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  1. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/quality-gap-palliative-hospice_research-protocol.pdf
    June 27, 2011 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: June 27, 2011 1 Closing the Quality Gap: Revisiting the State of the Science End-of-Life and Hospice Care Evidence-based Practice Center Systematic Review Protocol I. Background…

  2. Screening for Autism Spectrum Disorder in Young Children: USPSTF Recommendation Statement (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/Lm94jySKCYrG3zsUP8Jd8E
    February 16, 2016 - Screening for Autism Spectrum Disorder in Young Children: USPSTF Recommendation Statement Copyright 2016 American Medical Association. All rights reserved. Screening for Autism Spectrum Disorder in Young Children US Preventive Services Task Force Recommendation Statement Albert L. Siu, MD, MSPH; and the US Preventiv…

  3. 2020 CAHPS Health Plan Survey Database Chartbook (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2020_hp_chartbook.pdf
    January 01, 2020 - 2020 CAHPS Health Plan Survey Database Chartbook THE CAHPS DATABASE 2020 CAHPS Health Plan Survey Database 2020 Chartbook What Consumers Say About Their Experiences With Their Health Plans and Medical Care This document is in the public domain and may be used and reprinted without permission in the United St…

  4. Community Pharmacy Survey on Patient Safety Culture: User's Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-user-guide.pdf
    July 01, 2018 - Organizations with a positive safety culture are characterized by communications founded on mutual trust … promoting a Web survey, data collection steps for Web-only surveys and for mixed-mode surveys, Web survey communications … Followup communications. Send an email reminder a week after sending the survey invitation.

  5. Webmm Spotlight Suicide Risk Assessment (pdf file)

    psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
    January 01, 2019 - Spotlight Missed Opportunities for Suicide Risk Assessment Source and Credits • This presentation is based on the November 2019 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Glen Xiong, MD & Debra Kahn, MD ○ Editors in Chief, AHRQ We…

  6. The Hidden Danger of Unseen Intravenous Catheters | PSNet

    psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
    October 04, 2023 - The Hidden Danger of Unseen Intravenous Catheters Citation Text: Vadi MG, Malkin MR. The Hidden Danger of Unseen Intravenous Catheters. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google S…

  7. The "Customer" Is Always Right | PSNet

    psnet.ahrq.gov/web-mm/customer-always-right
    January 22, 2014 - SPOTLIGHT CASE The "Customer" Is Always Right Citation Text: Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote…

  8. Language Barrier | PSNet

    psnet.ahrq.gov/web-mm/language-barrier
    February 28, 2024 - Language Barrier Citation Text: Flores G. Language Barrier. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  9. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
    January 01, 2021 - Spotlight Spotlight Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough Source and Credits • This presentation is based on the April 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Verna Gibbs, MD o AHRQ W…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49528/psn-pdf
    January 01, 2015 - The "Customer" Is Always Right February 1, 2007 Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/customer-always-right Case Objectives Understand the importance of identifying a patient's agenda. Appreciate the factors that contribute to unmet patient expectations. …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49508/psn-pdf
    January 01, 2007 - Language Barrier April 1, 2006 Flores G. Language Barrier. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/language-barrier The Case A previously healthy 10-month-old girl was taken to a pediatrician's office by her monolingual Spanish- speaking parents when they noted that their daughter had generalized we…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33704/psn-pdf
    December 01, 2010 - In Conversation with...Geri Amori, PhD December 1, 2010 In Conversation with..Geri Amori, PhD. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd Editor's note: Geri Amori, PhD, is Vice President for the Education Center at The Risk Management and Patient Safety Institute, a…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49828/psn-pdf
    May 01, 2018 - Out of Sight, Out of Mind: Out-of-Office Test Result Management May 1, 2018 Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management Case Objectives Recognize the general responsibilities of…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49699/psn-pdf
    February 01, 2014 - Multifactorial Medication Mishap February 1, 2014 Yang A. Multifactorial Medication Mishap. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/multifactorial-medication-mishap Case Objectives Understand the system-based causes of medication errors. Describe a model for a systems approach to error analysis. Id…

  15. Chronic Mental Health: Improving Outcomes through Ambulatory Care Coordination - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017838-baker-final-report-2013.pdf
    January 01, 2013 - Chronic Mental Health: Improving Outcomes through Ambulatory Care Coordination - Final Report Grant Final Report Grant ID: R18HS017838 Chronic Mental Health: Improving Outcomes through Ambulatory Care Coordination Inclusive Project Dates: 10/01/08 – 09/30/13 Principal Investigator: Wende Baker, M.Ed. Tea…

  16. Acute Care Behavior Change Theory for Antibiotic Stewardship Leaders

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-slides.pptx
    November 01, 2019 - Acute Care Behavior Change Theory for Antibiotic Stewardship Leaders Making Effective Behavior Changes Around Antibiotic Prescribing Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Safety Program for Improving Antibiotic Use – Acute Care Behavior Changes …

  17. Transitioning Newborns from NICU to Home: A Resource Toolkit (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicutoolkit.pdf
    January 01, 2004 - Transitioning Newborns from NICU to Home: A Resource Toolkit Transitioning Newborns from NICU to Home: A Resource Toolkit Table of Contents Overview: Improving the Quality of the Transition Home from the NICU............................1 Tools f…

  18. Research Themes and Findings | Digital Healthcare Research

    digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
    January 01, 2022 - Research Themes and Findings The DHR program funds research that demonstrates how digital healthcare solutions can be designed and implemented to improve healthcare system performance and patient health outcomes. Our funded research focuses on advancing patient safety, care, and shared dec…

  19. Failure to Rescue | PSNet

    psnet.ahrq.gov/primer/failure-rescue
    September 15, 2024 - Failure to Rescue Citation Text: Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  20. Step 3: Build the Stakeholder Group Structure | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step3.html
    March 01, 2019 - Step 3: Build the Stakeholder Group Structure Implementation Guide Number 1 This Implementation Guide includes suggested steps and tips for implementing initiatives for improving child health care quality from the CMS-funded national evaluation of the Children’s Health Insurance Program Reauthorization Act of…
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