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psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
November 13, 2024 - Commentary
Ending extra payment for "never events"—stronger incentives for patients' safety.
Citation Text:
Milstein A. Ending extra payment for "never events"--stronger incentives for patients' safety. N Engl J Med. 2009;360(23):2388-90. doi:10.1056/NEJMp0809125.
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psnet.ahrq.gov/issue/effect-workload-reduction-quality-residents-discharge-summaries
February 17, 2011 - Study
The effect of workload reduction on the quality of residents' discharge summaries.
Citation Text:
Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z.
Co…
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psnet.ahrq.gov/issue/framing-clinical-information-affects-physicians-diagnostic-accuracy
November 02, 2011 - Study
Framing of clinical information affects physicians' diagnostic accuracy.
Citation Text:
Popovich I, Szecket N, Nahill A. Framing of clinical information affects physicians' diagnostic accuracy. Emerg Med J. 2019;36(10):589-594. doi:10.1136/emermed-2019-208409.
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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctool3a1.html
April 01, 2018 - Tracking and Improving Screening for Colorectal Cancer Intervention
3.a-1 Sample Programming Criteria for Initial Electronic Record Review
Previous Page Next Page
Table of Contents
Tracking and Improving Screening for Colorectal Cancer Intervention
I. Introduction
II. Background
III. Intervent…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
June 02, 2025 - Using the AHRQ Pharmacy Survey on Patient Safety Culture
© Aurora Health Care, Inc. © Aurora Health Care, Inc.
Pharmacy Survey on Patient Safety Culture
Jim Motz, R.Ph.
Specialty Pharmacy Program Manager
Aurora Pharmacy, Inc.
© Aurora Health Care, Inc.
Aurora Pharmacies Overview
• Integrated health sys…
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www.ahrq.gov/evidencenow/projects/heart-health/evidence/aspirin.html
March 01, 2021 - Aspirin Use Evidence and Resources
A substantial body of evidence shows that taking aspirin can help patients lower their risk of heart attack or stroke. Patients with heart disease or who have had a stroke in the past are at high risk for having a heart attack or another stroke. Taking an aspirin every day can…
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psnet.ahrq.gov/issue/patient-safety-trauma-maximal-impact-management-errors-level-i-trauma-center
February 19, 2020 - Study
Patient safety in trauma: maximal impact management errors at a level I trauma center.
Citation Text:
Ivatury RR, Guilford K, Malhotra AK, et al. Patient safety in trauma: maximal impact management errors at a level I trauma center. J Trauma. 2008;64(2):265-270; discussion 270-27…
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psnet.ahrq.gov/issue/simulation-based-clinical-rehearsals-method-improving-patient-safety
September 28, 2022 - Commentary
Simulation-based clinical rehearsals as a method for improving patient safety.
Citation Text:
Arnold J, Cashin M, Olutoye OO. Simulation-Based Clinical Rehearsals as a Method for Improving Patient Safety. JAMA Surg. 2018;153(12):1143-1144. doi:10.1001/jamasurg.2018.3526.
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psnet.ahrq.gov/issue/model-medication-safety-event-detection
May 14, 2008 - Commentary
A model for medication safety event detection.
Citation Text:
Snyder RA, Fields W. A model for medication safety event detection. Int J Qual Health Care. 2010;22(3):179-86. doi:10.1093/intqhc/mzq014.
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Format:
DOI Google Scholar PubMed BibTeX EndNot…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-shaller-intro.pdf
January 01, 2017 - CAHPS Elicitation Protocol Webcast
Introducing a Protocol To Obtain
Patient Comments Using the CAHPS
Clinician & Group Survey
A Webcast Presented by the AHRQ CAHPS User Network
January 26, 2017
1:00 – 2:00 pm EST
www.ahrq.gov/cahps
CAHPS Webcast Series
• Consumer Assessment of Healthcare Providers and
System…
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www.ahrq.gov/takeheart/training/module-6/index.html
December 01, 2022 - Module 6: Laying the Groundwork for Care Coordination
YouTube embedded video: https://www.youtube-nocookie.com/embed/Zvp6SFaH-8g
Video: Laying the Groundwork for Care Coordination (1:00:12)
Slides: Laying the Groundwork for Effective Care Coordination (PDF, 1.4 MB)
Implementation Guide: Laying th…
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www.ahrq.gov/news/newsroom/case-studies/201903.html
April 01, 2019 - Johns Hopkins Children’s Center Uses AHRQ-Funded I-PASS Tool to Boost Patient Safety
Search All Impact Case Studies
April 2019
Pediatric residents at Johns Hopkins Children’s Center in Baltimore, MD, changed the way they handed off patients between shift changes by closely adhering—sometimes by as much as …
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psnet.ahrq.gov/issue/effect-collaboration-obstetric-patient-safety-three-academic-facilities
October 19, 2022 - Commentary
The effect of collaboration on obstetric patient safety in three academic facilities.
Citation Text:
Raab CA, Will SEB, Richards SL, et al. The Effect of Collaboration on Obstetric Patient Safety in Three Academic Facilities. Journal of Obstetric, Gynecologic & Neonatal Nursi…
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digital.ahrq.gov/2020-year-review/research-summary/strengthening-patient-engagement-improve-care-and-shared-decision-making
January 01, 2020 - Strengthening Patient Engagement to Improve Care and Shared Decision Making
Patient engagement in healthcare leads to improvements in safety, quality, and satisfaction of care. Digital healthcare tools can facilitate patient engagement via the use of patient portals, smartphones, and…
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digital.ahrq.gov/health-care-theme/shared-decision-making
January 01, 2023 - Shared Decision Making
LabGenie: A Patient-Engagement Tool to Aid Older Adults' Understanding of Lab Test Results
Description
The study will create, implement, and test a patient-centric web app to support older adults with chronic conditions in comprehending, managing, and ac…
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psnet.ahrq.gov/issue/assessing-and-improving-safety-climate-large-cohort-intensive-care-units
September 20, 2011 - Study
Assessing and improving safety climate in a large cohort of intensive care units.
Citation Text:
Sexton B, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011;39(5):934-9. doi:10.1097/CCM.0b013e3…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-online-care-model-follow-management-atopic-dermatitis/annual-activity/2010
January 01, 2010 - Patient-Centered Online Care Model for Followup Management - 2010
Project Name
Patient-Centered Online Care Model for Follow-Up Management of Atopic Dermatitis
Principal Investigator
Armstrong, April
Organization
University of California, Davis
Funding Mechanism
PAR…
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digital.ahrq.gov/ahrq-funded-projects/patient-centered-online-care-model-follow-management-atopic-dermatitis/annual-summary/2012
January 01, 2012 - Patient-Centered Online Care Model for Followup Management of Atopic Dermatitis - 2012
Project Name
Patient-Centered Online Care Model for Follow-Up Management of Atopic Dermatitis
Principal Investigator
Armstrong, April
Organization
University of California, Davis
Fu…
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www.ahrq.gov/data/resources/index.html
August 31, 2025 - Data Resources
The Agency for Healthcare Research and Quality (AHRQ) offers practical, research-based tools and other resources to help a variety of health care organizations, providers and others make care safer in all health care settings. Results
1-10 of 10 Resources displayed
Compendium of U.S. Health…
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psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs-continue-strengthen-oversight-infection-prevention-and
October 26, 2022 - Book/Report
COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control.
Citation Text:
COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. Washington, DC: United States Government …