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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript-ad.pdf
June 01, 2020 - SOPS™ 101 Webcast Transcript
November 2018 https://www.ahrq.gov/sops/index.html 1
Understanding SOPS Surveys: A Primer for New Users
October 23, 2018 – Webcast Transcript
Speakers:
Laura Gray, M.P.H.
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety C…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-transcript.pdf
January 01, 2019 - Understanding CAHPS® Surveys Webcast Transcript
Understanding CAHPS® Surveys: A Primer for New Users
January 2019 Webcast
Speakers
Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety, Agency
for Healthcare Research and Quality
Susan Edgman-Levitan, P.A., Executive …
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pdf
June 16, 2016 - Lessons learned from implementing service-oriented clinical decision support at
four sites: a qualitative
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
June 01, 2023 - Improving Surgical Care and Recovery Core and Surgery Specific Pathways Worksheet
Use this worksheet to develop enhanced recovery pathways for use at your hospital. The information in this tool is based on evidence reviews (see appendix) conducted by the National Project Team at the American College of Surgeons and Jo…
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www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
January 01, 2024 - Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture
AHRQ Grant Final Progress Report
Title of Project: Using Team Simulation to Improve Error Disclosure to Patients and Safety
Culture
Principal Investigator: Thomas H. Gallagher, MD
Co-Investigators: Sarah Shann…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
October 23, 2013 - References
1. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the
Medicare fee-for-service program. N Engl J Med. 2009;360(14):1418–1428.
2. Wick EC, Shore AD, Hirose K, Ibrahim AM, Gearhart SL, Efron J, Weiner JP, Makary MA.
Readmission rates and cost following colorectal surgery. Dis …
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-opioids-edvisits-tx.pdf
August 11, 2021 - Emergency Visits for Opioid Use Rose White Treatment for Illicit Drug Use Remained Unchanged
Emergency Visits for
Opioid Use Rose While
Treatment for Illicit
Drug Use Remained
Unchanged
This data spotlight was developed by AHRQ in collaboration with the Substance Abuse a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
June 02, 2025 - SAY:
The “Implement Teamwork and Communication” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you understand the importance of effective communication and transparency, identify barriers to communication, and apply the effective teamwork and communication tools from CUSP and TeamSTEP…
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www.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - Patient and Family Engagement
Facilitator Notes
The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules presented in this toolkit are interconnected and are aimed at improving patient safety. …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
March 01, 2017 - Module 4: Teamwork and Communication: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 4: Teamwork and Communication
Say:
The Teamwork and Communication module will discuss how safety teams in nursing homes can understand and practice successful teamwork and effective…
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www.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Next Page
Table of Contents
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
Appendix
References
Summary
…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/erepguide.html
April 01, 2016 - Nursing homes implementing On-Time should check the completeness of the nursing assistant documentation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
May 01, 2004 - has opened up new opportunities for screening potential patient safety events
and paved the way for implementing
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - What were the challenges to implementing the use of SBAR and how were these challenges overcome?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - What were the challenges to implementing the use
of SBAR and how were these challenges overcome?
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www.ahrq.gov/sites/default/files/2025-04/newman-toker2-report.pdf
January 01, 2025 - This makes the ED waiting
room setting an ideal context for implementing pre-encounter SACAI-based diagnostic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
May 28, 2008 - Using Home Visits to Understand Medication Errors in Children
Using Home Visits to Understand Medication
Errors in Children
Kathleen E. Walsh, MD, MSc; Christopher J. Stille, MD, MPH; Kathleen M. Mazor, EdD;
Jerry H. Gurwitz, MD
Abstract
Current research methods are not well designed to detect medication e…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
January 01, 2012 - Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings
Home Health Care Patients and Safety Hazards
in the Home: Preliminary Findings
Robyn R.M. Gershon, MT, MHS, DrPH; Monika Pogorzelska, MPH;
Kristine A. Qureshi, RN, DNSc; Patricia W. Stone, PhD; Allison N. Canton, BA;
Stephanie M.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
January 01, 2005 - Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation
379
Re-engineering the Hospital
Discharge: An Example of a
Multifaceted Process Evaluation
David Anthony, VK Chetty, Anand Kartha, Kathleen McKenna,
Maria Rizzo DePaoli, Brian Jack
Abstract
Introduction: The transfe…