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psnet.ahrq.gov/node/61032/psn-pdf
October 14, 2020 - System Governance Towards Improved Patient Safety:
Key Functions, Approaches and Pathways to
Implementation … https://psnet.ahrq.gov/issue/system-governance-towards-improved-patient-safety-key-functions-
approaches-and-pathways … https://psnet.ahrq.gov/issue/system-governance-towards-improved-patient-safety-key-functions-approaches-and-pathways … https://psnet.ahrq.gov/issue/system-governance-towards-improved-patient-safety-key-functions-approaches-and-pathways
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effectivehealthcare.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_goalsetting.pdf
October 08, 2025 - outcomes
2
Goals of Deliberation
Deliberation
First-Order
Goals
• Issue Learning
• Improved … Democratic
Attitudes
• Improved
Democratic
Skills
Second-
Order Goals
• Individual/ … Community
Action
• Improved
Institutional
Decision
Making
Third-
Order
Goals
• Improved
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide73.html
October 01, 2014 - Examples of rewards follow:
Improved health.
Food will taste better. … Improved sense of smell.
Saving money.
Feeling better about yourself. … Improved appearance including reduced wrinkling/aging of skin and whiter teeth.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mayo-smith-mf-et-al
January 01, 2023 - Mayo-Smith MF et al. 2007 "Factors associated with improved completion of computerized clinical reminders … Factors associated with improved completion of computerized clinical reminders across a large healthcare … staff into clinic processes and individualized feedback to providers were strongly associated with improved … Improved performance in the clinics that did use this approach could arise from the
elimination
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psnet.ahrq.gov/node/38613/psn-pdf
May 20, 2009 - Improved operating room teamwork via SAFETY prep: a
rural community hospital's experience. … Improved operating room teamwork via SAFETY prep: a rural
community hospital's experience. … https://psnet.ahrq.gov/issue/improved-operating-room-teamwork-safety-prep-rural-community-hospitals- … experience
A preoperative time out improved teamwork and efficiency in a rural hospital. … https://psnet.ahrq.gov/issue/improved-operating-room-teamwork-safety-prep-rural-community-hospitals-experience
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psnet.ahrq.gov/node/38546/psn-pdf
June 16, 2009 - Improved pain resolution in hospitalized patients through
targeting of pain mismanagement as medical … Improved pain resolution in hospitalized patients through targeting of pain
mismanagement as medical … https://psnet.ahrq.gov/issue/improved-pain-resolution-hospitalized-patients-through-targeting-pain- … https://psnet.ahrq.gov/issue/improved-pain-resolution-hospitalized-patients-through-targeting-pain-mismanagement-medical … https://psnet.ahrq.gov/issue/improved-pain-resolution-hospitalized-patients-through-targeting-pain-mismanagement-medical
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psnet.ahrq.gov/node/39201/psn-pdf
January 16, 2010 - Crew resource management improved perception of
patient safety in the operating room. … Crew resource management improved perception of patient safety in
the operating room. … https://psnet.ahrq.gov/issue/crew-resource-management-improved-perception-patient-safety-operating- … room
A teamwork training intervention based on aviation crew resource management principles improved … https://psnet.ahrq.gov/issue/crew-resource-management-improved-perception-patient-safety-operating-room
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psnet.ahrq.gov/node/40855/psn-pdf
November 23, 2011 - Patient Safety Dialogue: evaluation of an intervention
aimed at achieving an improved patient safety … Patient safety dialogue: evaluation of an intervention aimed at achieving an
improved patient safety … https://psnet.ahrq.gov/issue/patient-safety-dialogue-evaluation-intervention-aimed-achieving-improved … -
patient-safety
An intervention based on executive walk rounds successfully improved safety culture … https://psnet.ahrq.gov/issue/patient-safety-dialogue-evaluation-intervention-aimed-achieving-improved-patient-safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pdf
June 02, 2025 - initiatives, observing care processes,
reporting complications
• Reduction in preventable readmissions
– Improved … patient outcomes
• Emotional health, symptom resolution, pain control,
physiologic measures
– Improved … family engagement
– Better response to the Joint Commission standards or
other accreditation
– Improved … performance
• Decreased litigation and malpractice claims
• Lower costs per case due to complications
• Improved … medical errors
• Research shows bedside shift report can improve:
– Patient safety and quality
• Improved
-
psnet.ahrq.gov/node/46371/psn-pdf
February 14, 2018 - Changing operating room culture: implementation of a
postoperative debrief and improved safety culture … Changing Operating Room Culture: Implementation of a
Postoperative Debrief and Improved Safety Culture … https://psnet.ahrq.gov/issue/changing-operating-room-culture-implementation-postoperative-debrief-and-
improved-safety … This pre–post study found that safety culture,
as measured by the Safety Attitudes Questionnaire, improved … https://psnet.ahrq.gov/issue/changing-operating-room-culture-implementation-postoperative-debrief-and-improved-safety
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-sops-teamstepps-webcast-sorra.pdf
January 01, 2010 - measures
► 6 studies examined specific SOPS composite measures
22
Summary of Findings
TeamSTEPPS improved … international
studies
At 6-month or 12-
month follow-up
23
Areas of Patient Safety Culture That Improved … TeamSTEPPS and SOPS Research
Study Designs
Summary of Findings
Areas of Patient Safety Culture That Improved
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.pdf
January 01, 2012 - also the many individual
benefits of patient and family engagement work together
to contribute to improved … In a pilot implementation project,
hospitals that implemented the strategies in the
Guide observed improved … patient experiences of
care, increased staff satisfaction, and improved
nursing time management. … This, in
turn, leads to higher levels of retention and an improved
ability to recruit quality talent … Overall improvements in quality and safety
Improved financial performance
Improved CAHPS Hospital Survey
-
psnet.ahrq.gov/node/42052/psn-pdf
December 21, 2014 - Improved prophylaxis and decreased rates of preventable
harm with the use of a mandatory computerized … Improved prophylaxis and decreased rates of preventable harm with
the use of a mandatory computerized … https://psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory- … computerized-clinical
A mandatory computerized clinical decision support tool improved deep vein thrombosis … https://psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
March 01, 2010 - Can Patient Experience Be Improved? … Can Patient Experience Be Improved? … middle 95% of hospitals
(z=-1.3 to +1.9 in hospital-level SDs)
• Larger and for-profit hospitals improved … more than
counterparts
• 200+ bed hospitals had lower mean scores in Year 2,
but they improved more … than smaller hospitals
• For-profit hospitals had lower mean scores in Year 2,
but they improved more
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool12_collaboration.docx
June 02, 2025 - Central to developing improved processes for posthospital care is to work with cross-continuum providers … Collaboration is key to establishing a shared understanding and agreement of how processes can be improved … Collaboration is key to establishing a shared understanding and agreement of how processes can be improved … How can the processes to identify, refer, link, and connect within 48 hours of discharge be improved?
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
July 01, 2023 - These inputs also influence the accountability and justice of the environment to bring about improved … These inputs also influence the accountability and justice of the environment to bring about improved … These inputs also influence the accountability and justice of the environment to bring about improved … These inputs also influence the accountability and justice of the environment to bring about improved … Improved communication among care team members.
Shared mental models.
-
www.ahrq.gov/pqmp/implementation-qi/toolkit/child-hcahps/qi-strategies.html
August 01, 2021 - Top-box provider experience improved for all 3 domains, including Communication and Shared Understanding … Experience improved on Child HCAHPS measures of Likelihood to Recommend, Receiving Instructions for Home … Family readiness for discharge improved from 85 percent of families reporting the highest rating to 91 … Outcome Measure: Overall satisfaction with admission process improved, patient anxiety score within 24 … Outcome Measure: More than 9,000 downloads, 76% users returned to app, improved patient experience and
-
psnet.ahrq.gov/node/39837/psn-pdf
September 15, 2010 - The efficacy of medical team training: improved team
performance and decreased operating room delays … The efficacy of medical team training: improved team performance and
decreased operating room delays … https://psnet.ahrq.gov/issue/efficacy-medical-team-training-improved-team-performance-and-decreased- … In addition to OR team function,
adherence to guidelines for prophylactic antibiotics improved, and … surveys noted improved perceptions of
teamwork and safety culture.
-
psnet.ahrq.gov/node/37912/psn-pdf
September 25, 2008 - Association of a clinical knowledge support system with
improved patient safety, reduced complications … Association of a clinical knowledge support system with improved
patient safety, reduced complications … https://psnet.ahrq.gov/issue/association-clinical-knowledge-support-system-improved-patient-safety- … providing access to a popular clinical knowledge support system
(called "UpToDate") were associated with improved … https://psnet.ahrq.gov/issue/association-clinical-knowledge-support-system-improved-patient-safety-reduced-complications
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www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndtab1.html
December 01, 2012 - scoring opportunities 1-9.
11
Provide Global or Summary Rating for the Measure as Part of the Improved … Use by Medicaid and CHIP
Please rate your level of agreement that the measure should be part of the improved … set for Medicaid and CHIP.
12
Provide Global or Summary Rating for Purposes Other than the Improved … )
Please rate your level of agreement that the measure should be used for purposes other than the improved