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  1. 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. Copy Citation F…
  2. 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…
  3. 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. Copy Citation F…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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. Cop…
  9. 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. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
  10. 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…
  11. 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…
  12. 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 …
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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 …