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psnet.ahrq.gov/node/43344/psn-pdf
July 16, 2014 - Cost-effectiveness of a computerized provider order entry
system in improving medication safety ambulatory care.
July 16, 2014
Forrester SH, Hepp Z, Roth JA, et al. Cost-Effectiveness of a Computerized Provider Order Entry System
in Improving Medication Safety Ambulatory Care. Value Health. 2014;17(4):340-349.
doi…
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psnet.ahrq.gov/node/40800/psn-pdf
December 09, 2014 - 'Tempos' management in primary care: a key factor for
classifying adverse events, and improving quality and
safety.
December 9, 2014
Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events,
and improving quality and safety. BMJ Qual Saf. 2012;21(9):729-36. doi:10.1136…
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psnet.ahrq.gov/node/39566/psn-pdf
January 03, 2017 - Impact of the Comprehensive Unit-Based Safety Program
(CUSP) on safety culture in a surgical inpatient unit.
January 3, 2017
Timmel J, Kent P, Holzmueller CG, et al. Impact of the Comprehensive Unit-based Safety Program (CUSP)
on safety culture in a surgical inpatient unit. Jt Comm J Qual Saf. 2010;36(6):252-260.
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion.pptx
April 01, 2022 - Central Venous Catheter Insertion
Central Venous Catheter Insertion
Avoiding Improper Placement Techniques
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
AHRQ Safety Program for Intensive Care Units: CLABSI/CAUTI
1
Disrupting the Lifecycle of a Cathet…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
December 01, 2017 - Barrier Identification and Mitigation Tool
AHRQ Safety Program for Surgery
AHRQ Safety Program for Surgery
Barrier Identification and Mitigation Tool
Introduction
Problem Statement
Guidelines summarizing evidence exist to help ensure that patients receive recommended interventions. In addition, consistent guidel…
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
December 01, 2017 - Barrier Identification and Mitigation Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
Guidelines summarizing evidence exist to help ensure that patients receive recommended interventions. In addition, consistent guideline adherence may significantly improve patient safety…
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf
November 01, 2024 - Diagnostic Safety Research
1
Diagnostic Safety Research
at the Agency for Healthcare
Research and Quality
Diagnostic Error
Diagnostic error is a significant and underrecognized threat to patient safety.
Diagnostic errors are common, consequential, and costly and contribute to avoidable suffering and
prevent…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/epc-making-sure-evidence-understood.pdf
July 01, 2020 - Making Sure That Evidence Is Understood and Used
Making Sure That Evidence
Is Understood and Used:
Engaging With the Agency
for Healthcare Research and
Quality in Evidence Reviews
Why Engage With AHRQ?
The Agency for Healthcare Research and Quality (AHRQ) wants to engage with
organizations to promote the use…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
September 01, 2019 - 2018 National Healthcare Quality and DIsparities Report
c2015 National Healthcare Quality and Disparities Report and National Quality Stategy 5th Anniversary Update
NATIONAL
HEALTHCARE
QUALITY &
DISPARITIES
REPORT
2018
This document is in the public domain and may be used and reprinted without
permission. Ci…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-overview-webcast-tyler.pdf
January 01, 2025 - AHRQ’s Surveys on Patient Safety Culture® for New Users - Rose Tyler
AHRQ’s SOPS Program
www.ahrq.gov/sops
Rose Tyler
User Network for AHRQ’s Surveys on Patient Safety Culture, Westat
http://www.ahrq.gov/sops
SOPS Surveys and Databases
• Surveys of providers and staff about the extent to which their
organizatio…
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide-references.html
August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
References
Previous Page
Table of Contents
Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
Using This Guide
1. Background and Introduction
2. Deve…
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/d8DVjQhw6JgjWaBtED97s6
Evidence Gaps Research Taxonomy Table: Research Gaps for Interventions for High Body Mass Index in Children and Adolescents
1
Evidence Gaps Research Taxonomy Table
Topic: Research Gaps for Interventions for High Body Mass Index in Children and Adolescents
To fulfill its mission to improve health by making …
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digital.ahrq.gov/sites/default/files/docs/resource/Real_Time_and_On_Time_Lessons_Learned_9_6_06.pdf
June 16, 2021 - lessons learned, successes, and barriers for the ‘Real-Time’ and QIO ‘ON-Time’ projects
1
LESSONS LEARNED, SUCCESSES, AND BARRIERS FOR THE
‘REAL-TIME’ AND QIO ‘ON-TIME’ PROJECTS
LESSONS LEARNED
1. Partnerships are effective to initiate and support change.
Partnerships within facilities (multi-disciplina…
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-prescribe-opioids.pdf
June 02, 2025 - Supporting Clinical Staff Who Prescribe Opioids to Older Adults: Providing Targeted Educational Sessions to Meet Needs Case Study
Focus on High Leverage Change: Opioi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients
SAY:
Today, we will give you an overview of the Science of Safety and identifying defects.
Slide 1
Learning O…
-
www.ahrq.gov/ncepcr/tools/confid-report/three-strategies.html
February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems
Previous Page Next Page
Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Perf…
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psnet.ahrq.gov/node/33606/psn-pdf
December 15, 2024 - Opioid Safety
December 15, 2024
Opioid Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/opioid-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Bac…
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psnet.ahrq.gov/node/50844/psn-pdf
January 29, 2020 - Improving Patient Safety and Team Communication
through Daily Huddles
January 29, 2020
Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet].
2020.
https://psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
Background
Communicat…
-
digital.ahrq.gov/sites/default/files/docs/page/2006WakefieldHalbeslebenWard_051311comp.pdf
June 16, 2021 - Evaluation of Clinical Information Systems Expectations and Experience
Evaluation of Clinical Information
Systems Expectations and Experience
Douglas S. Wakefield, PhD1
Jonathon R. B. Halbesleben, PhD1
Marcia M. Ward, PhD2
Qian Qiu, MA2
Jane Brokel, RN, PhD3
Donald Crandall, MD4
1 University of Missouri Cente…
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psnet.ahrq.gov/node/854625/psn-pdf
January 01, 2024 - Remote patient monitoring improves patient falls and
reduces harm.
October 18, 2023
Zimbro KS, Bridges C, Bunn S, et al. Remote patient monitoring improves patient falls and reduces harm. J
Nurs Care Qual. 2024;39(3):212-219. doi:10.1097/ncq.0000000000000749.
https://psnet.ahrq.gov/issue/remote-patient-monitoring-…