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psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-perioperative-patient-safety
July 18, 2018 - Commentary
Using good catches to promote a just culture and perioperative patient safety.
Citation Text:
Monahan JJ. Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. AORN J. 2018;108(5):548-552. doi:10.1002/aorn.12394.
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients
July 10, 2008 - Review
Disclosing harmful medical errors to patients.
Citation Text:
Gallagher TH, Studdert DM, Levinson W. Disclosing harmful medical errors to patients. N Engl J Med. 2007;356(26):2713-9.
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psnet.ahrq.gov/issue/incidents-during-out-hospital-patient-transportation
March 23, 2011 - Study
Incidents during out-of-hospital patient transportation.
Citation Text:
Flabouris A, Runciman WB, Levings B. Incidents during out-of-hospital patient transportation. Anaesth Intensive Care. 2006;34(2):228-236.
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psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
January 18, 2011 - Review
Medication errors in anaesthesia and critical care.
Citation Text:
Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73.
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psnet.ahrq.gov/issue/path-safety-benefits-2005-patient-safety-and-quality-improvement-act
June 03, 2015 - Commentary
Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act.
Citation Text:
McBride D, Greening A, Redmond D. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Healthc Financ Manage. 2006;60(6):84-8.
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www.ahrq.gov/news/newsroom/case-studies/cquips1302.html
December 01, 2012 - Main Line Health System Uses Patient Safety Culture Survey in Suburban Philadelphia Facilities
Search All Impact Case Studies
December 2012
Main Line Health System (MLH) in suburban Philadelphia has used AHRQ's "Hospital Survey on Patient Safety Culture" since 2009 in an ongoing effort to embed a reliable c…
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www.ahrq.gov/news/newsroom/case-studies/cquips0606.html
October 01, 2014 - HealthSouth Rehabilitation Facilities Use AHRQ Survey to Identify Top Performers
Search All Impact Case Studies
April 2006
HealthSouth, one of the nation's largest health care providers, implemented AHRQ's Hospital Survey on Patient Safety Culture in June 2005. Over 11,000 questionnaires were mailed to em…
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www.ahrq.gov/evidencenow/model/profiles/scenic-bluffs.html
March 01, 2021 - A Unique Take on Patient-Centered Care in Rural Wisconsin
"Working together to keep community members healthy is how we do things out here," says Ms. Jennifer Nottestad, Patient Care Manager at Scenic Bluffs Community Health Care Centers. "Because we're a Federally Qualified Health Center and relatively small, …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-UTI.pdf
June 01, 2021 - Suspected Urinary Tract Infection (UTI) in Long-Term Care Residents
0%0%
Suspected Urinary Tract Infection (UTI) in
Long-Term Care Residents
Signs & Symptoms of a UTI
For Residents Without
a Urinary Catheter
� Dysuria
OR
� Fever (>100°F or >2°F above
…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/planning/RES_PM_1aDivision-of-Resp.pdf
June 02, 2025 - Responsibilities of Sponsors, Vendors, and Consultants
Responsibilities of Sponsors, Vendors, and Consultants
Activity Role of sponsor Role of vendor(s) Role of consultant
Planning and
project design
• Designate a project director.
• Define the project goals.
• Issue the request for
proposal (RFP) and sel…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix B
Detailed Review Timeline
Event Type:
Individuals Interviewed:
NAME
TITLE/ROLE
Nurse #1
Charge nurse
Nurse #2
RN
CNA X
Nursing tech
Manager MS
Manager
Pertinent Interview Findings
There was only one certifi…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/material-guide.html
June 01, 2017 - Material Use Guide - Sustainability Module
Overview
Definition of Sustainability and its Importance in Quality Improvement
Slides 4-8
Linking Sustainability and Spread
Slides 9-10
Planning Early for Sustainability
Slides 11-12
Barriers and Solutions to Sustain…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex522.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-22. Measure 22: The quality of the service provided by community resource to a practice (GP-LI)
Previous Page Next Page
Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why …
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www.ahrq.gov/pqmp/publications/search.html?page=4
January 01, 2014 - All Publications
The following list presents materials published as a result of the AHRQ-CMS Pediatric Quality Measures Program (PQMP).
Results
101 - 107 of 107 Publications
Pagination
« first
« First
‹ previous
‹‹
1
2
3
4
5
Advancing Child…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex521.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-21. Measure 21: The effectiveness of communication between practice and community resource (GP-LI)
Previous Page Next Page
Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. W…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb20.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B20: Handout for Inservice #2, How to Reduce Falls, Spanish
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Intr…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.2. Lakeview Healthcare
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
…
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effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1512.pdf
December 01, 2015 - practice, given that many patients
with diabetes are also obese, the drug may fulfill a dual role of managing
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psnet.ahrq.gov/node/73630/psn-pdf
August 25, 2021 - Towards safer healthcare: qualitative insights from a
process view of organisational learning from failure.
August 25, 2021
Monazam Tabrizi N, Masri F. Towards safer healthcare: qualitative insights from a process view of
organisational learning from failure. BMJ Open. 2021;11(8):e048036. doi:10.1136/bmjopen-2020-0…
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effectivehealthcare.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_recruiting.pdf
May 29, 2025 - Slide 1
Recruiting/Selecting Participants
Susan Dorr Goold, MD, MHSA, MA
Professor of Internal Medicine and
Health Management and Policy
University of Michigan
1
Alternatives to Random Sampling
• Substantive representation
– Based on extent to which groups affected by
decision at issue …