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psnet.ahrq.gov/node/47756/psn-pdf
February 06, 2019 - Meltdown: Why Our Systems Fail and What We Can Do
About It.
February 6, 2019
Clearfield C, Tilcsik A. New York, NY: Penguin Press; 2018. ISBN: 978-0735222632.
https://psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it
Complex systems are prone to failure. This book provides a multi-indu…
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psnet.ahrq.gov/node/836859/psn-pdf
April 06, 2022 - Choosing wisely in clinical practice: embracing critical
thinking, striving for safer care.
April 6, 2022
Furlan L, Francesco PD, Costantino G, et al. Choosing wisely in clinical practice: embracing critical
thinking, striving for safer care. J Intern Med. 2022;291(4):397-407. doi:10.1111/joim.13472.
https://psnet…
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psnet.ahrq.gov/node/41643/psn-pdf
September 05, 2012 - A Randomized Field Study of a Leadership WalkRounds-
Based Intervention.
September 5, 2012
Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No.
12-113.
https://psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
Leadership WalkRounds h…
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psnet.ahrq.gov/node/837846/psn-pdf
August 17, 2022 - Quality measures for patients at risk of adverse outcomes
in the Veterans Health Administration: expert panel
recommendations.
August 17, 2022
Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes
in the Veterans Health Administration. JAMA Network Open. 2022;5(8):e2…
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digital.ahrq.gov/care-setting/free-clinic
January 01, 2023 - Free Clinic
School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services for Children with Special Health Care Needs Living in Rural and Underserved Communities
Description
This study examined parent and provider experiences and care costs for in-person, …
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www.ahrq.gov/hai/cusp/toolkit/bckgrnd-qi-team.html
December 01, 2012 - Background Quality Improvement Team Information Form
CUSP Toolkit
Health care provider roles
Who should use this tool? Health care providers.
Please indicate people designated as Quality Improvement Team Members. Your team may not have people who serve in all of these roles.
These in…
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psnet.ahrq.gov/node/844547/psn-pdf
February 15, 2023 - An evidence and consensus-based definition of second
victim: a strategic topic in healthcare quality, patient
safety, person-centeredness and human resource
management.
February 15, 2023
Vanhaecht K, Seys D, Russotto S, et al. An evidence and consensus-based definition of second victim: a
strategic topic in healt…
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www.ahrq.gov/antibiotic-use/ambulatory-care/best-practices/common-cold.html
September 01, 2022 - The "Never Antibiotics" Diagnoses: Viral Acute Upper Respiratory Infection: the Common Cold
After viewing or presenting this presentation, viewers will be able to—
Describe how to diagnose a viral upper respiratory infection, also known as the common cold.
Explain why antibiotic therapy is not useful …
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digital.ahrq.gov/sites/default/files/docs/page/Fleming_SS_508_20111021_d.pdf
June 16, 2021 - Time, Effort, and Infrastructure Costs to Use Electronic Health Records
1
Time, Effort, and Infrastructure Costs to Use Electronic Health Records
Electronic health records (EHRs) – an electronic version of a patient medical
record – have promise in improving care for patients. However, adoption is
still low in p…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
6. How do we sustain the redesigned prevention practices?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the…
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - Rescue Improvement Conference Innovation Summary
July 23, 2024
https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
Summary
The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure
to rescue with a particular focus on communication and com…
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www.ahrq.gov/ncepcr/reports/2025-annual-report/digital-healthcare.html
August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024
Digital Healthcare
Previous Page Next Page
Table of Contents
AHRQ’s Investments in Primary Care Research for 2023 and 2024
Acknowledgements and Authors
Message from the Director of AHRQ’s National Center for Excellence in Primary Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety
SOPS® Nursing Home Survey
Version: 1.0
Language: English
· For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and prod…
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meps.ahrq.gov/data_files/publications/st344/stat344.shtml
October 01, 2011 - STATISTICAL BRIEF #344:
The Number of Health Insurance Plans Offered by Private Sector Employers in 2000 and 2010
Skip to main content
An official website of the Department of Health & Human Services
…
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Establishing a Safety Culture: Thinking Small
December 1, 2006
Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
Perspective
Safety cultures are the holy grail in any risky industry. Like all holy grails, th…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu6.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
6. How do we sustain the redesigned prevention practices?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-items-english.pdf
September 01, 2024 - SOPS® Workplace Safety Supplemental Items for Nursing Homes
SOPS® Workplace Safety Supplemental Items for
the SOPS Nursing Home Survey
Language: English
Purpose: These supplemental items were designed for use with the core Agency for Healthcare Research and Quality
(AHRQ) Surveys on Patient Safety Culture® (SOP…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-ok.html
April 01, 2015 - Primary Care Extension in Oklahoma: An Evidence-Based Approach to Dissemination and Implementation of Innovations
AHRQ Estimating the Costs of Supporting Primary Care Transformation Grants
Principal Investigator: James W. Mold, MD, MPH
Institution: University of Oklahoma Health Sciences Center, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-ok.pdf
April 01, 2015 - Primary Care Extension in Oklahoma: An Evidence-Based Approach to Dissemination and Implementation of Innovations
Primary Care Extension in Oklahoma: An Evidence-Based Approach to
Dissemination and Implementation of Innovations
Principal Investigator: James W. Mold, MD, MPH
Institution: University of …
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017248-adams-final-report-2011.pdf
January 01, 2011 - Conversational IT for Better, Safer Pediatric Primary Care
Grant Final Report
Grant ID: R18HS017248
Conversational IT for Better, Safer Pediatric
Primary Care
Inclusive project dates: 09/01/07 - 08/31/11
Principal Investigator:
William G. Adams, MD*
Team members:
Barrett D Ph…