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psnet.ahrq.gov/node/38885/psn-pdf
August 19, 2009 - Patient safety: Part II. Opportunities for improvement in
patient safety.
August 19, 2009
Elston DM, Stratman E, Johnson-Jahangir H, et al. Patient safety: Part II. Opportunities for improvement in
patient safety. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206. doi:10.1016/j.jaad.2009.04.055.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/44452/psn-pdf
September 04, 2016 - Reflecting on diagnostic errors: taking a second look is
not enough.
September 4, 2016
Monteiro SD, Sherbino J, Patel A, et al. Reflecting on Diagnostic Errors: Taking a Second Look is Not
Enough. J Gen Intern Med. 2015;30(9):1270-4. doi:10.1007/s11606-015-3369-4.
https://psnet.ahrq.gov/issue/reflecting-diagnostic…
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psnet.ahrq.gov/node/73886/psn-pdf
September 29, 2021 - When less is more: the role of overdiagnosis and
overtreatment in patient safety.
September 29, 2021
Kamzan AD, Ng E. When less is more: the role of overdiagnosis and overtreatment in patient safety. Adv
Pediatr. 2021;68:21-35. doi:10.1016/j.yapd.2021.05.013.
https://psnet.ahrq.gov/issue/when-less-more-role-overdi…
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psnet.ahrq.gov/node/841490/psn-pdf
December 14, 2022 - Prevent administration of ear drops into the eyes.
December 14, 2022
ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3.
https://psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes
Look-alike medications are vulnerable to wrong route and other use errors. This article examines the…
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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/baseline-scan-appendices.pdf
February 22, 2024 - the kinds of
opportunities for PCCP expansion were
from requiring PCCP in funding, to
innovating educational … And one of the things that we ask people to share is their
innovative educational techniques. … what the kinds of opportunities for PCCP expansion were from requiring PCCP in funding, to innovating educational … And one of the things that we ask people to share is their innovative educational techniques.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
December 01, 2017 - also have [Sue Collier 01:03], a Clinical Content Development Lead here at the Health Research and Educational
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
June 02, 2025 - also have [Sue Collier 01:03], a clinical content development lead here at the Health Research and Educational
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1O-Comprehensive_Antibiogram_Toolkit_Phase_1_Assessment_and_Planning_final.pdf
May 01, 2014 - Phase 1 Assessment and Planning
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit
Phase 1 Assessment and Planning
To ensure the success of any new program, it is customary to assess the …
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1O-Comprehensive_Antibiogram_Toolkit_Phase1_Assessment_and_Planning_final.doc
June 02, 2025 - Comprehensive Antibiogram Toolkit
Phase 1 Assessment and Planning
To ensure the success of any new program, it is customary to assess the environment and devise a detailed plan for implementation. The first phase of implementing an antibiogram program is to conduct a thorough assessment of the nursing home’s capacity a…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-section-5-table-5.pdf
April 01, 2014 - Table 5. Evidence Supporting Emergency Department Pain Assessment for Children With Sickle Cell Disease
Q‐METRIC SCD Measure 16, ED Pain Assessment
U18HS020516
Page 1
Submitted April 2014
Table 5: Evidence Supporting Emergency Department Pain Assessment for Children with Sickle
Cell Disease
Type of
Evi…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/sexually-transmitted-infections-behavioral-counseling
August 02, 2018 - Share to Facebook
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Final Research Plan
Sexually Transmitted Infections: Behavioral Counseling
August 02, 2018
Recommendations made by the USPSTF are independent of the U.S. government. They sh…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - Acute Care Learning From Defects
AHRQ Safety Program for Improving Antibiotic Use
Making Effective Changes in Antibiotic Decision Making
Acute Care
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Changes in Antibiotic Decision Making
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
Id…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-slides.pdf
February 09, 2022 - Understanding Your Workflow
Processes to Prepare for Systems
Change
S te v e n Ke tey i a n , P h D
M c Ke n z i e Pe c k m a n , M S , AC S M -
C E P
Module 3
Today’s Training Session
2
PURPOSE
Training sessions guided by the Million
Hearts®/AACVPR Cardiac Rehabilitation
Change Package (CRCP), locate…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/040-ss-training-clinic-patient-ed.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Staff Training: Teaching Patients To Decolonize at Home
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Adapted from: “Toolkit for Decolonization of Non-ICU Patients…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects Tool
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is a Defect?
A defect is any clinical or operational event or situation that you would not want to happen again. This could include incidents…
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Curated Libraries
Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field.
Watch the video to learn more about how this new feature works and how it can be of benefit to you.
Latest PSNet…
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds
January 01, 2023 - Tools for Optimizing Medication Safety (TOP-MEDS)
Project Final Report ( PDF , 1.01 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No st…
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digital.ahrq.gov/sites/default/files/docs/page/SRD%20Call%208.30.06.ppt
August 22, 2006 - Slide 1
Volunteer eHealth Initiative
SW Tennessee’s experience
The Legal Side of the Project
Vicki Estrin – Program Manager
vicki.y.estrin@vanderbilt.edu
Funding: AHRQ Contract 290-04-0006; State of Tennessee; Vanderbilt University.
This presentation has not been approved by the Agency for Healthcare Research…
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digital.ahrq.gov/sites/default/files/docs/page/B_ExistingGuidanceHIEImplementation_0.pdf
June 22, 2006 - B_ExisitngGuidanceHIEImplementation
Appendix B:
Existing Guidance to Support
HIE Implementation Opportunities
APPENDIX B: EXISTING GUIDANCE TO SUPPORT HIE
IMPLEMENTATION OPPORTUNITIES
There is an important opportunity for the states and territories to advance their own
implementation strategies and sim…
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digital.ahrq.gov/sites/default/files/docs/page/B_ExistingGuidanceHIEImplementation.pdf
June 22, 2006 - B_ExisitngGuidanceHIEImplementation
Appendix B:
Existing Guidance to Support
HIE Implementation Opportunities
Privacy and Security Assessment of Variation Toolkit B-1
APPENDIX B: EXISTING GUIDANCE TO SUPPORT HIE
IMPLEMENTATION OPPORTUNITIES
There is an important opportunity for the …