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  1. Psn-Pdf (pdf file)

    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.…
  2. 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…
  3. psnet.ahrq.gov/issue/sorry-works
    November 15, 2024 - Multi-use Website Sorry Works! Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 17, 2011 Sorry Works! supports a full-disclosure approach to medical errors. They encourage…
  4. 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…
  5. 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…
  6. Psn-Pdf (pdf file)

    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…
  7. 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…
  8. Psn-Pdf (pdf file)

    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…
  9. 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…
  10. 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…
  11. 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 …
  12. Psn-Pdf (pdf file)

    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…
  13. 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…
  14. 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…
  15. 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…
  16. 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…
  17. 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
  18. 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
  19. 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
  20. 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