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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
January 01, 2007 - Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption
Implementation of Systems Redesign:
Approaches to Spread and Sustain Adoption
Heather Woodward Hagg, MS; Jamie Workman-Germann, MS; Mindy Flanagan, PhD;
Deanna Suskovich, BA; Susan Schachitti, MBA; Christine Corum, MS;
Bradley N. Do…
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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx
Spotlight
When the Lytes Go Out: A Case
of Inpatient Cardiac Arrest
Source and Credits
• This presentation is based on the September 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psne…
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-ok.html
April 01, 2015 - Primary Care Extension in Oklahoma: An Evidence-Based Approach to Dissemination and Implementation of Innovations
AHRQ Estimating the Costs of Supporting Primary Care Transformation Grants
Principal Investigator: James W. Mold, MD, MPH
Institution: University of Oklahoma Health Sciences Center, …
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - CVC Placement: Speak Now or Do Not Use the Line
Citation Text:
Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
Google Scholar …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
March 12, 2008 - Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes
Evaluation of Medications Removed from Automated
Dispensing Machines Using the Override Function
Leading to Multiple System Changes
Karla Miller, PharmD; Manisha Shah, MBA, RT; Lau…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
December 01, 2017 - Facilitator Guide: Auditing Your Briefings and Debriefings
Slide Title and Commentary
Slide Number and Slide
Auditing Your Briefing and Debriefing Process
SAY:
Let’s continue our discussion around briefings and debriefings. The previous module, Optimizing Your Briefings and Debriefings, focused on defining them…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
December 01, 2017 - Auditing Your Briefings and Debriefings Process: Facilitator Notes
AHRQ Safety Program for Surgery
Slide 1: Auditing Your Briefing and Debriefing Process
Say:
Let’s continue our discussion around briefings and debriefings. The previous module, Optimizing Your Briefings and Debriefings, focused on defini…
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www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century
Next Page
Table of Contents
The Challenge and Potential for Assuring Quality Health Care for the 21st Century
From Quality Measures to Quality Care: Examples of Quality Improvement at Work
Private Sector Efforts in V…
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psnet.ahrq.gov/node/33686/psn-pdf
August 01, 2009 - In Conversation with...Steven J. Spear, DBA, MS, MS
August 1, 2009
In Conversation with..Steven J. Spear, DBA, MS, MS . PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
Editor's note: Steven Spear, DBA, MS, MS, is Senior Lecturer at Massachusetts Institute of Tech…
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www.ahrq.gov/sites/default/files/2024-01/robinson-papp-report.pdf
January 01, 2024 - Final Progress Report: Toward safer opioid prescribing for chronic pain in high risk populations
FINAL PROGRESS REPORT
1. TITLE PAGE
Title: Toward safer opioid prescribing for chronic pain in high risk populations: implementing the Centers for
Disease Control Guideline (CDC) guideline in the primary care HIV clini…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/6jFgJYJSbMc48mj2uKsAhB
October 01, 2014 - Clinicians should
understand the evidence but individualize decision making to
the specific patient or
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/psychological-safety-slides.pdf
March 18, 2025 - NAA National Webinar, February 2025: Establishing Psychological Safety for Healthcare Workers
Creating and Maintaining a Culture of Safety Series
(Session 1)
Establishing Psychological Safety for Healthcare Workers
NATIONAL WEBINAR SERIES
February 18, 2025
Housekeeping Instructions
• This webinar will be record…
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-2.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Chapter 2. Building the Project Foundation: Project Teams and Scope
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation …
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-2.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Chapter 2. Building the Project Foundation: Project Teams and Scope
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation …
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psnet.ahrq.gov/node/49851/psn-pdf
January 01, 2019 - One Bronchoscopy, Two Errors
January 1, 2019
Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
The Case
A 67-year-old man with a history of hypertension was admitted to the intensive care unit (ICU) with hypoxic
respiratory failure…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/planningtool.pdf
June 02, 2025 - Dissemination Planning Tool
Development of a Planning
Tool to Guide Dissemination
of Research Results
Advances in Patient Safety:
From Research to Implementation.
Vol. 4, Programs, Tools, and Products.
Rockville, MD: Agency for Healthcare and
Research Quality; 2005.
Article Exhibit
Westat Authors:
Debora…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Dofv_5wDUQYVkoSDbX6Zse
May 25, 2021 - Clinicians should understand the evidence but individualize
decision-making to the specific patient or … Clinicians should understand the
evidence but individualize decision-making to the
specific patient or
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/WYvNt2GWJf8uGcAm3p_PFJ
October 05, 2021 - Clinicians should understand the evidence but individualize
decision-making to the specific patient or … Clinicians should understand the
evidence but individualize decision-making to the
specific patient or
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/YSDv4kYjdr7xnL3yLz2aSx
December 27, 2019 - Clinicians should understand the evidence but individualize
decision-making to the specific patient or … Clinicians should understand the
evidence but individualize decision-making to the
specific patient or
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-depression-suicide-risk-adults
June 20, 2023 - Clinicians should understand the evidence but individualize decision-making to the specific patient or … Clinicians should understand the evidence but individualize decision-making to the specific patient or