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Showing results for "initiatives".

  1. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0210_12-07-2009.pdf
    January 01, 2009 - Effective Health Care Topic Number(s): 0236 Document Completion Date: 8-13-10 1 Results of Topic Selection Process & Next Steps  Rehabilitation for traumatic brain injury will go forward for refinement as a systematic review. The scope of this topic, including populations, interventions, com…

  2. Voluntarily reported emergency department errors. | PSNet

    psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors
    June 20, 2011 - Study Voluntarily reported emergency department errors. Citation Text: Henneman PL, Blank FSJ, Smithline HA, et al. Voluntarily Reported Emergency Department Errors. J Patient Saf. 2008;1(3):126-132. doi:10.1097/01.jps.0000175694.39559.12. Copy Citation Format: DOI Google…

  3. Value of Health Information Exchange in Ambulatory Care | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/value-health-information-exchange-ambulatory-care
    January 01, 2023 - Value of Health Information Exchange in Ambulatory Care Project Final Report ( PDF , 97.39 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ…

  4. Hiding in plain sight—resurrecting the power of inspecting the patient. | PSNet

    psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
    September 16, 2020 - Commentary Hiding in plain sight—resurrecting the power of inspecting the patient. Citation Text: Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634. Copy Citatio…

  5. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. | PSNet

    psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
    January 05, 2017 - Commentary The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Citation Text: Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Jt Comm J Qual Patient Sa…

  6. Improvement Methods Overview (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pdf
    June 02, 2025 - Improvement Methods Overview Pediatric Toolkit for Using the AHRQ Quality Indicators How to Improve Hospital Quality and Safety Tool D.1 Slide 1 • Use these PowerPoint slides for any presentations for which they may be useful. • These slides may be useful earlier on in the process than during implementation; fe…

  7. The nature of adverse events in dentistry. | PSNet

    psnet.ahrq.gov/issue/nature-adverse-events-dentistry
    November 01, 2023 - Study The nature of adverse events in dentistry. Citation Text: Tokede B, Yansane A, Walji MF, et al. The nature of adverse events in dentistry. J Patient Saf. 2024;20(7):454-460. doi:10.1097/pts.0000000000001255. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…

  8. D2 Pdi Projectcharter (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d2_pdi_projectcharter.docx
    December 23, 2009 - Project Charter What is the purpose of this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to which the team will commit. Who are the target audiences? Staff members directly involved in the improvement project. Consider adding r…

  9. Project Charter (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d2_pdi_projectcharter.pdf
    December 23, 2009 - Project Charter Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.2 Project Charter What is the purpose of this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to…

  10. Increasing physician reporting of diagnostic learning opportunities. | PSNet

    psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities
    March 23, 2022 - Study Increasing physician reporting of diagnostic learning opportunities. Citation Text: Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. Copy Citation Format: …

  11. AHRQ and the Patient-Centered Outcomes Research Institute Collaborate to Train a New Generation of Learning Health System Scientists | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/ahrq-pcori-collaborate.html
    February 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders AHRQ and the Patient-Centered Outcomes Research Institute Collaborate to Train a New Generation of Learning Health System Scientists FEB 3 2023 By Robert Otto Valdez, Ph.D., M.H.S.A. and Nakela L. Cook, M.D., M.P.H. Robert Otto Va…

  12. FDA advises health care professionals and patients about insulin pen packaging and dispensing. | PSNet

    psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen-packaging-and-dispensing
    June 22, 2011 - Press Release/Announcement FDA advises health care professionals and patients about insulin pen packaging and dispensing. Citation Text: FDA advises health care professionals and patients about insulin pen packaging and dispensing. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…

  13. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. | PSNet

    psnet.ahrq.gov/issue/teaching-novice-clinicians-how-reduce-diagnostic-waste-and-errors-applying-toyota-production
    June 19, 2019 - Commentary Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. Citation Text: Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.…

  14. CAHPS Item Set for Children with Chronic Conditions | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/surveys-guidance/item-sets/children-chronic/index.html
    April 01, 2022 - CAHPS Item Set for Children with Chronic Conditions The Item Set for Children with Chronic Conditions is an extensive set of items that assess the experiences of this population with health plans and health care services. It allows sponsors to compare the experiences of children with special health care needs w…

  15. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. | PSNet

    psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology
    May 06, 2009 - Study A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Citation Text: Lander L, Roberson DW, Plummer KM, et al. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Otolaryngol Head Neck Surg. 201…

  16. FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. | PSNet

    psnet.ahrq.gov/issue/fda-preliminary-public-health-notification-unpredictable-events-medical-equipment-due-new
    June 02, 2021 - Government Resource FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. Citation Text: FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time chang…

  17. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. | PSNet

    psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma
    March 07, 2018 - Study Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. Citation Text: Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…

  18. Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. | PSNet

    psnet.ahrq.gov/issue/setting-quality-and-safety-priorities-target-rich-environment-academic-medical-centers
    September 24, 2018 - Study Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. Citation Text: Mort E, Demehin AA, Marple KB, et al. Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. Acad Med. 20…

  19. Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text-messaging-quality
    May 08, 2017 - Study Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. Citation Text: Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/…

  20. In situ simulation: identification of systems issues. | PSNet

    psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues
    January 31, 2024 - Study In situ simulation: identification of systems issues. Citation Text: Guise J-M, Mladenovic J. In situ simulation: Identification of systems issues. Semin Perinatol. 2013;37(3). doi:10.1053/j.semperi.2013.02.007. Copy Citation Format: DOI Google Scholar BibTeX EndNo…
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