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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38428/psn-pdf
    February 18, 2009 - Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-08-00220. https://psnet.ahrq.gov/issue/adverse-eve…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40037/psn-pdf
    September 20, 2011 - Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. September 20, 2011 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2010. Report No. OEI-06-09-00090. https://psnet.ahrq.gov/issue/adverse-events-hospitals-national-incide…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41066/psn-pdf
    October 16, 2012 - Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. October 16, 2012 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2012. Report No. OEI-06-09-00091. https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-…
  4. www.ahrq.gov/cahps/news-and-events/events/webinar-120623.html
    January 01, 2024 - The CAHPS Child Hospital Survey: Using Database Results and New Narrative Items to Guide Improvement (Webcast) December 6, 2023 Contents Summary Speakers and Presentation Slides Recording Summary This webcast provided results from the CAHPS Child Hospital Survey (Child HCAHPS) Database and intro…
  5. www.ahrq.gov/cahps/surveys-guidance/item-sets/cancer/suppl-access-items.html
    March 01, 2017 - Supplemental Items for the CAHPS Cancer Care Survey: Access Population version: Adult Download these items: English ( Word [28 KB] ) Users of the CAHPS ® Cancer Care Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or audiences. The…
  6. Boardchecklist (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/boardchecklist.doc
    June 02, 2025 - Checklist Items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate. 2. Improve the safety and teamwork climate using valid measures. 3. Set expectation for unit-level culture assessment. 4. Require at least a 60 percent participation…
  7. www.ahrq.gov/sops/webcasts/previous.html
    June 01, 2023 - Previous SOPS Webcasts AHRQ sponsors webcasts to provide information about SOPS products and related resources, offer updates on the status of products in development, and provide support in using SOPS surveys and data. Visit SOPS webcasts to view more recent webcast materials. Understanding SOPS Surveys:…
  8. www.ahrq.gov/hai/cusp/toolkit/board-checklist.html
    December 01, 2012 - Board Checklist CUSP Toolkit Who should use this tool? Senior leaders. Checklist items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate.     2. Improve the safety and teamwork climate using valid measures.     …
  9. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-overview-survey.pdf
    June 02, 2025 - Introducing the Child HCAHPS® Survey Database webcast-Toomey-1 OVERVIEW OF THE CHILD HCAHPS SURVEY Sara Toomey, MD, MPhil, MPH, MSc Chief Safety and Quality Officer, SVP Chief Experience Officer Director/PI, Center of Excellence for Pediatric Quality Measurement Boston Children’s Hospital Child HCAHPS Survey I…
  10. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
    July 01, 2023 - Board Checklist AHRQ Safety Program for Perinatal Care Who should use this tool: Senior leaders Checklist Items Leader Responsible Date Initiated 1. Set an organization aim of annually assessing the safety and teamwork climate.     2. Improve the safety and teamwork c…
  11. digital.ahrq.gov/sites/default/files/docs/publication/r13hs021022-agarwal-final-report-2013.pdf
    January 01, 2013 - 2011 – 2013 Workshop on Health IT & Economics (WHITE) - Final Report Grant Final Report Grant ID: 1R13HS021022 2011 – 2013 Workshop on Health IT & Economics (WHITE) Inclusive Dates: 09/01/11 – 11/30/13 Principal Investigator: Ritu Agarwal, PhD Team Members: Guodong Gao, PhD Jeffrey M…
  12. psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va-medical-center
    March 16, 2022 - Book/Report Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. Citation Text: Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. Washington, DC: VA Office o…
  13. psnet.ahrq.gov/issue/finding-dental-harm-patients-through-electronic-health-record-based-triggers
    September 06, 2017 - Study Finding dental harm to patients through electronic health record-based triggers. Citation Text: Walji MF, Yansane A, Hebballi NB, et al. Finding dental harm to patients through electronic health record-based triggers . JDR Clin Trans Res. 2020;5(3):271-277. doi:10.1177/238008441989…
  14. Ebctandcfinal (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/ebctandcfinal.pdf
    May 29, 2025 - AHRQ Evidence-Based Care (EBC) Challenge Terms and Conditions Terms and Conditions: By submitting a product in response to the AHRQ Evidence-Based Care (EBC) Challenge, each team and each team member represents and warrants that:  The team and its members are the sole authors, creators, and owners of the pr…
  15. psnet.ahrq.gov/issue/patient-safety-primary-care-conceptual-meanings-health-care-team-and-patients
    September 28, 2022 - Study Patient safety in primary care: conceptual meanings to the health care team and patients. Citation Text: Lai AY. Patient safety in primary care: conceptual meanings to the health care team and patients. J Am Board Fam Med. 2020;33(5):754-764. doi:10.3122/jabfm.2020.05.200042. Cop…
  16. psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans
    July 27, 2022 - Book/Report Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. Citation Text: Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administra…
  17. psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-physician-misconduct-washington-dc-va-medical-center
    September 30, 2020 - Book/Report Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. Citation Text: Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. Office of the Inspector General. Washington, DC: Departme…
  18. psnet.ahrq.gov/issue/readiness-organisational-change-among-general-practice-staff
    April 24, 2018 - Study Readiness for organisational change among general practice staff. Citation Text: Christl B, Harris MF, Jayasinghe UW, et al. Readiness for organisational change among general practice staff. Qual Saf Health Care. 2010;19(5):e12. doi:10.1136/qshc.2009.033373. Copy Citation F…
  19. psnet.ahrq.gov/issue/request-comments-proposed-measures-and-2020-targets-national-action-plan-adverse-drug-event
    October 21, 2016 - Press Release/Announcement Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. Cita…
  20. psnet.ahrq.gov/issue/current-state-diagnostic-safety-implications-research-practice-and-policy
    August 07, 2024 - Book/Report Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Citation Text: Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Q…