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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…
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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…
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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-…
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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…
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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…
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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…
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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:…
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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.
…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…