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effectivehealthcare.ahrq.gov/sites/default/files/related_files/liver-cancer_executive.pdf
October 01, 2014 - 1
Imaging Techniques for the Diagnosis and
Staging of Hepatocellular Carcinoma
Executive Summary
Background and Objectives
Hepatocellular carcinoma (HCC) is
the most common primary malignant
neoplasm of the liver, usually developing
in individuals with chronic liver disease
or cirrhosis. Worldwide, it is the f…
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integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/leverage-technology-for-ibh
January 01, 2024 - an accessible and convenient format. 42 They also show promise as adjuncts to traditional therapy, enhancing … Enhancing mental health with Artificial Intelligence: Current trends and future prospects.
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-ahrq-ambulatory-safety-and-quality-program.pdf
August 09, 2013 - Enhancing the capabilities of EHRs to support
appropriate prescribing, dosing, and monitoring of
medications … Projects
that focused on clinician use of health IT developed
and tested approaches for enhancing CDS
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-improving-quality-through-clinician-use-of-health-it.pdf
January 28, 2014 - They developed and tested a range of approaches
for enhancing clinical decision support, providing … Baker, Gardner, and Lobach)
• Enhancing the capabilities of EHRs to support
appropriate prescribing, … They devel-
oped and tested a range of approaches for enhancing
CDS, providing clinical information
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cdsic.ahrq.gov/sites/default/files/2025-09/Quartz%20Assessment%20Report_To%20DTP_09.05.25.pdf
January 01, 2025 - Similarly, enhancing the app’s ability to accept a wider
range of patient responses requires significant … organized the
findings by key themes in each of the following areas: 1) the technical feasibility of enhancing … Similarly, enhancing the app’s ability to accept a wider range of patient responses required
significant
-
digital.ahrq.gov/sites/default/files/Quartz%20Assessment%20Report_To%20DTP_09.05.25.pdf
January 17, 2025 - Similarly, enhancing the app’s ability to accept a wider
range of patient responses requires significant … organized the
findings by key themes in each of the following areas: 1) the technical feasibility of enhancing … Similarly, enhancing the app’s ability to accept a wider range of patient responses required
significant
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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/TableofContents_Vol1.pdf
January 01, 2025 - Table of Contents: Volume 1. Assessment
Contents
Volume 1. Assessment
Prologue: Laying the Foundation
Kerm Henriksen
Looking Forward, Benefiting from the Past
Envisioning Patient Safety in the Year 2025: Eight Perspectives
Kerm Henriksen, Caitlin Oppenheimer, Lucian Leape, et al.
What Exactly Is Patien…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
January 01, 2025 - Table of Contents: Volume 4. Technology and Medication Safety
Contents
Volume 4. Technology and Medication Safety
Prologue: Technology and Medication Safety
Mary L. Grady
Health Information Technology
“Safeware”: Safety-Critical Computing and Health Care Information Technology
Robert L. Wears, Nancy G. Lev…
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psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - SNFs: Opening the Black Box
December 1, 2013
Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/snfs-opening-black-box
The Case
An 88-year-old woman was admitted to a skilled nursing facility (SNF) after a lengthy hospitalization for a
small bowel obstructio…
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www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - Implementation Guide for the CANDOR Process
Communication and Optimal Resolution Toolkit
Purpose: The Toolkit Implementation Guide is a reference for organizational leaders who are committed to improving their response to unexpected patient harm events. The guide describes the CANDOR process, implementatio…
-
psnet.ahrq.gov/toolkits
March 01, 2025 - Toolkits
Patient safety toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work. These toolkits contain resources necessary to implement patient safety systems and protocols.
Want to submit a Toolkit?
Has your organization deve…
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www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Advances in Patient Safety: New Directions and Alternative Approaches
Advances in Patient Safety: New Directions and Alternative Approaches represents years of study by AHRQ-funded patient safety researchers and others. It includes articles on reporting systems, risk assessment, safety culture, m…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-transcript.html
December 01, 2017 - Integrating Teamwork Tools into CUSP Efforts
Webinar Transcript
On the CUSP: Stop CAUTI in the ED
ED Mini-Presentation to Accompany April 7, 2015 ED Coaching Call
Sarah: Hello, everyone, and thank you for listening today. My name is Sarah Dalton and I am a research specialist with the Health Research and…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-into-cusp-efforts-transcript.docx
April 07, 2015 - On the CUSP: Stop CAUTI in the ED
ED Mini-Presentation to Accompany April 7, 2015 ED Coaching Call
Sarah: Hello, everyone, and thank you for listening today. My name is Sarah Dalton and I am a research specialist with the Health Research and Educational Trust.
Welcome to the second mini-presentation in the CAUTI ED …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustaining-guide.pdf
March 01, 2017 - Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care
AHRQ Safety Program for
Long-Term Care: HAIs/CAUTI
Guide to Sustaining a Program To Reduce
Catheter-Associated Urinary Tract
Infections in Long-Term Care
AHRQ Public…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/pa-spread-impact.pptx
September 01, 2014 - Workshop A4 & B4: Building a Multi-Organizational QI Support System
PA SPREAD:
Pennsylvania Spreading Primary Care Enhanced Delivery Infrastructure
Alan M. Adelman, MD, MS
Penn State University College of Medicine; Hershey, PA
This project was supported by grant number U18HS020988 from the Agency for Healthcare Re…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6kculturalcompetence.html
March 01, 2020 - Strategy 6K: Cultivating Cultural Competence
Contents
6.K.1. The Problem
6.K.2. Interventions
6.K.2.a. Maintaining Complete and Accurate Information on Enrollees
6.K.2.b. Building a Provider Network to Meet the Community’s Linguistic and Cultural Needs
6.K.2.c. Training Providers on Cultural…
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psnet.ahrq.gov/node/49676/psn-pdf
February 01, 2013 - Death by PCA
February 1, 2013
Hicks RW. Death by PCA. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/death-pca
The Case
A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an
uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …
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psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - A Double “Never Event”: Wrong Patient and Wrong Side.
September 27, 2023
Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
The Case
A first-year orthopedic surgery resident was consulted…
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - ABCDEF Bundle + Data Literacy Training, Performance
Measurement Tracking, and Performance Feedback
February 28, 2024
https://psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-
and-performance
Summary
To improve patient care and outcomes in the intensive care unit (ICU…