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digital.ahrq.gov/ahrq-funded-projects/testing-clinical-decision-support-treating-tobacco-use-dental-clinics
January 01, 2023 - Testing Clinical Decision Support for Treating Tobacco Use in Dental Clinics
Project Final Report ( PDF , 417.7 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily repres…
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digital.ahrq.gov/funding-mechanism/accelerating-change-and-transformation-organizations-and-networks-action
January 01, 2023 - Accelerating Change and Transformation in Organizations and Networks (ACTION)
How hospitals reengineer their discharge processes to reduce readmissions.
Citation
Mitchell SE, Martin J, Holmes S, et al. How hospitals reengineer their discharge processes to reduce readmissions. …
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www.ahrq.gov/ncepcr/reports/grants-impact/model-summary.html
February 01, 2017 - AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Table 1. Summary of Model State Initiatives
Previous Page
Table of Contents
AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report
Introduction
Metho…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
January 01, 2025 - SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I
Surveys on Patient Safety Culture® (SOPS®)
Workplace Safety Supplemental Items for
Nursing Homes: 2025 Updated Results
Part I
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Se…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
July 01, 2023 - Mutual Support: Obstetric Hemorrhage - PowerPoint Presentation
Mutual Support
Obstetric Hemorrhage
Module 5 of 8
SPPC-II
Toolkit
AHRQ Pub. No. 23-0046
July 2023
Hospital AIM Team
Leads
SPPC-II
SCRIPT
Welcome to Module 5 of the SPPC-II Teamwork Toolkit. In this module, we will discuss the different facets of mutua…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-pt1.pdf
January 01, 2025 - SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I
Surveys on Patient Safety Culture® (SOPS®)
Workplace Safety Supplemental Items for
Nursing Homes: 2025 Updated Results
Part I
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Se…
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-mild-traumatic-brain-injury/citation/patient
January 01, 2023 - Patient-centered decision support: formative usability evaluation of integrated clinical decision support with a patient decision aid for minor head injury in the emergency department.
Citation
Melnick ER, Hess EP, Guo G, et al. Patient-centered decision support: formative usability evaluation of int…
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digital.ahrq.gov/organization/university-cincinnati
January 01, 2023 - University of Cincinnati
A Mobile App to Enhance Smoking Cessation Shared Decision Making in Primary Care
Description
This project developed and tested a tablet-based decision aid to assist primary care providers in applying patient-reported outcomes to smoking cessation and f…
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psnet.ahrq.gov/node/47050/psn-pdf
April 18, 2018 - Improving Physician Well-Being, Restoring Meaning in
Medicine.
April 18, 2018
Accreditation Council for Graduate Medical Education.
https://psnet.ahrq.gov/issue/physician-well-being
Physician and resident well-being is receiving increased attention as an area of focus of the clinical
learning environment. This we…
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psnet.ahrq.gov/node/844778/psn-pdf
September 18, 2019 - Assessing clinical reasoning: targeting the higher levels
of the pyramid.
September 18, 2019
Thampy H, Willert E, Ramani S. Assessing Clinical Reasoning: Targeting the Higher Levels of the Pyramid.
J Gen Intern Med. 2019;34(8):1631-1636. doi:10.1007/s11606-019-04953-4.
https://psnet.ahrq.gov/issue/assessing-clinic…
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psnet.ahrq.gov/node/45401/psn-pdf
August 17, 2016 - A better safety net for young doctors.
August 17, 2016
Landro L. Wall Street Journal. August. 8, 2016.
https://psnet.ahrq.gov/issue/better-safety-net-young-doctors
First-year residents may be reluctant to ask for assistance due to factors such as peer pressure to
demonstrate competency. This newspaper article repo…
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psnet.ahrq.gov/node/46469/psn-pdf
October 25, 2017 - RxAwareness.
October 25, 2017
Centers for Disease Control and Prevention; CDC.
https://psnet.ahrq.gov/issue/rxawareness
The opioid crisis is a persisting patient safety problem. One approach to prevent misuse of opioids is to
raise awareness of the addictive nature of the medication. This national campaign enlists…
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psnet.ahrq.gov/node/72754/psn-pdf
February 17, 2021 - Telehealth in the COVID-19 era: a balancing act to avoid
harm.
February 17, 2021
Reeves JJ, Ayers JW, Longhurst CA. Telehealth in the COVID-19 Era: a balancing act to avoid harm. J
Med Internet Res. 2021;23(2):e24785. doi:10.2196/24785.
https://psnet.ahrq.gov/issue/telehealth-covid-19-era-balancing-act-avoid-harm
…
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psnet.ahrq.gov/node/44363/psn-pdf
May 05, 2018 - Selection of incorrect medication pump leads to
chemotherapy overdose.
May 5, 2018
ISMP Canada. August 26, 2015;15:1-4.
https://psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose
Checklists are cognitive aids that help clinicians remember important steps to ensure safe practice. I…
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psnet.ahrq.gov/node/34753/psn-pdf
March 28, 2005 - Report on the Medical Insurance Feasibility Study.
March 28, 2005
Mills DH. San Francisco, CA: California Medical Association; 1977.
https://psnet.ahrq.gov/issue/report-medical-insurance-feasibility-study
Escalating professional liability costs prompted this study on the nature of adverse outcomes related to
medic…
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psnet.ahrq.gov/node/37789/psn-pdf
June 04, 2008 - The cost of nurse-sensitive adverse events.
June 4, 2008
Pappas SH. The cost of nurse-sensitive adverse events. J Nurs Adm. 2008;38(5):230-236.
doi:10.1097/01.NNA.0000312770.19481.ce.
https://psnet.ahrq.gov/issue/cost-nurse-sensitive-adverse-events
This study determined that the actual direct cost of an adverse ev…
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psnet.ahrq.gov/node/42437/psn-pdf
September 04, 2013 - Patient-led training on patient safety: a pilot study to test
the feasibility and acceptability of an educational
intervention.
September 4, 2013
Jha V, Winterbottom A, Symons J, et al. Patient-led training on patient safety: a pilot study to test the
feasibility and acceptability of an educational intervention. M…
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psnet.ahrq.gov/node/39531/psn-pdf
November 02, 2010 - Am I (un)safe here? Chemotherapy patients' perspectives
towards engaging in their safety.
November 2, 2010
Schwappach DLB, Wernli M. Am I (un)safe here? Chemotherapy patients' perspectives towards engaging
in their safety. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.2009.033118.
https://psnet.ahrq.gov/issue/am-i-un…
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psnet.ahrq.gov/node/41762/psn-pdf
May 03, 2017 - Improving the Measurement of Surgical Site Infection
Risk Stratification/Outcome Detection: Final Contract
Report.
May 3, 2017
Price CS, Savitz LA. Rockville, MD: Agency for Healthcare Research and Quality; March 2012. AHRQ
Publication No. 12-0046-EF.
https://psnet.ahrq.gov/issue/improving-measurement-surgical-si…
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psnet.ahrq.gov/node/34036/psn-pdf
March 28, 2005 - National Center for Patient Safety Falls Toolkit 2004.
March 28, 2005
Department of Veterans Affairs (VA) National Center for Patient Safety
https://psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
The National Center for Patient Safety created the Falls Toolkit to assist VA facilities in impl…