkage
Developed by Northwest Tribal Registry Project staff,
Northwest Portland Area Indian Health Board
** DISCLAIMER: This un-official manual was developed for internal training, and is not sanctioned by
CDC or Link P…
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - Advancing Patient Safety Through State Reporting Systems
Jill Rosenthal, MPH | June 1, 2007
View more articles from the same authors.
Citation Text:
Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. Rockville (MD): Agency for…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Spotlight
Spotlight
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
*
Source and Credits
This presentation is based on the November 2018 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Olle ten C…
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www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
March 01, 2013 - Identify Defects Module Alternate Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The "Identify Defects Through Sensemaking" module of the Comprehensive Unit-Based Safety Program (CUSP) Toolkit. The CUSP Toolk…
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www.ahrq.gov/policy/foia/foiafy09.html
October 01, 2014 - HHS AHRQ Freedom of Information Annual Report - FY 2009
Freedom of Information Act Annual Report for Fiscal Year 2009.
I. Agency: Agency for Healthcare Research and Quality (AHRQ)
Report Prepared By: Nancy Comfort (no longer at AHRQ)
Title: Freedom of Information Officer
Address: 5600 Fishers Lane…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
December 01, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Implementation Steps and Timeline
The goal of On-Time is to incorporate the On-Time reports into day-to-day prevention activities and to ensure multidisciplinary input into clinical intervention decisions. The Implementation Steps docu…
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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - Making Just Culture a Reality: One Organization's
Approach
October 1, 2007
Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
Perspective
We've all been there...something goes wrong,…