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6521. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. | PSNet
      psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice
      May 01, 2024 - Study Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. Citation Text: Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitat…

6522. The analysis of hospital readmission rates after the implementation of Hospital Readmissions Reduction Program. | PSNet
      psnet.ahrq.gov/issue/analysis-hospital-readmission-rates-after-implementation-hospital-readmissions-reduction
      October 12, 2022 - Study The analysis of hospital readmission rates after the implementation of Hospital Readmissions Reduction Program. Citation Text: Muchiri S, Azadeh-Fard N, Pakdil F. The analysis of hospital readmission rates after the implementation of hospital readmissions reduction program. J Patie…

6523. Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. | PSNet
      psnet.ahrq.gov/issue/pain-management-best-practices-multispecialty-organizations-during-covid-19-pandemic-and
      November 16, 2022 - Commentary Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises. Citation Text: Cohen SP, Baber ZB, Buvanendran A, et al. Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Pu…

6524. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. | PSNet
      psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and
      May 01, 2019 - Review A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. Citation Text: Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;…

6525. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. | PSNet
      psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
      August 24, 2022 - Review U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. Citation Text: Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…

6526. Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores. | PSNet
      psnet.ahrq.gov/issue/identifying-hospitalized-patients-risk-harm-comparison-nurse-perceptions-vs-electronic-risk
      November 03, 2015 - Study Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores. Citation Text: Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perc…

6527. Job Aid: Standardized Quality Measures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-standardized-quality-measures.pdf
      June 02, 2025 - Job Aid: Standardized Quality Measures Primary Care Practice Facilitator Training Series 1 Job Aid: Standardized Quality Measures Familiarity with the standardized quality measures that payers and regulatory groups use is an important part of a practice facilitator's core knowledge. Standar…

6528. On-Time Quality Improvement Program: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
      December 01, 2017 - On-Time Quality Improvement Program: On-Time Pressure Ulcer Prevention Menu of Implementation Strategies The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choose to integrate the pressure ulcer prevention reports into clinical practice. A menu …

6529. Supplement to Evaluation Highlight No. 13 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight13supp.pdf
      June 01, 2015 - Supplement to Evaluation Highlight No. 13 The National Evaluation of the CHIPRA Quality Demonstration Grant Program Evaluation Highlight No.13, June 2015 Supplement to Evaluation Highlight No. 13: How did CHIPRA quality demonstration States employ learning collaboratives to improve children’s health care quali…

6530. State at a Glance: South Carolina | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
      March 01, 2019 - State at a Glance: South Carolina Learn more about the CHIPRA quality demonstration projects being implemented in South Carolina. South Carolina is featured in the following reports from the National Evaluation: Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the C…

6531. Outcome Indicators for the HCBS Population | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
      December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Outcome Indicators for the HCBS Population Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for…

6532. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. | PSNet
      psnet.ahrq.gov/issue/failure-follow-medication-changes-made-hospital-discharge-associated-adverse-events-30-days
      October 16, 2019 - Study Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Citation Text: Weir DL, Motulsky A, Abrahamowicz M, et al. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Hea…

6533. A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. | PSNet
      psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english-national-health-service
      September 20, 2012 - Study A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. Citation Text: Toffolutti V, Stuckler D. A Culture Of Openness Is Associated With Lower Mortality Rates Among 137 English National Health Service Acute Trusts. Hea…

6534. Briefing and Debriefing Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
      December 01, 2017 - Briefing and Debriefing Tool AHRQ Safety Program for Surgery Introduction Problem Statement Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010. 1 Usi…

6535. Tool: Briefing and Debriefing Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/briefing_debriefing.docx
      December 01, 2017 - Tool: Briefing and Debriefing Tool Briefing and Debriefing Tool Introduction Problem Statement Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010.1 Using National Healthcare S…

6536. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/references.html
      October 01, 2018 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals References Previous Page Next Page Table of Contents Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals Acknowledgments Executive Summary Section 1. The Need to Addres…

6537. In conclusion | Agency for Healthcare Research and Quality
      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…

6538. National Collaborative for Innovation in Quality Measurement--Metabolic Monitoring for Children and Adolescents on Antipsychotics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-section-2-tech-specs.pdf
      November 01, 2014 - National Collaborative for Innovation in Quality Measurement--Metabolic Monitoring for Children and Adolescents on Antipsychotics 1 National Collaborative for Innovation in Quality Measurement Metabolic Monitoring for Children and Adolescents on Antipsychotics Administrative Specification for Sta…

6539. Exhibit 3.5. Chronology of Quality Improvement and Lean at the Parent Organization and Academic Medical Center | Agency for Healthcare Research and Quality
      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 …

6540. Management Practices for Sustainability - Module 2: Daily Huddles | Agency for Healthcare Research and Quality
      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…