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psnet.ahrq.gov/issue/patient-harm-during-covid-19-pandemic-using-human-factors-lens-promote-patient-and-workforce
September 14, 2022 - Commentary
Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety.
Citation Text:
Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient S…
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www.ahrq.gov/research/publications/search.html
June 01, 2025 - Search Publications
The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 1 - 10 of 191 Publications displayed
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psnet.ahrq.gov/issue/effect-emergency-department-process-improvement-package-suicide-prevention-ed-safe-2-cluster
March 09, 2022 - Study
Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial.
Citation Text:
Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention:…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-webinar-slides.pdf
June 02, 2025 - Warm Handoff
1
Warm Handoff
AHRQ
Guide to Improving Patient Safety in Primary
Care Settings by Engaging Patients and
Families
Speaker
Kelly Smith, PhD
Scientific Director, Quality & Safety
Co-PI, AHRQ Guide to Improve Patient Safety
in Primary Care Settings by Engaging
Patients and Families
kel…
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www.ahrq.gov/teamstepps-program/curriculum/situation/teach/half-day.html
July 01, 2023 - Half-Day Training Content
In a half-day training, Module 3 activities should take about 30 minutes (as noted below). Components to include in the Situation Monitoring Module for a half-day training include:
Introductory Teamwork Exercise #2 : 5 minutes
Objectives and Introduction to Situation Monitoring : 2…
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psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
October 12, 2009 - Commentary
A novel ICU hand-over tool: the glass door of the patient room.
Citation Text:
Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947.
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psnet.ahrq.gov/issue/2017-acgme-common-work-hour-standards-promoting-physician-learning-and-professional
October 19, 2022 - Commentary
The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment.
Citation Text:
Burchiel KJ, Zetterman RK, Ludmerer KM, et al. The 2017 ACGME Common Work Hour Standards: Promoting Physician Learning and Profess…
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www.ahrq.gov/news/newsroom/press-releases/alcohol-use-disorders.html
November 01, 2023 - Updated Systematic Review Examines Pharmacotherapy for Adults With Alcohol Use Disorder in Outpatient Settings
Press Release Date: November 7, 2023
New research examines evidence-based practice to improve clinical decision making for patients with alcohol use disorder.
An updated systematic review published tod…
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psnet.ahrq.gov/issue/presence-and-potential-impact-psychological-safety-healthcare-setting-evidence-synthesis
October 20, 2021 - Review
The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis.
Citation Text:
Grailey KE, Murray E, Reader T, et al. The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. BMC Health …
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www.ahrq.gov/news/newsroom/press-releases/long-covid-grant-awards.html
September 01, 2023 - HHS Awards $45 Million in Grants to Expand Access to Care for People with Long COVID
Press Release Date: September 20, 2023
Funding will help implement and evaluate models for delivering comprehensive, coordinated, person-centered care to people with Long COVID.
Today, the U.S. Department of Health and Human Se…
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www.ahrq.gov/funding/grant-mgmt/closeout.html
October 01, 2024 - Grant Closeout Requirements
This section provides details regarding required documentation that must be submitted to AHRQ's Grants Management within 120 days of the project end date of a grant or cooperative agreement to close out a grant in accordance with HHS regulations and AHRQ policy.
This section provid…
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integrationacademy.ahrq.gov/products/professional-practices
March 22, 2017 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
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Español
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The Academy
Integrating Behavioral Health & Primary Care
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/4-es.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
What Are the 4Es?
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
The Evidence for MRSA Decolonization
Nasal Decolonization
Use o…
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psnet.ahrq.gov/issue/repurposing-clinical-decision-support-system-data-measure-dosing-errors-and-clinician-level
October 21, 2020 - Study
Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care.
Citation Text:
Chin DL, Wilson MH, Trask AS, et al. Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. J Med …
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psnet.ahrq.gov/issue/intervention-model-promotes-accountability-peer-messengers-and-patientfamily-complaints
June 27, 2018 - Study
An intervention model that promotes accountability: peer messengers and patient/family complaints.
Citation Text:
Pichert JW, Moore IN, Karrass J, et al. An intervention model that promotes accountability: peer messengers and patient/family complaints. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/what-hinders-uptake-computerized-decision-support-systems-hospitals-qualitative-study-and
February 07, 2024 - Study
What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation.
Citation Text:
Liberati EG, Ruggiero F, Galuppo L, et al. What hinders the uptake of computerized decision support systems in hospitals? A qualitativ…
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psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study
June 16, 2021 - Study
What is the role of individual accountability in patient safety? A multi-site ethnographic study.
Citation Text:
Aveling E-L, Parker M, Dixon-Woods M. What is the role of individual accountability in patient safety? A multi-site ethnographic study. Sociol Health Illn. 2016;38(2):21…
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psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
January 23, 2019 - Study
Classic
Increases in drug and opioid overdose deaths—United States, 2000–2015.
Citation Text:
Rudd RA, Seth P, David F, et al. Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. MMWR Morb Mortal Wkly Rep. 2016;65(50-51):1445-…
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psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
August 26, 2020 - Study
Classic
Association of interruptions with an increased risk and severity of medication administration errors.
Citation Text:
Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of medication administration…
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psnet.ahrq.gov/issue/world-health-organization-field-trial-assessing-proposed-icd-11-framework-classifying-patient
December 29, 2014 - Study
A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events.
Citation Text:
Forster AJ, Bernard B, Drösler SE, et al. A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety…