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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back_quickstart_full.pdf
    September 15, 2016 - Implementation Quick Start Guide: Teach-back Implementation Quick Start Guide Teach-Back The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Table of Contents What Is Teach-Back? .....................................................................................…
  2. psnet.ahrq.gov/web-mm/double-dosing-rules
    February 03, 2010 - Double Dosing, by the Rules Citation Text: Cohen H. Double Dosing, by the Rules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
  3. 110-Ss-Lfd-Sample (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Tool—Sample Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries What Is a Defect? A defect is any clinical or operational event or situation that you would not want to happen again. This could include i…
  4. www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-slides.html
    February 01, 2017 - Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Assess Patient Safety Culture Using the Hospital Survey on Patient Safety Slide 2: Lear…
  5. www.ahrq.gov/sites/default/files/2024-07/etchegaray2-report.pdf
    January 01, 2024 - Final Progress Report: Parent Perceptions of NICU Safety Culture: Parent-Centered Safety Culture Tool Parent Perceptions of NICU Safety Culture: Parent-Centered Safety Culture Tool Project Team: Jason M. Etchegaray, PhD (PI; RAND Corporation); Madelene J. Ottosen, PhD (The University of Texas Medical School at Hous…
  6. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/sppcii-facilitator-guide.docx
    July 01, 2023 - Facilitator Guide for Hospital AIM Team Leads Facilitator Guide for Hospital AIM Team Leads What Is This Guide? This guide is intended as a complement to the online training modules of the Safety Program for Perinatal Care II (SPPC-II) Teamwork Toolkit. It provides helpful information about scheduling and conducting …
  7. digital.ahrq.gov/ahrq-funded-projects/optimizing-medication-history-value-clinical-encounters-elderly-patients
    January 01, 2023 - Optimizing Medication History Value in Clinical Encounters with Elderly Patients Project Final Report ( PDF , 328.67 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 r…
  8. digital.ahrq.gov/ahrq-funded-projects/patient-centered-informatics-system-enhance-health-care-rural-communities/annual-summary/2010
    January 01, 2010 - Patient-Centered Informatics System to Enhance Health Care in Rural Communities - 2010 Project Name Patient-Centered Informatics System to Enhance Health Care in Rural Communities Principal Investigator Samore, Matthew Organization University of Utah Funding Mechanism…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33811/psn-pdf
    June 01, 2016 - Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective June 1, 2016 Khudeira Z. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective …
  10. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-SOPS_101_Webcast_2020-Gray.pdf
    January 01, 2020 - Understanding SOPS Surveys: A Primer for New users -Gray Overview of the SOPS Surveys 6 Laura Gray, MPH Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat AHRQ’s SOPS Program • Initiated and funded by AHRQ since 2001 • Develops survey measures that are validated an…
  11. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T2-Clinician_letter_Final_0.docx
    October 01, 2016 - Tool 2. Clinician Letter [PRINTED ON NURSING HOME OR MEDICAL DIRECTOR’S STATIONERY] [Date] [Prescribing Clinician Name] Recipient Address City, State Zip] Re: Change in protocol regarding urinalyses to improve quality of care and antibiotic use Dear [insert name], Based on clinical practice guidelines developed by nurs…
  12. www.ahrq.gov/hai/cusp/modules/engage/alt-text.html
    April 01, 2013 - Engage Module Alternate Text   Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The"Engage the Senior Executive" module of the CUSP Toolkit. The CUSP toolkit is a modular approach to patient safety, and modules pr…
  13. digital.ahrq.gov/ahrq-funded-projects/speech-telerehabilitation-after-stroke-proof-concept-and-feasibility
    January 01, 2023 - Speech Telerehabilitation After Stroke: Proof-of-Concept and Feasibility Project Final Report ( PDF , 188.17 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 represen…
  14. www.ahrq.gov/research/findings/final-reports/index.html?page=11
    January 01, 2024 - Grantee Final Reports: Patient Safety Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety. The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
  15. www.ahrq.gov/research/findings/final-reports/index.html?page=15
    January 01, 2024 - Grantee Final Reports: Patient Safety Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety. The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/mod02-business-case-worksheet.pdf
    April 01, 2016 - Purpose: To provide guidance to leaders and staff who are building a business case for implementing the Communication and Optimal Resolution (CANDOR) process in their organization. Who should use this tool? Leaders (administrators, director of nursing, medical director, etc.) and any staff who are leading the imple…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-acknowledgments.pdf
    June 02, 2025 - CANDOR Acknowledgments CANDOR ACKNOWLEDGMENTS Acknowledgments The Communication and Optimal Resolution (CANDOR) process was funded by AHRQ and is based on input from experts, key stakeholders, and lessons learned from the agency’s $25 million Patient Safety and Medical Liability (PSML) Grant Initiative lau…
  18. www.ahrq.gov/patient-safety/resources/learning-lab/imaging-quality-long-desc.html
    April 01, 2021 - Patient Imaging Quality and Safety Laboratory (PIQS Lab) Principal Investigator: Leora Horwitz, M.D., New York University (NYU), New York, NY AHRQ Grant No.: HS24376 Project Period: 09/30/15-06/30/20 Description: The goal of the PIQS Lab was to be a dynamic learning environment focused on improving sa…
  19. digital.ahrq.gov/ahrq-funded-projects/multi-site-trial-test-benefits-adding-personalized-risk-calculator-online
    July 31, 2025 - A Multi-Site Trial to Test Benefits of Adding a Personalized Risk Calculator to an Online Decision Aid for Left Ventricular Assist Device Project Description Publications Providing patients with advanced heart failure a holistic and customized clinical decision support s…
  20. Politi (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/politi.pdf
    May 29, 2025 - Politi Slide  1: Supporting  Shared Decisions When Clinical Evidence  is Low Mary C. Politi, Ph.D. Department of Surgery, Division of  Public Health Sciences Washington University in St. Louis School of Medicine Slide  2: Overview • Brief overview of Shared Decis…