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www.ahrq.gov/news/newsroom/case-studies/cquips1302.html
December 01, 2012 - Main Line Health System Uses Patient Safety Culture Survey in Suburban Philadelphia Facilities
Search All Impact Case Studies
December 2012
Main Line Health System (MLH) in suburban Philadelphia has used AHRQ's "Hospital Survey on Patient Safety Culture" since 2009 in an ongoing effort to embed a reliable c…
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psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
December 01, 2021 - Commentary
Classic
A 62-year-old woman with skin cancer who experienced wrong-site surgery.
Citation Text:
Gallagher TH. A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. JAMA. 2009;302(6):669-77. doi:10.1001/jam…
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www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Set-the-Stage-for-Conducting-the-Survey.html
December 01, 2019 - Step 5: Set the Stage for Conducting the Survey
Review all steps in the process of planning a survey project:
Step 1: Form a Project Team .
Step 2: Form an Advisory Group .
Step 3: Define Your Goals .
Step 4: Plan a Communications Strategy .
Step 5: Set the Stage for Conducting the Survey.
Step…
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www.ahrq.gov/evidencenow/model/profiles/mcmanus.html
March 01, 2021 - A Family Passion for Primary Care
"We grew up at the kitchen table talking about medicine," Mrs. Laurie McManus, registered nurse and practice manager at CP & RP McManus, MD, recalls. "Going into he alth care was very natural for us. You might say medicine runs through our blood." Laurie and her husband, Dr. Ch…
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www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit2-concise-antibiogram-toolkit.html
October 01, 2016 - Toolkit 2. Using Nursing Home Antibiograms To Choose the Right Antibiotic (Concise Antibiogram Toolkit)
Toolkit Effectiveness
When an antibiogram was implemented in nursing homes, results suggested that it had an effect on antibiotic prescribing. For example, Ciprofloxacin was prescribed 15% of the time versu…
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www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil1.html
April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council
Chapter 1. Introduction
This Guide for Developing a Community-Based Patient Safety Advisory Council is being made available to readers with the intent that it will provide information and guidance to empower individuals and organizations…
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www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilref.html
April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council
References
Agency for Healthcare Research and Quality. CAHPS®: Consumer Assessment of Healthcare Providers and Systems. Accessed January 3, 2007. Available at: http://www.ahrq.gov/cahps/index.html .
Aspden P, Wolcott JA, Bootman L, Cron…
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psnet.ahrq.gov/issue/improving-health-care-quality-and-safety-people-disabilities-interview-lisa-iezzoni
October 26, 2022 - Commentary
Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni.
Citation Text:
Iezzoni LI. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Interview by Steven Berman. Jt Comm J Qual P…
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psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment
October 27, 2021 - Newspaper/Magazine Article
Air pressure: human factors are the key to a safer flight environment.
Citation Text:
Air pressure: human factors are the key to a safer flight environment. Erich J. EMS World. April 2019;48:26-31.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state2.html
January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
2. Methods
Previous Page Next Page
Table of Contents
Current State of Diagnostic Safety: Implications for Research, Practice, and Policy
1. Introduction
2. Methods
3. Results
4. Discussion
References
Appe…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cancer/suppl-items-cancer-sdm-english-557-5a.docx
June 02, 2025 - CAHPS Cancer Care Supplemental Items
CAHPS® Cancer Care Survey Supplemental Items: Shared Decision Making
Population: Adult
Supplemental Items for the CAHPS® Cancer Care Survey
Topic: Shared Decision Making
Population Version: Adult
Language: English
Users of the CAHPS® Cancer Care Survey are free to incorpora…
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psnet.ahrq.gov/issue/medication-safety-officers-handbook
September 01, 2018 - Book/Report
Medication Safety Officer's Handbook.
Citation Text:
Medication Safety Officer's Handbook. Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN: 9781585282104.
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psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-focus-implementation-and-dissemination-evaluation
May 21, 2014 - Book/Report
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III.
Citation Text:
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Farley DO, Damberg CL, Ridgely …
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psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
May 02, 2018 - Newspaper/Magazine Article
Administration of concentrated potassium chloride for injection during a code: still deadly!
Citation Text:
Administration of concentrated potassium chloride for injection during a code: still deadly! ISMP Medication Safety Alert! Acute care edition. June …
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-cases
December 19, 2018 - Commentary
Disclosing harmful medical errors to patients: tackling three tough cases.
Citation Text:
Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030.
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psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
May 25, 2016 - Study
Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results.
Citation Text:
Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294.
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psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
August 21, 2019 - Newspaper/Magazine Article
When medical error becomes personal, activism becomes painful.
Citation Text:
When medical error becomes personal, activism becomes painful. Millenson M. Forbes. September 16, 2022.
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digital.ahrq.gov/ahrq-funded-projects/needs-assessment-and-implementation-technical-assistance-health-information
January 01, 2023 - Needs Assessment for and Implementation of Technical Assistance for Health Information Technology and Health Information Exchange in Medicaid and the Children's Health Insurance Program
Project Description
Annual Summaries
Publications
Project Details -
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/crosson-jc-etz-rs-wu-s
January 01, 2023 - Crosson JC, Etz RS, Wu S, et al. "Meaningful use of electronic prescribing in 5 exemplar primary care practices."
Reference
Crosson JC, Etz RS, Wu S, et al. Meaningful use of electronic prescribing in 5 exemplar primary care practices. Ann Fam Med 2011 Sep-Oct;9(5):392-7.
[Link]
Abstract
PU…
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www.ahrq.gov/ncepcr/reports/grants-transform/conclusions-and-implications.html
March 01, 2017 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Conclusions and Implications
Previous Page Next Page
Table of Contents
Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Executive Summary
Introduction
Methods
Overview o…