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9101. Job Aid: Joy in Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-joy-in-work.pdf
      June 02, 2025 - Job Aid: Joy in Work Primary Care Practice Facilitator Training Series 1 Job Aid: Joy in Work Joy in work is one of three categories of common goals practices have for improvement. Joy in work is central to good patient care and in recognition of this, the national triple aim has been expanded to…

9102. Unscheduled returns to the emergency department: an outcome of medical errors? | PSNet
      psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors
      November 12, 2014 - Study Unscheduled returns to the emergency department: an outcome of medical errors? Citation Text: Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8. Copy Citation Format: …

9103. Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality. | PSNet
      psnet.ahrq.gov/issue/identifying-hospital-wide-harm-set-icd-9-cm-coded-conditions-associated-increased-cost-length
      September 07, 2016 - Study Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality. Citation Text: Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions associated with increase…

9104. TeamSTEPPS Research/Evidence Base: Labor and Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/evidence-base/labor.html
      May 01, 2023 - TeamSTEPPS Research/Evidence Base: Labor and Delivery Block M., Ehrenworth J. F., et al. (2013). Measuring handoff quality in labor and delivery: Development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ).  Joint Commission Journal on Quality and Patient Safety  3…

9105. Appendix P. Evaluating and Selecting Hand Hygiene Products - Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-p.html
      May 01, 2017 - Appendix P. Evaluating and Selecting Hand Hygiene Products - Implementation Guide Slide 1: Appendix P. Evaluating and Selecting Hand Hygiene Products Timothy Landers, Ph.D., R.N., CNP, CIC Assistant Professor, The Ohio State University College of Nursing Slide 2: Disclosures Dr. Landers receives sala…

9106. Assessing the relationship between patient safety culture and EHR strategy. | PSNet
      psnet.ahrq.gov/issue/assessing-relationship-between-patient-safety-culture-and-ehr-strategy
      December 21, 2018 - Study Assessing the relationship between patient safety culture and EHR strategy. Citation Text: Ford E, Silvera GA, Kazley AS, et al. Assessing the relationship between patient safety culture and EHR strategy. Int J Health Care Qual Assur. 2016;29(6):614-27. doi:10.1108/IJHCQA-10-2015-0…

9107. Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. | PSNet
      psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
      September 23, 2020 - Study Classic Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. Citation Text: Were MC, Li X, Kesterson J, et al. Adequacy of hospital discharge summaries in documenting tests with pending re…

9108. State at a Glance: Wyoming | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/demostates/wy.html
      March 01, 2019 - State at a Glance: Wyoming Learn more about the CHIPRA quality demonstration projects being implemented in Wyoming. Wyoming is featured in the following reports from the National Evaluation: Evaluation Highlight No. 6 : How are CHIPRA quality demonstration States working together to improve the quality …

9109. Combining multiple large language models improves diagnostic accuracy. | PSNet
      psnet.ahrq.gov/issue/combining-multiple-large-language-models-improves-diagnostic-accuracy
      March 02, 2011 - Study Combining multiple large language models improves diagnostic accuracy. Citation Text: Barabucci G, Shia V, Chu ES, et al. Combining multiple large language models improves diagnostic accuracy. NEJM AI. 2024;1(11):AIcs2400502. doi:10.1056/aics2400502. Copy Citation Format: …

9110. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
      March 18, 2016 - Study Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. Citation Text: Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Q…

9111. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet
      psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious
      May 16, 2018 - Study Emerging Classic Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Citation Text: Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to…

9112. Promising practices for improving hospital patient safety culture. | PSNet
      psnet.ahrq.gov/issue/promising-practices-improving-hospital-patient-safety-culture
      December 09, 2020 - Study Classic Promising practices for improving hospital patient safety culture. Citation Text: Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.00…

9113. New York Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips99.html
      October 01, 2014 - New York Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots Search All Impact Case Studies May 2012 Seven New York hospitals revised their protocol for preventing venous thromboembolism (VTE) after their State Quality Improvement Organization (QIO), IPRO, participated in a series of on…

9114. Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. | PSNet
      psnet.ahrq.gov/issue/two-sides-safety-coin-how-patient-engagement-and-safety-climate-jointly-affect-error
      March 11, 2020 - Study Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. Citation Text: Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in…

9115. In conclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary8.html
      September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program In conclusion Previous Page   Table of Contents Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Introduction Reporting and using the Child Core Set of quality mea…

9116. Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
      August 17, 2018 - Study Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. Citation Text: Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res…

9117. Visual Management Board Component Kit | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-comp-kit.html
      June 01, 2017 - Visual Management Board Component Kit Contents 1. Why Have a Visual Management Board? 2. Tips for Using a Visual Management Board 3. Plan-Do-Study-Act (PDSA) “Ramp”: Learn To Use a Visual Management Board 4. Visual Management Board Example: Elements You Can Use 5. Connections to Other Components 6. …

9118. Exhibit 3.5. Chronology of Quality Improvement and Lean at the Parent Organization and Academic Medical Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-5.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 3.5. Chronology of Quality Improvement and Lean at the Parent Organization and Academic Medical Center Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction …

9119. Management Practices for Sustainability - Module 2: Daily Huddles | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-slides.html
      June 01, 2017 - Management Practices for Sustainability - Module 2: Daily Huddles Slide 1: Management Practices for Sustainability Module 2: Daily Huddles Management Practices for Sustainability Module 2: Daily Huddles Slide 2: A Frontline Management System To Promote Safety Standard Work Image: This image shows th…

9120. Understanding CAHPS® Surveys: A Primer for New Users - Shaller (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/webinar-012220-shaller.pdf
      June 02, 2025 - Understanding CAHPS® Surveys: A Primer for New Users - Shaller HOW ARE SURVEY RESULTS USED? Dale Shaller, M.P.A. Principal Shaller Consulting Group How Are Survey Results Used? • Quality improvement • Public reporting • Value-based payment • Recognition and certification • Research 30 Using CAHPS Surve…