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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.docx
    December 23, 2009 - Project Charter What is the purpose of this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to which the team will commit. Who are the target audiences? Staff members directly involved in the improvement project. Consider adding …
  2. psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high
    October 03, 2011 - Review The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations. Citation Text: Orledge J, Phillips WJ, Murray B, et al. The use of simulation in healthcare: from systems issues, to team building, to task t…
  3. psnet.ahrq.gov/issue/implementing-world-health-organization-surgical-safety-checklist-model-future-perioperative
    March 30, 2022 - Commentary Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives. Citation Text: Styer KA, Ashley SW, Schmidt I, et al. Implementing the World Health Organization surgical safety checklist: a model for future perioperative in…
  4. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-starting-practice.pdf
    June 02, 2025 - Job Aid: Starting with a Practice Primary Care Practice Facilitator Training Series 1 Job Aid: Starting with a Practice Overview How you start with a practice can set the tone for your work with the practice. Do your homework and be well prepared for all of your meetings. Spend time getting to know…
  5. www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/05-SHARE-Cultural-Competence.pdf
    October 25, 2024 - The SHARE Approach: Cultural Competence and Getting To Know Your Patient The SHARE Approach: Cultural Competence and Getting To Know Your Patient Providers striving to deliver high-quality care to all patients understand that cultural factors influence patients’ health beliefs, behaviors, and responses …
  6. psnet.ahrq.gov/issue/method-addressing-proprietary-name-similarity-us-prescription-drugs
    June 10, 2020 - Commentary A method of addressing proprietary name similarity for US prescription drugs. Citation Text: Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331. Copy Citation …
  7. psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data
    July 19, 2023 - Commentary Understanding patient safety and quality outcome data. Citation Text: Easter K, Tamburri LM. Understanding Patient Safety and Quality Outcome Data. Crit Care Nurse. 2018;38(6):58-66. doi:10.4037/ccn2018979. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…
  8. psnet.ahrq.gov/issue/patient-safety-public-health
    July 19, 2023 - Commentary Patient safety: this is public health. Citation Text: Card AJ. Patient safety: this is public health. J Healthc Risk Manag. 2014;34(1):6-12. doi:10.1002/jhrm.21145. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
  9. www.ahrq.gov/hai/cauti-tools/impl-guide/index.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Overview Frameworks for Change and Improvement Technical…
  10. www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-m.html
    October 01, 2020 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units…
  11. www.ahrq.gov/news/newsroom/case-studies/cquips1301.html
    November 01, 2012 - Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey Search All Impact Case Studies November 2012 Newman Memorial Hospital, a 79-bed acute hospital in Oklahoma, first implemented AHRQ's "Hospital Survey on Patient Safety Culture" in 2006, when concern about the hospital's patient safety …
  12. psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors
    April 12, 2023 - Study Characteristics associated with postdischarge medication errors. Citation Text: Mixon A, Myers AP, Leak CL, et al. Characteristics associated with postdischarge medication errors. Mayo Clin Proc. 2014;89(8):1042-51. doi:10.1016/j.mayocp.2014.04.023. Copy Citation Format: …
  13. psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear
    May 24, 2012 - Commentary Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. Citation Text: Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. …
  14. Sustainability-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Module 4: Sustainability Sustainability Tool Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should comple…
  15. psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
    April 27, 2019 - Study Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. Citation Text: Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):1…
  16. psnet.ahrq.gov/issue/serious-hazards-transfusion-shot-haemovigilance-and-progress-improving-transfusion-safety
    April 27, 2019 - Review Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Citation Text: Bolton-Maggs PHB, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Br J Haematol. 2013;163(3):303-14. doi…
  17. psnet.ahrq.gov/issue/shifting-learning-curve
    March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  18. psnet.ahrq.gov/issue/electronic-prescribing-pediatrics-toward-safer-and-more-effective-medication-management
    October 04, 2011 - Organizational Policy/Guidelines Electronic prescribing in pediatrics: toward safer and more effective medication management. Citation Text: Committee 2011–2012 AA of PC on CITE. Electronic prescribing in pediatrics: toward safer and more effective medication management. Pediatrics. 2…
  19. psnet.ahrq.gov/issue/adoption-patient-centered-care-practices-physicians-results-national-survey
    August 28, 2019 - Study Adoption of patient-centered care practices by physicians: results from a national survey. Citation Text: Audet A-M, Davis K, Schoenbaum S. Adoption of patient-centered care practices by physicians: results from a national survey. Arch Intern Med. 2006;166(7):754-9. Copy Citati…
  20. psnet.ahrq.gov/issue/role-south-north-partnerships-promoting-shared-learning-and-knowledge-transfer
    July 29, 2020 - Commentary The role of South--North partnerships in promoting shared learning and knowledge transfer. Citation Text: Basu L, Pronovost P, Molello NE, et al. The role of South-North partnerships in promoting shared learning and knowledge transfer. Global Health. 2017;13(1):64. doi:10.1186…