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psnet.ahrq.gov/issue/team-time-out-and-surgical-safety-experiences-12390-neurosurgical-patients
November 21, 2018 - Study
"Team time-out" and surgical safety—experiences in 12,390 neurosurgical patients.
Citation Text:
Oszvald Á, Vatter H, Byhahn C, et al. “Team time-out” and surgical safety—experiences in 12,390 neurosurgical patients. Neurosurg Focus. 2012;33(5). doi:10.3171/2012.8.focus12261.
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-challenge-health-care-professionals-and-institutions
April 19, 2017 - Commentary
Disclosing medical errors to patients: a challenge for health care professionals and institutions.
Citation Text:
Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/…
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psnet.ahrq.gov/issue/preparing-challenging-medications-barcode-scanning
October 19, 2022 - Commentary
Preparing challenging medications for barcode scanning.
Citation Text:
Waxlax TJ. Preparing challenging medications for barcode scanning. Am J Health Syst Pharm. 2015;72(13):1089-90. doi:10.2146/ajhp140454.
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psnet.ahrq.gov/issue/quality-outpatient-clinical-notes-stakeholder-definition-derived-through-qualitative-research
September 09, 2013 - Study
Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research.
Citation Text:
Hanson JL, Stephens MB, Pangaro LN, et al. Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. BMC Health Serv Res. …
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psnet.ahrq.gov/issue/addressing-patient-safety-rapid-response-activations-nonhospitalized-persons
June 18, 2014 - Study
Addressing patient safety in rapid response activations for nonhospitalized persons.
Citation Text:
Lakshminarayana PH, Darby JM, Simmons RL. Addressing Patient Safety in Rapid Response Activations for Nonhospitalized Persons. J Patient Saf. 2017;13(1):14-19. doi:10.1097/PTS.000000…
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psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-improve-safety
August 08, 2018 - Newspaper/Magazine Article
Survey results: smart pump data analytics pump metrics that should be monitored to improve safety.
Citation Text:
Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. ISMP Medication Safety Alert! Acute care edition…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast3-gandhi.pdf
January 01, 2018 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Optimizing (Gandhi)
Optimizing
the Use of HIT
to Improve
Safety
Tejal Gandhi
Handwriting
16
Ways IT Can Improve Safety
• Prevent errors and adverse events
• Facilitating a more rapid response after an
…
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psnet.ahrq.gov/issue/intralipid-medication-errors-neonatal-intensive-care-unit
January 02, 2017 - Study
Intralipid medication errors in the neonatal intensive care unit.
Citation Text:
Chuo J, Lambert G, Hicks RW. Intralipid medication errors in the neonatal intensive care unit. Jt Comm J Qual Patient Saf. 2007;33(2):104-11.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
January 01, 2015 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D.
5
AHRQ’s Surveys on Patient Safety Culture™
(SOPS®) Program
Caren Ginsberg, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
6
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and sci…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Module 4: Sustainability
Sustainability Tool
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 comple…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-material-guide.docx
May 01, 2017 - Overview
Definition of Sustainability and its Importance in Quality Improvement
· Slides 4-8
Linking Sustainability and Spread
· Slides 9-10
Planning Early for Sustainability
· Slides 11-12
Barriers and Solutions to Sustaining Improvements
· Slides 13-17
Steps to Creating and Implementing a Sustainability Plan
· Slides…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-sops-riverside-handoffs-webcast-bakdash.pdf
January 01, 2022 - Improving Hospital Handoffs Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey - Bakdash
AHRQ’s Surveys on Patient Safety Culture®
(SOPS®) Program
Jonathan Bakdash, Ph.D.
Center for Quality Improvement and Patient Safety, AHRQ
Agency for Healthcare Research and Quality
• AHRQ is:
► A research and …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/059-nursing-protocol-nasal-mupirocin.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Nursing Decolonization Protocol:
Nasal Mupirocin
ICU & Non-ICU
Note: Mupirocin should generally be chosen over iodophor when possible. A recent study showed a mupirocin & chlorhexidine gluconate (CHG) decolonization strategy to be more effective at reducing Staphylococcus aureus …
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www.ahrq.gov/patient-safety/reports/engage/model-in-pc.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Model of Patient Safety in Primary Care
Previous Page Next Page
Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduc…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-135-technical-specifications.pdf
November 26, 2013 - Technical Specifications for Section II. Detailed Measure Specifications
Q‐METRIC Sickle Cell Disease Measure 2: Timeliness of Antibiotic Prophylaxis for C…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-5-table-4.pdf
January 01, 2011 - Section 5, Table 4
Table 4: Evidence Supporting Appropriate Emergency Department Fever Management for Children
with Sickle Cell Disease
Type of
evidence
Key findings Level of
evidence
(USPSTF
ranking*)
Citation(s)
Clinical
guidelines
All children with SCD who have fever greater
than 38.5 degrees Cels…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-webinar-jan-2017-rybowski.pdf
January 01, 2017 - CAHPS Elicitation Protocol Webcast
Implementation of the
CAHPS Elicitation Protocol
Lise Rybowski
The Severyn Group
www.ahrq.gov/cahps
Two Options for Administration
• As part of the Clinician & Group Survey
• To take advantage of the sampling frame for the survey
• To facilitate linking of narrative respons…
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integrationacademy.ahrq.gov/expert-insight/niac-video/10911
January 01, 2013 - An official website of the Department of Health & Human Services
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Integrating Behavioral Health & Primary Care
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psnet.ahrq.gov/issue/assessing-diagnostic-performance
May 13, 2020 - Review
Assessing diagnostic performance.
Citation Text:
Cosby K, Yang D, Fineberg HV. Assessing diagnostic performance. NEJM Evid. 2024;3(2):EVIDra2300232. doi:10.1056/evidra2300232.
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integrationacademy.ahrq.gov/news-and-events/news/engagement-and-retention-nonabstinent-patients-sud-treatment-new-asam-clinical
December 20, 2024 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…