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AHRQ: Agency for Healthcare Research and Quality

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  1. Job Aid: 5 Whys and Fishbone Diagrams (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
    June 02, 2025 - Job Aid: 5 Whys and Fishbone Diagrams Primary Care Practice Facilitator Training Series 1 Job Aid: 5 Whys and Fishbone Diagrams Overview The 5 Whys and fishbone diagrams help practices identify obstacles to good performance and what causes them. They can also be used to identify the factors contribut…

  2. Do no harm: hospital care in Las Vegas. | PSNet

    psnet.ahrq.gov/issue/do-no-harm-hospital-care-las-vegas
    October 02, 2013 - Multi-use Website Do no harm: hospital care in Las Vegas. Citation Text: Do no harm: hospital care in Las Vegas. Allen M; Richards A. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  3. How can we save the next victim? | PSNet

    psnet.ahrq.gov/issue/how-can-we-save-next-victim
    January 23, 2008 - Newspaper/Magazine Article How can we save the next victim? Citation Text: How can we save the next victim? Belkin L Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  4. More families hear apologies following medical mistakes. | PSNet

    psnet.ahrq.gov/issue/more-families-hear-apologies-following-medical-mistakes
    June 28, 2006 - Newspaper/Magazine Article More families hear apologies following medical mistakes. Citation Text: More families hear apologies following medical mistakes. Greene L. St. Petersburg Times. August 19, 2008. Copy Citation Save Save to your library Print Dow…

  5. National Quality Measures Clearinghouse (NQMC). | PSNet

    psnet.ahrq.gov/issue/national-quality-measures-clearinghouse-nqmc
    October 23, 2019 - Database/Directory National Quality Measures Clearinghouse (NQMC). Citation Text: National Quality Measures Clearinghouse (NQMC). Agency for Healthcare Research and Quality. 1998-2018. Copy Citation Save Save to your library Print Download PDF Sh…

  6. Program encourages reporting accidents waiting to happen: the Good Catch Awards. | PSNet

    psnet.ahrq.gov/issue/program-encourages-reporting-accidents-waiting-happen-good-catch-awards
    February 13, 2013 - Newspaper/Magazine Article Program encourages reporting accidents waiting to happen: the Good Catch Awards. Citation Text: Program encourages reporting accidents waiting to happen: the Good Catch Awards. Minnesota Hospital Association. Copy Citation Save Save …

  7. 5 most commonly misdiagnosed conditions in the ICU. | PSNet

    psnet.ahrq.gov/issue/5-most-commonly-misdiagnosed-conditions-icu
    August 18, 2010 - Newspaper/Magazine Article 5 most commonly misdiagnosed conditions in the ICU. Citation Text: 5 most commonly misdiagnosed conditions in the ICU. Agnvall E. AARP. November 16, 2012. Copy Citation Save Save to your library Print Download PDF …

  8. Look-alike, sound-alike oncology medications.   | PSNet

    psnet.ahrq.gov/issue/look-alike-sound-alike-oncology-medications
    July 02, 2008 - Commentary Look-alike, sound-alike oncology medications.   Citation Text: Look-alike, sound-alike oncology medications.   Schulmeister L. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linked…

  9. Iowa Hospital Uses AHRQ Patient Safety Culture Survey to Improve Quality, Patient Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/ktcquips50.html
    October 01, 2014 - Iowa Hospital Uses AHRQ Patient Safety Culture Survey to Improve Quality, Patient Safety Search All Impact Case Studies December 2010 Jennie Edmundson Hospital, a 118-bed community hospital in Council Bluffs, Iowa, used information from AHRQ's Hospital Survey on Patient Safety Culture to support its effor…

  10. Engaging-Staff-Stories-Transcript (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/engaging-staff-stories-transcript.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Sustainability Module Engaging Staff With Stories: Transcript Carol Culbertson, Director of Nursing Audubon Surgery Center, CO Carol: Well, sharing stories with not only my team but with other involved facilities, such as the conference calls that we have done, has been…

  11. Transitioning Newborns from NICU to Home | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/index.html
    June 01, 2021 - Transitioning Newborns from NICU to Home Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet Cover Sheet Coaching in the Hospital Appendix A: Family Information Packet Appendix A: Fam…

  12. Aviation's gift to health care. | PSNet

    psnet.ahrq.gov/issue/aviations-gift-health-care
    December 19, 2018 - Newspaper/Magazine Article Aviation's gift to health care. Citation Text: Aviation's gift to health care. Nance JJ. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  13. The Importance of Pediatric Quality Measurement and Improvement: The Role of the PQMP | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/about/pediatric-quality-measurement-importance.html
    June 01, 2018 - The Importance of Pediatric Quality Measurement and Improvement: The Role of the PQMP Quality measures are used to evaluate or quantify specific health care processes, outcomes, patient perceptions, or other factors related to health care delivery. Quality measurement is an important tool in meeting the aims of…

  14. Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/implementation-guide/implementation-guide-appendix-m.docx
    June 02, 2025 - Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal Algorithm for observing patient after discontinuing urinary catheter Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal Below is an example of a nurse-driven protocol to evaluate and discontinue unnecessary urinary catheters and to …

  15. Drug shortages: Obama tries to prevent emergencies. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-obama-tries-prevent-emergencies
    April 10, 2024 - Newspaper/Magazine Article Drug shortages: Obama tries to prevent emergencies. Citation Text: Drug shortages: Obama tries to prevent emergencies. Neergaard L. San Francisco Chronicle; November 1, 2011:A6. Copy Citation Save Save to your library Print Dow…

  16. Not quite fail-safe: computerizing isn't a panacea for dangerous drug errors, study shows. | PSNet

    psnet.ahrq.gov/issue/not-quite-fail-safe-computerizing-isnt-panacea-dangerous-drug-errors-study-shows
    July 16, 2009 - Newspaper/Magazine Article Not quite fail-safe: computerizing isn't a panacea for dangerous drug errors, study shows. Citation Text: Not quite fail-safe: computerizing isn't a panacea for dangerous drug errors, study shows. Boodman SC. Washington Post. March 22, 2005; Page HE01. Copy C…

  17. Feds reverse course, will release hospital mistake data. | PSNet

    psnet.ahrq.gov/issue/feds-reverse-course-will-release-hospital-mistake-data
    August 13, 2014 - Newspaper/Magazine Article Feds reverse course, will release hospital mistake data. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 17, 2014 View more articles from the sam…

  18. Introducing the CAHPS Child Hospital Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/4_zoe_vecchio_and_sandra_schultz.pdf
    June 02, 2025 - Introducing the CAHPS Child Hospital Survey 48 CAHPS Webcast CHOC Children’s Hospital, Orange County, California Sandra Schultz Manager of Customer Service Zoë Vecchio Director of Service Excellence 49 Agenda 1.CHOC’s choice to transition to Child HCAHPS 2.Our approach to physician engagemen…

  19. Keeping safety a priority in home care and hospice: one agency's journey. | PSNet

    psnet.ahrq.gov/issue/keeping-safety-priority-home-care-and-hospice-one-agencys-journey
    June 05, 2019 - Commentary Keeping safety a priority in home care and hospice: one agency's journey. Citation Text: Mullin LV. Keeping safety a priority in home care and hospice: one agency's journey. Home Healthc Nurse. 2010;28(2):63-70. doi:10.1097/NHH.0b013e3181cb5939. Copy Citation Format: …

  20. Wrist tag 'offers drug warning.' | PSNet

    psnet.ahrq.gov/issue/wrist-tag-offers-drug-warning
    September 01, 2010 - Newspaper/Magazine Article Wrist tag 'offers drug warning.' Citation Text: Wrist tag 'offers drug warning.' BBC News. August 9, 2005. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin…
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