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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - Delayed Clozapine Prescription in an Elderly Man With
Dementia
July 2, 2019
Tsourounis C, Ghomeshi KK. Delayed Clozapine Prescription in an Elderly Man With Dementia. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
The Case
An 86-year-old man with neurode…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-nc.html
August 01, 2018 - North Carolina IMPaCT: Advancing and Spreading Primary Care Transformation
Principal Investigator: Darren DeWalt, MD, and Mark Holmes, PhD
Institution: University of North Carolina
AHRQ Grant Number: U18HS020940
Overview of Primary Care Extension in North Carolina
AHRQ's IMPaCT grants were d…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-nc.pdf
April 01, 2015 - North Carolina IMPaCT: Advancing and Spreading Primary Care Transformation
North Carolina IMPaCT: Advancing and Spreading Primary Care
Transformation
Principal Investigator: Darren DeWalt, MD, and Mark Holmes, PhD
Institution: University of North Carolina
AHRQ Grant Number: U18HS020940
Overview…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6q-custservice-standards.html
March 01, 2020 - Strategy 6Q: Standards for Customer Service
Contents
6.Q.1. The Problem
6.Q.2. The Intervention
6.Q.3. Case Study
References
Download Strategy 6Q:
Standards for Customer Service
(PDF, 708 KB)
6.Q.1. The Problem
Achieving high levels of member satisfaction requires two …
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
August 01, 2022 - Care for the Caregiver Program Implementation Guide
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To guide an organization in developing and implementing a Care for the Caregiver program.
Who should use this tool? The Care for the Caregiver Program Lead
How to use this tool: Use this guide…
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psnet.ahrq.gov/node/49467/psn-pdf
December 01, 2004 - A "Weak" Response
December 1, 2004
Reisman AB. A "Weak" Response. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/weak-response
The Case
A primary care physician on call for his group received a call at 9:00PM from a 68-year-old man. He said,
"They started me on a new pill for my blood pressure and now I fe…
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www.ahrq.gov/evidencenow/projects/heart-health/evidence/blood-pressure.html
March 01, 2021 - Blood Pressure Control Evidence and Resources
High blood pressure is a major risk factor for heart attack, heart failure, stroke and chronic kidney disease. High blood pressure is very common, affecting about 30 percent of adults in the United States. In 2013, high blood pressure was the main or a contributing…
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psnet.ahrq.gov/perspective/patient-engagement-safety
January 01, 2018 - Annual Perspective
Patient Engagement in Safety
Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2017
View more articles from the same authors.
Citation Text:
Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. Rockville (MD): Agency…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-patient-family-engagement.pdf
October 01, 2023 - Making Healthcare Safer IV_Rapid Response: Patient and Family Engagement
Making Healthcare Safer IV
Patient and Family Engagement
Rapid Response
Main Points
• Patient and family engagement as a patient safety practice (PSP) is an emerging area with
few studies evaluating the effectiveness of such enga…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes
On-Time Pressure Ulcer Healing Facilitator Training
Overview of On-Time
Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of slides can be omitted or may be …
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4b.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Chapter 4: Defining Language Need and Categories for Collection, cont.
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Summary
…
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digital.ahrq.gov/type-care/secondary-care
January 01, 2023 - Secondary Care
Improving Accuracy of Electronic Notes Using a Faster, Simpler Approach
Description
This project developed, implemented, and evaluated a voice-generated enhanced electronic note system and found that it did not improve the time to finalize notes or clinician sat…
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digital.ahrq.gov/principal-investigator/matthews-karen
January 01, 2023 - Matthews, Karen
The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology - Final Report
Citation
Fox K. The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes O…
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psnet.ahrq.gov/node/61057/psn-pdf
October 28, 2020 - Improving Diagnostic Quality and Safety/Reducing
Diagnostic Error: Measurement Considerations. Final
Report
October 28, 2020
Washington DC; National Quality Forum: October 6, 2020.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-
measurement-considerations
With input…
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psnet.ahrq.gov/node/60646/psn-pdf
July 01, 2020 - An integrative total worker health framework for keeping
workers safe and healthy during the COVID-19 pandemic.
July 1, 2020
Dennerlein JT, Burke L, Sabbath EL, et al. An Integrative Total Worker Health Framework for Keeping
Workers Safe and Healthy During the COVID-19 Pandemic. Hum Factors. 2020;62(5):689–696.
do…
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psnet.ahrq.gov/node/44774/psn-pdf
June 21, 2016 - Association of safety culture with surgical site infection
outcomes.
June 21, 2016
Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J
Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcollsurg.2015.11.008.
https://psnet.ahrq.gov/issue/association-safety-cu…
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psnet.ahrq.gov/node/42439/psn-pdf
November 23, 2016 - Guide to Patient and Family Engagement in Hospital
Quality and Safety.
November 23, 2016
Rockville, MD: Agency for Healthcare Research and Quality; June 2013.
https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
Studies have shown that a surprisingly large proportion of hosp…
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psnet.ahrq.gov/node/867445/psn-pdf
January 08, 2025 - Using human factors methods to mitigate bias in artificial
intelligence-based clinical decision support.
January 8, 2025
Militello LG, Diiulio J, Wilson DL, et al. Using human factors methods to mitigate bias in artificial
intelligence-based clinical decision support. J Am Med Inform Assoc. 2025;32(2):398-403.
doi…
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psnet.ahrq.gov/node/867596/psn-pdf
January 22, 2025 - Creation of root cause analysis and action (RCA2)
standard work by a multidisciplinary team to prevent
harm, reduce bias, and improve safety culture.
January 22, 2025
Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work
by a multidisciplinary team to prevent harm,…
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psnet.ahrq.gov/node/838186/psn-pdf
September 28, 2022 - Understanding teamwork in rapidly deployed
interprofessional teams in intensive and acute care: a
systematic review of reviews.
September 28, 2022
Schilling S, Armaou M, Morrison Z, et al. Understanding teamwork in rapidly deployed interprofessional
teams in intensive and acute care: a systematic review of reviews…