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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthplan-key-drive-diagram.pdf
June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health Plan - Key Driver Diagram
Transcranial Doppler Screening for Children with Sickle Cell Anemia
Health Plan - Key Driver Diagram
Key Drivers
Strateg…
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www.ahrq.gov/news/newsroom/case-studies/cquips0606.html
October 01, 2014 - HealthSouth Rehabilitation Facilities Use AHRQ Survey to Identify Top Performers
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April 2006
HealthSouth, one of the nation's largest health care providers, implemented AHRQ's Hospital Survey on Patient Safety Culture in June 2005. Over 11,000 questionnaires were mailed to em…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence1.html
April 01, 2025 - Four Pillars for Sustainable Centers of Excellence
Introduction
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Table of Contents
Four Pillars for Sustainable Centers of Excellence
Introduction
Center of Excellence Operations
Alignment
Integration
Leadership Support
Windows of Opportunity
Conclusion
Acknowl…
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psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-challenge
March 03, 2011 - Commentary
Renewal of surgical quality and safety initiatives: a multispecialty challenge.
Citation Text:
Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52.
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psnet.ahrq.gov/issue/rethinking-peer-review-what-aviation-can-teach-radiology-about-performance-improvement
July 01, 2017 - Commentary
Rethinking peer review: what aviation can teach radiology about performance improvement.
Citation Text:
Larson DB, Nance JJ. Rethinking peer review: what aviation can teach radiology about performance improvement. Radiology. 2011;259(3):626-32. doi:10.1148/radiol.11102222.
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psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
November 30, 2016 - Special or Theme Issue
Improving Quality and Safety in Healthcare.
Citation Text:
Improving Quality and Safety in Healthcare. Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025.
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psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
September 18, 2024 - Study
Classic
The importance of cognitive errors in diagnosis and strategies to minimize them.
Citation Text:
Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med. 2003;78(8):775-780.
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psnet.ahrq.gov/issue/organizational-learning-hospitals-realist-review
June 19, 2019 - Review
Organizational learning in hospitals: a realist review.
Citation Text:
Lyman B, Jacobs JD, Hammond EL, et al. Organizational learning in hospitals: A realist review. J Adv Nurs. 2019;75(11):2352-2377. doi:10.1111/jan.14091.
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psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
January 25, 2023 - Commentary
Seeing systems in health care organizations.
Citation Text:
Friedman LH, King JB, Bella D. Seeing systems in health care organizations. Physician Exec. 2007;33(4):20-9.
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psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - bargain many years ago when medicine first
started turfing these complex issues to a profession that is trained … As a lawyer, I'm not trained to
know right or wrong. … I'm really trained to win the case, and the concept behind the American judicial system
https://psnet.ahrq.gov … Secondly, how do you handle this with physicians who may not have been trained to have these difficult … Every one of our risk managers is a professional trained mediator.
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - study residency and academic medical center safety cultures with respect to how young doctors were trained … Trained as a social psychologist, he has become one of the world's foremost authorities on the role of … They're trained to do similar things. First officers are in training to become captains. … Physicians in general are trained to communicate in bullet points, just the headlines. … And nurses are trained to communicate in terms of the story or the narrative of the patients that they're
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/diet-behavioral-counseling-primary-care-adults-2003
June 15, 2003 - nutrition education with behavioral dietary counseling provided by a nutritionist, dietitian, or specially trained … two to three group or individual sessions) delivered by a dietitian or nutritionist or by a specially trained … interventions include individual or group counseling delivered by nutritionists, dietitians, or specially trained … place in primary care settings, 16 , 17 , 24 , 26 , 32 where counseling was provided by specially trained … from medium-intensity, routine face-to-face counseling from nutritionists, dietitians, or specially trained
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psnet.ahrq.gov/issue/cler-report-findings-2021-subprotocol-operative-and-procedural-areas
October 18, 2017 - September 1, 2021
Surgical errors happen, but are learners trained to recover from them
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psnet.ahrq.gov/issue/variations-surgical-safety-according-affiliation-status-top-ranked-cancer-hospital
April 24, 2019 - April 19, 2011
The impact of trained assistance on error rates in anaesthesia: a simulation-based
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psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
November 11, 2015 - 16, 2022
Comparison of adverse events during procedural sedation between specially trained
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psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
March 04, 2011 - 2003
Comparison of adverse events during procedural sedation between specially trained
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
June 09, 2015 - October 27, 2021
Surgical errors happen, but are learners trained to recover from them
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psnet.ahrq.gov/issue/multidisciplinary-simulation-activity-effectively-prepares-residents-participation-patient
November 30, 2016 - April 29, 2018
Surgical errors happen, but are learners trained to recover from them?
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psnet.ahrq.gov/issue/proportion-errors-medical-prescriptions-and-their-executions-among-hospitalized-children-and
June 15, 2012 - 27, 2011
Comparison of adverse events during procedural sedation between specially trained
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cds.ahrq.gov/sites/default/files/cds/artifact/476/CDS%20Connect%20Pilot%20Site%20Training%20Plan_Final_0.docx
July 23, 2024 - .
· Clinical Champions will be identified in advance of the training but trained with the rest of the