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www.ahrq.gov/patient-safety/reports/advancing-patient-safety.html
March 01, 2024 - Advancing Patient Safety
Advancing Patient Safety: A Decade of Evidence, Design, and Implementation
This document highlights some of the Agency's contributions in advancing patient safety during the past decade.
Advances in Patient Safety: From Research to Implementation
This four-volume set from AHRQ and t…
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www.ahrq.gov/evidencenow/tools/root-cause-analysis.html
February 01, 2025 - Using Root Cause Analysis to Improve Quality and Performance
Resource: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (PDF, 908 KB, 18 pages) Part of an AHRQ curriculum used to train practice facilitators, this resource describes how practices can use a roo…
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digital.ahrq.gov/ahrq-funded-projects/incorporating-patient-reported-outcomes-shared-decision-making-patients/citation/comparison
January 01, 2023 - Comparison of an artificial intelligence-enabled patient decision aid vs educational material on decision quality, shared decision-making, patient experience, and functional outcomes in adults with knee osteoarthritis: A randomized clinical trial.
Citation
Jayakumar P, Moore MG, Furlough KA, Uhler LM,…
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digital.ahrq.gov/ahrq-funded-projects/feasibility-study-mobile-digital-personal-health-record-family-centered-care-coordination-children/citation/feasibility
January 01, 2023 - Feasibility of implementation of a mobile digital personal health record to coordinate care for children and youth with special health care needs in primary care: Protocol for a mixed methods study.
Citation
Ming DY, Wong W, Jones KA, Antonelli RC, Gujral N, Gonzales S, Rogers U, Ratliff W, Shah N, Ki…
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digital.ahrq.gov/ahrq-funded-projects/precision-emergency-medicine-setting-research-agenda/citation/academic
January 01, 2024 - 2023 Society for Academic Emergency Medicine consensus conference on precision emergency medicine: Development of a policy-relevant, patient-centered research agenda.
Citation
Strehlow M, Gisondi MA, Caretta-Weyer H, Ankel F, Brackett A, Brar P, Chan TM, Garabedian A, Gunn B, Isaacs E, von Isenburg M,…
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digital.ahrq.gov/ahrq-funded-projects/improving-recognition-and-management-hypertension-youth-comparing-approaches/citation/adapting
January 01, 2023 - Adapting a clinical decision support system to improve identification of pediatric hypertension in a rural health system: Design of a pragmatic trial.
Citation
Benziger CP, Suess M, Allen CI, Freitag LA, Asche SE, Ekstrom HL, Essien IJ, Muthineni A, Thirumalai V, Vo PH, Kromrey KA, Ronkainen EA, Saman…
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digital.ahrq.gov/ahrq-funded-projects/prism-personalized-reminders-immunizations-using-short-messaging-systems/citation/effect
January 01, 2023 - Effect of electronic health record reminders for routine immunizations and immunizations needed for chronic medical conditions.
Citation
Stephens AB, Wynn CS, Hofstetter AM, Kolff C, Pena O, Kahn E, Dasgupta B, Natarajan K, Vawdrey DK, Lane MM, Robbins-Milne L, Ramakrishnan R, Holleran S, Stockwell MS…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026699-politi-final-report-2023.pdf
January 01, 2023 - Title Passed Document title is showing in title bar
Bookmarks Passed Bookmarks are present in large documents
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs026522-schoenthaler-final-report-2023.pdf
January 01, 2023 - Title Passed Document title is showing in title bar
Bookmarks Passed Bookmarks are present in large documents
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cdsic.ahrq.gov/sites/default/files/2023-02/Stakeholder%20Center%20Quarterly%20Report%20Two_508_Jan26.pdf
January 01, 2023 - CDSiC Stakeholder Community and Outreach Center: Quarterly Report
STAKEHOLDER CENTER PROGRESS REPORT
S E P T E M B E R 2 0 2 2
CDSiC Stakeholder
Community and Outreach
Center:
Quarterly Report
Presented by:
NORC at the University of Chicago
4350 East - West Highway Suite
800 Bethesda, MD 20814…
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024581-avidan-final-report-2020.pdf
January 01, 2020 - Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST) - Final Report
1. TITLE PAGE
Title: Anesthesiology Control Tower: Feedback Alerts to Supplement Treatment (ACTFAST)
Principal Investigator: Michael Avidan, MBBCh
Key Team Members: Arbi Ben Abdallah, PhD; Yixin Chen, PhD; Brad Fritz…
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - Spotlight
Spotlight
Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations
1
Source and Credits
This presentation is based on the January 2025 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Samantha Brown…
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cdsic.ahrq.gov/sites/default/files/2025-06/IAS%20Topic%20Highlight%20AI%20and%20PC%20CDS_508%20Compliant.pdf
January 01, 2025 - Artificial Intelligence-Supported Patient-Centered Clinical Decision Support: A Summary of Considerations
AHRQ Pub. No. 25-0057
June 2025
Artificial Intelligence-Supported Patient-
Centered Clinical Decision Support:
A Summary of Considerations
Artificial intelligence (AI) has the potential to…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/stakeholders-engagement-others_research-2012.pdf
January 01, 2012 - The Facilitation Primer: Strategies, Tools & Considerations to Get You Started
The Facilitation Primer
Strategies, Tools & Considerations to Get
You Started
The Effective Health Care Program
Revised January 2012
This guide was created by the Scientific Resource Center at the Oregon Eviden…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Surgical Services
For: Most Surgery Types
Slide Title and Commentary
Slide Number and Slide
Perioperative Infection Prevention Strategies
SAY:
This presentation is titled Perioperative Infection Prevention Strategie…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Surgical Services
For: Most Surgery Types
Slide Title and Commentary
Slide Number and Slide
Perioperative Infection Prevention Strategies
SAY:
This presentation is titled Perioperative Infection Prevention Strategie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
May 30, 2008 - Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning
Leveraging Existing Assessments of Risk Now
(LEARN) Safety Analysis: A Method for Extending
Patient Safety Learning
Donna M. Woods, EdM, PhD; Jane L. Holl, MD, MPH; Jon Young, MS;
Sally Reynolds, M…
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - Critical Echocardiogram Result Lost to Follow-up
June 14, 2023
Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
The Case
A 63-year-old man with history of stroke, systolic heart failure, and ventric…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/08-diagnostic-cap-provider-training-slides.pptx
August 01, 2021 - Co-producing a Diagnosis
Provider Training Slides
Toolkit for Engaging Patients and Families To Improve Diagnosis
AHRQ Publication No. 21-0047-7-EF
August 2021
1
"Just listen to your patient, he is telling you the diagnosis."1
- Sir William Osler
This quote from Sir William Osler, who is also commonly referred …
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hcup-us.ahrq.gov/db/nation/nis/reports/NIS_2002_Design_Report.jsp
January 01, 2002 - HCUP Nationwide Inpatient Sample Design Report 2002
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