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www.ahrq.gov/news/newsroom/case-studies/201515.html
January 01, 2018 - Sutter Center for Integrated Care Using AHRQ Guide in Patient Materials
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June 2015
Sutter Health's Center for Integrated Care (SCIC), a division of Sutter Health, is using the AHRQ publication, Taking Care of Myself: A Guide for When I Leave the Hospital , to help patients rec…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
June 02, 2025 - Observing Patient Care Rounds
Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentinel events. Communication among disciplines can be improved if viewed through the eyes of an objective observer.
What are obser…
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psnet.ahrq.gov/issue/reducing-risk-designing-safer-shame-free-health-care-environment
September 29, 2017 - Book/Report
Reducing the Risk by Designing a Safer, Shame-free Health Care Environment.
Citation Text:
Reducing the Risk by Designing a Safer, Shame-free Health Care Environment. Abrams MA, Hung LL, Kashuba AB, et al. Chicago, IL: American Medical Association; 2007.
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www.ahrq.gov/news/newsroom/case-studies/cquips0702.html
October 01, 2014 - University of Pittsburgh Uses AHRQ's Patient Safety Culture Survey to Help Improve Nursing Home Care
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December 2006
The University of Pittsburgh School of Medicine adapted AHRQ's Hospital Survey on Patient Safety Culture to survey nursing home staff as part of ongoing researc…
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www.ahrq.gov/ncepcr/tools/confid-report/app-1.html
March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Appendix 1. Advantages of sharing “unblinded” performance data within a team, practice, or network*
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Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on …
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication2.html
July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
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Table of Contents
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Introduction
Methods
Results
Discussion
Conclusions
References
Appendix A. …
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psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
May 27, 2020 - Newspaper/Magazine Article
‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths.
Citation Text:
‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths. Andrews M. Kaiser News Network. May 19, 2020.
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psnet.ahrq.gov/issue/does-your-knee-make-more-click-or-clack-teaching-car-talk-new-docs
April 17, 2019 - Newspaper/Magazine Article
"Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs.
Citation Text:
"Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs. Chisholm P. Health Shots. National Public Radio. February 27, 2019.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-benefits-participation.pdf
January 01, 2019 - Introducing the Child HCAHPS® Survey Database webcast-Toomey-2
BENEFITS OF PARTICIPATION
Sara Toomey, MD, MPhil, MPH, MSc
Chief Safety and Quality Officer, SVP
Chief Experience Officer
Director/PI, Center of Excellence for Pediatric Quality Measurement
Boston Children’s Hospital
22
Benefits of Participation
•…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-written-statement.pdf
July 01, 2014 - Written Statement
(!H The Children's Hospital ofPhiladelphia® I RE s EAR c H IN s TIT u TE
Ellen Purpus, Ph.D. Jeffrey H. Silber, M.D., Ph.D.
Dimtor, Ojjia ofTuhnoloo Tronfltr Principle Investigator for the Pediatric Quality Measures Program {PQMP) at
The Childrtns HoJfJitol of The Children's Hospital ofPhilade…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-written-statement.pdf
June 02, 2025 - Written Statement
@-I The Children's Hospital ofPhiladelphia® I RE s EAR c H IN s Tr Tu TE
Ellen Purpus., Ph.D. Jeffrey H. Silber, M.D., Ph.D.
Dirtdor, Ojjia efTuh11olbgy Trmuftr Principle Investigator for the Pediatric Quality Measures Program (PQMP) at
The Children's Ho!pilo/ ef The Children's Hospital of Phil…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.2. Suntown Hospital
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-written-statement.pdf
July 01, 2014 - CHIPRA 155: Written Statement
(!H The Children's Hospital ofPhiladelphia® I RE s EAR c H IN s TIT u TE
Ellen Purpus, Ph.D. Jeffrey H. Silber, M.D., Ph.D.
Dimtor, Ojjia ofTuhnoloo Tronfltr Principle Investigator for the Pediatric Quality Measures Program {PQMP) at
The Childrtns HoJfJitol of The Children's Hospit…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/overview.docx
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Toolkit Modules
Overview of the Long-Term Care Safety Toolkit Modules and Nursing Home Survey on Patient Safety Culture
The Long-Term Care (LTC) Safety Toolkit is designed to support learning and implementation efforts to improve safety cult…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/engage/leader.html
March 01, 2017 - Resident And Family Engagement: What is my role as a leader?
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
What is resident and family engagement?
Resident and family engagement is one component of person-centered care, a philosophy that recognizes residents as individuals and as partners…
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psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-effectiveness-pharmacist-led-medication-reconciliation
January 23, 2017 - RIS
Download Citation
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Understanding … January 23, 2017
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Understanding factors that could influence patient acceptability of
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psnet.ahrq.gov/node/39759/psn-pdf
December 17, 2010 - (Mis)understanding safety culture and its relationship to
safety management. … (Mis)understanding Safety Culture and Its Relationship to Safety Management.
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - Seeing an opportunity to contribute to a better understanding of
this issue, we then developed our own … The goal is to have a better understanding of how and why
people react the way they do and, through … this understanding, potentially prevent a disruptive event or
communication mishap from occurring. … Gaining a better understanding of human factor
issues; providing education and workshops supported by … Understanding Patient Safety. New York, NY: McGraw-Hill Professional; 2008.
5. Rosenstein AH.
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psnet.ahrq.gov/node/38699/psn-pdf
June 17, 2009 - Mapping research on culture and safety in high-risk
organizations: arguments for a sociotechnical
understanding … Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a
Sociotechnical Understanding
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/obtain-training-and-support-providers-and-staff/clinicwide-orientation-oud-treatment
January 01, 2019 - This training should improve staff’s understanding of addiction as “a chronic, relapsing brain disease … This training should help improve their basic understanding of the patients they will serve and the MAT … Understanding that opioid use disorder leads to fundamental changes in the brain can help reinforce to … Build an understanding of risk and protective factors and of the kinds of behaviors common in people … Everyone should have a basic understanding of behaviors, side effects, and complications of opioid use