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  1. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/overview/background/appendix-a9.html
    December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…

  2. Resources for Health Care Quality Measurement | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/measures/resources.html
    April 01, 2019 - Resources for Health Care Quality Measurement Several organizations and resources provide information on measures used in different health care settings. Refer to the Key Initiatives section to read about other initiatives that have contributed to understanding and improving the nation's health care quality. …

  3. Exhibit 2.14. Major Factors that Facilitated Lean Success at Central | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-14.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 2.14. Major Factors that Facilitated Lean Success at Central Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Hea…

  4. Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-19.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48064/psn-pdf
    June 12, 2019 - Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. June 12, 2019 Austin M, Derk J. Baltimore, MD: Armstrong Institute for Patient Safety and Quality, and Johns Hopkins Medicine; May 2019. https://psnet.ahrq.gov/issue/lives-lost-lives-saved-updat…

  6. Research Dissemination | Digital Healthcare Research

    digital.ahrq.gov/2020-year-review/research-dissemination
    January 01, 2020 - Research Dissemination Dissemination of research findings is an important part of the research process, passing on the benefits to other researchers, healthcare providers and systems, vendors, policymakers, patients, and other stakeholders in order to support replication of successful …

  7. Newyork2005-2006Sidandsasd (pdf file)

    hcup-us.ahrq.gov/db/state/siddist/NewYork2005-2006SIDandSASD.pdf
    January 01, 2005 - The 2005–2006 New York State Inpatient Databases (SID) and State Ambulatory Surgery Databases (SASD) purchased prior to the year 2010 contain some duplicate records. The duplicate records, while rare, occur in multiple hospitals across the State of New York. The issue of the duplicate records, however, is limited, …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867188/psn-pdf
    November 20, 2024 - Ensuring safe practice by late career physicians: institutional policies and implementation experiences. November 20, 2024 White AA, Gallagher TH, Osinska PH, et al. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Ann Intern Med. 2024;177(12):1702-1710. doi:1…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44246/psn-pdf
    November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. November 15, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm The National Patient Safety Foundation issued these guidelines for improving root cause a…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43496/psn-pdf
    November 01, 2016 - Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. November 1, 2016 Boutwell A, Bourgoin A , Maxwell J, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0047-EF. https://psnet.ahrq.gov/issue/designing-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859350/psn-pdf
    December 20, 2023 - What are the experiences of team members involved in root cause analysis? A qualitative study. December 20, 2023 Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi:10.1186/s12913-023-10164-9. h…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60660/psn-pdf
    July 09, 2020 - Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. July 9, 2020 Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12). doi:10.1093/ajhp/zxaa090. https:/…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47853/psn-pdf
    April 10, 2019 - Does a unit shift report "blackout" period improve patient safety? April 10, 2019 Olmstead J. Does a unit shift report "blackout" period improve patient safety? Nurs Manage. 2019;50(3):8- 10. doi:10.1097/01.NUMA.0000553500.85897.51. https://psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patien…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44038/psn-pdf
    May 06, 2015 - Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. May 6, 2015 Marks L, Mazur L, Chera B, Adams R. Boca Raton, FL: Productivity Press; 2015. ISBN: 9781482233643. https://psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44948/psn-pdf
    February 14, 2017 - Safer Healthcare: Strategies for the Real World. February 14, 2017 Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016 https://psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world Written by two leaders in the patient safety field, Charles Vincent and Rene Amalberti, this book is available for free dow…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44350/psn-pdf
    July 29, 2015 - Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. July 29, 2015 Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Primary Care Practices: A Collaborat…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50779/psn-pdf
    January 08, 2020 - STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress. January 8, 2020 O’Mahony D. STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress. Expert Rev Clin Pharm…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44837/psn-pdf
    February 03, 2016 - Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). February 3, 2016 Phatak A, Prusi R, Ward B, et al. Impact of pharmacist involvement in the transitional care of high-risk patients t…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61122/psn-pdf
    January 01, 2022 - Implementing high-reliability organization principles into practice: a rapid evidence review. November 11, 2020 Veazie S, Peterson K, Bourne D, et al. Implementing high-reliability organization principles into practice: a rapid evidence review. J Patient Saf. 2022;18(1):e320-e328. doi:10.1097/pts.0000000000000768. …

  20. Toolkit Modules | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules.html
    January 01, 2017 - Toolkit Modules The toolkit consists of four modules and other resources that will help ICUs uncover local defects, implement interventions to prevent ventilator-associated events, and build a sustainable safety culture. Module on How To Apply CUSP for Mechanically Ventilated Patients The Comprehensive Unit…
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