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psnet.ahrq.gov/node/72702/psn-pdf
February 03, 2021 - Outcomes from Wake Up Safe, the pediatric anesthesia
quality improvement initiative.
February 3, 2021
Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality
improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044.
https://psnet.ahrq.gov/issue/out…
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psnet.ahrq.gov/node/46425/psn-pdf
September 13, 2017 - Optimizing Crisis Resource Management to Improve
Patient Safety and Team Performance--A Handbook for
Acute Care Health Professionals.
September 13, 2017
Brindley P, Cardinal P, eds. Ottawa, ON, Canada: Royal College of Physicians and Surgeons of Canada;
2017. ISBN: 9781926588414.
https://psnet.ahrq.gov/issue/opti…
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psnet.ahrq.gov/node/45679/psn-pdf
January 03, 2018 - Global Guidelines on the Prevention of Surgical Site
Infection.
January 3, 2018
Global Guidelines on the Prevention of Surgical Site Infection.
https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
Efforts to reduce surgical site infections have achieved some success. The World Health O…
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psnet.ahrq.gov/node/44294/psn-pdf
October 03, 2017 - You can't understand something you hide: transparency
as a path to improve patient safety.
October 3, 2017
Wachter R, Kaplan GS, Gandhi T, et al. Health Affairs Blog. June 22, 2015.
https://psnet.ahrq.gov/issue/you-cant-understand-something-you-hide-transparency-path-improve-patient-
safety
Transparency is recogn…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finalsummary.pdf
February 21, 2016 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
The National Evaluation of the
CHIPRA Quality Demonstration Grant Program
Key Lessons from the National
Evaluation of the CHIPRA Quality
Demonstration Grant Program
FINAL SUMMARY
This report was prepared for the Agen…
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www.ahrq.gov/sites/default/files/publications/files/finalsummary.pdf
February 21, 2016 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
The National Evaluation of the
CHIPRA Quality Demonstration Grant Program
Key Lessons from the National
Evaluation of the CHIPRA Quality
Demonstration Grant Program
FINAL SUMMARY
This report was prepared for the Agen…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight03.pdf
September 08, 2015 - The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the quality of
health care for children enrolled in Medicaid
and the Children’s Health Insurance Program
(CHIP). Funded by the Children’s Health
I…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight02.pdf
September 08, 2015 - Evaluation Highlight No. 2, May 2013. How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program?
The CHIPRA Quality
Demonstration Grant Program
In February 2010, the Centers for Medicare &
Medicaid Services (CMS) awarded 10 grants,
funding 18 States, to improve the…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-260-improved-cancer-outcomes-disposition-comments.pdf
May 22, 2023 - Disposition of Comments_Comparative Effectiveness Review No. 260: Nutrition as Prevention for Improved Cancer Health Outcomes
Comparative Effectiveness Review Disposition of Comments Report
Title: Nutrition as Prevention for Improved Cancer Health Outcomes
Draft report available for public comment…
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www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide3.html
August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement
3. Building and Maintaining a Network of Primary Care Practices
Previous Page Next Page
Table of Contents
Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement …
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026196-Spyropoulos-final-report-2022.pdf
January 01, 2022 - Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System – Final Report
Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System,
Principal Investigators: Alex Spyropoulos, MD and Thomas McGinn, MD, MPH
Team Members: Irzaud Bacchu…
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - Communication During Transitions of Care
March 27, 2024
Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/communication-during-transitions-care
Introduction
Inaccurate or untimely communication and ineffective teamwork in healthca…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ehc-research-gaps-telehealth.pdf
April 01, 2023 - AHRQ Evidence-based Practice Center Program Research Gaps Summary: Telehealth
AHRQ EVIDENCE-BASED PRACTICE CENTER (EPC)
PROGRAM RESEARCH GAPS SUMMARY:
TELEHEALTH
An AHRQ EPC Program publication summarizing evidence gaps identified across recent
EPC Program reviews for select healthcare topics addressing telehea…
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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx
Spotlight
Uterine Artery Injury during Cesarean Delivery Leads to
Cardiac Arrests and Emergency Hysterectomy
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the ful…
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www.ahrq.gov/sites/default/files/2024-01/pliego-report.pdf
January 01, 2024 - Close-Out Report: Improving Resuscitation Team Response to Inpatient Critical Events by Simulation
Grant Number: U18 HS16634-01
Grant Period: 9-30-2006 to 10-1-2008
No-cost extension: 10-1-2008 to 9-30-2009
Reporting Period: Close-Out Report
Title of Project: Improving Resuscitation Team Response to Inpatient Cri…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
January 01, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requ…
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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - Patient Safety in Office-Based Care Settings
January 31, 2024
Ricciardi R, Lee M, Mossburg S. Patient Safety in Office-Based Care Settings. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
The Institute of Medicine’s 2000 publication To Err Is Human summarized res…
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digital.ahrq.gov/ahrq-funded-projects/implementation-novel-multi-platform-evidence-based-clinical-decision-support
January 01, 2024 - Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System
Project Final Report ( PDF , 411.3 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/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2024.pdf
July 26, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare: March 2024 Meeting
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
March 2024 Meeting
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations request…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-riverside-handoffs-webcast-hansford.pdf
January 01, 2023 - Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Hansford and Murray
Assessing Patient Safety Culture to
Improve Hospital Handoffs
Ashley Hansford, BS, CPPS
Patient Safety Manager
Lauren Murray, MSN, RN, CMSRN
Director of Nursing, Med/Surg Unit
Riverside Health Sys…