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psnet.ahrq.gov/node/50651/psn-pdf
November 13, 2019 - How effective is teamwork really? The relationship
between teamwork and performance in healthcare teams:
a systematic review and meta-analysis.
November 13, 2019
Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship between teamwork
and performance in healthcare teams: a systematic rev…
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psnet.ahrq.gov/node/46728/psn-pdf
March 27, 2018 - Near-miss event analysis enhances the barcode
medication administration process.
March 27, 2018
Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M.
https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-
process
Near misses provide unique opportunities to ide…
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psnet.ahrq.gov/node/34802/psn-pdf
January 01, 2016 - The Veterans Affairs root cause analysis system in action.
September 3, 2015
Bagian JP, Gosbee JW, Lee CZ, et al. The Veterans Affairs Root Cause Analysis System in Action. Jt
Comm J Qual Improv. 2016;28(10):531-545. doi:10.1016/s1070-3241(02)28057-8.
https://psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysi…
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_denver_health.pdf
April 01, 2019 - Denver Health: How a Safety Net System Maximizes Its Value
Denver Health: How a Safety Net System Maximizes Its
Value
The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies
to help health system chief executive officers (CEOs) and other C-suite leaders better
understand t…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
September 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case September 2007
Medication Reconciliation: Whose Job Is It?
Source and Credits
This presentation is based on the September 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Eric G. Poon, MD, MPH, Ha…
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
June 01, 2015 - Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration
Using Rapid-Cycle Research to
Reach Goals: Awareness,
Assessment, Adaptation,
Acceleration
Using Rapid-Cycle Research to Reach Goals:
Awareness, Assessment, Adaptation, Acceleration
P…
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psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
December 31, 2014 - Study
Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences.
Citation Text:
Schultz K, Carayon P, Hundt AS, et al. Care transitions in the outpatient surgery preoperative process: facilitators and obstacl…
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meps.ahrq.gov/communication/census_announce.shtml
July 01, 2007 - AHRQ-Census Bureau Agreement
Skip to main content
An official website of the Department of Health & Human Services
More
Back
Search ahrq.gov
…
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim3.html
July 01, 2013 - Eliminating CAUTI: Interim Data Report
Methods
Previous Page Next Page
Table of Contents
Eliminating CAUTI: Interim Data Report
Executive Summary
Introduction and Objectives
Methods
Results
Outcome and Process Measures
Culture Measures
Conclusions
Data Sources
This re…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Learning From Defects
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
Learning From Defects
1
Educat…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2012
January 01, 2012 - Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System - 2012
Project Name
Evaluation of Effectiveness of a Health Information Technology-Based Care Transition Information Transfer System
Principal Investigator
Ciemins, Elizabeth …
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effectivehealthcare.ahrq.gov/sites/default/files/topic-refinement.ppt
March 01, 2010 - AHRQ Slide Template 2009
Topic Refinement
Agency for Healthcare Research and Quality (AHRQ)
Training Modules for Methods Guide for Effectiveness and Comparative Effectiveness Reviews
Topic Refinement
Systematic Review Process Overview
Systematic Review Process Overview
This slide illustrates the steps in the …
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018250-vawdrey-final-report-2011.pdf
January 01, 2011 - Electronic Medication Management
Grant Final Report
Grant ID: R03 HS18250
Electronic Medication Management
Inclusive project dates: 09/30/09 - 09/29/11
Principal Investigator:
David K. Vawdrey, PhD
Team members:
Nancy Chang, MD (Co-Investigator)
Audrey Compton, MD, MPH (Co-Investig…
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www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Chapter 2. ST-PRA Development
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-…
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQFINALREPORTVHI.pdf
December 01, 2009 - To date, one hospital
has successfully re-submitted while the other is still processing. … insufficient for handling this
capacity but we also crashed one of our hard drives during overnight
processing
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - SPOTLIGHT CASE
Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery.
Citation Text:
Olson APJ. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research …
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www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
January 01, 2024 - Risk management resources were compared by estimated time and costs for processing patient
complaint
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
March 06, 2025 - Strategies to Better Engineer Safety into Healthcare Delivery
Page 1 of 17
Engineering Safe Practices Affinity Group
Strategies to Better Engineer Safety into
Healthcare Delivery
March 6, 2025
Table of Contents
Problem Statement ...............................................................................…