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psnet.ahrq.gov/node/836998/psn-pdf
April 27, 2022 - How will state medical boards handle cases involving
disclosure and apology for medical errors?
April 27, 2022
Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical
errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160435211070096.
https://psnet.ahrq.…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/infection-prevention.html
March 01, 2017 - Implement an Infection Prevention Quality Improvement Project
Start with the Implementation Guide , and then consult the Sustainability Guide
Long -Term Care Safety Toolkit Modules
Comprises six modules (available in English and Spanish) that describe how to apply CUSP for long-term care resident safety…
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psnet.ahrq.gov/issue/sorry-works
November 15, 2024 - Multi-use Website
Sorry Works!
Save
Save to your library
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March 17, 2011
Sorry Works! supports a full-disclosure approach to medical errors. They encourage…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/action-plan-template.docx
June 02, 2025 - Action Plan Worksheet
ACTION PLAN WORKSHEET
INSTRUCTIONS:
1. Discuss with your team some improvements you’d like to make specific to the High Leverage Changes listed in the table. Use the data from the Quality Improvement Change Assessment (QICA), current patient panel data, discussions with your coach and team, or ob…
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www.ahrq.gov/sops/surveys/medical-office/supplemental-items/index.html
May 01, 2021 - Supplemental Items for Medical Office SOPS
All SOPS ® surveys are composed of standardized questions—referred to as core items—that support the comparability of survey content across users. There are also optional supplemental items that users may add to assess content in areas not included in the core quest…
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psnet.ahrq.gov/node/60881/psn-pdf
September 02, 2020 - Advancing Patient Safety: Reviews From the Agency for
Healthcare Research and Quality's Making Healthcare
Safer III Report.
September 2, 2020
Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality’s Making
Healthcare Safer III Report. J Patient Saf. 2020;16(3S Suppl 1):s1-s56.
doi:1…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cg-survey-4-beta-webinar-introduction.pdf
December 17, 2020 - Introducing the CAHPS Clinician & Group Visit Survey 4.0 (beta) - Intro
Introducing the CAHPS Clinician & Group
Visit Survey 4.0 (beta)
A Webcast Presented by the AHRQ CAHPS User Network
December 17, 2020
1:00 – 2:00 pm ET
Our Focus Today
• Overview of AHRQ’s CAHPS program
• AHRQ’s response to COVID-19
• CAHP…
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psnet.ahrq.gov/node/73220/psn-pdf
May 05, 2021 - Identifying barriers to and opportunities for telehealth
implementation amidst the COVID-19 pandemic by using
a human factors approach: a leap into the future of health
care delivery?
May 5, 2021
Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for telehealth implementation amidst
the COVID…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.pdf
May 01, 2014 - Sample Vignettes
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 3
Sample Procedures1
[NURSING HOME NAME]
[DATE]
Purpose and Scope
This procedure covers the use of an antibio…
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www.ahrq.gov/nursing-home/resources/vaccine-effectiveness-delta-variant.html
August 01, 2022 - Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection Among Nursing Home Residents Before and During Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant
Resource: Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection Among Nu…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apd.html
August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix D
Anonymous Reporting Tool
The Gap Analysis process relies heavily on key informant interviews and perspectives, which often take place in a focus group setting. Many times individuals have additional, more sensitive information to share, or information/observations …
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psnet.ahrq.gov/node/851925/psn-pdf
August 02, 2023 - Deficiencies in Emergency Department Care for a Patient
Who Died by Suicide at the John Cochran Division of the
VA St. Louis Health Care System in Missouri.
August 2, 2023
Washington DC: Department of Veterans Affairs, Office of Inspector General; June 29, 2023. Report no.
22-01540-146.
https://psnet.ahrq.gov/iss…
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www.ahrq.gov/evidencenow/tools/workflow-mapping.html
February 01, 2025 - How to Map Workflows in Health Care Settings
Resource: Mapping and Redesigning Workflow (PDF, 8.8 MB, 69 (Including 54 pages of slides in appendices) pages) Part of an AHRQ curriculum used to train practice facilitators, this resource explains the purpose and process of workflow mapping in a primary care se…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manap14.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B14: Pre and Posttests for Inservice #2, How to Reduce Falls
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Int…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb7.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B13: Pre and Posttests for Inservice #1, Why Falls Happen
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introd…
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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…
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psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
April 01, 2005 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - Disclaimer
SAY:
The findings and recommendations in this presentation are those of the authors, who are responsible