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psnet.ahrq.gov/node/74705/psn-pdf
January 26, 2022 - 20 years after To Err Is Human: a bibliometric analysis of
‘the IOM report’s’ impact on research on patient safety.
January 26, 2022
St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the
IOM report’s’ impact on research on patient safety. Safety Sci. 2021;147:1055…
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www.ahrq.gov/talkingquality/resources/index.html
September 01, 2019 - Resources for Developers of Quality Reports for Consumers
Examples of Quality Reports for Consumers
To get a sense for the type of information that is available to consumers and how it is reported, read brief profiles of comparative report on the quality and costs of different kinds of health care providers…
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psnet.ahrq.gov/node/836821/psn-pdf
March 30, 2022 - Biasing influence of 'mental shortcuts' on diagnostic
decision-making: radiologists can overlook breast cancer
in mamograms when prior diagnostic information is
available.
March 30, 2022
Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-making:
radiologists can overlook …
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 3
Sample Policy
[NAME OF NURSING HOME]
RE: Antibiogram Program
[DATE]
Antibiotics are among the most commonly prescribed pharmaceuticals in long-term care settings, yet reports indicate that a high proportion of antibiotic prescriptions are inappropriate. The adverse consequ…
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psnet.ahrq.gov/node/36834/psn-pdf
August 26, 2011 - Healthcare climate: a framework for measuring and
improving patient safety.
August 26, 2011
Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving
patient safety. Crit Care Med. 2007;35(5):1312-7.
https://psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-i…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2. Factors Considered in Organization Selection
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Cas…
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psnet.ahrq.gov/node/865723/psn-pdf
June 18, 2024 - Using AHRQ’s SOPS Hospital Survey and Workplace
Safety Item Set: Experiences From a State Hospital
Association.
June 18, 2024
Agency for Healthcare Research and Quality. May 23, 2024.
https://psnet.ahrq.gov/issue/using-ahrqs-sops-hospital-survey-and-workplace-safety-item-set-experiences-
state-hospital
An unders…
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psnet.ahrq.gov/node/848813/psn-pdf
May 10, 2023 - Blood and blood products transfusion errors: what can
we do to improve patient safety.
May 10, 2023
Brown C, Brown M. Blood and blood products transfusion errors: what can we do to improve patient
safety? Br J Nurs. 2023;32(7):326-332. doi:10.12968/bjon.2023.32.7.326.
https://psnet.ahrq.gov/issue/blood-and-blood-p…
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integrationacademy.ahrq.gov/sites/default/files/2020-07/PHQ-2.pdf
January 01, 2020 - Patient Health Questionnaire-2. Two items (low mood and loss of interest)
PHQ-2
Over the past two weeks, how often have you been bothered by any of the
following problems?
Little interest or pleasure in doing things.
0 = Not at all
1 = Sever…
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www.ahrq.gov/cpi/about/nac/pcortf-snac/pham.html
November 01, 2022 - Subcommittee Member: Mai Pham
Mai Pham, M.D., M.P.H.
President
Institute for Exceptional Care
Mai Pham, M.D., M.P.H., is president of the Institute for Exceptional Care, a nonprofit organization dedicated to transforming healthcare for people with intellectual and developmental disabilities. Dr. Pham is a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/hotline-appendix_b.pdf
June 02, 2025 - Appendix B. Technical Expert Panel Members
Appendix B. Technical Expert Panel Members
The Technical Expert Panel (TEP) for the hotline project provided multi-stakeholder expertise on
relevant dimensions of the project, including patient safety, reporting systems, patient and
consumer perspectives, and survey meth…
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integrationacademy.ahrq.gov/sites/default/files/2020-06/Lexicon.pdf
January 01, 2020 - Lexicon for Behavioral Health and Primary Care Integration: Concepts and Definitions Developed by Expert Consensus
Lexicon for Behavioral
Health and Primary
Care Integration
Concepts and Definitions Developed by
Expert Consensus
AHRQ Pub. No. 13-IP001-EF
March 2013
ISBN No. 978-1-58763-426-0
Freeland_S
Stamp
h…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/factors-contributing-sustainment.pdf
August 31, 2015 - Alaska began planning a new quality
improvement effort referred to as the Patient Centered Medical Home Initiative
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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
September 27, 2023 - these initial screens/assessments. 5, 6 Beyond suicide screening, a number of quality improvement initiative
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www.ahrq.gov/news/events/nac/2015-03-nac/nacmtg0315-minutes.html
July 01, 2015 - HHS is conducting a departmental initiative on delivery system reform, with support from AHRQ.
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cds.ahrq.gov/sites/default/files/cds/artifact/76/Implementation%20Guide_Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making_Final_0.docx
October 01, 2017 - CDS Connect Implementation Guide Draft
Agency for Healthcare Research and Quality (AHRQ)
Agency for Healthcare Research and Quality (AHRQ)
Implementation Guide
Longitudinal ASCVD Risk Assessment Tool for Shared Decision Making
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Hu…
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs014949-branscombe-final-report-2005.pdf
January 01, 2005 - Chronic Care Technology Planning Project
Grant Final Report
Grant ID: 1P20HS014949-01
Chronic Care Technology Planning Project
Inclusive Project Dates: 10/01/04 – 09/30/05
Principal Investigator:
John M. Branscombe Jr., MSB
Team Members:
David Peterson, President/CEO
Joy Barresi-Sauci…
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effectivehealthcare.ahrq.gov/sites/default/files/comparator-selection-in-observational-chapter-5.pptx
January 01, 2013 - Slide 1
Comparator Selection in Observational Comparative Effectiveness Research
Prepared for:
Agency for Healthcare Research and Quality (AHRQ)
www.ahrq.gov
Comparator Selection in Observational Comparative Effectiveness Research
This slide set is based on a user guide titled Developing a Protocol for Observation…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017151-fischer-final-report-2011.pdf
January 01, 2011 - Length of Report
1
FINAL REPORT
Impact of office-based e-prescribing on prescribing
processes and outcomes
PI: Michael Fischer, MD, MS
Team members: Catherine DesRoches, Corey Angst, Ritu Agarwal, Joel Weissman,
Paola Miralles, Jennifer Lee, Shirley Wang, Niteesh Choudhry, Jerry Avorn
…
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign
1P20HS017118-01 Meghan M. Dierks, MD Beth Israel Deaconess Medical Center
Title of Project:
Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and
Redesign
Principal Investigator and Team …