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  1. 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…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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…
  9. 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. Copy Citation Save Save to your library…
  10. 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…
  11. 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…
  12. 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. Copy Citation Save Save to your library Pr…
  13. 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 …
  14. 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 …
  15. 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. Copy Citation …
  16. 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. Cop…
  17. 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. Copy Citation Save Save to your library Print …
  18. 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 - …
  19. 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…
  20. 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…