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www.ahrq.gov/cpi/about/nac/naa-snac-recommendations.html
February 01, 2024 - Recommendations from the Subcommittee to Inform the National Action Alliance to Advance Patient and Workforce Safety
We stand for a healthcare delivery system that is free from preventable harm, inspires continuous improvement in the delivery of care across the continuum, and promotes a culture of safety in an …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012
Updated Inform…
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effectivehealthcare.ahrq.gov/sites/default/files/assessing-the-risk-of-bias_draft-report.pdf
June 02, 2011 - We advocate transparency of planned methodological approach and
documentation of decisions and therefore … relationship between the sponsor(s) and
the author(s) is clearly documented; in some instances, such documentation … 25
Stages in Assessing the Risk of Bias of Studies
International reporting standards require documentation … steps in assessing the
quality of individual studies that contribute to transparency through careful documentation
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
March 01, 2018 - Documentation of the project from planning through testing, implementation, and followup.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
April 05, 2017 - Clinical or Other Rationale Supporting the Focus of the Measure
(optional)
Provide documentation of
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psnet.ahrq.gov/node/60241/psn-pdf
February 24, 2022 - Coronavirus Disease 2019 (COVID-19) and Safety of Older
Adults Residing in Nursing Homes
February 24, 2022
Bakerjian D. Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing
Homes. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-…
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digital.ahrq.gov/ahrq-funded-projects/using-interactive-health-information-technology-support-women-choices-birth/citation/study
January 01, 2023 - A study to assess the feasibility of implementing a web-based decision aid for birth after cesarean to increase opportunities for shared decision making in ethnically diverse settings.
Citation
Shorten A, Shorten B, Fagerlin A, Illuzzi J, Kennedy HP, Pettker C, Raju D, Whittemore R. A study to assess …
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digital.ahrq.gov/ahrq-funded-projects/multi-site-trial-test-benefits-adding-personalized-risk-calculator-online/citation/integrating
January 01, 2023 - Integrating personalized risk scores in decision making about left ventricular assist device (LVAD) therapy: Clinician and patient perspectives.
Citation
Kostick-Quenet K, Blumenthal-Barby J, Mehra M, Lang B, Dorfman N, Bhimaraj A, Civitello A, Jorde U, Trachtenberg B, Uriel N, Kaplan H, Gilmore-Szot…
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixA_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - Health IT Hazard Manager Beta-Test Appendix A – Beta Test Hazard Manager Screen Shots and Revised Hazard Manager Screen Shots
Appendix A - Beta Test Hazard Manager
Appendix A - Beta Test Hazard Manager
2
Appendix A - Beta Test Hazard Manager
3
Appendix A - Beta Test Hazard Manager
4
…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/hHn2ahJA7BsJPQ_BbaAWhp
Screening for Carotid Artery Stenosis: USPSTF Clinical Summary
Figure. Screening for carotid artery stenosis: clinical summary of U.S. Preventive Services Task Force Recommendation
For a summary of the evidence systematically reviewed in making these recommendations, the full recommendation statement, and supporting…
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psnet.ahrq.gov/node/39918/psn-pdf
October 13, 2010 - Reducing catheter-associated bloodstream infections in
the pediatric intensive care unit: business case for quality
improvement.
October 13, 2010
Nowak JE, Brilli RJ, Lake MR, et al. Reducing catheter-associated bloodstream infections in the pediatric
intensive care unit: Business case for quality improvement. Ped…
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psnet.ahrq.gov/node/45736/psn-pdf
February 01, 2017 - Disruptive behaviour in the perioperative setting: a
contemporary review.
February 1, 2017
Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary
review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x.
https://psnet.ahrq.gov/issue/disruptive…
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psnet.ahrq.gov/node/37924/psn-pdf
December 23, 2016 - Behaviors that undermine a culture of safety.
December 23, 2016
Behaviors that undermine a culture of safety. Sentinel event alert. 2008;(40):1-3.
https://psnet.ahrq.gov/issue/behaviors-undermine-culture-safety
The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk…
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psnet.ahrq.gov/node/40878/psn-pdf
March 02, 2012 - Neonatal intensive care unit safety culture varies widely.
March 2, 2012
Profit J, Etchegaray J, Petersen L, et al. Neonatal intensive care unit safety culture varies widely. Arch Dis
Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635.
https://psnet.ahrq.gov/issue/neonatal-intensive-ca…
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psnet.ahrq.gov/node/73674/psn-pdf
September 08, 2021 - Perceptions of working conditions and safety concerns in
community pharmacy.
September 8, 2021
Clabaugh M, Beal JL, Illingworth Plake KS. Perceptions of working conditions and safety concerns in
community pharmacy. J Am Pharm Assoc (2003). 2021;61(6):761-771. doi:10.1016/j.japh.2021.06.011.
https://psnet.ahrq.gov/…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/sicklecell-clinic-followup.pdf
June 02, 2025 - Sample Sickle Cell Clinic Follow-Up Care Process (2c.5)
Sample Sickle Cell Clinic Follow-Up Care Process (2c.5)
This diagram illustrates the process for reviewing the patient master list and identifying and contacting
individuals who require an annual TCD screen.
…
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psnet.ahrq.gov/node/48129/psn-pdf
August 14, 2019 - When there's no one to whom an error can be disclosed,
how should an error be handled?
August 14, 2019
Chiu RG. When There's No One to Whom an Error Can Be Disclosed, How Should an Error Be Handled?
AMA J Ethics. 2019;21(7):E553-558. doi:10.1001/amajethics.2019.553.
https://psnet.ahrq.gov/issue/when-theres-no-one-…
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psnet.ahrq.gov/node/44924/psn-pdf
April 15, 2016 - Assessment of fidelity in interventions to improve hand
hygiene of healthcare workers: a systematic review.
April 15, 2016
Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of
Healthcare Workers: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(5):567-75…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-10.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.10. Project Team Composition: Door-to-Balloon Project
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthca…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-5.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 5.5. Organizational Goals of Lean
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central H…