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psnet.ahrq.gov/node/47526/psn-pdf
January 16, 2019 - US national trends in pediatric deaths from prescription
and illicit opioids, 1999–2016.
January 16, 2019
Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and
Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558.
doi:10.1001/jamanetworkopen.2018.6558.
https:…
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psnet.ahrq.gov/node/43346/psn-pdf
August 02, 2015 - Diffusion of surgical innovations, patient safety, and
minimally invasive radical prostatectomy.
August 2, 2015
Parsons K, Messer K, Palazzi K, et al. Diffusion of surgical innovations, patient safety, and minimally
invasive radical prostatectomy. JAMA Surg. 2014;149(8):845-51. doi:10.1001/jamasurg.2014.31.
https:…
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psnet.ahrq.gov/node/45471/psn-pdf
September 21, 2016 - Vital signs: epidemiology of sepsis: prevalence of health
care factors and opportunities for prevention.
September 21, 2016
Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care
Factors and Opportunities for Prevention. MMWR Morb Mortal Wkly Rep. 2016;65(33):864-869…
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www.ahrq.gov/pqmp/grantees/coe-2-0.html
September 01, 2021 - PQMP 2.0 Centers of Excellence
In October 2016, the Pediatric Quality Measures Program (PQMP) embarked on a new phase of work seeking to improve and refine quality measures that were developed across diverse areas during the initial phase of the PQMP.
In accordance with Title III, Sec. 304(b) of the Medicare…
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www.ahrq.gov/ncepcr/tools/confid-report/remarks.html
March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Concluding Remarks
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Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Part One: Physician Feedback Report Funda…
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psnet.ahrq.gov/node/47063/psn-pdf
November 19, 2018 - I-PASS handoff program: use of a campaign to effect
transformational change.
November 19, 2018
Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect
Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088.
https://psnet.ahrq.gov/issue/i-pas…
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www.ahrq.gov/talkingquality/assess/why-evaluate.html
May 01, 2019 - Why Evaluate a Health Care Quality Reporting Project?
Just as report sponsors hope that health care providers and plans will use data on quality to improve their performance, you need to gather and use data to improve your reporting efforts over time. Experienced report sponsors approach their reporting initiat…
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psnet.ahrq.gov/node/43859/psn-pdf
May 28, 2015 - Point prevalence of surgical checklist use in Europe:
relationship with hospital mortality.
May 28, 2015
Jammer I, Ahmad T, Aldecoa C, et al. Point prevalence of surgical checklist use in Europe: relationship
with hospital mortality. Br J Anaesth. 2015;114(5):801-807. doi:10.1093/bja/aeu460.
https://psnet.ahrq.gov…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-15.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.15. Major Factors that Inhibited Lean Success at Central
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healt…
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www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwptab3.html
August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions
Table 3. Types of HAI Prevention Activities
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Table of Contents
High-Performance Work Practices in CLABSI Prevention Interventions
Case Studies
Key Findings
Conclusions
References
Table 1. Case Study …
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-9.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.9. Lean Project Activities
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospit…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
July 01, 2023 - CEO/Senior Leader Checklist
AHRQ Safety Program for Perinatal Care
Who should use this tool: Senior leaders
Checklist Items
Leader Responsible
Date Initiated
1. Ensure all current and new employees receive Science of Safety training.
2. Assign a senior executive (C…
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psnet.ahrq.gov/node/43064/psn-pdf
January 01, 2015 - Leadership, safety climate, and continuous quality
improvement: impact on process quality and patient
safety.
December 12, 2014
McFadden KL, Stock GN, Gowen CR. Leadership, safety climate, and continuous quality improvement:
impact on process quality and patient safety. Health Care Manage Rev. 2015;40(1):24-34.
d…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-02-ginsburg.pdf
June 02, 2025 - CAHPS 101
AHRQ’S CAHPS® PROGRAM
Caren Ginsberg, Ph.D., CPXP,
Director, CAHPS Division
Center for Quality Improvement & Patient Safety, AHRQ
AHRQ’s Core Competencies
• Research: Invest in research and evidence to make health care
safer and improve quality.
• Practice Improvement: Create tools for health care
…
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psnet.ahrq.gov/node/47973/psn-pdf
July 18, 2019 - Transition planning for the senior surgeon: guidance and
recommendations from the Society of Surgical Chairs.
July 18, 2019
Rosengart TK, Doherty G, Higgins R, et al. Transition Planning for the Senior Surgeon: Guidance and
Recommendations From the Society of Surgical Chairs. JAMA Surg. 2019;154(7):647-653.
doi:10…
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psnet.ahrq.gov/node/46700/psn-pdf
November 19, 2018 - Promising practices for improving hospital patient safety
culture.
November 19, 2018
Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J
Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.001.
https://psnet.ahrq.gov/issue/promising-practices-improving-ho…
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psnet.ahrq.gov/node/43697/psn-pdf
March 26, 2015 - Establishing an international baseline for medication
safety in oncology: findings from the 2012 ISMP
International Medication Safety Self Assessment for
Oncology.
March 26, 2015
Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in
oncology: Findings from the 201…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error Classification
Previous Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0208-technical-specs.pdf
June 02, 2025 - Neonatal Intensive Care: All Condition Readmissions Without Gestational Age Reported: Technical Specifications
Neonatal Intensive Care: All Condition Readmissions Without
Gestational Age Reported
Technical Specifications
Eligible Population: Indication of NICU stay in the first 30 days of life without a spec…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-14.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.14. Lean Tools and Activities for Pediatric Continuity of Care Project
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. …