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psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery
November 28, 2018 - Study
Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery.
Citation Text:
Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-3…
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psnet.ahrq.gov/issue/how-can-regulatory-authorities-improve-safety-organizations-influencing-safety-culture
July 07, 2021 - Commentary
How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications.
Citation Text:
Nævestad T-O, Storesund Hesjevoll I, Elvik R. How can regulatory authorities improve safety in…
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psnet.ahrq.gov/issue/psychological-intervention-improve-communication-and-patient-safety-obstetrics-examination
April 21, 2021 - Study
Psychological intervention to improve communication and patient safety in obstetrics: examination of the health action process approach.
Citation Text:
Derksen C, Kötting L, Keller FM, et al. Psychological intervention to improve communication and patient safety in obstetrics: exam…
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psnet.ahrq.gov/issue/quality-improvement-primary-approach-change-healthcare-precarious-self-limiting-choice
June 08, 2022 - Commentary
Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?
Citation Text:
Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. d…
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psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident
October 19, 2016 - Commentary
Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education.
Citation Text:
Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…
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psnet.ahrq.gov/node/34883/psn-pdf
April 17, 2013 - Quality Improvement Organizations.
April 17, 2013
Medicare Quality Improvement Community; MedQIC
https://psnet.ahrq.gov/issue/quality-improvement-organizations
This Web site features resources to support the Medicare Quality Improvement Program and Medicare
Quality Improvement Organizations (QIOs) in delivering qu…
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www.ahrq.gov/research/findings/final-reports/ptflow/section2.html
July 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Section 2. Forming a Patient Flow Team
Previous Page Next Page
Table of Contents
Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Acknowledgments
Executive Summary
S…
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psnet.ahrq.gov/node/33852/psn-pdf
January 01, 2017 - Patient Engagement in Safety
January 1, 2017
Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/patient-engagement-safety
Annual Perspective 2017
Background
In the past 2 decades, patient engagement in safety has evolved from obscurity to maturity. The Ins…
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digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research
January 01, 2019 - AHRQ’s Emerging and Innovative Newly Funded Research Initiated in 2019
The Digital Healthcare Research Program at AHRQ continues to fund foundational research to identify and generate digital healthcare knowledge and tools that are shareable, standards-based, publicly available, and whol…
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digital.ahrq.gov/population/nurse
January 01, 2025 - Nurse
Incorporating patient, caregiver, and provider perspectives in the co-design of an app to guide Hospital at Home admission decisions: a qualitative analysis.
Citation
Kowalkowski M, Eaton T, Reeves KW, Kramer J, Murphy S, Hole C, Chou SH, Aneralla A, McWilliams A. Incorp…
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www.ahrq.gov/nursing-home/resources/module-3-integrating-prevention.html
April 01, 2022 - Module 3—Integrating Infection Prevention and Control into the Quality Assurance Performance Improvement Program—The Nursing Home Infection Preventionist Training Course
Resource: Module 3—Integrating Infection Prevention and Control into the Quality Assurance Performance Improvement Program—The Nursing Home I…
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psnet.ahrq.gov/node/39972/psn-pdf
January 22, 2017 - Executive/senior leader checklist to improve culture and
reduce central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture
and reduce central line-associated bloodstream infections. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/node/43285/psn-pdf
July 16, 2014 - Outcomes of a quality improvement project for educating
nurses on medication administration and errors in
nursing homes.
July 16, 2014
Tenhunen ML, Tanner EK, Dahlen R. Outcomes of a quality improvement project for educating nurses on
medication administration and errors in nursing homes. J Contin Educ Nurs. 2014;…
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psnet.ahrq.gov/node/41852/psn-pdf
June 03, 2013 - Implementation of the Josie King Care Journal in a
pediatric intensive care unit: a quality improvement
project.
June 3, 2013
Turner K, Frush K, Hueckel RM, et al. Implementation of the Josie King Care Journal in a pediatric
intensive care unit: a quality improvement project. J Nurs Care Qual. 2013;28(3):257-64.
…
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psnet.ahrq.gov/node/34715/psn-pdf
February 18, 2011 - Continuous improvement as an ideal in health care.
February 18, 2011
Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56.
https://psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
Two approaches to improving quality in health care are illustrated in this artic…
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psnet.ahrq.gov/node/43967/psn-pdf
November 16, 2015 - Equipped: overcoming barriers to change to improve
quality of care (theories of change).
November 16, 2015
Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of
care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):13-8. doi:10.1136/archdischild-2013-
…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-02-ginsburg.pdf
June 02, 2025 - CAHPS 101
AHRQ’S CAHPS® PROGRAM
Caren Ginsberg, Ph.D., CPXP,
Director, CAHPS Division
Center for Quality Improvement & Patient Safety, AHRQ
AHRQ’s Core Competencies
• Research: Invest in research and evidence to make health care
safer and improve quality.
• Practice Improvement: Create tools for health care
…
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www.ahrq.gov/cahps/news-and-events/events/webinar-091323.html
October 01, 2023 - AHRQ's CAHPS Program: Addressing Emerging Needs for Patient Experience Measurement and Improvement (Webcast)
September 13, 2023
Contents
Summary
Speakers and Presentation Slides
Recording
Summary
On September 13, AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS ® ) program h…
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psnet.ahrq.gov/node/37791/psn-pdf
September 29, 2017 - Controversy and quality improvement: lingering
questions about ethics, oversight, and patient safety
research.
September 29, 2017
Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about
ethics, oversight, and patient safety research. Jt Comm J Qual Patient Saf. 2008;3…
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psnet.ahrq.gov/node/866699/psn-pdf
September 11, 2024 - AHRQ-Funded Patient Safety Project Highlights:
Improving Patient Safety by Enhancing Medication Safety.
September 11, 2024
Ahrq-Funded Patient Safety Project Highlights: Improving Patient Safety By Enhancing Medication Safety.
Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication No. 24-…