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psnet.ahrq.gov/issue/check-safety-culture-my-patient-care-area
December 22, 2010 - Tools/Toolkit
A check-up for safety culture in "my patient care area."
Citation Text:
Sexton JB, Paine LA, Manfuso J, et al. A Check-up for Safety Culture in “My Patient Care Area”. doi:10.1016/s1553-7250(07)33081-x.
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psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
June 27, 2018 - Book/Report
Measuring the Success of the Regional Medication Safety Program for Hospitals.
Citation Text:
Measuring the Success of the Regional Medication Safety Program for Hospitals. Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
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psnet.ahrq.gov/issue/ahrq-2012-annual-conference
August 01, 2012 - Meeting/Conference Proceedings
AHRQ 2012 Annual Conference.
Citation Text:
AHRQ 2012 Annual Conference. Agency for Healthcare Research and Quality. September 9–12, 2012; Bethesda North Marriott Hotel & Conference Center, Bethesda, MD.
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psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-care
November 18, 2011 - Book/Report
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition.
Citation Text:
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-facilitator-guide.pdf
June 02, 2025 - reported out by the small groups and highlighting how TeamSTEPPS principles and tools
could have improved
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel
January 01, 2023 - Improving Patient Access and Patient-Clinician Continuity through Panel Redesign
Project Final Report ( PDF , 353.27 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 necessarily r…
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digital.ahrq.gov/ahrq-funded-projects/developing-and-evaluating-online-education-improve-older-adults-health
January 01, 2023 - Developing and Evaluating Online Education to Improve Older Adults Health Information
Project Final Report ( PDF , 645.48 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 necessar…
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www.ahrq.gov/opioids/implementing-what-works/compendium-intro.html
January 01, 2024 - Opioid Use in Older Adults Compendium of Resources
On this page:
Introduction
How to use the Compendium
Self-Assessment
Case Studies
Introduction
While there have been extensive efforts to address the opioid epidemic, little attention has been given to the risks and effects of opioid use, misu…
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www.ahrq.gov/news/newsroom/case-studies/cquips0504.html
October 01, 2014 - Health Plan Uses AHRQ Data and Surveys to Improve Service to Patients and Their Families
Search All Impact Case Studies
August 2005
MetroPlus Health Plan in New York City is using CAHPS® data and surveys to improve the service it provides to patients and their families. To address some relatively poor score…
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www.ahrq.gov/action-alliance/funding-opportunities/index.html
March 01, 2025 - Funding and Implementation Opportunities
This is a curated list of active federally sponsored implementation initiatives and funding opportunities geared toward improving patient and healthcare workforce safety to contribute to a more resilient healthcare system. Implementation Opportunities AHRQ Implementatio…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-slides.pptx
November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia
Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia
Acute Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
VAP
AHRQ Safety Program f…
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digital.ahrq.gov/principal-investigator/brottman-gail
January 01, 2023 - Brottman, Gail
Physicians, guidelines, and cognitive tasks.
Citation
Bracha Y, Brottman GM, Carlson A. Physicians, guidelines, and cognitive tasks. Eval Health Prof 2011 Sep;34(3):309-35.
Principal Investigator
Brottman, Gail
Project Name
Improving Asthma…
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psnet.ahrq.gov/node/73513/psn-pdf
July 21, 2021 - Analysis of suicides reported as adverse events in
psychiatry resulted in nine quality improvement
initiatives.
July 21, 2021
Mackenhauer J, Winsløv J-H, Holmskov J, et al. Analysis of suicides reported as adverse events in
psychiatry resulted in nine quality improvement initiatives. Crisis. 2021;43(4):307-314. do…
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psnet.ahrq.gov/node/44822/psn-pdf
September 04, 2016 - A cluster randomized trial of interventions to improve
work conditions and clinician burnout in primary care:
results from the Healthy Work Place (HWP) study.
September 4, 2016
Linzer M, Poplau S, Grossman E, et al. A Cluster Randomized Trial of Interventions to Improve Work
Conditions and Clinician Burnout in Pri…
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psnet.ahrq.gov/node/74728/psn-pdf
February 02, 2022 - Technology-based closed-loop tracking for improving
communication and follow-up of pathology results.
February 2, 2022
Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving
communication and follow-up of pathology results. J Patient Saf. 2022;18(1):e262-e266.
doi:10.1097/pts.…
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psnet.ahrq.gov/node/36681/psn-pdf
May 31, 2011 - Improving general practice computer systems for patient
safety: qualitative study of key stakeholders.
May 31, 2011
Avery A, Savelyich BSP, Sheikh A, et al. Improving general practice computer systems for patient safety:
qualitative study of key stakeholders. Qual Saf Health Care. 2007;16(1):28-33.
https://psnet.a…
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psnet.ahrq.gov/node/44590/psn-pdf
November 11, 2015 - Physician motivation: listening to what pay-for-
performance programs and quality improvement
collaboratives are telling us.
November 11, 2015
Herzer KR, Pronovost P. Physician Motivation: Listening to What Pay-for-Performance Programs and
Quality Improvement Collaboratives Are Telling Us. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/node/45355/psn-pdf
September 28, 2016 - Getting it right for patient safety: specimen collection
process improvement from operating room to pathology.
September 28, 2016
D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From
Operating Room to Pathology. Am J Clin Pathol. 2016;146(1):8-17. doi:10.1093/ajcp/…
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psnet.ahrq.gov/node/46031/psn-pdf
April 12, 2017 - Chief of Residents for Quality Improvement and Patient
Safety: a recipe for a new role in graduate medical
education.
April 12, 2017
Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A
Recipe for a New Role in Graduate Medical Education. Mil Med. 2017;182(3):e17…
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psnet.ahrq.gov/node/866276/psn-pdf
July 10, 2024 - Quality and patient safety metrics: developing a
structured program for improving patient care in the
Department of Medicine at The Ottawa Hospital.
July 10, 2024
Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured
program for improving patient care in the Depar…