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5721. Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202504.html
      June 01, 2025 - Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety Search All Impact Case Studies June 2025 Harborview Medical Center in Seattle, Washington, has improved patient safety across its facilities using AHRQ’s Quality Indicators (QIs) — standardized measures used to assess and m…

5722. AHRQ-Funded Research Supports Clinicians’ Work | Digital Healthcare Research
      digital.ahrq.gov/2018-year-review/research-summary/supports-clinicians-work
      January 01, 2018 - AHRQ-Funded Research Supports Clinicians’ Work Research funded by AHRQ aims to support clinicians and other healthcare professionals in providing health services. The projects highlighted below share the goal of improving the experience of health professionals who use health IT. The fe…

5723. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/confid-report/intro.html
      February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Introduction Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Part One: Physician Feedback Report Fundamental…

5724. Educational interventions to reduce prescribing errors. | PSNet
      psnet.ahrq.gov/issue/educational-interventions-reduce-prescribing-errors
      October 19, 2022 - Study Educational interventions to reduce prescribing errors. Citation Text: Conroy S, North C, Fox T, et al. Educational interventions to reduce prescribing errors. Arch Dis Child. 2008;93(4):313-5. doi:10.1136/adc.2007.127761. Copy Citation Format: DOI Google Scholar Pu…

5725. Provider Feedback Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/12a-pfe-provider-survey.pdf
      August 01, 2021 - Provider Feedback Survey Provider Feedback Survey Toolkit for Engaging Patients To Improve Diagnostic Safety AHRQ Publication No. 21-0047-11-EF August 2021 Surveys provide a quick and easy way to solicit provider feedback on toolkit impact and perceived communication effectiveness. You will want to collect pro…

5726. Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue]. | PSNet
      psnet.ahrq.gov/issue/morphine-overdose-error-propagation-acute-pain-service-une-surdose-de-morphine-resultant-de
      January 13, 2016 - Commentary Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue]. Citation Text: Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant …

5727. Quality and safety in pediatric hematology/oncology. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-pediatric-hematologyoncology
      May 03, 2017 - Review Quality and safety in pediatric hematology/oncology. Citation Text: Mueller BU. Quality and safety in pediatric hematology/oncology. Pediatr Blood Cancer. 2014;61(6):966-9. doi:10.1002/pbc.24946. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

5728. Hospitals will still have to share safety data publicly—CMS will publish scorecard of avoidable patient harm after all. | PSNet
      psnet.ahrq.gov/issue/hospitals-will-still-have-share-safety-data-publicly-cms-will-publish-scorecard-avoidable
      March 27, 2024 - Newspaper/Magazine Article Hospitals will still have to share safety data publicly—CMS will publish scorecard of avoidable patient harm after all. Citation Text: Hospitals will still have to share safety data publicly—CMS will publish scorecard of avoidable patient harm after all. Clark …

5729. Maximize Patient Safety with Advanced Root Cause Analysis. | PSNet
      psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis
      November 18, 2011 - Book/Report Maximize Patient Safety with Advanced Root Cause Analysis. Citation Text: Maximize Patient Safety with Advanced Root Cause Analysis. Corbett C, Clapper C, Johnson KM, et al. Middleton, MA: HCPro; 2004. ISBN: 1578393485 Copy Citation Save Save to your…

5730. Opioids, iatrogenic harm and disclosure of medical error. | PSNet
      psnet.ahrq.gov/issue/opioids-iatrogenic-harm-and-disclosure-medical-error
      November 21, 2021 - Commentary Opioids, iatrogenic harm and disclosure of medical error. Citation Text: Blinderman CD. Opioids, iatrogenic harm and disclosure of medical error. J Pain Symptom Manage. 2010;39(2):309-13. doi:10.1016/j.jpainsymman.2009.11.242. Copy Citation Format: DOI Google Sc…

5731. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. | PSNet
      psnet.ahrq.gov/issue/path-safety-benefits-2005-patient-safety-and-quality-improvement-act
      June 03, 2015 - Commentary Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Citation Text: McBride D, Greening A, Redmond D. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Healthc Financ Manage. 2006;60(6):84-8. Copy Citation Form…

5732. Introduction to Diagnostic Errors | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
      May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Previous Page Next Page Table of Contents Cognitive Load Theory and Its Impact on Diagnostic Accuracy Introduction to Diagnostic Errors Fundamental Concepts for Understanding Cognitive Load Interplay …

5733. Reducing Adverse Drug Events Related to Opioids Implementation Guide. | PSNet
      psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
      January 26, 2022 - Toolkit Reducing Adverse Drug Events Related to Opioids Implementation Guide. Citation Text: Reducing Adverse Drug Events Related to Opioids Implementation Guide. Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015. Copy Citation …

5734. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pptx
      June 02, 2025 - PowerPoint Presentation 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; feel free to use them at any point in your QI process. Modify as needed to suit your hospital – you may wish to delete sections of sl…

5735. SNAC Member: Peter Pronovost, M.D., Ph.D. | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/nac/snac-pronovost.html
      December 01, 2021 - SNAC Member: Peter Pronovost, M.D., Ph.D. Chief Quality and Clinical Transformation Officer, University Hospitals Professor, Department of Anesthesiology and Critical Care Medicine, School of Medicine and School of Nursing Case Western Reserve University Peter Pronovost, M.D., Ph.D., is a patient safety cha…

5736. Dansky KH et al. 1999 "Electronic medical records: are physicians ready?" | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/dansky-kh-et-al-1999
      January 01, 1999 - Dansky KH et al. 1999 "Electronic medical records: are physicians ready?" Reference Dansky KH, Gamm LD, Vasey JJ, et al. Electronic medical records: are physicians ready? Practitioner application. J Healthc Manag 1999;44(6):440. Abstract "The use of electronic medical records [EMR] in healthc…

5737. Index of Clinical Topics | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/clinical-topics.html
      October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs Index of Clinical Topics Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools & Resources for Decolonization Tools & Reso…

5738. Why Choose a CUSP Approach? | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp-approach.html
      October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs Why Choose a CUSP Approach? Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools & Resources for Decolonization Tools & R…

5739. Eccles M et al. 2002 "Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/eccles-m-et-al-2002
      January 01, 2002 - Eccles M et al. 2002 "Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial." Reference Eccles M, McColl E, Steen N, et al. Effect of computerised evidence based guidelines on management of asthma and angina i…

5740. Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. | PSNet
      psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
      February 09, 2011 - Commentary Classic Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. Citation Text: Structural and organizational issues in patient safety: a comparison of health care to other high-hazard indust…