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  1. www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
    January 01, 2024 - Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home TITLE PAGE  AHRQ Final Progress Report Title: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home Principle Investigator: Steven M. Handler, MD, PhD Team Members: Joseph T. Hanlon…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
    January 01, 2003 - Development and Validation of the Medication Administration Error Reporting Survey 475 Development and Validation of the Medication Administration Error Reporting Survey Bonnie J. Wakefield, Tanya Uden-Holman, Douglas S. Wakefield Abstract Analysis of medication errors can lead to system improvement and reduc…
  3. psnet.ahrq.gov/perspective/becoming-patient-safety-organization
    July 01, 2011 - the PSQIA is that it implements the Institute of Medicine's recommendation to "break down legal and cultural
  4. hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQHCUPfinalNov09BDiefenbach.pdf
    November 01, 2009 - The health information infrastructure in America today . . . . Agency for Health Care Administration Florida Center for Health Information and Policy Analysis HCUP Partner’s Meeting - November 2009 Adding Clinical Data Elements to Administrative Data Bahia Diefenbach, Ph.D. Florida Agency for Health Care Admini…
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/05-sops-teamstepps-webcast-mazur.pdf
    April 30, 2022 - Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast Using TeamSTEPPS and SOPS to Enhance Surgical Team Communication Lukasz Mazur, Ph.D. Division of Healthcare Engineering University of North Carolina – Chapel Hill Disclosures Communify.us (quality/safety improvement management …
  6. www.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-slides.html
    February 01, 2017 - Forming a Comprehensive Unit-based Safety Program Team: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Forming a Comprehensive Unit-based Safety Program Team Slide 2: Learning Objectives After this session…
  7. www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing-slides/slides.html
    October 01, 2014 - Morning Briefing and Shadowing (Slide Presentation) On the CUSP: Stop BSI This PowerPoint slide presentation was shown on July 12, 2011. Contents Slide 1. Improving Situational Awareness by Conducting a Morning Briefing Slide 2. Situation Awareness: An Overview Slide 3. Briefing Defined Slide 4. Eff…
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/partnering-patients-family.pdf
    April 01, 2022 - Making It Work Tip Sheet: Partnering With Patients and Families To Prevent CLABSI and CAUTI AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Partnering With Patients and Families To Prevent CLABSI and CAUTI This “Making It Work” tip sheet provide…
  9. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptx
    June 01, 2021 - PowerPoint Presentation Improving Teamwork and Communication Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Improving Teamwork 1 Objectives Recognize the importance of seeking input from all team members when making antibiotic prescribing decisions Summarize ho…
  10. integrationacademy.ahrq.gov/about/integrated-behavioral-health/policy-and-financing
    September 01, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
  11. www.ahrq.gov/news/newsletters/e-newsletter/962.html
    June 01, 2025 - Hospital Unit Lowers C. diff Infections Using AHRQ Safety Program Issue Number 962 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. June 17, 2025 AHRQ Stats: Federal Insurance Spending for Diet-Related Care Among all federal health insurance providers, Medicar…
  12. www.ahrq.gov/news/newsletters/e-newsletter/963.html
    June 01, 2025 - July 17 Webinar: Empower Patients Through Digital Healthcare Tools Issue Number 963 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. June 24, 2025 Today’s Headlines: July 17 Webinar: Empower Patients Through Digital Healthcare Tools .  New Toolkit Helps Primar…
  13. www.ahrq.gov/news/newsletters/e-newsletter/927.html
    August 01, 2024 - AHRQ-Funded Research Highlights Impact of Private Equity in Healthcare Issue Number 927 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. August 27, 2024 AHRQ Stats: Cost and Billing Trends for Sepsis-Related Stays Since 2016, aggregate hospital costs for sepsi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33647/psn-pdf
    March 01, 2007 - The Role of the Patient in Improving Patient Safety March 1, 2007 Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/role-patient-improving-patient-safety Perspective Patients have three roles in improving patient safety: helping to ensure thei…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33571/psn-pdf
    March 15, 2025 - Reporting Patient Safety Events March 15, 2025 Reporting Patient Safety Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/reporting-patient-safety-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in th…
  16. digital.ahrq.gov/ahrq-funded-projects/partnering-improve-patient-safety-rural-wv
    January 01, 2023 - Partnering to Improve Patient Safety in Rural WV Project Final Report ( PDF , 399.95 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 represent the views of AHRQ. No s…
  17. www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6c-opennotes.html
    March 01, 2020 - Strategy 6C: OpenNotes Contents 6.C.1. The Problem 6.C.2. The Intervention 6.C.3. Benefits 6.C.4. Implementation 6.C.5. Challenges References   Download Strategy 6C: OpenNotes (PDF, 273 KB)         6.C.1. The Problem For a long time, patients have been deliberately excluded f…
  18. effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-rapid-research.pdf
    April 01, 2024 - Making Healthcare Safer IV Rapid Review: Prevention in Adults of Infection With Transmission of Multidrug-Resistant Organisms Making Healthcare Safer IV Prevention in Adults of Transmission of Infection With Multidrug-Resistant Organisms Rapid Review Structured Abstract Objectives. This rapid review …
  19. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
    March 01, 2020 - Chapter-3 - Sepsis Recognition Sepsis Recognition 3-1 3. Sepsis Recognition Authors: Bryan Gale, M.A., and Kendall K. Hall, M.D., M.S. Introduction Sepsis has been a leading cause of hospitalization and death in U.S. healthcare settings for many years, and accounts for more hospital admissions and spending than…
  20. effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-evidence-communication_executive.pdf
    November 01, 2013 - Communication designed for subgroups based on group membership or characteristics such as age, sex, race, cultural … Benefts for me or risks for others: a cross- culture investigation of the effects of message frames and cultural