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psnet.ahrq.gov/issue/optimizing-patient-safety-during-hemodialysis
October 28, 2020 - Commentary
Optimizing patient safety during hemodialysis.
Citation Text:
Himmelfarb J. Optimizing patient safety during hemodialysis. JAMA. 2011;306(15):1707-8. doi:10.1001/jama.2011.1507.
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www.ahrq.gov/sops/surveys/nursing-home/index.html
April 01, 2025 - SOPS Nursing Home Survey
AHRQ released the Surveys on Patient Safety Culture® (SOPS®) Nursing Home Survey to assess staff perceptions about patient safety culture in their nursing home in 2008. In 2025, AHRQ released a new version, the SOPS Nursing Home Survey 2.0 . This new version removed all negatively wo…
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www.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
December 01, 2012 - Observing Patient Care Rounds
CUSP Toolkit
Communication among disciplines can be improved if viewed through the eyes of an objective observer.
Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentin…
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www.ahrq.gov/news/newsroom/case-studies/cquips1302.html
December 01, 2012 - Main Line Health System Uses Patient Safety Culture Survey in Suburban Philadelphia Facilities
Search All Impact Case Studies
December 2012
Main Line Health System (MLH) in suburban Philadelphia has used AHRQ's "Hospital Survey on Patient Safety Culture" since 2009 in an ongoing effort to embed a reliable c…
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www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Set-the-Stage-for-Conducting-the-Survey.html
December 01, 2019 - Step 5: Set the Stage for Conducting the Survey
Review all steps in the process of planning a survey project:
Step 1: Form a Project Team .
Step 2: Form an Advisory Group .
Step 3: Define Your Goals .
Step 4: Plan a Communications Strategy .
Step 5: Set the Stage for Conducting the Survey.
Step…
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
December 01, 2017 - Perioperative Staff Safety Assessment
AHRQ Safety Program for Surgery
Introduction
Problem Statement
One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety risks in the…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-2.html
February 01, 2021 - Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
Electronic Patient Portals
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Table of Contents
Health Information Technology for Engaging Patients in Diagnostic Decision Making in Emergency Departments
Introduction
…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
June 01, 2017 - Sustainability Tool - Sustainability Module
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 complete this checklist.
Us…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex521.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-21. Measure 21: The effectiveness of communication between practice and community resource (GP-LI)
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Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. W…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section1.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
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Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices and Complications
Example…
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cds.ahrq.gov/sites/default/files/cds/artifact/76/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making.pdf
April 01, 2021 - Implementers should be forewarned—reviews of existing value sets are primarily manual
processes, and
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cds.ahrq.gov/sites/default/files/cds/artifact/81/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Updated%2010-Year%20ASCVD%20Risk.pdf
January 01, 2010 - Implementers should be forewarned—reviews of existing value sets are primarily manual
processes, and
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
September 01, 2017 - Facilitator: Are there any other processes that you use to communicate changes in resident status? … Do you think any of the other processes could be improved? … If you decide a new meeting will be needed to communicate the information, I’ll help you through the processes … afternoon is to determine which Preventable Hospital Transfer reports we will integrate in our current care processes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
June 02, 2025 - DON: We agreed that the processes surrounding resident assessment after a fall needed to improve. … you decide a new meeting will be needed to communicate the
information, I’ll help you through the processes … We determine how it will fit best into our processes rather than trying to
fit our processes into it
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016130-lewis-final-report-2009.pdf
January 01, 2009 - effective safety net system of care across multiple clinics,
projects focused on sharing ideas, effective processes … Varying state statutes must be
evaluated and business processes adapted to address data sharing limitations … participants are paramount to avoid confusion and
subsequent crucial amendments to technology and business processes … operator, instead of the data providers and recipients, controls the project plan,
policies, and processes
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www.ahrq.gov/sites/default/files/2024-01/smith-report.pdf
January 01, 2024 - light, that pain is not caused by opiate deficiency: opiates do not “correct”
the varied and complex processes … These processes are one of a number of ways that acute pain can
transition into chronic pain from a … In addition, she provided information on
the physiological processes at play in the postoperative period … By understanding the processes that lead to postoperative pain as well as the
options for treating it
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
January 01, 2003 - Similar processes were used for other rule sets that had low predictive value.
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hcup-us.ahrq.gov/reports/methods/2003_04.pdf
January 01, 2003 - The QIs are measures of quality associated
with processes of care that occurred in an outpatient or … We take this approach because we view the outcomes as a result of myriad
processes that go into treatment … decisions rather than being the result of specific, fixed
processes generating outcomes for a specific … The QIs are measures of quality associated with
processes of care that occurred in an outpatient or … decisions
rather than being the result of specific, fixed processes generating outcomes for a specific
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - Typically, this will be a comparison over time, with the “before” condition being the service processes … before improvement actions, and the “after” condition the service processes after implementation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/f1-returnoninvestment.pdf
January 01, 2009 - Typically, this will be a
comparison over time, with the “before” condition being the service processes … before
improvement actions, and the “after” condition the service processes after
implementation