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psnet.ahrq.gov/node/39016/psn-pdf
April 04, 2011 - Variation in hospital mortality associated with inpatient
surgery.
April 4, 2011
Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N
Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa0903048.
https://psnet.ahrq.gov/issue/variation-hospital-mortality-associate…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/value-stream-mapping
January 01, 2023 - Value Stream Mapping
Acronym
VSM
Description
Value stream mapping (VSM) is a method of improvement that allows an entire process to be visualized. It represents the flow of both materials and information in an attempt to improve a process by finding sources of waste. The technique identifies a…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-new_sops_diagnostic_safety-ginsberg.pdf
June 02, 2025 - New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Ginsberg
AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) Program
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
6
AHRQ’s SOPS Program
• Initiated and funded by AHRQ since 2001 to advance the understanding,…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/new-york-city-research-and-improvement-networking-group.html
January 01, 2012 - New York City Research and Improvement Networking Group
Status:
Active
Registered Date:
January 1, 2012
PBRN Acronym:
NYC RING
PBRN Type:
Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties)
Network Category:
Esta…
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www.ahrq.gov/ncepcr/building-community/index.html
December 01, 2023 - Research Communities
AHRQ offers many resources to enable and encourage a growing primary care research community. These resources range from networks of primary care clinicians and practices working together to answer community-based research questions to tools and guidance to clinicians on how to integrate be…
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psnet.ahrq.gov/node/35979/psn-pdf
September 17, 2010 - How will we know patients are safer? An organization-
wide approach to measuring and improving safety.
September 17, 2010
Pronovost P, Holzmueller CG, Needham DM, et al. How will we know patients are safer? An organization-
wide approach to measuring and improving safety. Crit Care Med. 2006;34(7):1988-95.
https:/…
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psnet.ahrq.gov/node/38983/psn-pdf
February 10, 2015 - Improving safety and eliminating redundant tests: cutting
costs in U.S. hospitals.
February 10, 2015
Jha AK, Chan DC, Ridgway AB, et al. Improving safety and eliminating redundant tests: cutting costs in
U.S. hospitals. Health Aff (Millwood). 2009;28(5):1475-1484. doi:10.1377/hlthaff.28.5.1475.
https://psnet.ahrq.…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking1.html
September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Previous Page Next Page
Table of Contents
Improved Diagnostic Accuracy Through Probability-Based Diagnosis
Introduction
Fundamental Concepts for Understanding Probability
Probability and the Diagnostic Pathway
Futu…
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www.ahrq.gov/hai/tools/surgery/guide-app-cusp.html
December 01, 2017 - Supplemental Tools
Applying CUSP To Promote Safe Surgery Tools
Surgical Safety Team Roles and Responsibilities Tool ( Word , 1.57 MB)
This tool will help your safety program team understand the core tasks of your improvement project and will help you organize your team to complete the work. Just like cli…
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digital.ahrq.gov/sites/default/files/docs/citation/health-equity-practical-guide.pdf
February 15, 2024 - patients, caregivers, and community will be essential to ensure that the final solution
produces optimal improvements
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psnet.ahrq.gov/issue/patient-safe-future
March 04, 2010 - Book/Report
A Patient-Safe Future.
Citation Text:
A Patient-Safe Future. Patient Safety Learning: London, UK; September 2018.
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psnet.ahrq.gov/issue/diagnostic-error-medicine
October 22, 2013 - Meeting/Conference Proceedings
Diagnostic Error in Medicine.
Citation Text:
Diagnostic Error in Medicine. Berner ES, Graber ML, eds. Adv Health Sci Educ Theory Pract. 2009;14(suppl 1):1-112.
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psnet.ahrq.gov/issue/how-guide-multidisciplinary-rounds
July 12, 2017 - Book/Report
How-to Guide: Multidisciplinary Rounds.
Citation Text:
How-to Guide: Multidisciplinary Rounds. Cambridge, MA: Institute for Healthcare Improvement; February 2010.
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psnet.ahrq.gov/issue/how-master-new-art-training-teamwork-fly
June 28, 2011 - Commentary
How to master the new art of training: teamwork on the fly.
Citation Text:
How to master the new art of training: teamwork on the fly. Edmondson AC. Harv Bus Rev. April 2012;90:72-80.
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psnet.ahrq.gov/issue/advancing-effective-communication-cultural-competence-and-patient-and-family-centered-care
September 21, 2011 - Book/Report
Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals.
Citation Text:
Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals. Oakbrook Terrace, IL:…
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psnet.ahrq.gov/issue/health-it-hazard-manager
August 01, 2012 - Government Resource
Health IT Hazard Manager.
Citation Text:
Health IT Hazard Manager. Rockville, MD: Agency for Healthcare Research and Quality. AHRQ Publication No. 12-0058-EF May 2012.
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psnet.ahrq.gov/issue/toward-improving-outcome-pregnancy-enhancing-perinatal-health-through-quality-safety-and
June 24, 2015 - Book/Report
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III).
Citation Text:
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (T…
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psnet.ahrq.gov/issue/proceedings-european-handover-research-collaborative
March 11, 2009 - Special or Theme Issue
Proceedings from the European Handover Research Collaborative.
Citation Text:
Proceedings from the European Handover Research Collaborative. Philibert I, Barach P, eds. BMJ Qual Saf. 2012;21(suppl 1):i1-i128.
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psnet.ahrq.gov/issue/joint-commission-big-book-checklists-2nd-edition
December 21, 2008 - Book/Report
The Joint Commission Big Book of Checklists. 2nd Edition.
Citation Text:
The Joint Commission Big Book of Checklists. 2nd Edition. Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598.
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psnet.ahrq.gov/issue/sentinel-event-alert
May 30, 2012 - Newsletter/Journal
Sentinel Event Alert.
Citation Text:
Sentinel Event Alert. Oakbrook Terrace, IL: The Joint Commission.
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