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psnet.ahrq.gov/node/41618/psn-pdf
August 22, 2012 - Most adverse events at hospitals still go unreported.
August 22, 2012
Shaw G. The Hospitalist. August 2012.
https://psnet.ahrq.gov/issue/most-adverse-events-hospitals-still-go-unreported
This news piece details the pervasiveness of unreported medical errors and describes the hospitalist
perspective on initiatives …
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pso.ahrq.gov/pso/diagnostic-quality-assurance
May 25, 2016 - SHARE:
More topics in this section
Return to Delisted PSOs Search
Diagnostic Quality Assurance
PSO Number: P0170 Components of Parent Org(s):
Quality Star, LLC
Effective…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017188-mold-final-report-2010.pdf
January 01, 2010 - Our initial process relied heavily on the initiative of patients to respond to mailed
invitations and … Providers and System (CAHPS) survey
which was developed and validated by the AHRQ Ambulatory CAHPS Initiative
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
April 15, 2024 - The world mental health (WMH)
survey initiative version of the world health Organization
(WHO) composite
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digital.ahrq.gov/sites/default/files/docs/citation/implementation-guide.pdf
December 01, 2018 - NIH Helping to End Addiction (HEAL) initiative. … https://www.nih.gov/research-training/medical-research-initiatives/heal-initiative.
10 Physicians for … chronic-pain-comorbidity-and-treatment-complexity
https://www.nih.gov/research-training/medical-research-initiatives/heal-initiative
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-244-fullreport.pdf
December 01, 2019 - Depression Remission or Response for Adolescents and Adults: Report
1
Depression Remission or Response for Adolescents
and Adults
Section 1. Basic Measure Information
1.A. Measure Name
Depression Remission or Response for Adolescents and Adults
1.B. Measure Number
0244
1.C. Measure Description
Pleas…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - communication
· Learn how to use structured language to voice concerns
· Design a quality improvement initiative
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psnet.ahrq.gov/node/42592/psn-pdf
May 20, 2015 - Healthcare–Associated Infections (HAI).
May 20, 2015
Centers for Disease Control and Prevention; CDC.
https://psnet.ahrq.gov/issue/healthcare-associated-infections-hai
This Web site provides information about government initiatives to research and prevent health
care–associated infections.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/38834/psn-pdf
January 03, 2017 - What are the critical success factors for team training in
health care?
January 3, 2017
Salas E, Almeida SA, Salisbury M, et al. What are the critical success factors for team training in health
care? Jt Comm J Qual Patient Saf. 2009;35(8):398-405.
https://psnet.ahrq.gov/issue/what-are-critical-success-factors-tea…
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psnet.ahrq.gov/node/36313/psn-pdf
October 26, 2010 - Observational assessment of surgical teamwork: a
feasibility study.
October 26, 2010
Undre S, Healey A, Darzi A, et al. Observational assessment of surgical teamwork: a feasibility study.
World J Surg. 2006;30(10):1774-83.
https://psnet.ahrq.gov/issue/observational-assessment-surgical-teamwork-feasibility-study
T…
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psnet.ahrq.gov/node/34984/psn-pdf
July 14, 2010 - Patient safety practices: leaders can turn barriers into
accelerators.
July 14, 2010
Denham CR.. J Patient Saf. 2005,1(1):41-55
https://psnet.ahrq.gov/issue/patient-safety-practices-leaders-can-turn-barriers-accelerators
This article serves as a call to action for board trustees and chief executive officers to bec…
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psnet.ahrq.gov/node/34629/psn-pdf
March 05, 2008 - AHRQ's News Now.
March 5, 2008
Rockville, MD: Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/ahrqs-patient-safety-e-newsletter
E-newsletter issued weekly to make important patient safety news and information available. The E-
newsletter features concise descriptions of findings from …
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psnet.ahrq.gov/node/37600/psn-pdf
March 19, 2008 - Medical emergency team: a review of the literature.
March 19, 2008
Barbetti J, Lee G. Medical emergency team: a review of the literature. Nurs Crit Care. 2008;13(2):80-85.
doi:10.1111/j.1478-5153.2007.00258.x.
https://psnet.ahrq.gov/issue/medical-emergency-team-review-literature
This review examines the literature…
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psnet.ahrq.gov/node/36600/psn-pdf
January 14, 2011 - Diagnostic pitfalls in paediatric ischaemic stroke.
January 14, 2011
Braun KPJ, Kappelle J, Kirkham FJ, et al. Diagnostic pitfalls in paediatric ischaemic stroke. Dev Med Child
Neurol. 2006;48(12):985-90.
https://psnet.ahrq.gov/issue/diagnostic-pitfalls-paediatric-ischaemic-stroke
The researchers analyzed case his…
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psnet.ahrq.gov/node/38430/psn-pdf
February 25, 2009 - Knowledge-based information to improve the quality of
patient care.
February 25, 2009
Garcia JL, Wells KK. Knowledge-based information to improve the quality of patient care. J Healthc Qual.
2009;31(1):30-35. doi:10.1111/j.1945-1474.2009.00006.x.
https://psnet.ahrq.gov/issue/knowledge-based-information-improve-qua…
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psnet.ahrq.gov/node/39743/psn-pdf
October 13, 2010 - Anatomy and pathophysiology of errors occurring in
clinical radiology practice.
October 13, 2010
Brook OR, O'Connell AM, Thornton E, et al. Quality initiatives: anatomy and pathophysiology of errors
occurring in clinical radiology practice. Radiographics. 2010;30(5):1401-10. doi:10.1148/rg.305105013.
https://psnet…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-four-moments-single.pdf
June 01, 2021 - Four Moments of Antibiotic Decision Making Poster
AHRQ Pub. No. 17(21)-0029
June 2021
Does the resident have symptoms that
suggest an infection?
What type of infection is it? Have we
collected appropriate cultures before
starting antibiotics? What empiric therapy
should be initiated?
What duration …
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www.ahrq.gov/nursing-home/resources/ltc-community-champions.html
July 01, 2021 - Long-Term Care Community Champions: Voices from the Front Line
Resource: Long-Term Care Community Champions: Voices from the Front Line
This brief video from the Centers for Medicare & Medicaid Services (CMS) highlights long-term care staff who moved from being initially uncertain about receiving the COVID-…
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psnet.ahrq.gov/node/43144/psn-pdf
March 29, 2016 - Autopsy advocates.
March 29, 2016
Clark C. HealthLeaders Media. April 11, 2014.
https://psnet.ahrq.gov/issue/autopsy-advocates
Highlighting how hospital autopsy programs can uncover diagnostic errors, reveal adverse events, and
enhance learning opportunities, this news article recommends that these initiatives int…
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - psnet.ahrq.gov/issue/infusion-medication-error-reduction-two-person-verification-quality-improvement-initiative … Infusion medication error reduction by two-person
verification: a quality improvement initiative.