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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015096-davison-final-report-2008.pdf
January 01, 2008 - Each Patient Advocate learned to use the
electronic system and was offered the opportunity to train … The system was delayed, however, because TDH learned shortly before
implementation that they had to … During a HMS User's Conference, TDH learned that HMS was converting the Patient Care
Documentation program
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digital.ahrq.gov/sites/default/files/docs/July%20Teleconference%20Transcript.pdf
June 16, 2021 - So in terms of lessons learned, training seemed to be most successful when
clinicians taught clinicians … and
George and I think you’ll find that in some ways, this kind of leverage is a lot of
what I’ve learned … we have an
ordered list, ideal formulations and ideal doses based on the information that we’ve
learned
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www.ahrq.gov/workingforquality/about/nqs-fact-sheets/index.html
January 01, 2017 - National Quality Strategy Fact Sheets
Learn more about the National Quality Strategy’s three aims, six priorities, and nine levers by reading these two fact sheets.
The National Quality Strategy: Fact Sheet ( PDF , 432 KB)
National Quality Strategy: Using Levers to Achieve Improved Health and Health Car…
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www.ahrq.gov/data/infographics/hac-scorecard-2014-16.html
November 01, 2019 - HAC National Scorecard 2014-16
Between 2014-2016, 350,000 fewer hospital-acquired conditions (HACs) occurred, an 8% decrease that saved $2.9 billion and averted 8,000 inpatient deaths. Learn more in the AHRQ report, " National Scorecard on Rates of Hospital-Acquired Conditions ."
HAC National Scorecard 2014…
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digital.ahrq.gov/location/bloomington
January 01, 2023 - USA, IN, Bloomington
Developing a Passive Digital Marker for the Prediction of Childhood Asthma Treatment Response
Description
This research is developing and evaluating a machine learning algorithm that uses existing electronic health record data to predict childhood asthma t…
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www.ahrq.gov/hai/cusp/videos/01a-intro/index.html
June 01, 2018 - Introduction
The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit.
Learn About CUSP [10 min. 10 sec.]
YouTube…
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psnet.ahrq.gov/node/37250/psn-pdf
October 10, 2007 - Why worry about near misses?
October 10, 2007
Marella WM.
https://psnet.ahrq.gov/issue/why-worry-about-near-misses
The author describes the collection and management of information on near misses as well as using such
data to support learning opportunities for hospital staffs.
https://psnet.ahrq.gov/issue/why-wor…
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psnet.ahrq.gov/node/38247/psn-pdf
June 27, 2018 - Debriefing for patient safety.
June 27, 2018
Turner SH, Kurtz WD. Patient Saf Qual Healthc. November/December 2008:5:42-44,46.
https://psnet.ahrq.gov/issue/debriefing-patient-safety
This article provides guidelines for effective clinical debriefings and suggests how to position these
conversations as learning oppo…
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digital.ahrq.gov/principal-investigator/butler-jorie-m
January 01, 2023 - Butler, Jorie M.
An Age-Friendly Learning Healthcare System: A Transformative Digital Solution for Geriatrics Clinics
Description
The study will create and implement digital tools using the SMART on FHIR framework to support Age-Friendly care in clinical practice and instituti…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026058-lakes-final-report-2022.pdf
January 01, 2022 - Adapting multi-device
deployments during a pandemic: Lessons learned from two studies.
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psnet.ahrq.gov/submit-case
November 03, 2025 - The Submit a Case Process
PSNet’s Submit a Case feature allows health care professionals to submit de-identified cases that feature patient safety and health care quality issues to PSNet’s WebM&M educational journal. Watch the video below to learn more about the Submit a Case process.
Submit Your Case
…
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psnet.ahrq.gov/issue/impact-pharmacists-led-medicines-reconciliation-healthcare-outcomes-secondary-care-systematic
August 07, 2024 - Review
Emerging Classic
The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: a systematic review and meta-analysis of randomized controlled trials.
Citation Text:
Cheema E, Alhomoud FK, Kinsara ASA-D, et al. The impact…
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psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported
December 09, 2020 - Study
Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers.
Citation Text:
Öhrn A, Elfström J, Liedgren C, et al. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by …
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psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
May 01, 2004 - Study
Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill.
Citation Text:
Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovat…
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psnet.ahrq.gov/issue/interprofessional-team-collaboration-and-work-environment-health-68-us-intensive-care-units
November 10, 2021 - Study
Interprofessional team collaboration and work environment health in 68 US intensive care units.
Citation Text:
Pun BT, Jun J, Tan A, et al. Interprofessional team collaboration and work environment health in 68 US intensive care units. Am J Crit Care. 2022;31(6):443-451. doi:10.403…
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psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review
March 13, 2013 - Review
Simulation exercises as a patient safety strategy: a systematic review.
Citation Text:
Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-2013…
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psnet.ahrq.gov/issue/clinicians-satisfaction-cpoe-ease-use-and-effect-clinicians-workflow-efficiency-and
August 10, 2022 - Study
Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety.
Citation Text:
Khajouei R, Wierenga PC, Hasman A, et al. Clinicians satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medicatio…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-quickstart-final508.pdf
June 02, 2025 - Implementation Quick Start Guide: Teach-Back
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Implementation Quick Start Guide
Teach-Back
1 Review intervention and training materials
� Understand the purpose, use, and benefits � Review the training toolkit.
of teac…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/invitation-letter-ny.pdf
October 01, 2015 - Invitation Letter Sample for Healthy Hearts NYC
Call: (347) 396-4888 | Visit: www.nycreach.org | E-mail: pcip@health.nyc.gov
Hello,
As a small practice primary care provider in New York City, we would like to invite your practice to
participate as a clinical partner in HealthyHearts NYC, an exciting qua…
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www.ahrq.gov/cahps/about-cahps/cahps-program/index.html
April 01, 2023 - The CAHPS Program
The Consumer Assessment of Healthcare Providers and Systems (CAHPS ® ) program is a multi-year initiative of the Agency for Healthcare Research and Quality (AHRQ). Its purpose is to support investigator-led research to better understand patient experience with healthcare and develop scientific…