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psnet.ahrq.gov/node/35083/psn-pdf
March 29, 2007 - Patient Safety: Achieving a New Standard for Care.
March 29, 2007
Aspden P ed, Committee for Data Standards for Patient Safety, Institute of Medicine. Washington DC:
National Academies Press; 2004. ISBN 0309090776.
https://psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care
This report details findings…
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psnet.ahrq.gov/node/865656/psn-pdf
April 24, 2024 - Especially in a patient unknown to the institution, a comprehensive evaluation
should be completed,
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hcup-us.ahrq.gov/reports/methods/2005_05.pdf
January 01, 2005 - but not contributing data for all
quarters of a year were weighted up to annual estimates for that institution … admission type”
(elective, urgent, and emergency), and “admission source” (e.g., transfer from another
institution
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effectivehealthcare.ahrq.gov/sites/default/files/depression-horizon-scan-high-impact-1306.pdf
October 01, 2014 - #05 DEPRESSION
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 05: Depression and Other Mental Health
Disorders
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD …
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
July 01, 2018 - natural course of the patient's illness." 102 Sentinel events create a sense of urgency within the institution … , medical staff, and employees determine priorities for change and improvement by assessing how the institution
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyref.html
April 01, 2020 - Guide to Patient and Family Engagement
References
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next Steps
References
Appendix A: Draft Key Informant…
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www.ahrq.gov/sites/default/files/2024-01/zimring-report.pdf
January 01, 2024 - AHRQ Final Progress Report: Impacts of the Physical Environment on Healthcare
FINAL PROGRESS/STATUS REPORT
18 December 2006
IMPACTS OF THE PHYSICAL ENVIRONMENT ON HEALTHCARE
AHRQ Grant Identification Number: #1R13HS015962-01
Dates of the project: 9/1/2005–8/31/2006
Total amount of the project: $25,000
Goal of…
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psnet.ahrq.gov/node/45661/psn-pdf
November 09, 2016 - Center for Diagnostic Excellence.
November 9, 2016
Armstrong Institute for Patient Safety and Quality
https://psnet.ahrq.gov/issue/center-diagnostic-excellence
Diagnostic error has recently been recognized as a serious patient safety concern. Established within the
Armstrong Center for Patient Safety and Quality, …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20110511/4-lise-rybowski-closing.pdf
June 02, 2025 - Microsoft PowerPoint - 4. Lise Rybowski_Closing.ppt [Compatibility Mode]
4/29/2011
1
To Ask a QuestionTo Ask a Question
www.TalkingQuality.ahrq.gov 1
What’s Coming to TalkingQuality?What’s Coming to TalkingQuality?
►►PodcastsPodcasts
Lisa Mason, Greater Detroit Area Health Council, Lisa Mason, Greater Detroit…
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psnet.ahrq.gov/node/40558/psn-pdf
May 20, 2019 - Patient Safety in the Context of Perinatal, Neonatal, and
Pediatric Care.
May 20, 2019
Eunice Kennedy Shriver National Institute of Child Health and Human Development; NICHD; National
Institutes of Health; NIH.
https://psnet.ahrq.gov/issue/patient-safety-context-perinatal-neonatal-and-pediatric-care
This dual-com…
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psnet.ahrq.gov/node/45550/psn-pdf
August 01, 2023 - Leape Ahead Award.
August 1, 2023
American Association for Physician Leadership.
https://psnet.ahrq.gov/issue/leape-ahead-award
Efforts to incorporate respect and patient safety concepts into medical training have been inspired by the
work and leadership of Dr. Lucian Leape, founding chairman of the Lucian Leape I…
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psnet.ahrq.gov/node/42842/psn-pdf
January 08, 2014 - Organizational culture and its implications for infection
prevention and control in healthcare institutions.
January 8, 2014
De Bono S, Heling G, Borg MA. Organizational culture and its implications for infection prevention and
control in healthcare institutions. J Hosp Infect. 2014;86(1):1-6. doi:10.1016/j.jhin.20…
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psnet.ahrq.gov/node/34947/psn-pdf
June 23, 2009 - Iatrogenic events resulting in intensive care admission:
frequency, cause, and disclosure to patients and
institutions.
June 23, 2009
Lehmann LS, Puopolo AL, Shaykevich S, et al. Iatrogenic events resulting in intensive care admission:
frequency, cause, and disclosure to patients and institutions. Am J Med. 2005;1…
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digital.ahrq.gov/ahrq-funded-projects/evaluating-and-enhancing-health-information-technology-covid-19-response/citation/comparing
January 01, 2023 - Comparing responses to COVID-19 across institutions: Conceptualization of an emergency response maturity model.
Citation
Senathirajah Y, Kaufman D, Borycki E, Kushniruk A, Cato K. Comparing Responses to COVID-19 Across Institutions: Conceptualization of an Emergency Response Maturity Model. Stud Healt…
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digital.ahrq.gov/ahrq-funded-projects/incorporating-patient-reported-outcomes-shared-decision-making-patients/citation/barriers
January 01, 2023 - Barriers to collection and use of patient-reported outcomes a multi-institutional survey of surgeons and care teams.
Citation
Snyder DJ, Park C, Keswani A, Garden E, Koenig KM, Bozic KJ, Poeran J, Moucha CS, Jevsevar DJ. Barriers to collection and use of patient-reported outcomes a multi-institutional…
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www.ahrq.gov/hai/clabsi-tools/about.html
March 01, 2018 - About the Toolkit Development
Background
This toolkit was developed based on the experiences of more than 1,000 ICUs that participated in the On the CUSP: Stop BSI project. These ICUs reduced CLABSIs by 41 percent using the CUSP method and resources included in this toolkit.
Project partners
Health Rese…
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digital.ahrq.gov/ahrq-funded-projects/improving-lab-follow-delivering-enhanced-medication-list-outpatient-physician/citation/medication
January 01, 2023 - Enhanced Medication Histories - Final Report
Citation
Simonaitis L. Enhanced Medication Histories - Final Report. (Prepared by Indiana University and Regenstrief Institute under Contract No. 290-06-0013-2.) AHRQ Publication No. 11-0077-EF. Rockville, MD: Agency for Healthcare Research and Quality. Oct…
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digital.ahrq.gov/ahrq-funded-projects/improving-lab-follow-delivering-enhanced-medication-list-outpatient-physician/citation/guide
January 01, 2023 - Enhanced medication histories - a guide to implementation in a health information exchange.
Citation
Simonaitis L. Enhanced medication histories - a guide to implementation in a health information exchange. (Prepared by Indiana University and Regenstrief Institute under Contract No. 290-06-0013-2.) R…
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digital.ahrq.gov/ahrq-funded-projects/context-aware-knowledge-delivery-electronic-health-records/citation/multi
January 01, 2023 - Multi-national, multi-institutional analysis of clinical decision support data needs to inform development of the HL7 Virtual Medical Record Standard.
Citation
Kawamoto K, Del Fiol G, Strasberg HR, et al. Multi-national, multi-institutional analysis of clinical decision support data needs to inform de…
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effectivehealthcare.ahrq.gov/sites/default/files/14_substance_abuse_potential_high_impact_2012-12-11.pdf
January 01, 2012 - #14 SUBSTANCE ABUSE
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 14: Substance Abuse
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
www.ahrq.…