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www.ahrq.gov/action-alliance/resources/index.html
March 01, 2025 - Resources and Tools on Patient and Healthcare Workforce Safety
These curated lists of tools and resources support organizations in taking action to improve patient and workforce safety. The lists include tools and resources organized by (1) Centers for Medicare & Medicaid Services (CMS) Patient Safety Structura…
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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/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center
Case Study
Clinicians and administrators at Cedars-Sinai Medical Center in Los Angeles responded to changes in public reporting measures by refining and improving their Quality Indicator reporting process. This…
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cdsic.ahrq.gov/sites/default/files/2024-02/Innovation%20Center%20Q4%202023%20Progress%20Report_508_01052024.pdf
January 01, 2024 - CDSiC Innovation Center: Quarterly Report
INNOVATION CENTER PROGRESS REPORT
D E C E M B E R 2 0 2 3
CDSiC Innovation Center:
Quarterly Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the …
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psnet.ahrq.gov/node/37423/psn-pdf
December 19, 2007 - Patient Safety.
December 19, 2007
Intern J Health Care Qual Assur. 2007;20(7):555-632.
https://psnet.ahrq.gov/issue/patient-safety-5
This special issue includes articles by authors from Australia, Israel, France, Iran, and Belgium that explore
ideas such as building a culture of safety, replacing medical equipment…
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool11.html
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Previous Page Next Page
Table of Contents
Community Connections: Linking Primary Care Pati…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facilitator-notes.docx
March 01, 2017 - Facilitator Notes
SAY:
The Senior Leader Engagement module focuses on the role and responsibilities of the senior leader within the facility safety team. Engaging a senior leader will bridge the gap between senior management and frontline providers, and will help to get a system-level perspective on safety challenge…
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psnet.ahrq.gov/node/855435/psn-pdf
November 15, 2023 - Technology, Education and Safety
November 15, 2023
Arnal-Velasco, D, ed. Curr Opin Anaesthesiol. 2023;36(6):649-705.
https://psnet.ahrq.gov/issue/technology-education-and-safety-2
Adoption of new ideas is necessary to create safety in the perioperative environment. This collection of
reviews illustrates relationsh…
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psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
June 01, 2014 - The first point is that having a quiet environment is a good idea irrespective of how people are organized … I don't see how people can argue that trying to standardize is not a good idea.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-14.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.14. Lean Tools and Activities for Clinic Flow
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Cas…
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - To test the idea of a remote monitoring team, WellSpan established a small, 24-hour team of remote nurses
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psnet.ahrq.gov/node/50739/psn-pdf
December 11, 2019 - Medical error and moral luck.
December 11, 2019
Allhoff F. Medical Error and Moral Luck. Kennedy Inst Ethics J. 2019;29(3):187-203.
doi:10.1353/ken.2019.0022.
https://psnet.ahrq.gov/issue/medical-error-and-moral-luck
Medical error is an important problem but there has been little examination of associated conceptu…
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www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
January 01, 2024 - Final Progress Report: Chronic Care Technology Planning Project
Chronic Care Technology Planning Project
John M. Branscombe, Jr., MSB, Principal Investigator
Team Members and Organizations:
David Peterson, President/CEO, The Aroostook Medical Center, Presque Isle, Maine
Joy Barresi-Saucier, RN, The Aroostook Medic…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety
SOPS® Nursing Home Survey
Version: 1.0
Language: English
· For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and prod…
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digital.ahrq.gov/ahrq-funded-projects/understanding-development-methods-other-industries-improve-design-consumer/annual-summary/2011
January 01, 2011 - Understanding Development Methods from Other Industries to Improve the Design of Consumer Health IT - 2011
Project Name
Understanding Development Methods from Other Industries to Improve the Design of Consumer Health Information Technology
Principal Investigator
Montague, Enid
Or…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-appendix.pdf
January 01, 2025 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part II
Surveys on Patient Safety Culture® (SOPS®)
Nursing Home Survey:
2025 User Database Report
Part II:
Appendix A—Results by Nursing Home Characteristics
Appendix B—Results by Respondent Characteristics
Prepared for…
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www.ahrq.gov/talkingquality/distribute/promote/multiple/index.html
September 01, 2019 - Using Multiple Strategies To Promote a Health Care Quality Report
Effective promotion of a comparative quality report requires a multi-faceted approach. Even if you have focused carefully on a particular group, you are still trying to communicate with a large and probably diverse audience. That means that the…
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psnet.ahrq.gov/node/38844/psn-pdf
June 30, 2011 - What's the difference between a hospital and a bottling
factory?
June 30, 2011
Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20
1). doi:10.1136/bmj.b2727.
https://psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
This commentary a…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part II
Surveys on Patient Safety CultureTM (SOPS®)
Nursing Home Survey:
2023 User Database Report
Part II: Appendix A - Results by Nursing Home
Characteristics
Appendix B - Results by Respondent Characteristics
Prepared …
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digital.ahrq.gov/ahrq-funded-projects/academyhealth-electronic-data-methods-forum-comparative-effectiveness-research
January 01, 2023 - AcademyHealth Electronic Data Methods Forum (EDM) for Comparative Effectiveness Research
Project Final Report ( PDF , 625.75 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 neces…