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psnet.ahrq.gov/node/33786/psn-pdf
May 01, 2015 - Video to Improve Patient Safety: Clinical and Educational
Uses
May 1, 2015
Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient Safety: Clinical and Educational Uses. PSNet
[internet]. 2015.
https://psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
Perspective
Reports of…
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psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap
Citation Text:
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Forma…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-north-carolina-state-snapshot.pdf
January 01, 2018 - Spotlight on North Carolina -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned,
and outcomes from North Carolina’s experience during the
quality demonstration funded by the Centers for Medicare
& Medicaid Services (…
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www.ahrq.gov/pqmp/publications/search.html?page=1
March 24, 2018 - All Publications
The following list presents materials published as a result of the AHRQ-CMS Pediatric Quality Measures Program (PQMP).
Results
26 - 50 of 107 Publications
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psnet.ahrq.gov/periodic-issue/periodic-issue-472
February 26, 2025 - February 26, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repor…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/026-why-choose-cusp.pptx
April 01, 2025 - PowerPoint Presentation
Why Choose a CUSP Approach?
Surgical Services
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
AHRQ Safety Program for MRSA Prevention |
Why Choose a CUSP Approach?
1
Educational Objectives
D…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/102-how-to-integrate-cusp-approach-periop.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
How To Integrate a Comprehensive Unit-based Safety Program
(CUSP) Approach
in the Perioperative Setting
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/deliberative-methods_research.pdf
February 01, 2013 - Knowledge Brief #1 Public Deliberation on Health Topics
Community Forum Knowledge Brief
Number 1: Public Deliberation on Health Topics
AHRQ’s Effective Health Care Program
and the Community Forum
The Effective Health Care Program was initiated
in 2005 to provide valid evidence about the
comparative effect…
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digital.ahrq.gov/sites/default/files/docs/page/CongressionalBudgetOffice.pdf
January 01, 2009 - The
effort is funded by the Office of the National Coordinator for
Health Information Technology … quality and comprehensiveness of the information in a
PHR vary considerably, depending on how much effort … generate a paper pre-
scription may reduce transcription errors and reduce the
physician’s time and effort
-
digital.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
June 01, 2009 - required to accept the CDS suggestion, whether they can
easily ignore it, or whether it takes significant effort … Given the expense of knowledge management, and to some extent duplication of
effort when one looks at … the aggregate effort across health care facilities, it has been advocated
that some sort of national … need to recognize that CDS
requires careful integration into the clinical workflow, which will take effort
-
digital.ahrq.gov/sites/default/files/Final_MO%20PC%20CDS%20User%20Guide%20(1)_0_0.pdf
September 01, 2024 - system readiness assessments to illustrate the system
capabilities to implement the PC CDS and how much effort … period of time.”71 Developing,
deploying, and/or evaluating PC CDS requires
significant time, expense, effort … • System capabilities to implement the PC CDS and how much effort it
will take the system to reach
-
cdsic.ahrq.gov/sites/default/files/2024-09/Final_MO%20PC%20CDS%20User%20Guide%20(1)_0_0.pdf
January 01, 2024 - system readiness assessments to illustrate the system
capabilities to implement the PC CDS and how much effort … period of time.”71 Developing,
deploying, and/or evaluating PC CDS requires
significant time, expense, effort … • System capabilities to implement the PC CDS and how much effort it
will take the system to reach
-
www.ahrq.gov/sites/default/files/publications/files/obesity-pcpresources.pdf
May 01, 2014 - staff is generally
comprised of community residents and all may have something to contribute to the effort … questions:
• Does the clinic keep abreast of evidence-based medicine standards and make a serious
effort … efficient and effective means of screening.6
The chart review is designed as a quality improvement effort
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/preterm-birth-terbutaline-pump_disposition-comments.pdf
September 01, 2011 - (Data
Synthesis
and
Analysis)
Given discordance in pathogeneses between these two groups some
effort … will unduly color the
results in a way that perception, not reality, will hinder the clinician in
effort
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs022746-neale-final-report-2014.pdf
January 01, 2014 - Information Technology for Economic and Clinical Health Act
is the government’s first significant effort … If this system is representative of other safety net systems,
considerable effort will be required to
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digital.ahrq.gov/sites/default/files/docs/page/designing-consumer-health-it-a-guide-for-developers-and-systems-designers.pdf
September 01, 2012 - This guide can help you to:
• Prepare for a new consumer health IT
development effort. … Processes
• Ensure that all team members, including
marketers and managers, dedicate time and
effort
-
digital.ahrq.gov/sites/default/files/docs/citation/developmentmethodsguide.pdf
September 01, 2012 - This guide can help you to:
• Prepare for a new consumer health IT
development effort. … Processes
• Ensure that all team members, including
marketers and managers, dedicate time and
effort
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
January 01, 2003 - training
We conducted a survey of the five major centers participating in this research
project in an effort … The overall goal of the collaborative effort is
improved patient safety for surgical procedures, using
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
March 01, 2020 - for alarm management.11
Another common theme identified as an implementation facilitator was the effort … response.10 In
addition, Ketko et al. noted that acknowledging alarm management as a collaborative effort … Alarm management at
UPMC is viewed as a
team effort with
bedside and clinical
care nurses, clinical … Not provided Recognition that alarm
management must be
a collaborative effort
was an important first … Not provided Recognition that alarm
management must be
a collaborative effort
was an important first
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impguide.html
July 01, 2017 - It is important for the team to think that this effort is doable and builds on their strengths.