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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018644-haas-final-report-2016.pdf
January 01, 2016 - regimens: A conceptual model and National Cancer Institute initiative for risk-based and
preference-based approaches
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psnet.ahrq.gov/node/40735/psn-pdf
August 31, 2011 - Design and evaluation of simulation scenarios for a
program introducing patient safety, teamwork, safety
leadership, and simulation to healthcare leaders and
managers.
August 31, 2011
Cooper JB, Singer SJ, Hayes J, et al. Design and evaluation of simulation scenarios for a program
introducing patient safety, team…
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psnet.ahrq.gov/node/849595/psn-pdf
May 31, 2023 - Effect of an emergency department process improvement
package on suicide prevention: the ED-SAFE 2 cluster
randomized clinical trial.
May 31, 2023
Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement
package on suicide prevention: the ED-SAFE 2 cluster randomized c…
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psnet.ahrq.gov/node/44710/psn-pdf
May 09, 2017 - The vulnerabilities of computerized physician order entry
systems: a qualitative study.
May 9, 2017
Slight SP, Eguale T, Amato MG, et al. The vulnerabilities of computerized physician order entry systems: a
qualitative study: Table 1. J Am Med Inform Assoc. 2015;23(2):311-316. doi:10.1093/jamia/ocv135.
https://psn…
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www.ahrq.gov/patient-safety/reports/engage/appb.html
March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Appendix B. Search Terms
Previous Page Next Page
Table of Contents
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Executive Summary
Introduction
Limitati…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/prevention-phases.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
MRSA and SSI Prevention Phases
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of MRSA and SSI Prevention
MRSA Surveilla…
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www.ahrq.gov/talkingquality/explain/communicate/get-people.html
November 01, 2018 - Get People to Quality Displays as Soon as Possible
It is important to present the comparative quality information as soon as possible.
Why?
Report sponsors have to fight the urge to provide as much explanatory information as possible in the front of a report. If people are looking at your report, it is beca…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impact-grants/index.html
August 01, 2015 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants
Project Profiles
Each grant title below links to a short profile about the project. The profiles include an overview of the efforts to spread primary care transformation within the model State, efforts to disseminate the mod…
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/engagement.html
April 01, 2022 - Team Engagement
To make sustainable quality improvements, you need to recruit an enthusiastic team and keep members engaged by providing the relevant data, inviting team feedback, and creating necessary incentives. Accomplishing this will take time and frequent evaluation. Although the nuances of your approach …
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www.ahrq.gov/ncepcr/reports/2025-annual-report/grants.html
August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024
3. Primary Care Grants and Resources
Previous Page Next Page
Table of Contents
AHRQ’s Investments in Primary Care Research for 2023 and 2024
Acknowledgements and Authors
Message from the Director of AHRQ’s National Center for Excell…
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www.ahrq.gov/cpi/about/nac/pcortf-snac/wong.html
November 01, 2022 - Subcommittee Member: Charlene Wong
Charlene Wong, M.D.
Assistant Secretary for Children and Families
North Carolina Department of Health and Human Services
Associate Professor, Pediatrics and Public Policy
Duke University
Charlene Wong, M.D., serves as the assistant secretary for children and families…
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www.ahrq.gov/patient-safety/settings/ambulatory/promis-lab-tools.html
September 01, 2025 - Tools from the Partnership in Resilience for Medication Safety Learning Lab (PROMIS Lab)
Preventable medication-related harms in ambulatory and community settings threaten patient safety. The Partnership in Resilience for Medication Safety Learning Lab (PROMIS Lab) uses a systems-engineering approach to redesig…
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psnet.ahrq.gov/node/45992/psn-pdf
January 01, 2020 - Barriers and facilitators of adverse event reporting by
adolescent patients and their families.
March 29, 2017
Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by
Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237.
doi:10.1097/pts.000000000000029…
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psnet.ahrq.gov/node/60320/psn-pdf
May 13, 2020 - Barriers and facilitators to healthcare workers' adherence
with infection prevention and control (IPC) guidelines for
respiratory infectious diseases: a rapid qualitative
evidence synthesis.
May 13, 2020
Houghton C, Meskell P, Delaney H, et al. Barriers and facilitators to healthcare workers’ adherence with
infec…
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psnet.ahrq.gov/node/41463/psn-pdf
September 24, 2015 - Perspective: a culture of respect—part 1 and part 2.
September 24, 2015
Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858.
https://psnet.ahrq.gov/issue/perspective-culture-respect-part-1-and-part-2
Overtly disruptive behavior by physicians is disturbingly common and can have profound negative eff…
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psnet.ahrq.gov/node/41610/psn-pdf
January 25, 2017 - Adverse events among children in Canadian hospitals:
the Canadian Paediatric Adverse Events Study.
January 25, 2017
Matlow A, Baker R, Flintoft V, et al. Adverse events among children in Canadian hospitals: the Canadian
Paediatric Adverse Events Study. CMAJ. 2012;184(13):E709-718. doi:10.1503/cmaj.112153.
https://…
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psnet.ahrq.gov/node/47457/psn-pdf
January 17, 2019 - Developing a reporting culture: learning from close calls
and hazardous conditions.
January 17, 2019
Developing a reporting culture: Learning from close calls and hazardous conditions. Sentinel Event Alert.
2018;(60):1-8.
https://psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-…
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psnet.ahrq.gov/node/40200/psn-pdf
July 02, 2014 - Checklists to reduce diagnostic errors.
July 2, 2014
Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313.
doi:10.1097/ACM.0b013e31820824cd.
https://psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
Diagnostic errors are rapidly gaining attention as the next f…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023390-overby-final-report-2017.pdf
January 01, 2017 - Purpose
This project aimed to: (1) employ user-centered approaches … Methods
Aim 1: Employ user-centered approaches to design and develop a prototype clinical decision … Results
Aim 1: Employ user-centered approaches to design and develop a prototype clinical decision … In summary, our findings illustrated a need to support
customized notification approaches, user-specific … In addition,
we would implement novel technology approaches to address the challenges to achieving the
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digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
June 08, 2005 - funding; $750k VU funding
08-18-04-Working-Group
Volunteer eHealth Initiative
Regional Approaches … regional level
Coordination among all regional stakeholders requires new organization and governance approaches … Such approaches can capture this additional value and distribute it to stakeholders in an equitable … way
Such approaches can evolve from the status quo and not be stymied by efforts to forestall change