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psnet.ahrq.gov/node/45840/psn-pdf
February 08, 2017 - Implementation of the safety huddle.
February 8, 2017
Kylor C, Napier T, Rephann A, et al. Implementation of the Safety Huddle. Crit Care Nurse. 2016;36(6):80-
82.
https://psnet.ahrq.gov/issue/implementation-safety-huddle
The safety huddle is becoming common within health care practice as a way to inform clinician…
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digital.ahrq.gov/ahrq-funded-projects/novel-approach-supporting-care-coordination-across-distributed-emergency-care-teams/citation/glass
January 01, 2024 - A smart glass telemedicine application for prehospital communication: User-centered design study.
Citation
Zhang Z, Bai E, Xu Y, Stepanian A, Kutzin JM, Adelgais K, Ozkaynak M. A smart glass telemedicine application for prehospital communication: User-centered design study. J Med Internet Res. 2024 No…
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digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support/citation/review
January 01, 2023 - Towards public health decision support: a systemic review of bidirectional communication approaches.
Citation
Dixon B, Gamache R, Grannis S. Towards public health decision support: a systemic review of bidirectional communication approaches. J Am Med Inform Assoc 2013 May 1;20(3):577-83.
Link
…
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psnet.ahrq.gov/node/866621/psn-pdf
August 28, 2024 - Application of Safety-II Principles
August 28, 2024
Venkatesan C, Helak K, Sousane Z, et al. Application of Safety-II Principles. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/application-safety-ii-principles
Traditional approaches to patient safety have often been reactive rather than proactive, seeki…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.128_slideshow.ppt
July 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case July 2006
Moving Pains
Source and Credits
This presentation is based on the June/July 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Hildy Schell, RN, MS, CCRN, CCNS, and…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared_quickstartfull.pdf
January 01, 2015 - Implementation Quick Start Guide: Be Prepared to Be Engaged
Implementation
Quick Start Guide
Be Prepared
To Be Engaged
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Table of Contents
What Is the Be Prepared To Be Engaged Strategy? .........................…
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre/measure.html
January 01, 2024 - Measurement
Once the problem or challenge has been identified, measurement will play an important role in defining the magnitude of the problem, assessing the short-term reactions to the TeamSTEPPS training, and ultimately demonstrating improvements that follow TeamSTEPPS implementation.
Measurement is the pr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/beprepared_quickstartbrochure.pdf
January 01, 2015 - Implementation Quick Start Guide: Be Prepared to Be Engaged (Half Page)
Implementation
Quick Start Guide
Be Prepared
To Be Engaged
The Guide to Improving Patient Safety
in Primary Care Settings by Engaging Patients
and Families
Table of Contents
What Is the Be Prepared To Be Engaged Strategy? ............…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
June 02, 2025 - Monitoring Progress for Sustainable Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool E.1
Monitoring Progress for Sustainable Improvement
What is the purpose of this tool? This tool provides guidance on how to monitor and report
your progres…
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - Double Dosing, by the Rules
March 21, 2009
Cohen H. Double Dosing, by the Rules. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/double-dosing-rules
The Case
A 65-year-old woman with rheumatoid arthritis and chronic obstructive pulmonary disease (COPD) was
admitted to a medical unit during the night with wo…
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Electronic Health Records
December 15, 2024
Electronic Health Records. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/electronic-health-records
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/e1_combo_monitorprogress.pdf
June 02, 2025 - Monitoring Progress for Sustainable Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Monitoring Progress for Sustainable Impro…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyref.html
April 01, 2020 - Using Six Sigma methodology to improve handoff communications in high-risk patients.
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www.ahrq.gov/patient-safety/reports/engage/faq.html
April 01, 2018 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
Frequently Asked Questions
Implementation
Be Prepared to Be Engaged
Create a Safe Medicine List Together
Teach-Back
Warm Handoff Plus
Implementation
1. How do I get leadership buy-in?
Leaders play an imp…
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www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-change.html
February 01, 2024 - Teaching Implementation Change Management
Change Management Overview and Objectives
Display Slide 63, “Change Management,” as the class reassembles before discussing the last implementation topic.
In discussing Slide 64, “Objectives,” as you transition from coaching to change management, note that succe…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-slides.pptx
September 01, 2022 - The “Never Antibiotics” Diagnoses: Viral Acute Upper Respiratory Infection: the Common Cold – Slides
The “Never Antibiotics” Diagnoses:
Acute Viral Upper Respiratory Infection:
the Common Cold
Ambulatory Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(22)-0030
September 2022
Upper Respira…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - PowerPoint Presentation
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 7: Resolution
Module 7 of the CANDOR Toolkit describes the resolution phase of the CANDOR process.
1
Objectives
Define the CANDOR Resolution component and its importance in the CANDOR process.
List the steps of the resolution pr…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - Auditing Your Briefings and Debriefings Process: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Auditing Your Briefings and Debriefings Process
Slide 2: Learning Objectives
Recap the briefings and debriefings process.
Adapt a briefing a…
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psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - Comanagement: Who's in Charge?
Citation Text:
Cheng HQ. Comanagement: Who's in Charge?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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digital.ahrq.gov/ahrq-funded-projects/creating-foundation-design-culturally-informed-health-information-technology/citation
January 01, 2023 - Exploring patients’ health information communication practices with social network members as a foundation for consumer health IT design.
Citation
Valdez RS, Brennan PF. Exploring patients’ health information communication practices with social network members as a foundation for consumer health IT de…