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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…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/vchip-strategies-for-kdd.pdf
February 01, 2015 - Strategies to Improve Asthma Care and Treatment in Primary Care Practices
Strategies to Improve Asthma Care and Treatment in Primary Care Practices*
The following are strategies that healthcare professionals and primary care practices used to improve office systems to address and
promote optimal asthma treatment as…
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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. …
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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 …
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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…
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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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/facility-action-plan.docx
January 01, 2018 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Facility Action Plan Template
The purpose of this tool is to support quality improvement efforts by identifying opportunities for improvement, strategies, and steps to accomplis…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-5-table-2.pdf
May 01, 2010 - CHIPRA 241: Section 5, Table 2
Table 2: Evidence for Communication of Weight Classification of Children Who Are Overweight or Obese
Type of Evidence
Key Findings
Level of
Evidence
(USPSTF
Ranking*)
Citations
Expert
recommendation
In 2007, the AAP, AMA, and CDC collaborated
to form an expert c…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-240-section-5-table-2.pdf
May 01, 2010 - CHIPRA 240: Section 5, Table 2
Table 2: Evidence for Parent Report of Discussion of Weight Concerns
Type of Evidence
Key Findings
Level of
Evidence
(USPSTF
Ranking*)
Citations
Expert
recommendation
Once a child’s BMI is measured, clinicians must
exercise judgment, first in assessing the child…
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psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
October 21, 2020 - Study
Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis.
Citation Text:
Lamé G, Liberati EG, Canham A, et al. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative…
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psnet.ahrq.gov/issue/recommendations-safety-hospitalised-patients-context-covid-19-pandemic-scoping-review
April 14, 2021 - Review
Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review.
Citation Text:
Martins MS, Lourenção DC de A, Pimentel RR da S, et al. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic…
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psnet.ahrq.gov/issue/intensive-care-unit-nurses-perceptions-safety-after-highly-specific-safety-intervention
June 16, 2011 - Study
Intensive care unit nurses' perceptions of safety after a highly specific safety intervention.
Citation Text:
Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Qual Saf Health Care. 2008;17(1):25-3…
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psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
September 01, 2012 - Study
Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP).
Citation Text:
West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care p…
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psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
May 18, 2022 - Review
Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review.
Citation Text:
Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery in…
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psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
September 25, 2024 - Study
Implementation of electronic triggers to identify diagnostic errors in emergency departments.
Citation Text:
Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.…
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digital.ahrq.gov/program-overview/research-stories/displaying-patient-photos-medical-records-reduces-errors-improves
January 01, 2023 - Displaying Patient Photos in Medical Records Reduces Errors, Improves Patient Safety
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Optimizing Patient Safety Using Digital Healthcare Solutions
Patient photos displayed in the electronic health record significantly red…
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psnet.ahrq.gov/issue/psychological-safety-and-infection-prevention-practices-results-national-survey
September 27, 2023 - Study
Psychological safety and infection prevention practices: results from a national survey.
Citation Text:
Greene MT, Gilmartin HM, Saint S. Psychological safety and infection prevention practices: results from a national survey. Am J Infect Control. 2020;48(1):2-6. doi:10.1016/j.ajic…
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psnet.ahrq.gov/issue/do-we-know-what-foundation-year-doctors-think-about-patient-safety-incident-reporting
April 12, 2017 - Study
Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge.
Citation Text:
Robson J, de Wet C, McKay J, et al. Do we know what foundation year doctors think about patient safety incident …
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psnet.ahrq.gov/issue/sustaining-improvement-hospital-wide-initiative-patient-safety-and-quality-systematic-scoping
September 01, 2021 - Review
Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review.
Citation Text:
Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. BMJ Open Qual…