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psnet.ahrq.gov/node/46496/psn-pdf
October 11, 2017 - Lessons learned for reducing the negative impact of
adverse events on patients, health professionals and
healthcare organizations.
October 11, 2017
Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on
patients, health professionals and healthcare organization…
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psnet.ahrq.gov/node/60344/psn-pdf
May 20, 2020 - American Geriatrics Society (AGS) Policy Brief: COVID-19
and nursing homes.
May 20, 2020
American Geriatrics Society (AGS) Policy Brief: COVID-19 and nursing homes. Am Geriatr Soc.
2020;68(5):908-911. doi:10.1111/jgs.16477.
https://psnet.ahrq.gov/issue/american-geriatrics-society-ags-policy-brief-covid-19-and-nurs…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/1-case-mix-mode-adjustments-webcast-welcome.pdf
June 02, 2025 - The Rationale for Case Mix and Mode Adjustments - Opening Slide Presentation
AHRQ’s CAHPS Surveys: The Rationale for
Case Mix and Mode Adjustments
A Webinar Presented by the AHRQ CAHPS User Network
Wednesday, June 5
1:00 – 2:00 pm ET
Webcast Technical Info
• Audio issues
• Poor Connection
• Use Q&A: For Quest…
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psnet.ahrq.gov/node/44156/psn-pdf
November 10, 2015 - Exploring the role of communications in quality
improvement: a case study of the 1000 Lives Campaign in
NHS Wales.
November 10, 2015
Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case
study of the 1000 Lives Campaign in NHS Wales. J Commun Healthc. 2015;8(1):76-…
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psnet.ahrq.gov/node/44217/psn-pdf
November 10, 2015 - Assessing the potential adoption and usefulness of
concurrent, action-oriented, electronic adverse drug
event triggers designed for the outpatient setting.
November 10, 2015
Mull HJ, Rosen AK, Shimada SL, et al. Assessing the potential adoption and usefulness of concurrent,
action-oriented, electronic adverse drug…
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psnet.ahrq.gov/node/865482/psn-pdf
April 03, 2024 - Impact of a relocation to a new critical care building on
pediatric safety events.
April 3, 2024
Furthmiller A, Sahay R, Zhang B, et al. Impact of a relocation to a new critical care building on pediatric
safety events. J Hosp Med. 2024;19(5):589-595. doi:10.1002/jhm.13324.
https://psnet.ahrq.gov/issue/impact-relo…
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psnet.ahrq.gov/node/46102/psn-pdf
May 31, 2017 - Improving infusion pump safety through usability testing.
May 31, 2017
Miller K, Arnold R, Capan M, et al. Improving infusion pump safety through usability testing. J Nurs Care
Qual. 2017;32(2):141-149. doi:10.1097/NCQ.0000000000000208.
https://psnet.ahrq.gov/issue/improving-infusion-pump-safety-through-usability-t…
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psnet.ahrq.gov/node/836809/psn-pdf
March 30, 2022 - Pharmacist transition-of-care services improve patient
satisfaction and decrease hospital readmissions.
March 30, 2022
March KL, Peters MJ, Finch CK, et al. J Pharm Pract. 2022;35(1):86-93.
https://psnet.ahrq.gov/issue/pharmacist-transition-care-services-improve-patient-satisfaction-and-decrease-
hospital
Tr…
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www.ahrq.gov/cahps/about-cahps/impact-case-studies/index.html
June 01, 2025 - Impact Case Studies on the CAHPS Surveys
AHRQ’s collection of Impact Case Studies highlights successes of organizations using AHRQ’s evidence-based tools and resources. Below are success stories from organizations that used the CAHPS Surveys grouped by the year the case study was published. Contact us at Impac…
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www.ahrq.gov/hai/cusp/modules/identify/index.html
July 01, 2018 - Identify Defects Through Sensemaking
The Identify Defects Through Sensemaking module of the CUSP Toolkit will help you identify recurring negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients.
This module includes—
Facilitator N…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-commitment-statement.pdf
June 02, 2025 - National Action Alliance for Patient and Workforce Safety Commitment
National Action Alliance for
Patient and Workforce Safety
Commitment
Vision
Safe care everywhere, zero preventable harm for all.
Mission
A total systems approach to safety that is focused on culture, leadership, and governance; pa�ent a…
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www.ahrq.gov/ncepcr/about/pcr-webinar-series/person-centered-care.html
July 01, 2024 - NCEPCR Webinar: Research on Person-Centered Care
This webinar features research on person-centered techniques, models, tools, and programs and their impact on patient health outcomes. Three presenters discuss their research on the associations between shared decision making and chronic care; how primary care cl…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015354-rachman-final-report-2007.pdf
January 01, 2007 - EQUIP (Enhancing Quality in Patient Care Utilizing Information Technology in Patient Care)
Grant Final Report
Grant ID: UC1HS15354
EQUIP (Enhancing Quality in Patient Care Utilizing
Information Technology in Patient Care)
Inclusive Dates: 09/30/04 - 08/31/07
Principal Investigator:
Fred …
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digital.ahrq.gov/sites/default/files/docs/citation/r13hs024833-gill-final-report-2017.pdf
January 01, 2017 - e3iVR: Conference on Ethics in Investigational and Interventional Uses of Immersive VR - Final Report
e3iVR: Conference on ethics in investigational and interventional uses of
…
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - In Conversation with... Regina Hoffman about Building
Capacity for Patient Safety
July 31, 2023
In Conversation with.. Regina Hoffman about Building Capacity for Patient Safety. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
Editor’s no…
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument
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January …
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digital.ahrq.gov/sites/default/files/docs/page/ImprovingQualityofHealthcareThruHIE.pdf
January 01, 2007 - Engagement of
hospitals, health plans, employers, and primary care physicians is up considerably from … outreach through hospital systems, medical societies,
quality improvement organizations or health plans … structures and organizations, advancement in the
development and implementation of business plans … engages multiple stakeholders, including clinicians, consumer and patient groups, employers,
health plans
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digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
June 08, 2005 - Working-Group
Volunteer eHealth Initiative
Starting Points
Medicaid
Uninsured
Employers
Plans … government => Driven by Medicaid costs
The financial transaction infrastructure
Left to the market and plans … infrastructure
Modeled on a “hybrid” version of the Indianapolis work
The last mile
Left to the market and plans … initiatives
Threats to sustainability will require greater commitment from employers, other payers, and plans
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digital.ahrq.gov/sites/default/files/docs/page/Keenan.ppt
January 01, 2004 - Planning Methodology (Pre- GO LIVE)
RN Objectives:
Successfully creates admission and update care plans … anonymous error reporting
Enter 1) nurse shift info, 2) patient care time
Use your submitted Care Plans … Refer to historical care plans and patient progress noted across time, explain rationale
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digital.ahrq.gov/sites/default/files/docs/page/2006Welebob_051711comp.pdf
June 06, 2006 - Engaging health plans- 74% of
respondents perceived the engagement
of health plans as a very difficult … as they get defined
June 6, 2006 Page 14
Key Take-aways
• Engaging your purchasers and health
plans