-
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…
-
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
…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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 …