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psnet.ahrq.gov/node/33731/psn-pdf
June 01, 2012 - An American View of the UK's Patient Safety Enterprise:
Top Down vs. Bottom Up
June 1, 2012
Wachter R. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up. PSNet
[internet]. 2012.
https://psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
Perspecti…
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psnet.ahrq.gov/perspective/context-intervention
August 05, 2020 - The Context Is the Intervention
Dr. John Øvretveit | October 1, 2011
View more articles from the same authors.
Citation Text:
Øvretveit J. The Context Is the Intervention. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/111-cusp-program-sustainability.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
CUSP Program: Sustainability
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Program Sustainability
SAY:
Welcome to this presentation on optimizing CUSP Program sustainability as part of the overall approach to preventing MRSA in ICU and non-ICU settings.
Sl…
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psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - Delay in Initiating Antibiotics Results in Fatal Error
February 1, 2004
Bellini LM. Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
Case Objectives
Understand the importance of ongoing patient re-evaluati…
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psnet.ahrq.gov/node/33820/psn-pdf
December 01, 2016 - In Conversation With... James P. Bagian, MD, PE
December 1, 2016
In Conversation With.. James P. Bagian, MD, PE. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
Editor's note: Dr. Bagian is Director of the Center for Healthcare Engineering and Patient Safety at the
Uni…
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www.ahrq.gov/hai/cauti-tools/ena-slides/part2a.html
October 01, 2015 - Builds a network of resources
Slide 110
Nurse champion
Enthusiastic:
Objective team leader
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/webinar_summary.pdf
August 02, 2017 - As much as PFs may want to engage leadership, sometimes it may be most efficient to work
around a leader
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psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner
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A…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - The Event Review Core team includes the primary reviewer, an executive leader, and administrative support
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pptx
October 01, 2015 - Background for AHRQ Quality Indicators
AHRQ
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool A.2 Slide ‹#›
Tool A.2 Slide ‹#›
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
AHRQ Quality Indicators Tool…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pptx
July 01, 2014 - PowerPoint Presentation
System Redesign for Value in
Safety-Net Hospitals and Systems:
Challenges and Implications
Boston University School of Public Health
prepared for
Agency for Healthcare Research and Quality
ACTION II
The work reported here was done under AHRQ ACTION II Task Order Contract No. HHSA29020100002…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/monitoring-programs-rapid-research-appendix-c.xlsx
May 31, 2025 - Table C-1. CQ Details
Table C-1. Detailed Information for Contextual Questions 1, 2, and 3 Studies
Author, Year Publication Description Country Setting(s) Purpose Targeted Supply/Disruption Type of Monitoring System Description of Monitoring Program Rationale Implementation Facilitators Implementation Barriers Resour…
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www.ahrq.gov/news/events/nac/2018-03-nac/nacmtg0317-minutes.html
July 01, 2018 - Peek stated that AHRQ has been a leader in data issues, pushing the science of health care delivery.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
July 01, 2022 - Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events
Measure DX:
A Resource to Identify, Analyze, and
Learn From Diagnostic Safety Events
PATIENT
SAFETY
e
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Measure Dx
A Resource To Identify, Analyze, and Learn From
Diagnostic Safety Events
…
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www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
July 01, 2022 - Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events
Measure DX:
A Resource to Identify, Analyze, and
Learn From Diagnostic Safety Events
PATIENT
SAFETY
e
This page is intentionally blank.
Measure Dx
A Resource To Identify, Analyze, and Learn From
Diagnostic Safety Events
…
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - As we've seen over the last 20 or 30 years, Toyota has been the innovative leader in its industry. … Within the GM system, it was the leader in union grievances against management.
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www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
January 01, 2024 - Final Progress Report: Oral Chemotherapy Safety in Ambulatory Oncology: A Proactive Risk Assessment
Final Progress Report
1.0 TITLE PAGE
Oral Chemotherapy Safety in Ambulatory Oncology:
A Proactive Risk Assessment
Principal Investigator
Saul N. Weingart, MD, PhD
Co-Investigators
Maureen Connor, RN, MPH
Syl…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
January 01, 2021 - Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard
rds
Beyond Nursing Quality Measurement:
The Nation’s First Regional Nursing Virtual Dashboard
Carolyn E. Aydin, PhD; Linda Burnes Bolton, DrPH, RN, FAAN;
Nancy Donaldson, DNSc, RN, FAAN; Diane Storer Brown, PhD, RN, FN…
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effectivehealthcare.ahrq.gov/sites/default/files/innovations_in_stakeholder_engagement_conference_summary2.pdf
October 01, 2011 - Innovations in Stakeholder Engagement Conference Summary
Innovations in Stakeholder Engagement Conference Summary 2
AHRQ Community Forum
Overview of Types of Online Collaborative Platforms
Chris Haller, Founder and CEO, Urban Interactive Studios
Online collaborative platforms provide an avenue for individua…
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - succession of CAUTI team members and physician champions (e.g., term limits with automatic transfer of team leader