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digital.ahrq.gov/ahrq-funded-projects/feedback-treatment-intensification-data-reduce-cardiovascular-disease-risk/final-report
January 01, 2023 - Feedback of Intensifying Treatment (FIT) Data to Reduce Cardiovascular Disease - Final Report
Citation
Selby JV. Feedback of Intensifying Treatment (FIT) Data to Reduce Cardiovascular Disease - Final Report. (Prepared by the Kaiser Foundation Research Institute, a Division of Kaiser Foundation Hospita…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-survey-compendium/electronic-health-record-end-user-survey
January 01, 2023 - Electronic Health Record End User Survey
This is a questionnaire designed to be completed by clinical staff in an ambulatory setting. The tool includes questions to assess the current state of electronic health records.
Survey Document
Electronic Health Record End User Survey
(Person…
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www.ahrq.gov/evidencenow/tools/burnout-in-primary-care.html
March 01, 2023 - Burnout in Primary Care: Assessing and Addressing It in Your Practice
Resource: Burnout in Primary Care (PDF, 1.5 MB, 16 pages)
Burnout is a serious and growing problem in primary care practices. Burnout can increase worker turnover and reduce quality of care, leading to lower patient satisfaction and pati…
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psnet.ahrq.gov/glossary/latent-error-or-latent-condition
September 13, 2021 - Latent Error (or Latent Condition)
September 13, 2021
Anonymous (not verified)
The terms active and latent as applied to errors were coined by Reason . Latent errors (or latent conditions) refer to less apparent failures of organization or design that contributed to the occurrence of errors or allowed them…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-agenda-062723.pdf
June 27, 2023 - Addressing Violence in the Workplace Agenda: NAA Webinar June 2023
National Action Alliance to Advance Patient Safety
Summer Webinar Series Agenda
Addressing Violence in the Workplace
Tuesday, June 27, 2023
2:00 – 3:00 PM ET
Questions We are Running On:
1. What do we know about violence in the workplace an…
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-primary-care-workflow-and-financial/final-report
January 01, 2023 - Impact of Health Information Technology on Primary Care Workflow and Financial Measures - Final Report
Citation
Fleming N. Impact of Health Information Technology on Primary Care Workflow and Financial Measures - Final Report. (Prepared by Baylor Research Institute under Grant No. R03 HS018220). Rock…
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www.ahrq.gov/evidencenow/projects/urinary/resources/outreach-script-healthy-hearts.html
March 01, 2021 - Back to MUI Resources
Community Health Care Association of New York State Recruitment Outreach Script
Resource
Document available on the AHRQ website (PDF, 169 KB).
Summary
This resource is an example of a recruitment phone call script for conversations with a CMO, CEO or QI …
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www.ahrq.gov/evidencenow/projects/urinary/resources/primary-care-recruitment.html
January 01, 2019 - Back to MUI Resources
Heart of Virginia Healthcare Primary Care Recruitment Package
Resource
Document available on the AHRQ website (PDF, 7.3 MB)
Summary
This resource is an example of an in-depth recruitment package for primary care practices; it provides background on the r…
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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/final-report
January 01, 2023 - Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures - Final Report
Citation
Ballard D. Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures - Final Report. (Prepared by Baylor Research Institute under Grant No. R21 …
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psnet.ahrq.gov/node/72865/psn-pdf
March 17, 2021 - 5 pandemic mistakes we keep repeating. We can learn
from our failures.
March 17, 2021
Zeynep Tufekci. The Atlantic. February 26, 2021
https://psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures
Failures in communication have impacts on patients, teams, organizations and society. Th…
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psnet.ahrq.gov/node/46160/psn-pdf
June 07, 2017 - ISMP Guidelines for Optimizing Safe Subcutaneous
Insulin Use in Adults.
June 7, 2017
Horsham, PA: Institute for Safe Medication Practices; May 2017.
https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults
Insulin is a widely used medication that can contribute to serious patien…
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psnet.ahrq.gov/node/838925/psn-pdf
March 03, 2025 - Improving Quality and Safety in Healthcare.
March 3, 2025
Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025.
https://psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
Improvement activities are complex initiatives that require synergistic actions by organizations to be
s…
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psnet.ahrq.gov/node/36620/psn-pdf
January 14, 2024 - ISMP's List of High-Alert Medications in Acute Care
Settings.
January 14, 2024
Horsham, PA; Institute for Safe Medication Practices: 2024.
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
This fact sheet lists medications with a high risk of causing significant harm to patients wh…
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psnet.ahrq.gov/node/60574/psn-pdf
June 10, 2020 - Preventing a parallel pandemic - a national strategy to
protect clinicians' well-being.
June 10, 2020
Dzau VJ, Kirch D, Nasca TJ. Preventing a parallel pandemic - a national strategy to protect clinicians' well-
being. N Engl J Med. 2020;383(6):513-515. doi:10.1056/nejmp2011027.
https://psnet.ahrq.gov/issue/preven…
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psnet.ahrq.gov/node/60972/psn-pdf
January 30, 2003 - Unequal Treatment: Confronting Racial and Ethnic
Disparities in Health Care.
January 30, 2003
Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National
Academies Press: 2003. ISBN 9780309082655.
https://psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-dis…
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psnet.ahrq.gov/node/837192/psn-pdf
May 25, 2022 - Declaration to Advance Patient Safety.
May 25, 2022
National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May
2022.
https://psnet.ahrq.gov/issue/declaration-advance-patient-safety
Leadership commitment is crucial to attaining sustainable improvement in patient safety. Th…
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psnet.ahrq.gov/node/46069/psn-pdf
February 28, 2018 - Strategies for Creating, Sustaining, and Improving a
Culture of Safety in Health Care, Second Edition.
February 28, 2018
Joint Commission Resources. Oak Brook, IL: Joint Commission; 2017. ISBN: 9781599409474.
https://psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care-
seco…
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psnet.ahrq.gov/node/45496/psn-pdf
May 09, 2017 - The application of the Global Trigger Tool: a systematic
review.
May 9, 2017
Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review.
Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115.
https://psnet.ahrq.gov/issue/application-global-trigger-tool-…
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www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
January 01, 2025 - achieve national
level implementation of EHR systems healthcare administrators, policymakers,
and institutions … Supported in part by the March of Dimes and
the National Association of Children’s Hospitals and Related Institutions … governing boards (e.g., boards of trustees)
have responsibility for the quality of care provided in the institutions
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digital.ahrq.gov/sites/default/files/docs/page/08-0087-EF.pdf
October 01, 2009 - million.5
4
5
Most persons requiring LTC services live at home or in community settings, not in
institutions … Both grantees working in small stand-alone institutions
and those in facilities integrated with sophisticated … DISTINCTIVE PRojECT CHARACTERISTICS:
The LTC facility in this project was among the first LTC institutions