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  1. www.ahrq.gov/patient-safety/settings/hospital/resetguide.html
    July 01, 2020 - Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients (RESET Project) A number of challenges impede hospitals’ ability to provide high-quality care to patients on medical services. Teams are large, membership changes over time, and members are often physically scattered, working across m…
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apvi.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix VI: Language of the Deficit Reducation Act of 2005 Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary …
  3. www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumkoop.html
    October 01, 2014 - Koopman, Richelle J. Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: University of Missouri-Columbia Grant Title: Patient Readiness To Use Internet Health Resources Grant Nu…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36342/psn-pdf
    March 02, 2011 - Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. March 2, 2011 Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Ann Intern Med. 2006;145(7):488-496. https://psnet.ahrq.gov/issue/missed…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43956/psn-pdf
    January 01, 2016 - Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger- based automated adverse-event detection. June 21, 2015 Patregnani JT, Spaeder MC, Lemon V, et al. Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated ad…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42969/psn-pdf
    October 31, 2014 - Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. October 31, 2014 Howell A-M, Panesar S, Burns EM, et al. Reducing the burden of surgical harm: a systematic review of the interventions used to reduce adverse events in surgery. Ann Surg. 2014;2…
  7. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/capacity-infographic.pdf
    April 01, 2018 - AHRQ’s EvidenceNOW Results: Increased Capacity for Quality Improvement in Small Primary Care Practices AHRQ’s EvidenceNOW Results: Increased Capacity for Quality Improvement in Small Primary Care Practices One of the main goals of EvidenceNOW is increasing the capacity of primary care practices to implement evidenc…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46232/psn-pdf
    February 10, 2018 - Implications of electronic health record downtime: an analysis of patient safety event reports. February 10, 2018 Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Med Inform Assoc. 2018;25(2):187-191. doi:10.1093/jamia/ocx057. ht…
  9. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/respiratory-discussion-guide.docx
    September 01, 2022 - Upper Respiratory Infection – Discussion Guide Acute Upper Respiratory Tract Infection (“the Common Cold”): Discussion Guide During a regularly scheduled staff meeting, the stewardship leader(s) is encouraged to ask all clinical staff which of the compone…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-b.docx
    June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3) Long-Term Care Safety Toolkit AHRQ Safety Program for Ambulatory Surgery Implementation Guide Appendix B. Your First Checklist Meeting Guide The following document is a sample agenda and topics you should consider discussing when your implementation team meets fo…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45901/psn-pdf
    April 12, 2017 - Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. April 12, 2017 Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans Health Administration's Stratifica…
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-unc-webcast-ginsberg.pdf
    June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Ginsberg AHRQ’s Surveys on Patient Safety Culture™ (SOPS™) Program Caren Ginsberg, PhD Center for Quality Improvement and Patient Safety, AHRQ 6 AHRQ’s Core Competencies AHRQ is a rese…
  13. www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-8.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 8: Medication Reconciliation Process Physician Focus Group—Interview Questions Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medicati…
  14. www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-8.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation Previous Page Next Page Table of Contents Medications at Trans…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42298/psn-pdf
    December 31, 2014 - Using statistical text classification to identify health information technology incidents. December 31, 2014 Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10.1136/amiajnl-2012-001409. htt…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47875/psn-pdf
    July 19, 2019 - Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. July 19, 2019 Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a syste…
  17. www.ahrq.gov/ncepcr/communities/pbrn/registry/practice-improvement-network-program-quality-improvement-innovation-networks.html
    August 16, 2013 - Practice Improvement Network, a program of the Quality Improvement Innovation Networks Status: Inactive Registered Date: August 16, 2013 PBRN Acronym: PIN PBRN Type: Pediatric Network (at least 75% are pediatricians or specialize in child health) Network Category: Establish…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45310/psn-pdf
    January 03, 2017 - Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. January 3, 2017 Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54. https://psnet.ahrq.gov/issue/mind…
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-ginsberg.pdf
    September 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Ginsberg AHRQ’s Surveys on Patient Safety Culture™ (SOPS®) Program Caren Ginsberg, Ph.D. Center for Quality Improvement and Patient Safety, AHRQ Agency for Healthcare Research and Quality • AHRQ is: ► A research and science-based agency of the US Departme…
  20. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-ASC_Webcast_2021-Ginsberg.pdf
    January 01, 2021 - How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety -Ginsberg 6 Overview of AHRQ’s Patient Safety Priorities and Programs Caren Ginsberg, Ph.D. Center for Quality Improvement and Patient Safety Agency for Healthcare Research and Quality (AHRQ) AHRQ’s Core Competencies AHRQ is a …