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psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - Resources for Assessment and Care
of Elders Team Care in a Veterans Affairs Medical Center: Lessons Learned … Resources for Assessment and Care of
Elders Team Care in a Veterans Affairs Medical Center: Lessons Learned … Resources+for+Assessment+and+Care+of+Elders+Team+Care+in+a+Veterans+Affairs+Medical+Center%3A+Lessons+Learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
January 24, 2008 - For example, new OR staff participating in the STEPS training learned where
specific equipment was located … The complexity of team training: What
we have learned from aviation and its application to
medicine
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www.ahrq.gov/talkingquality/translate/web/pathways/composites.html
May 01, 2019 - Let Consumers Drill Down to Components of Roll-Up Scores
Whenever you provide a composite or a summary score, you should seriously consider letting people drill down to the details. Not everyone will want to do this, but some will.
To learn more about using composites and summary scores to reduce the burden o…
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www.ahrq.gov/cahps/news-and-events/events/webinar-053123.html
July 01, 2023 - Learning from Patient Narratives Through Innovative Feedback Reporting Methods (Webcast)
May 31, 2023
Contents
Summary
Speakers and Presentation Slides
Recording
Summary
This webcast provided an overview of AHRQ's Consumer Assessment of Healthcare Providers and Systems (CAHPS ® ) surveys and p…
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www.ahrq.gov/evidencenow/projects/heart-health/about/stories.html
March 01, 2021 - EvidenceNOW Stories
AHRQ’s EvidenceNOW initiative has helped more than 1,500 small-and medium-sized primary care practices across America use the latest evidence to improve delivery of primary care and heart health. One in three of these practices operates in medically underserved areas, 75 percent have five …
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digital.ahrq.gov/national-webinars/empowering-patients-change-behavior-using-digital-healthcare-tools
July 17, 2025 - Empowering Patients to Change Behavior Using Digital Healthcare Tools
Event Date:
July 17, 2025 | 12:30pm – 2:00pm ET
Event Materials:
Presentation Slides ( PDF , 3.38 MB). Q&A ( PDF , 232 KB)
Your browser does not support inline frames. Please go to https://www.yo…
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digital.ahrq.gov/2018-year-review
January 01, 2018 - 2018 Year in Review
About the Report
This Year in Review report summarizes the research activities and outcomes funded by the AHRQ Health IT Program in 2018. The objective of this report is to support AHRQ stakeholders, including patients, clinicians, researchers, and policymakers, to:…
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psnet.ahrq.gov/node/41935/psn-pdf
December 19, 2012 - Results of an effort to integrate quality and safety into
medical and nursing school curricula and foster joint
learning.
December 19, 2012
Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and
nursing school curricula and foster joint learning. Health Aff (…
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psnet.ahrq.gov/node/44411/psn-pdf
May 09, 2017 - Separating residents' inpatient and outpatient
responsibilities: improving patient safety, learning
environments, and relationships with continuity patients.
May 9, 2017
Bates CK, Yang J, Huang GC, et al. Separating Residents' Inpatient and Outpatient Responsibilities:
Improving Patient Safety, Learning Environmen…
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psnet.ahrq.gov/node/43041/psn-pdf
January 06, 2015 - Through the Eyes of the Workforce: Creating Joy,
Meaning, and Safer Health Care.
January 6, 2015
Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA:
National Patient Safety Foundation; 2013.
https://psnet.ahrq.gov/issue/through-eyes-workforce-creating-joy-meaning-and…
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psnet.ahrq.gov/node/36047/psn-pdf
September 28, 2010 - When policy meets physiology: the challenge of reducing
resident work hours.
September 28, 2010
Lockley SW, Landrigan CP, Barger LK, et al. When policy meets physiology: the challenge of reducing
resident work hours. Clin Orthop Relat Res. 2006;449:116-127.
https://psnet.ahrq.gov/issue/when-policy-meets-physiology…
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psnet.ahrq.gov/node/74178/psn-pdf
December 15, 2021 - Strategies to Improve Patient Safety: Final Report to
Congress Required by the Patient Safety and Quality
Improvement Act of 2005.
December 15, 2021
Rockville, MD: Agency for Healthcare Research and Quality; December 2021. AHRQ Publication No. 22-
0009.
https://psnet.ahrq.gov/issue/strategies-improve-patient-safe…
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psnet.ahrq.gov/node/856584/psn-pdf
January 01, 2024 - Patient safety incidents in endoscopy: a human factors
analysis of non-procedural significant harm incidents
from the National Reporting and Learning System (NRLS).
November 29, 2023
Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors
analysis of nonprocedural signific…
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psnet.ahrq.gov/node/60181/psn-pdf
April 01, 2020 - Adapting rapid assessment procedures for
implementation research using a team-based approach to
analysis: a case example of patient quality and safety
interventions in the ICU.
April 1, 2020
Holdsworth LM, Safaeinili N, Winget M, et al. Adapting rapid assessment procedures for implementation
research using a team…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
February 19, 2008 - Creating Safety in the Testing Process in Primary Care Offices
Creating Safety in the Testing Process
in Primary Care Offices
Nancy C. Elder, MD, MSPH; Timothy R. McEwen; John M. Flach, PhD;
Jennie J. Gallimore, PhD
Abstract
Background: The testing process in primary care is complex, and it varies from o…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/skills-qi-heart-health.docx
February 01, 2016 - Implementing Heart Health Practice Self-Assessment
Implementing Heart Health
Practice Self-Assessment
February 1, 2016
Implementing Heart Health Practice Self-Assessment – February 1, 2016 pg. 1
Preface
This document presents a Practice Strategy Toolkit for the Heart of Virginia Healthcare (HVH) Cooperative. T…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
December 01, 2017 - Applying CUSP To Promote Safe Surgery
AHRQ Safety Program for Surgery
Applying the Comprehensive
Unit-based Safety Program
(CUSP) To Promote Safe
Surgery
AHRQ Publication No. 16(18)-0004-14-EF
December 2017
AHRQ Safety Program for Surgery
Contents
Introduction .........................................…
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www.ahrq.gov/talkingquality/distribute/promote/clarify.html
November 01, 2018 - Clarifying Objectives When Promoting a Health Care Quality Report
In any promotional effort, you have to be very clear about what you are trying to achieve, and the messages of your promotional campaign have to focus on these objectives. This page discusses three goals that your promotional efforts need to ac…
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digital.ahrq.gov/principal-investigator/aguilera-adrian
June 15, 2022 - Aguilera, Adrian
Conducting internet-based visits for onboarding populations with limited digital literacy to an mHealth intervention: Development of a patient-centered approach.
Citation
Hernandez-Ramos R, Aguilera A, Garcia F, Miramontes-Gomez J, Pathak LE, Figueroa CA, Lyle…
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digital.ahrq.gov/research-method/retrospective
January 01, 2025 - Retrospective
Impact of a clinical decision support system on CT pulmonary angiography yield and utilization in hospitalized patients.
Citation
Sharma A, Isabelle M, Hunsaker A, Dutta S, Lucier D, Rosovsky RP, Saini S, Landman A, Raja AS, Khorasani R, Lacson R. Impact of a cli…