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psnet.ahrq.gov/issue/remote-video-auditing-real-time-feedback-academic-surgical-suite-improves-safety-and
August 04, 2021 - Study
Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study.
Citation Text:
Overdyk FJ, Dowling O, Newman S, et al. Remote video auditing with real-time feedback in an academic surgical suite improve…
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hcup-us.ahrq.gov/db/state/sedddist/sedddist_filecompme.jsp
August 01, 2006 - SEDD File Composition - Maine
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
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psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
August 18, 2021 - Study
Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.
Citation Text:
Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…
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digital.ahrq.gov/ahrq-funded-projects/secure-messaging-pediatric-respiratory-medicine-setting/annual-summary/2009
January 01, 2009 - Secure Messaging in a Pediatric Respiratory Medicine Setting - 2009
Project Name
Secure Messaging in a Pediatric Respiratory Medicine Setting
Principal Investigator
Hsiao, Allen L.
Organization
Yale New Haven Health Services Corporation
Contract Number
290-20-060015…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-course-evaluation-form.pdf
June 02, 2025 - TeamSTEPPS Training Evaluation Form
TeamSTEPPS Training
Evaluation Form
The TeamSTEPPS course evaluation form that follows is designed for a 2 day course
based on the TeamSTEPPS curriculum released in 2023. If the course you are evaluating
does not include all the material covered in a 2 day cours…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-1-slides.pptx
August 03, 2022 - TeamSTEPPS Communication - Module 1
Communication
Module 1
1
Objectives
Describe how communication affects team processes and outcomes.
Define effective communication.
Identify communication challenges.
Identify TeamSTEPPS tools and strategies that can improve a team’s communication.
2
Communication
2
C…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/multidiscplinary-rounding.pdf
April 01, 2022 - Making It Work Tip Sheet: Multidisciplinary Rounding for Patient Safety
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Multidisciplinary Rounding for Patient Safety
This “Making It Work” tip sheet provides additional information to help intensive car…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.html
March 01, 2017 - Appendix K. CAUTI Case Review Form
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Purpose
The CAUTI Case Review Form is a performance improvement look-back tool that assists long-term care (LTC) facilities with identifying possible resident care issues that might have contributed to a cathet…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation.pptx
May 01, 2017 - Module 4: PowerPoint Presentation
Management Practices for Sustainability
Module 4: Observation and Integration
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. No. 16(17)-0019-4-EF
May 2017
Module 4: Observation and Integration | ‹#›
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustain…
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psnet.ahrq.gov/issue/prevalence-nature-and-predictors-omitted-medication-doses-mental-health-hospitals-multi
August 11, 2021 - Study
Prevalence, nature and predictors of omitted medication doses in mental health hospitals: a multi-centre study.
Citation Text:
Keers RN, Hann M, Alshehri GH, et al. Prevalence, nature and predictors of omitted medication doses in mental health hospitals: A multi-centre study. PLoS …
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www.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
October 01, 2023 - Grantee Profile
Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings
Kathleen Walsh, M.D., M.Sc.
Director, Patient Safety Research Core
Boston Children’s Hospital
Kathleen Walsh, M.D., M.Sc.
“AHRQ funding enables researchers to build a body of w…
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www.ahrq.gov/talkingquality/measures/measure-questions.html
November 01, 2018 - Key Questions When Choosing Health Care Quality Measures
When selecting measures to include in your report, you need to consider two issues:
Whether the measures are "good".
Whether the measures are appropriate for your audience.
Are the Measures Good?
The easiest way to determine whether a measure …
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather-a-Team-updated.docx
October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program
Toolkit 1. Start an Antimicrobial Stewardship Program
Tool 1. Gather a Team
Choose members to serve on the antimicrobial stewardship program team. Depending on the size of the nursing home, the team may be very small (two or three me…
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www.ahrq.gov/news/newsroom/case-studies/202201.html
January 01, 2022 - Maine Groups Improve Care for Patients with Intellectual/Developmental Disabilities
Search All Impact Case Studies
January 2022
A partnership between the Maine Developmental Disabilities Council (MDDC) and two AHRQ-listed patient safety organizations (PSOs) is helping improve care for patients with intell…
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www.ahrq.gov/diagnostic-safety/ideas-project/measure-dx.html
July 01, 2025 - Measure Dx: A Tool To Identify, Analyze, and Learn From Diagnostic Safety Events – Enrollment Closed
As part of a project called Implementing Diagnostic Excellence Across Systems (IDEAS), RAND recruited healthcare sites that have or can create a quality improvement (QI) team that will commit to using a resource…
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www.ahrq.gov/sites/default/files/wysiwyg/coronavirus/long-covid-care-network/keck-grantee-profile.pdf
January 01, 2024 - Keck COVID Recovery Clinic Optimal Outcomes for Patients in a Comprehensive Assessment and Management Program
Geographic Service Area
Los Angeles metro area
Keck CRC will implement a new single-visit CAMP model for
patients with insurance or geographic barriers. The visit will include
consultation with the care team…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2005
January 01, 2005 - Tierney WM et al. 2005 "Can computer-generated evidence-based care suggestions enhance evidence-based management of asthma and chronic obstructive pulmonary disease? A randomized, controlled trial."
Reference
Tierney WM, Overhage JM, Murray MD, et al. Can computer-generated evidence-based care suggest…
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-care-compact-organize-risk-and-decisionmaking-accord
January 01, 2023 - Ambulatory Care Compact to Organize Risk and Decisionmaking (ACCORD)
Project Final Report ( PDF , 857.15 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/unertl-km-et-al-2006
January 01, 2006 - Unertl KM et al. 2006 "Applying direct observation to model workflow and assess adoption."
Reference
Unertl KM, Weinger MB, Johnson KB. Applying direct observation to model workflow and assess adoption. AMIA Annu Symp Proc 2006:794-798.
[Link]
Abstract
"Lack of understanding about workflow c…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/lobach-df-et-al-1997
January 01, 1997 - Lobach DF et al. 1997 "Computerized decision support based on a clinical practice guideline improves compliance with care standards."
Reference
Lobach DF, Hammond WE. Computerized decision support based on a clinical practice guideline improves compliance with care standards. Am J Med 1997;102(1):89-9…