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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - The Evolution of Root Cause Analysis
February 26, 2025
Behrhorst J, Gale B, Van CM. The Evolution of Root Cause Analysis. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis
Introduction
Root Cause Analysis (RCA) is a structured approach designed to uncover the direct causes of…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/impguide.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Implementation of the Falls Prevention Reports
Note: This part of the training consists of interactive exercises and does not have any slides. If you are not part of a formal training, please read all these materials, prin…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/AI-tools-protocol.pdf
August 15, 2023 - Tools to (Semi) Automate Evidence Synthesis
Evidence-based Practice Center Methods Report Protocol
Project Title: Tools to (Semi)Automate Evidence Synthesis
I. Background and Purpose of the Review
Background
Despite the large amount of research into methods to automate or semi-automate labor- and…
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effectivehealthcare.ahrq.gov/sites/default/files/developmental-delays-horizon-scan-high-impact-1412.pdf
December 01, 2014 - #06 Developmental Delays ADHD, and Autism
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 06: Developmental Delays, ADHD,
and Autism
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaithe…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hnhc-disposition-comments.pdf
October 29, 2021 - Disposition of Comments_Comparative Effectiveness Review No. 246: Management of High-Need, High-Cost Patients: A "Best Fit" Framework Synthesis, Realist Review, and Systematic Review
Comparative Effectiveness Review Disposition of Comments Report
Title: Management of High-Need, High-Cost Patients: A “Best…
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digital.ahrq.gov/sites/default/files/docs/survey/engaging-diverse-patients-in-hit-use.pdf
January 01, 2004 - Engaging diverse patients in health information
technology use
University of California, San Francisco; San Francisco, California
This is a questionnaire designed to be completed by individuals with chronic care needs in
patient homes. The tool includes questions to assess the current state of patient portals,…
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effectivehealthcare.ahrq.gov/sites/default/files/pregnancy-horizon-scan-high-impact-1406.pdf
June 01, 2014 - PREGNANCY, INCLUDING PRETERM BIRTH #12
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 12: Pregnancy, Including Preterm Birth
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither R…
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digital.ahrq.gov/sites/default/files/docs/survey/rwhc-thqit-readiness-assessment.pdf
June 16, 2021 - Rural Wisconsin Health Cooperative Transforming Healthcare Quality Through Information Technology: Readiness Assessment
Rural Wisconsin Health Cooperative Transforming Healthcare Quality
Through Information Technology: Readiness Assessment
Reedsburg Area Medical Center, Reedsburg WI
This is a questionnaire designe…
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effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1306.pdf
June 01, 2013 - #14 SUBSTANCE ABUSE
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 14: Substance Abuse
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
www.ahrq.…
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psnet.ahrq.gov/web-mm/making-do
September 05, 2018 - Making Do
Citation Text:
Bradley LD. Making Do. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downloa…
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meps.ahrq.gov/data_files/publications/st356/stat356.shtml
February 01, 2012 - STATISTICAL BRIEF #356:
Trends in Dermatological Agents Utilization and Expenditures for the U.S. Civilian Noninstitutionalized Population, 1999 and 2008
Skip to main content
An official website of the Department of H…
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psnet.ahrq.gov/web-mm/moved-too-soon
November 01, 2006 - Moved Too Soon
Citation Text:
Lindenauer PK. Moved Too Soon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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www.ahrq.gov/sites/default/files/2024-07/alpern-report.pdf
January 01, 2024 - Final Progress Report: Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Record Registry
Title: Improving the Quality of Pediatric Emergency Care Using an Electronic Medical
Record Registry
Principal Investigator and Team Members:
Elizabeth R. Alpern, MD, MSCE
Organization:
Northwester…
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psnet.ahrq.gov/node/33880/psn-pdf
May 01, 2019 - Safety in the Prehospital Emergency Medical Services
Setting
May 1, 2019
Patterson DP, Yealy DM. Safety in the Prehospital Emergency Medical Services Setting. PSNet [internet].
2019.
https://psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
Perspective
Emergency medical services (E…
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psnet.ahrq.gov/web-mm/listen-family
April 15, 2015 - Listen to the Family
Citation Text:
Campbell D. Listen to the Family. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
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psnet.ahrq.gov/node/865697/psn-pdf
April 24, 2024 - In Conversation with...Katie Boston-Leary about Patient
Safety Amid Nursing Workforce Challenges
April 24, 2024
Leary KB. In Conversation with..Katie Boston-Leary about Patient Safety Amid Nursing Workforce
Challenges. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-a…
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psnet.ahrq.gov/node/33719/psn-pdf
October 01, 2011 - The Context Is the Intervention
October 1, 2011
Øvretveit J. The Context Is the Intervention. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/context-intervention
Perspective
Introduction
What we say, do, and feel are facts. We live and work in groups, in a society, and are influenced by this
context.…
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psnet.ahrq.gov/node/33694/psn-pdf
April 01, 2010 - In Conversation with…Janet Corrigan, PhD, MBA
April 1, 2010
In Conversation with…Janet Corrigan, PhD, MBA. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
Editor's note: Janet M. Corrigan, PhD, MBA, is president and CEO of the National Quality Forum (NQF), a
priva…
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
July 01, 2023 - Section 2: Explanation of Key Concepts and Tools
This section contains explanations and illustrations to help you better understand and appreciate the importance of TeamSTEPPS communication concepts and tools. If you teach this content or want additional insights into how the material can be more fully learned,…
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psnet.ahrq.gov/node/49661/psn-pdf
August 01, 2012 - Residual Anesthesia: Tepid Burn
August 1, 2012
Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
The Case
A 42-year-old Filipino man presented to an outpatient surgery center for scheduled repair of an anal fistula.
The pat…