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psnet.ahrq.gov/issue/prevalence-and-predictability-low-yield-inpatient-laboratory-diagnostic-tests
November 13, 2024 - Journal Article
Prevalence and predictability of low-yield inpatient laboratory diagnostic tests.
Citation Text:
Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamane…
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psnet.ahrq.gov/issue/when-surgical-colleague-makes-error
December 21, 2014 - Commentary
When a surgical colleague makes an error.
Citation Text:
Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828.
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psnet.ahrq.gov/issue/legibility-prescription-medication-labelling-canada-moving-pharmacy-centred-patient-centred
September 23, 2020 - Study
The legibility of prescription medication labelling in Canada: moving from pharmacy-centred to patient-centred labels.
Citation Text:
Leat SJ, Ahrens K, Krishnamoorthy A, et al. The legibility of prescription medication labelling in Canada: Moving from pharmacy-centred to patient-c…
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary4.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Improving service systems for youth with serious emotional disorders and their families
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Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Gr…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/nmstateataglance.pdf
March 01, 2012 - New Mexico State at a Glance
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/costateataglance.pdf
March 01, 2012 - Colorado State at a Glance
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psnet.ahrq.gov/issue/excess-cost-and-length-stay-associated-voluntary-patient-safety-event-reports-hospitals
October 19, 2022 - Study
Excess cost and length of stay associated with voluntary patient safety event reports in hospitals.
Citation Text:
Paradis AR, Stewart VT, Bayley KB, et al. Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals. American Journal of M…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/staff-survey-6mon-post-intervention-nw.pdf
June 02, 2025 - Staff Member Survey
P a g e | 1
PLEASE FLIP TO PAGE 2
Version 3 FOR COACH ONLY:
PRACTICE ID: _____________
Healthy Hearts Northwest Follow-up Staff Member Survey (#3)
Name of your practice: ________________________________________
Address of your practice: ____________________________…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/qapi-leadership-rounding-guide-centers-for-medicare.pdf
June 02, 2025 - QAPI Leadership Rounding Guide
Disclaimer: Use of this tool is not mandated by CMS, nor does its completion ensure regulatory compliance.
Directions: Leadership rounding is a process where leaders (e.g., administrator, department heads, and nurse
managers) are out in the building with staff and residents, t…
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www.ahrq.gov/cpi/about/otherwebsites/cds-connect/index.html
June 01, 2019 - CDS Connect: Using Clinical Decision Support To Move Evidence Into Practice
Project Summary
CDS Connect is a key component of AHRQ’s recently launched initiative on clinical decision support (CDS) to move evidence into practice and to make CDS more patient centered. This initiative has four components:
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psnet.ahrq.gov/issue/how-organisations-contribute-improving-quality-healthcare
June 25, 2014 - Commentary
How organisations contribute to improving the quality of healthcare.
Citation Text:
Fulop NJ, Ramsay AIG. How organisations contribute to improving the quality of healthcare. BMJ. 2019;365:l1773. doi:10.1136/bmj.l1773.
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psnet.ahrq.gov/issue/mind-sentinel-applying-patient-safety-paradigms-clinician-well-being
October 19, 2022 - Commentary
Mind the sentinel - applying patient-safety paradigms to clinician well-being.
Citation Text:
Humikowski CA. Mind the sentinel - applying patient-safety paradigms to clinician well-being. N Engl J Med. 2024;391(20):1870-1872. doi:10.1056/nejmp2406074.
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psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety
October 21, 2020 - Study
Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement.
Citation Text:
Bahadurzada H, Kerrissey M, Edmondson AC. Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement.…
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www.ahrq.gov/news/newsroom/case-studies/202501.html
January 01, 2025 - Henry Ford Hospital Unit Lowers C. diff Infections by 90 Percent Using AHRQ Safety Program
Search All Impact Case Studies
January 2025
Using AHRQ’s Comprehensive Unit-based Safety Program (CUSP ), Henry Ford Hospital in Detroit reduced the incidence of Clostridioides difficile (C. diff) infections in its…
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digital.ahrq.gov/health-care-theme/transitions-care
January 01, 2023 - Transitions in Care
Scalable Digital Communication Intervention to Support Older Adults and Care Partners Transitioning Home After Major Surgery
Description
This research will develop and evaluate the Perioperative Optimization of Senior Health (myPOSH) mobile application that…
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pso.ahrq.gov/resources/guides
August 01, 2023 - SHARE:
More topics in this section
Resources
Resources
Resources About the Patient Safety and Quality Improvement Act of 2005
Patient Safety Act
Patient Safety Rule
HHS Guidance
Guides
Other Educational Materials
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cdsic.ahrq.gov/cdsic/project-summary-final2025
September 12, 2025 - :
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HHS.gov
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CDS Home
CDS Innovation Collaborative
An official website of the Department of Health & Human Services
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www.ahrq.gov/es/programs/index.html
January 01, 2016 - Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
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psnet.ahrq.gov/issue/integrating-patient-safety-and-clinical-pharmacy-services-care-high-risk-ambulatory
April 08, 2020 - Study
Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach.
Citation Text:
Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Ris…
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psnet.ahrq.gov/issue/burnout-neonatal-intensive-care-unit-and-its-relation-healthcare-associated-infections
November 20, 2019 - Study
Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections.
Citation Text:
Tawfik DS, Sexton JB, Kan P, et al. Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. J Perinatol. 2017;37(3). doi:10.103…