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psnet.ahrq.gov/node/837329/psn-pdf
June 08, 2022 - Association of inappropriate outpatient pediatric
antibiotic prescriptions with adverse drug events and
health care expenditures.
June 8, 2022
Butler AM, Brown DS, Durkin MJ, et al. Association of inappropriate outpatient pediatric antibiotic
prescriptions with adverse drug events and health care expenditures. JAM…
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psnet.ahrq.gov/node/838910/psn-pdf
October 26, 2022 - Rates of surgical consultations after emergency
department admission in Black and White Medicare
patients.
October 26, 2022
Roberts SE, Rosen CB, Keele LJ, et al. Rates of surgical consultations after emergency department
admission in Black and White Medicare patients. JAMA Surg. 2022;157(12):1097-1104.
doi:10.10…
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integrationacademy.ahrq.gov/sites/default/files/2020-07/frank_degruy.docx
January 01, 2020 - Successfully Integrating Behavioral Health in Primary Care Settings Requires Teamwork
Frank Degruy Transcript AHRQ Academy Video
A successful integrated health care model has at least three members of the team at its core. This would be a primary care clinician, a behavioral health clinician, and a care manager or a c…
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digital.ahrq.gov/organization/drexel-university
January 01, 2023 - Drexel University
Empower NICU - A Bridge to Resources for Adjusting and Coping with Emotions (EmBRACE)
Description
This research will develop, evaluate, and test the efficacy of Empower NICU – A Bridge to Resources for Adjusting and Coping with Emotions (EmBRACE), a mobile he…
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psnet.ahrq.gov/node/39358/psn-pdf
October 13, 2010 - Hospital safety climate and safety outcomes: is there a
relationship in the VA?
October 13, 2010
Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in
the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703.
https://psnet.ahrq.gov/issue/hospi…
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psnet.ahrq.gov/node/73537/psn-pdf
July 28, 2021 - Health literacy-related safety events: a qualitative study of
health literacy failures in patient safety events.
July 28, 2021
Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health
literacy failures in patient safety events. Pediatr Qual Saf. 2021;6(4):e425.
…
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psnet.ahrq.gov/node/47007/psn-pdf
May 02, 2018 - Workarounds to intended use of health information
technology: a narrative review of the human factors
engineering literature.
May 2, 2018
Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of the
Human Factors Engineering Literature. Hum Factors. 2018;60(3):281-292.
doi…
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psnet.ahrq.gov/node/42619/psn-pdf
January 23, 2019 - High-reliability health care: getting there from here.
January 23, 2019
Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490.
doi:10.1111/1468-0009.12023.
https://psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here
Aviation is often cited as an …
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psnet.ahrq.gov/node/852798/psn-pdf
August 23, 2023 - Patient handoffs and multi-specialty trainee perspectives
across an institution: informing recommendations for
health systems and an expanded conceptual framework
for handoffs.
August 23, 2023
Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty trainee
perspectives across an i…
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psnet.ahrq.gov/node/37207/psn-pdf
September 09, 2008 - Publicly available hospital comparison web sites:
determination of useful, valid, and appropriate
information for comparing surgical quality.
September 9, 2008
Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determination of useful,
valid, and appropriate information for comparing …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-planning-facilitation-sessions-chart.docx
July 01, 2023 - Planning Facilitation Sessions Chart
AHRQ Safety Program for Perinatal Care II
Planning Facilitation Sessions Chart
Use this chart to help facilitate conversations among your team about planning the Safety Program in Perinatal Care.
DECISION POINT
PLAN
How many sessions need to be held?
Tip: Consider when staff …
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/progress-update-2024-agenda.pdf
January 01, 2024 - Webinar Agenda - Progress Update: The National Action Alliance for Patient and Workforce Safety—What, Why and How?
Page 1 of 1
Monthly National Webinar
Tuesday, April 23, 2024 | 12:00 – 1:00 PM ET
Progress Update: The National Action Alliance for Patient and Workforce Safety
- What, Why and How?
Speak…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety5.html
September 01, 2022 - Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
Conclusion
Previous Page Next Page
Table of Contents
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic Recommendations for Nurse Leaders and Educators
I…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-brady-sops-action-planning-tool.pdf
June 02, 2025 - Action Planning for the SOPS Surveys-Overview
6
Overview of AHRQ’s Patient Safety
Priorities
Jeff Brady, MD, MPH
Director, Center for Quality Improvement and Patient Safety,
Agency for Healthcare Research and Quality (AHRQ)
Rear Admiral, Assistant Surgeon General, U.S. Public Health Service
AHRQ’s Core Compet…
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psnet.ahrq.gov/node/837069/psn-pdf
January 01, 2024 - Usability of a human factors-based clinical decision
support in the emergency department: lessons learned
for design and implementation.
May 11, 2022
Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support
in the emergency department: lessons learned for design and …
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2-case-mix-mode-adjustments-webcast-bakdash.pdf
June 02, 2025 - The Rationale for Case Mix and Mode Adjustments - Bakdash
AHRQ’S CAHPS PROGRAM
Consumer Assessment of Healthcare Providers and
Systems
Jonathan Bakdash, Ph.D.
Social Science Analyst,
Center for Quality Improvement & Patient Safety, AHRQ
Agency for Healthcare Research and Quality
(AHRQ)
AHRQ is:
► A researc…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/capital-area-primary-care-research-network.html
January 01, 2012 - The Capital Area Primary Care Research Network
Status:
Active
Registered Date:
January 1, 2012
PBRN Acronym:
CAPRICORN
PBRN Type:
Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties)
Network Category:
Established …
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/pbrn/pbrn-impact-profile-wvachs.pdf
August 26, 2025 - PBRN Impact Profile: West Virginia Alliance for Creative Health Solutions. Inc. (WVACHS)
West Virginia Alliance for Creative
Health Solutions. Inc. (WVACHS)
WVACHS is a statewide,
clinician-led PBRN
dedicated to reducing
rural health disparities.
Registered with AHRQ and
established as a 501(c)(3)
in 2020, th…
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www.ahrq.gov/talkingquality/translate/compare/choose/standard.html
January 01, 2023 - Comparing Quality Scores to an Independent Standard
Another approach would be to compare scores to an independent standard of what performance on this measure ideally should be . While implementing this approach is challenging, it has significant advantages.
Advantages of Comparing to an Independent Standard…
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www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
January 01, 2024 - If it is true that VE training leads to better retention of teamwork and
communication skills over time