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psnet.ahrq.gov/node/33623/psn-pdf
December 01, 2005 - The Unintended Consequences of Florida Medical
Liability Legislation
December 1, 2005
Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
Perspective
Quality health …
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www.ahrq.gov/sops/news/previous-announcements.html
March 01, 2025 - Previous Announcements About SOPS Surveys
2022 Announcements Date Announcements December 2022 AHRQ Post-Webcast Materials for “Understanding SOPS Surveys: A Primer for New Users” This webcast provided an overview of the Surveys on Patient Safety Culture (SOPS) Surveys. Speakers described the SOPS program, surve…
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www.ahrq.gov/sops/bibliography/index.html?page=3
January 01, 2025 - SOPS Bibliography
Browse or search for publications about the development and use of SOPS surveys and other topics related to assessing patient safety culture.
Results
151-200 of 505 Bibliography Items displayed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/bim.docx
December 01, 2017 - Barrier Identification and Mitigation Tool
AHRQ Safety Program for Surgery
AHRQ Safety Program for Surgery
Barrier Identification and Mitigation Tool
Introduction
Problem Statement
Guidelines summarizing evidence exist to help ensure that patients receive recommended interventions. In addition, consistent guidel…
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psnet.ahrq.gov/node/72837/psn-pdf
September 01, 2022 - Project Nurture Engages Pregnant People with Substance
Use Disorder, Improves Maternal and Infant Outcomes.
Originally published on March 11, 2021
Last updated on March 16, 2021
https://psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder-
improves-maternal-and
Summary
Project…
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
December 01, 2017 - Barrier Identification and Mitigation Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
Guidelines summarizing evidence exist to help ensure that patients receive recommended interventions. In addition, consistent guideline adherence may significantly improve patient safety…
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf
November 01, 2024 - Diagnostic Safety Research
1
Diagnostic Safety Research
at the Agency for Healthcare
Research and Quality
Diagnostic Error
Diagnostic error is a significant and underrecognized threat to patient safety.
Diagnostic errors are common, consequential, and costly and contribute to avoidable suffering and
prevent…
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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - Handoffs and Transitions
January 22, 2014
Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/handoffs-and-transitions
Annual Perspective 2014
Despite recent efforts to promote clinical integration, the United States health care system remains highly
fragmented. From it…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology-references.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
References
Previous Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspectives on Diagnostic Improvement
Definitions of Diagnosis
Types of Evide…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/epc-making-sure-evidence-understood.pdf
July 01, 2020 - Making Sure That Evidence Is Understood and Used
Making Sure That Evidence
Is Understood and Used:
Engaging With the Agency
for Healthcare Research and
Quality in Evidence Reviews
Why Engage With AHRQ?
The Agency for Healthcare Research and Quality (AHRQ) wants to engage with
organizations to promote the use…
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - Strategies to Improve Organizational Health Literacy.
May 31, 2023
Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
Background
Health literacy is important at both the personal …
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psnet.ahrq.gov/node/49757/psn-pdf
April 01, 2016 - Situational Awareness and Patient Safety
April 1, 2016
Farnan JE. Situational Awareness and Patient Safety. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
The Case
A 40-year-old woman with a history of cirrhosis and known esophageal varices was admitted to the hospit…
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www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/menus.html
February 01, 2022 - Module Menus
The Modules
Introduction to the AHRQ Practice Facilitation Training Modules
Starting with a Practice
Facilitator Fundamentals
Effective Meetings
Introduction to Quality Improvement (QI) in Primary Care
Model for Improvement and PDSA Cycles
Process Mapping
The 5 Whys and Fishbone…
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www.ahrq.gov/patient-safety/resources/learning-lab/idea-ll-long-desc.html
August 01, 2025 - Improving Diagnosis in Emergency and Acute Care: A Learning Laboratory (IDEA-LL)
Principal Investigator: Prashant Mahajan, M.D., M.P.H., M.B.A., University of Michigan, Ann Arbor, MI Co-PIs: Kalyan Pasupathy, Ph.D., University of Illinois, Chicago, IL; Hardeep Singh, M.D., M.P.H., Department of Veterans Affai…
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www.ahrq.gov/ncepcr/reports/grants-impact/spreading-model.html
February 01, 2017 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Spreading the Model to Partner States
Previous Page Next Page
Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Met…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-fullreport.pdf
January 01, 2020 - the health care system than their non-disabled
counterparts (Office of Disease Prevention and Health Promotion … Office of Disease Prevention and Health Promotion. Disability and health. Healthy People 2020.
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www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
August 01, 2016 - It is also true that "when it rains it
pours"--getting this K08 helped me achieve promotion, national … American Journal of Epidemiology
American Journal of Gastroenterology
American Journal of Health Promotion
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digital.ahrq.gov/sites/default/files/docs/citation/pccds-ln-opioid-action-plan-2019.pdf
January 01, 2019 - 1
A Stakeholder-driven Action Plan for
Improving Pain Management, Opioid Use,
and Opioid Use Disorder Treatment
Through Patient-Centered Clinical
Decision Support
Jerome A. Osheroff, MD
Barry H. Blumenfeld, MD, MS
Joshua E. Richardson, PhD, MS, MLIS
Beth Lasater, MSPH
…
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digital.ahrq.gov/sites/default/files/docs/library/full_0.html
September 01, 2010 - Special Article You have full text access to this OnlineOpen article Expanding access to hepatitis C virus treatment—Extension for Community Healthcare Outcomes (ECHO) project: Disruptive innovation in specialty care † Sanjeev Arora ‡,* , Summers Kalishman, Karla Thornton, Denise Dion, Glen Murata, Paulina Deming,…
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digital.ahrq.gov/sites/default/files/docs/library/full_1.html
September 01, 2010 - Special Article You have full text access to this OnlineOpen article Expanding access to hepatitis C virus treatment—Extension for Community Healthcare Outcomes (ECHO) project: Disruptive innovation in specialty care † Sanjeev Arora ‡,* , Summers Kalishman, Karla Thornton, Denise Dion, Glen Murata, Paulina Deming,…