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psnet.ahrq.gov/node/39052/psn-pdf
July 13, 2010 - Improving handoffs in the emergency department.
July 13, 2010
Cheung DS, Kelly JJ, Beach C, et al. Improving handoffs in the emergency department. Ann Emerg Med.
2010;55(2):171-80. doi:10.1016/j.annemergmed.2009.07.016.
https://psnet.ahrq.gov/issue/improving-handoffs-emergency-department
Reviewing the conceptual f…
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psnet.ahrq.gov/node/36977/psn-pdf
February 15, 2011 - Cost-effective enhancement of claims data to improve
comparisons of patient safety.
February 15, 2011
Jordan HS, Pine M, Elixhauser A, et al. Cost-Effective Enhancement of Claims Data to Improve
Comparisons of Patient Safety. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242988.01413.fb.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/35034/psn-pdf
November 05, 2015 - Seven Leadership Leverage Points for Organization-Level
Improvement in Health Care. Second edition.
November 5, 2015
Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute for Healthcare Improvement; 2008.
https://psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-car…
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psnet.ahrq.gov/node/36316/psn-pdf
October 26, 2010 - Improving self-reporting of adverse drug events in a West
Virginia hospital.
October 26, 2010
Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia
hospital. Am J Med Qual. 2006;21(5):335-41.
https://psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-even…
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psnet.ahrq.gov/node/73408/psn-pdf
July 27, 2023 - Patient Safety/Quality Improvement Primer.
July 27, 2023
Otolaryngol Head Neck Surg. 2018-2023.
https://psnet.ahrq.gov/issue/patient-safetyquality-improvement-primer
Otolaryngology-head and neck surgery is vulnerable to wrong site errors and other challenges present in
surgical care. This series of articles highli…
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psnet.ahrq.gov/node/35555/psn-pdf
January 05, 2017 - A comprehensive grassroots model for statewide safety
improvement.
January 5, 2017
Joshi MS, Kazandjian VA, Martin P, et al. A comprehensive grassroots model for statewide safety
improvement. Jt Comm J Qual Patient Saf. 2005;31(12):671-677.
https://psnet.ahrq.gov/issue/comprehensive-grassroots-model-statewide-safe…
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psnet.ahrq.gov/node/42192/psn-pdf
April 17, 2013 - Using simulation training to improve perioperative patient
safety.
April 17, 2013
Mullen L, Byrd D. Using simulation training to improve perioperative patient safety. AORN J.
2013;97(4):419-27. doi:10.1016/j.aorn.2013.02.001.
https://psnet.ahrq.gov/issue/using-simulation-training-improve-perioperative-patient-safe…
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psnet.ahrq.gov/node/41578/psn-pdf
October 09, 2013 - Improving Patient Safety in Long-Term Care Facilities:
Training Modules.
October 9, 2013
Taylor SL, Saliba D. Rockville, MD: Agency for Healthcare Research and Quality; July 2012. AHRQ
Publication No. 12-0001.
https://psnet.ahrq.gov/issue/improving-patient-safety-long-term-care-facilities-training-modules
This se…
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psnet.ahrq.gov/node/41311/psn-pdf
April 18, 2012 - Surveillance: a strategy for improving patient safety in
acute and critical care units.
April 18, 2012
Henneman EA, Gawlinski A, Giuliano KK. Surveillance: A strategy for improving patient safety in acute and
critical care units. Crit Care Nurse. 2012;32(2):e9-18. doi:10.4037/ccn2012166.
https://psnet.ahrq.gov/iss…
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digital.ahrq.gov/principal-investigator/kennedy-susan
January 01, 2023 - Kennedy, Susan
Improving Technology Innovation in Medicaid Programs - Final Report
Citation
Kennedy S. Improving Technology Innovation in Medicaid Programs - Final Report. (Prepared by AcademyHealth under Grant No. R13 HS028546). Rockville, MD: Agency for Healthcare Research a…
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psnet.ahrq.gov/node/60162/psn-pdf
March 25, 2020 - Patient Safety Improvement Act of 2020.
March 25, 2020
SB 3380. 116th Congress (2020).
https://psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
This bill submits amendments to existing US federal law to strengthen state-organized efforts to improve
health care-associated infection control efforts, pediatri…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
June 01, 2023 - A Guide to Leading Successful Perioperative TeamsAHRQ Safety Program for Improving Surgical Care and Recovery
Purpose of the tool: Assembling a multidisciplinary perioperative team is one of the first, and most critical, steps in your AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) journey. This do…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
January 01, 2012 - Project Report - Lean Sigma
*
National Content Webinar
CUSP: A Framework for Success
March 7, 2012
*
*
Today’s Speakers
Marge Cannon, Medical Officer, CMS
Minet Javellana, Health Insurance Specialist, CMS
Barb Edson, Vice President of Clinical Quality, HRET
Chris George, Director of National Projects, MHA…
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digital.ahrq.gov/sites/default/files/docs/page/CongressionalBudgetOffice.pdf
January 01, 2009 - The increased availability of that information through the
use of EHRs improves the quality of care … If, indeed, health IT improves the
quality of care while lowering its costs, then the federal
government
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-1.pdf
May 02, 2016 - Team-Based Primary Care: Convergence of Improving Engagement, Safety, and Enhanced Joy in Practice
Case Study
Problem Addressed
A typical primary care visit is not always a satisfying
encounter for either the provider or the patient. Providers
feel stressed by the need for efficiency and the demands of
electronic…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-237-fullreport.pdf
October 01, 2019 - Relationship to Other Measures (if any)
Describe, if known, how this measure complements or improves
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients
SAY:
Today, we will be giving you an overview of the Comprehensive Unit-based Safety Program…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm6.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 6: Operating a Care Management Program
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management Program
…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
June 02, 2025 - 1
Implementation Guide - Module 3
Understanding your Workflow Processes to Prepare for Systems Change
Module Purpose
This module continues the discussion of the steps necessary for systems change to support the
implementation of automatic referral with effective care coordination. Topics include the “w…
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www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
February 01, 2017 - Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients
Say: …