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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…
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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…
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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
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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…
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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
…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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 …
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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…
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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