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psnet.ahrq.gov/node/42051/psn-pdf
October 08, 2013 - A closer look at associations between hospital leadership
walkrounds and patient safety climate and risk reduction:
a cross-sectional study.
October 8, 2013
Schwendimann R, Milne J, Frush K, et al. A closer look at associations between hospital leadership
walkrounds and patient safety climate and risk reduction: a…
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psnet.ahrq.gov/node/39985/psn-pdf
November 10, 2010 - Establishing a global learning community for incident-
reporting systems.
November 10, 2010
Pham JC, Gianci S, Battles J, et al. Establishing a global learning community for incident-reporting
systems. Qual Saf Health Care. 2010;19(5):446-51. doi:10.1136/qshc.2009.037739.
https://psnet.ahrq.gov/issue/establishing-…
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psnet.ahrq.gov/node/38175/psn-pdf
April 11, 2011 - An intervention to decrease narcotic-related adverse drug
events in children's hospitals.
April 11, 2011
Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug
events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1542/peds.2008-1011.
https://psnet.a…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/colorado-research-network.html
January 01, 2012 - Colorado Research Network
Status:
Active
Registered Date:
January 1, 2012
PBRN Acronym:
CaReNet
PBRN Type:
Family Medicine Network (at least 75% are Family Medicine Clinicians)
Network Category:
Established
Street Address:
12631 E 17th Ave, Campus Box F496
Cit…
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psnet.ahrq.gov/node/841149/psn-pdf
December 07, 2022 - A structured approach to EHR surveillance of diagnostic
error in acute care: an exploratory analysis of two
institutionally-defined case cohorts.
December 7, 2022
Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic
error in acute care: an exploratory analysis of t…
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psnet.ahrq.gov/node/38759/psn-pdf
April 05, 2010 - Perceptions of the impact of a large-scale collaborative
improvement programme: experience in the UK Safer
Patients Initiative.
April 5, 2010
Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement
programme: experience in the UK Safer Patients Initiative. J Eval Cl…
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psnet.ahrq.gov/node/37386/psn-pdf
January 06, 2017 - Medication reconciliation in ambulatory oncology.
January 6, 2017
Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual
Patient Saf. 2007;33(12):750-7.
https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology
The Joint Commission mandates systems…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/kameda-alliance-primary-care-outreach-research-network.html
May 14, 2022 - Kameda Alliance Primary Care Outreach Research Network
Status:
Active
Registered Date:
May 14, 2022
PBRN Acronym:
KAPriCORN
PBRN Type:
Family Medicine Network (at least 75% are Family Medicine Clinicians)
Network Category:
Developing
Street Address:
4304-9 Masaki
…
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www.ahrq.gov/cpi/about/organization/nac/gelrud.html
February 01, 2025 - NAC Member Biography: Joan Gelrud
Joan L. Gelrud, R.N., M.S.N., CPHQ, FACHE Special Advocate for Children Maryland Health Care Commission Baltimore, MD (Retired) Luminis Health Chief Quality and Population Health Officer Joan L. Gelrud, R.N., M.S.N., CPHQ, FACHE , recently retired as Luminis Health’s chief qual…
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www.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
March 01, 2021 - AHRQ Quality and Safety Review System (QSRS)
Mission
AHRQ has developed and tested an improved patient safety surveillance system to replace the Medicare Patient Safety Monitoring System (MPSMS). The new system is known as the Quality and Safety Review System (QSRS). The QSRS relies on clinical information re…
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digital.ahrq.gov/principal-investigator/simonaitis-linas
January 01, 2023 - Simonaitis, Linas
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: Agen…
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www.ahrq.gov/pcor/ahrq-pcor-trust-fund-training-projects/pcortf-tcdpa13180.html
June 01, 2018 - Individual Mentored Clinical Investigator Career Development Award Program in Patient-Centered Outcomes Research
AHRQ Training Projects Funded by PCOR Trust Fund
PA-13-180
This program provides support for a sustained period of protected time for intensive research career development for individual investig…
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - The net results are more shared learning and institutional growth of a successful safety program.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
January 01, 2006 - Limitations
Many PI initiatives are directed at unique institutional desires driven by the strategic
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psnet.ahrq.gov/print/pdf/node/865308
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Organizational Learning
Curated Library
Foundations
Organizational learning: health care leaders need to design structures and processes that enhance
collective learning.
Bohmer RM, Edmondson AC. Health Forum J. 2001;44:32-35.
This comment…
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effectivehealthcare.ahrq.gov/sites/default/files/dementia-horizon-scan-high-impact-1506.pdf
June 01, 2015 - DEMENTIA INCLUDING ALZHEIMER'S #04
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 04: Dementia (Including Alzheimer’s
Disease)
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockvi…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/qica-healthy-hearts.pdf
June 02, 2025 - Quality Improvement Change Assessment
Quality Improvement Change Assessment
© 2016 Healthy Hearts Northwest. This project is supported by grant number R18HS023908 from the Agency for Healthcare Research and Quality.
This is an abbreviated version of the Safety Net Medical Home Initiative, Patient-Centered Medical H…
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effectivehealthcare.ahrq.gov/sites/default/files/06_devdelays_autism_potential_high_impact_june_2012.pdf
January 01, 2012 - #06 Developmental Delays ADHD, and Autism
AHRQ Healthcare Horizon Scanning System – Potential High
Impact Interventions Report
Priority Area 06: Developmental Delays, ADHD, and
Autism
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
July 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case July 2007
Resuscitation Errors:
A Shocking Problem
Source and Credits
This presentation is based on the July 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: Benjamin Abella, MD, MPhil, …
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/alcohol-misuse-screening-and-counseling-2004
April 06, 2004 - Share to Facebook
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archived
Final Recommendation Statement
Alcohol Misuse: Screening and Counseling
April 06, 2004
Recommendations made by the USPSTF are independent of the U.S. governm…