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psnet.ahrq.gov/node/853961/psn-pdf
September 27, 2023 - Making a move: using simulation to identify latent safety
threats before the care of injured patients in a new
physical space.
September 27, 2023
Kotagal M, Falcone RA, Daugherty M, et al. Making a move: Using simulation to identify latent safety
threats before the care of injured patients in a new physical space.…
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psnet.ahrq.gov/node/36200/psn-pdf
February 15, 2011 - Choosing your words carefully: how physicians would
disclose harmful medical errors to patients.
February 15, 2011
Gallagher TH, Garbutt J, Waterman AD, et al. Choosing your words carefully: how physicians would
disclose harmful medical errors to patients. Arch Intern Med. 2006;166(15):1585-1593.
https://psnet.ahr…
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psnet.ahrq.gov/node/844996/psn-pdf
February 22, 2023 - In situ simulation as a tool to longitudinally identify and
track latent safety threats in a structured quality
improvement initiative for SARS-CoV-2 airway
management: a single-center study.
February 22, 2023
Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitudinally identify and track late…
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www.ahrq.gov/evidencenow/projects/urinary/resources/quality-improvement-initiatives-toolkit.html
January 01, 2021 - Back to MUI Resources
Recruitment and Retention of Primary Care Practices in Quality Improvement Initiatives: A Toolkit
Resource
Available on the AHRQ website (PDF, 832 KB)
Summary
Effectively engaging practices in a primary care quality improvement (QI) initiative, including…
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www.ahrq.gov/pqmp/grantees/coe-2-0.html
September 01, 2021 - PQMP 2.0 Centers of Excellence
In October 2016, the Pediatric Quality Measures Program (PQMP) embarked on a new phase of work seeking to improve and refine quality measures that were developed across diverse areas during the initial phase of the PQMP.
In accordance with Title III, Sec. 304(b) of the Medicare…
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www.ahrq.gov/ncepcr/tools/confid-report/remarks.html
March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Concluding Remarks
Previous Page Next Page
Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Part One: Physician Feedback Report Funda…
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psnet.ahrq.gov/node/48150/psn-pdf
August 21, 2019 - Communication between primary and secondary care:
deficits and danger.
August 21, 2019
Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits
and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037.
https://psnet.ahrq.gov/issue/communication-between-primary…
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psnet.ahrq.gov/node/46435/psn-pdf
August 20, 2018 - Patients' experiences with communication-and-resolution
programs after medical injury.
August 20, 2018
Moore J, Bismark M, Mello MM. Patients' Experiences With Communication-and-Resolution Programs After
Medical Injury. JAMA Intern Med. 2017;177(11):1595-1603. doi:10.1001/jamainternmed.2017.4002.
https://psnet.ahr…
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psnet.ahrq.gov/node/39821/psn-pdf
July 16, 2014 - Performance of a fail-safe system to follow up abnormal
mammograms in primary care.
July 16, 2014
Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal
mammograms in primary care. J Patient Saf. 2010;6(3):172-179.
https://psnet.ahrq.gov/issue/performance-fail-safe-system-fol…
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psnet.ahrq.gov/node/35494/psn-pdf
May 27, 2011 - Hospital implementation of computerized provider order
entry systems: results from the 2003 Leapfrog Group
quality and safety survey.
May 27, 2011
Hillman JM, Given RS. Hospital implementation of computerized provider order entry systems: results from
the 2003 leapfrog group quality and safety survey. J Healthc In…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/caren-ginsberg-slides-6-11.pdf
June 02, 2025 - Ambulatory Surgery Center SOPS: What You Need to Know Webcast
Overview of AHRQ’s Patient Safety
Priorities
Caren Ginsberg, PhD
Director, SOPS and CAHPS Division
Center for Quality Improvement and Patient Safety, AHRQ
6
https://www.ahrq.gov/sops
AHRQ’s Core Competencies
• Research: Invest in research and evid…
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psnet.ahrq.gov/node/50814/psn-pdf
January 22, 2020 - Evaluation of the extended-release/long-acting opioid
prescribing Risk Evaluation and Mitigation Strategy
Program by the US Food and Drug Administration: a
review.
January 22, 2020
Heyward J, Olson L, Sharfstein JM, et al. Evaluation of the Extended-Release/Long-Acting Opioid
Prescribing Risk Evaluation and Mitig…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3tab3-1.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table 3-1. Office of Management and Budget (OMB) Race and Hispanic Ethnicity Categories According to a One- and Two-Question Format
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: St…
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psnet.ahrq.gov/node/43544/psn-pdf
December 07, 2016 - Development of an electronic pediatric all-cause harm
measurement tool using a modified Delphi method.
December 7, 2016
Stockwell DC, Bisarya H, Classen D, et al. Development of an Electronic Pediatric All-Cause Harm
Measurement Tool Using a Modified Delphi Method. J Patient Saf. 2016;12(4):180-189.
https://psnet.…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error Classification
Previous Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-19.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.19. Major Factors that Inhibit Lean Success
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case …
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psnet.ahrq.gov/node/36184/psn-pdf
June 13, 2011 - Developing and implementing new safe practices:
voluntary adoption through statewide collaboratives.
June 13, 2011
Leape L, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption
through statewide collaboratives. Qual Saf Health Care. 2006;15(4):289-95.
https://psnet.ahrq.gov/…
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www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error Classification
Previous Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…
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www.ahrq.gov/cahps/consumer-reporting/guidelines/index.html
May 01, 2022 - Guidelines for Reporting CAHPS Survey Results
When developing a strategy for communicating the results of a CAHPS survey, it is important to define and focus on the goals you want to achieve:
Make your audience aware that information on patients’ experiences with care is available to them.
Motivate your …
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www.ahrq.gov/sites/default/files/wysiwyg/informacion-en-espanol/commitment-poster-spanish-no-logo-instructions.pdf
September 01, 2022 - Commitment Poster (Spanish)
AHRQ Pub. No. 17(22)-0030
September 2022
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