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  1. Psn-Pdf (pdf file)

    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:…
  2. Psn-Pdf (pdf file)

    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:…
  3. Psn-Pdf (pdf file)

    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…
  4. 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…
  5. www.ahrq.gov/ncepcr/tools/confid-report/remarks.html
    March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Concluding Remarks Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Part One: Physician Feedback Report Funda…
  6. Psn-Pdf (pdf file)

    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…
  7. 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…
  8. Psn-Pdf (pdf file)

    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…
  9. 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 Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healt…
  10. 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 Previous Page Next Page Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case Study …
  11. 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 Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospit…
  12. 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…
  13. Psn-Pdf (pdf file)

    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…
  14. CAHPS 101 (pdf file)

    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 …
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. 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…
  19. 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…
  20. 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 Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. …