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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? .....................................................................................…
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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…
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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…
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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…
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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…
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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 …
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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…
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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…
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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
…
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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…
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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…
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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…
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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…
-
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…
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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…
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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…
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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…
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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…
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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…
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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…