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www.ahrq.gov/antibiotic-use/long-term-care/improve/track-measure.html
April 01, 2023 - Tracking and Measuring Antibiotic Use
After viewing or presenting this presentation, viewers will be able to—
Learn how to collect and track antibiotic use in your long-term care setting.
Become familiar with forms for monthly data collection.
Consider ways to use these data to monitor outcomes from…
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www.ahrq.gov/antibiotic-use/long-term-care/safety/system-change.html
June 01, 2021 - Changing the System To Improve Antibiotic Safety
After viewing or presenting this presentation viewers will be able to—
Use barriers as opportunities to improve systems and prevent problems from recurring.
List factors that may compromise patient safety.
Develop an intervention to reduce barriers and…
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www.ahrq.gov/nursing-home/resources/long-term-care-facilities.html
April 01, 2022 - Long-Term Care Facilities in the Context of COVID-19
Resource: Long-Term Care Facilities in the Context of COVID-19
This infection prevention and control course for long-term care facilities consists of four training modules that address infection prevention and control measures to support long-term care f…
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psnet.ahrq.gov/node/35390/psn-pdf
September 10, 2009 - Teaching and medical errors: primary care preceptors'
views.
September 10, 2009
Mazor KM, Fischer M, Haley H-L, et al. Teaching and medical errors: primary care preceptors' views. Med
Educ. 2005;39(10):982-90.
https://psnet.ahrq.gov/issue/teaching-and-medical-errors-primary-care-preceptors-views
The authors inter…
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psnet.ahrq.gov/node/43144/psn-pdf
March 29, 2016 - Autopsy advocates.
March 29, 2016
Clark C. HealthLeaders Media. April 11, 2014.
https://psnet.ahrq.gov/issue/autopsy-advocates
Highlighting how hospital autopsy programs can uncover diagnostic errors, reveal adverse events, and
enhance learning opportunities, this news article recommends that these initiatives int…
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psnet.ahrq.gov/node/37279/psn-pdf
January 04, 2012 - Studying the technical work of emergency care.
January 4, 2012
Nemeth CP, Cook RI, Wears RL. Studying the technical work of emergency care. Ann Emerg Med.
2007;50(4):384-6.
https://psnet.ahrq.gov/issue/studying-technical-work-emergency-care
The authors introduce a set of articles that explore how clinicians plan a…
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psnet.ahrq.gov/node/38974/psn-pdf
February 18, 2019 - Patient Safety and Adverse Events.
February 18, 2019
Adlassnig KP, Blobel B, Mantas J, Masic I, eds. Stud Health Technol Inform. 2009;150:497-566. In:
Medical Informatics in a United and Healthy Europe. Washington, DC: IOS Press. ISBN: 9781607500445.
https://psnet.ahrq.gov/issue/patient-safety-and-adverse-events
P…
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psnet.ahrq.gov/node/39718/psn-pdf
July 28, 2010 - What is patient safety culture? A review of the literature.
July 28, 2010
Sammer CE, Lykens K, Singh KP, et al. What is patient safety culture? A review of the literature. J Nurs
Scholarsh. 2010;42(2):156-65. doi:10.1111/j.1547-5069.2009.01330.x.
https://psnet.ahrq.gov/issue/what-patient-safety-culture-review-liter…
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psnet.ahrq.gov/node/35092/psn-pdf
November 30, 2007 - Standards, audits, and saying I'm sorry: an engineer's
family proposes solutions.
November 30, 2007
Wojcieszak D.
https://psnet.ahrq.gov/issue/standards-audits-and-saying-im-sorry-engineers-family-proposes-solutions
The author, who lost his brother to medical error, reflects on his family's frustrating experience …
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psnet.ahrq.gov/node/42808/psn-pdf
December 18, 2013 - Patient safety education: what was, what is, and what will
be?
December 18, 2013
Klamen D, Sanserino K, Skolnik PJ. Patient Safety Education: What Was, What Is, and What Will Be?
Teach Learn Med. 2013;25(sup1). doi:10.1080/10401334.2013.842906.
https://psnet.ahrq.gov/issue/patient-safety-education-what-was-what-an…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit
January 01, 2023 - Workflow Assessment for Health IT Toolkit
A key to successful implementation of health information technology (health IT) is to recognize its impact on both clinical and administrative workflow . Once implemented, health IT can provide information to help you reorganize and improve your w…
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digital.ahrq.gov/funding-mechanism/understanding-and-improving-diagnostic-safety-ambulatory-care-incidence-and
January 01, 2023 - AHRQ Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors (R01)
Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings
Description
This research…
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors/citati-2
January 01, 2023 - Teamwork behaviours and errors during neonatal resuscitation.
Citation
Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care 2010 Feb;19(1):60-4.
Link
Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours an…
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digital.ahrq.gov/ahrq-funded-projects/national-center-pediatric-practice-based-research-and-learning/citation/shared
January 01, 2023 - A shared e-decision support portal for pediatric asthma.
Citation
Fiks AG, Mayne S, Karavite DJ, et al. A shared e-decision support portal for pediatric asthma. J Ambul Care Manage 2014;37(2):120-6. PMID: 24594560.
Link
https://www.ncbi.nlm.nih.gov/pubmed/24594560
Principal Investigator …
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs026548-hershberger-final-report-2022.pdf
January 01, 2022 - Health professionals who have learned
to incorporate the MI approach into their interaction with patients
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
May 01, 2025 - Transportation,
Housing
"The nurse care manager
contacted the county aging
case manager and learned … and why this interview is important is to learn more
from you about what you know and what you have learned … I have learned a lot from our conversation today.
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www.ahrq.gov/research/publications/search.html?page=4
November 01, 2020 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 41 - 50 of 191 Publications displayed
Find Publications by Keyword or Topi…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast4-yount.pdf
June 02, 2025 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - (Yount)
Introducing the AHRQ SOPS
Health IT Patient Safety
Supplemental Items
Naomi Yount, PhD
Westat
Health IT Patient Safety
Supplemental Items
• Supplemental item set that can be added
to the end of the Hospit…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-english.pdf
January 01, 2015 - Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items
Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and
Items
In this document, the items in the Ambulatory Surgery Center Survey on Patient Safety Culture are grouped according to
the safety culture composites the…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-hospital-survey-workplace-item-set-webcast-bakdash.pdf
December 01, 2024 - SOPS State Hospital Association Webcast - Bakdash Presentation
AHRQ’s Surveys on Patient Safety Culture®
(SOPS®) Program
Jonathan Bakdash, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and science-based agency of
the US Depart…