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www.ahrq.gov/policymakers/chipra/demoeval/demostates/ga.html
March 01, 2019 - State at a Glance: Georgia
Learn more about the CHIPRA quality demonstration projects being implemented in Georgia.
Georgia is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 6 : How are CHIPRA quality demonstration States working together to improve the quality …
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
March 01, 2019 - State at a Glance: South Carolina
Learn more about the CHIPRA quality demonstration projects being implemented in South Carolina.
South Carolina is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the C…
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www.ahrq.gov/cahps/surveys-guidance/helpful-resources/planning/Form-a-Project-Team.html
December 01, 2019 - Step 1: Form a Project Team
Review all steps in the process of planning a survey project:
Step 1: Form a Project Team.
Step 2: Form an Advisory Group .
Step 3: Define Your Goals .
Step 4: Plan a Communications Strategy .
Step 5: Set the Stage for Conducting the Survey .
Step 6: Develop an Evalu…
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www.ahrq.gov/news/newsroom/case-studies/201518.html
July 01, 2015 - New York City Uses AHRQ's TeamSTEPPS®, Other AHRQ Resources to Advance Patient Safety
Search All Impact Case Studies
July 2015
Description
New York City Health and Hospitals Corporation (HHC), the nation’s largest municipal health care delivery system, uses several AHRQ resources to improve patient care…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-one-page.docx
November 01, 2019 - Ventilator-Associated Pneumonia
Ventilator-Associated Pneumonia
Diagnosis
· Defined as pneumonia occurring more than 48 hours after endotracheal intubation
· Clinical symptoms include purulent tracheal secretions, new infiltrate on chest imaging, worsening oxygenation (usually in association with leukocytos…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
June 02, 2025 - C1 Prioritization Worksheet
Prioritization Worksheet
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
AHRQ Quality Indicators Prioritization Worksheet
Section 1- Blue Section 2-Green Section 3-Purple Section 4-Orange
Own Rate and National Comparat…
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www.ahrq.gov/sops/databases/nursing-home/databases/submission.html
June 01, 2025 - Participating in the SOPS Nursing Home Survey Database
The AHRQ Surveys on Patient Safety Culture® (SOPS®) Nursing Home Database is a central repository for survey data from nursing homes in the United States or in a U.S. territory that administered the SOPS Nursing Home Survey and choose to submit their d…
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psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm-canadian-hospital
June 05, 2013 - Study
Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study.
Citation Text:
Shennan S, Coyle N, Lockwood B, et al. Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital…
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psnet.ahrq.gov/issue/developing-primary-care-patient-measure-safety-pc-pmos-modified-delphi-process-and-face
August 21, 2015 - Study
Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing.
Citation Text:
Hernan AL, Giles SJ, O'Hara JK, et al. Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testi…
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psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient
January 17, 2019 - Study
Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy.
Citation Text:
Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):…
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psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
April 22, 2013 - Study
Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic.
Citation Text:
Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7.
Copy Citatio…
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psnet.ahrq.gov/issue/association-between-operative-autonomy-surgical-residents-and-patient-outcomes
September 09, 2020 - Study
Association between operative autonomy of surgical residents and patient outcomes.
Citation Text:
Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.64…
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psnet.ahrq.gov/issue/can-preventable-adverse-events-be-predicted-among-hospitalized-older-patients-development-and
March 18, 2013 - Study
Can preventable adverse events be predicted among hospitalized older patients? The development and validation of a predictive model.
Citation Text:
Van De Steeg L, Langelaan M, Wagner C. Can preventable adverse events be predicted among hospitalized older patients? The development …
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psnet.ahrq.gov/issue/safety-anaesthesia-study-12606-reported-incidents-uk-national-reporting-and-learning-system
October 19, 2022 - Study
Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System.
Citation Text:
Catchpole K, Bell MDD, Johnson S. Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System. Anaesth…
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psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic
October 19, 2022 - Study
Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program.
Citation Text:
Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a reali…
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psnet.ahrq.gov/issue/do-we-know-what-foundation-year-doctors-think-about-patient-safety-incident-reporting
April 12, 2017 - Study
Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge.
Citation Text:
Robson J, de Wet C, McKay J, et al. Do we know what foundation year doctors think about patient safety incident …
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psnet.ahrq.gov/node/40171/psn-pdf
May 30, 2011 - Qualities and attributes of a safe practitioner:
identification of safety skills in healthcare.
May 30, 2011
Long S, Arora S, Moorthy K, et al. Qualities and attributes of a safe practitioner: identification of safety skills
in healthcare. BMJ Qual Saf. 2011;20(6):483-490. doi:10.1136/bmjqs.2010.043166.
https://ps…
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psnet.ahrq.gov/node/41307/psn-pdf
May 04, 2012 - Development and validation of a tool to assess
emergency physicians' nontechnical skills.
May 4, 2012
Flowerdew L, Brown R, Vincent CA, et al. Development and validation of a tool to assess emergency
physicians' nontechnical skills. Ann Emerg Med. 2012;59(5):376-385.e4.
doi:10.1016/j.annemergmed.2011.11.022.
http…
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psnet.ahrq.gov/node/35317/psn-pdf
July 14, 2009 - Accreditation Council on Graduate Medical Education
technical skills competency compliance: urologic surgical
skills.
July 14, 2009
Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical
Skills Competency Compliance: Urologic Surgical Skills. J Am Coll Surg. 2005;201(3).
…
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psnet.ahrq.gov/node/44752/psn-pdf
April 20, 2016 - Nontechnical skills in pediatric surgery: factors
influencing operative performance.
April 20, 2016
Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J
Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062.
https://psnet.ahrq.gov/issue/nontechnical-skil…