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www.ahrq.gov/hai/tools/mvp/how-to-use.html
January 01, 2017 - How To Use This Toolkit
This toolkit consists of four modules to help you improve care for mechanically ventilated patients:
Module on How To Apply CUSP for Mechanically Ventilated Patients
Technical Bundles Module
Ventilator-Associated Events and Outcome Measures Module
Sustainability Module
The …
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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/39396/psn-pdf
November 02, 2014 - Unmet Needs: Teaching Physicians to Provide Safe
Patient Care.
November 2, 2014
Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010.
https://psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care
Medical schools face an urgent need to transform their cur…
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psnet.ahrq.gov/node/863747/psn-pdf
March 06, 2024 - "Good care is slow enough to be able to pay attention":
primary care time scarcity and patient safety.
March 6, 2024
Satterwhite S, Nguyen M-LT, Honcharov V, et al. "Good care is slow enough to be able to pay attention":
primary care time scarcity and patient safety. J Gen Intern Med. 2024;39(9):1575-1582.
doi:10.…
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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/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-cover.pdf
June 02, 2025 - NICU Toolkit: Family Information Packet Cover Sheet
13
Transitioning Newborns
from NICU to Home
Family Information Packet
Your Health Coach has prepared this information packet for your family to help explain the medical
needs of your newborn as you prepare to leave the hospital. A Health Coach helps families/
c…
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psnet.ahrq.gov/node/44542/psn-pdf
December 22, 2018 - The prevalence of medical error related to end-of-life
communication in Canadian hospitals: results of a
multicentre observational study.
December 22, 2018
Heyland DK, Ilan R, Jiang X, et al. The prevalence of medical error related to end-of-life communication in
Canadian hospitals: results of a multicentre observ…
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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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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
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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/cpi/centers/oerep/index.html
January 01, 2021 - Office of Extramural Research, Education and Priority Populations (OEREP)
Directs the scientific review process for grants and contracts, manages Agency research training programs, evaluates the scientific contribution of proposed and ongoing research and demonstrations; and supports and conducts health service…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/exh3.html
October 01, 2015 - Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report
Exhibit 3. Items Classified by Estimating Costs Grantees as Direct and Indirect Cost Elements
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Table of Contents
Estimating the Costs of Primary Care Transformation: A Practical Guide a…