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pso.ahrq.gov/faq
April 01, 2023 - How does AHRQ ensure that a listed PSO is in compliance with the statutory requirements as outlined in … matter of patient safety work product collected and analyzed by a PSO changes, a PSO is required to ensure
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psnet.ahrq.gov/node/74233/psn-pdf
January 12, 2022 - Don't go to the hospital alone: ensuring safe, highly
reliable patient visitation.
January 12, 2022
Gandhi TK. Don't go to the hospital alone: ensuring safe, highly reliable patient visitation. Jt Comm J Qual
Patient Saf. 2022;48(1):61-64. doi:10.1016/j.jcjq.2021.10.006.
https://psnet.ahrq.gov/issue/dont-go-hospit…
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integrationacademy.ahrq.gov/sites/default/files/2020-06/Lexicon.pdf
January 01, 2020 - Shared workflows, protocols, and office processes that enable and ensure collaboration—
including one … treatment plans and
documentation, regular communication
facilitated and/or clinical workflows that
ensure … Shared workflows, protocols, and office processes that enable and ensure collaboration—
including one … as “shared
process space” in contrast to “shared physical space”.
16
Co-location does not ensure … documentation, regular communication
facilitated by a care coordinator and/or
clinical workflows that ensure
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psnet.ahrq.gov/node/74092/psn-pdf
November 17, 2021 - Ensuring medication safety for consumers from ethnic
minority backgrounds: the need to address unconscious
bias within health systems.
November 17, 2021
Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the
need to address unconscious bias within health systems. Int …
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-executive-summary.pdf
October 19, 2021 - quality measures include healthcare
delivery systems in the research and development process, to ensure … It was emphasized that AHRQ should ensure that the quality measurement
research they support will include … In addition, the SNAC stated that
AHRQ should ensure that the research they support does not end with … Government quality improvement
efforts
(a) Requirement
(1) In general
To avoid duplication and ensure
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medication-therapy-management_executive.pdf
November 01, 2014 - The rationale for limiting the scope to exclude some types
of MTM interventions is to ensure that included … We conducted
quality checks to ensure that the searches identified known
studies (i.e., studies identified … Finally, our search process was complicated by having to
ensure coverage of all terms that could be … Regardless of the goal of their future research,
investigators should consider issues of sample size to
ensure
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effectivehealthcare.ahrq.gov/sites/default/files/12_pregnancy_potential_high_impact_june_2012.pdf
January 01, 2012 - After closing the uterus and abdominal wall, a maternal-fetal specialist uses
ultrasound to ensure … with human milk from a
source other than her own, only milk from a source that has been screened to ensure … After closing the uterus and abdominal wall, a maternal-fetal
specialist uses ultrasound to ensure … and that the Sequenom
13
laboratory would initially operate as an out-of-network provider to ensure
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psnet.ahrq.gov/node/49601/psn-pdf
April 01, 2010 - Nosy Business
April 1, 2010
Orlandi RR. Nosy Business. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/nosy-business
The Case
A 59-year-old man with a history of idiopathic thrombocytopenic purpura (ITP) presented to the emergency
department (ED) with epistaxis (a "nose bleed"). He reported no previous h…
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psnet.ahrq.gov/node/49394/psn-pdf
April 01, 2003 - Premature or Overdue?
April 1, 2003
Thomas J, Hannah M. Premature or Overdue? PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/premature-or-overdue
The Case
A 32-year-old woman, gravida 3, para 1, presented for prenatal care at 24 weeks. Her past medical history
was unremarkable, and results of her prenatal …
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psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - Risk Management and Patient Safety
December 1, 2010
Manuel BM, McCarthy JL, Berry WR, et al. Risk Management and Patient Safety. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/risk-management-and-patient-safety
Perspective
In 1990, a Harvard-based research team reported the incidence of medical errors …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
June 02, 2025 - Create a Safe Medicine List Together
Create a Safe
Medicine List Together
AHRQ
Guide to Improving Patient Safety in
Primary Care Settings by Engaging
Patients and Families
Presenter
Presentation Notes
The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Impr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
June 02, 2025 - PowerPoint Presentation
Create a Safe
Medicine List Together
AHRQ
Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
The Agency for Healthcare Research and Quality, or AHRQ, funded the development of a Guide to Improving Patient Safety in Primary Care Settings by Engagin…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3O-Comprehensive_Antibiogram_Toolkit_Phase_3_Implementation.doc
June 02, 2025 - Comprehensive Antibiogram Toolkit
Phase 3 Implementation
After the antibiogram has been developed, the nursing home team will need a plan for how the program will be introduced and sustained. Nursing home management should decide if a new policy is required; if so, this must be developed and communicated. Procedures to…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_T2-Concise_Antibiogram_Toolkit_Getting_Started.pdf
May 01, 2014 - www.ahrq.gov/NH-ASPGuide ● May 2014 AHRQ Pub. No. 14-0012-2-EF
Concise Antibiogram Toolkit
Getting Started—Sources of Data
Once you decide that an antibiogram will be a useful tool for your nursing home, there are a few
things to consider.
1. What will you need to create the antibiogram?
2. What data are need…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
June 02, 2025 - Strategy 4: IDEA Discharge Planning (Tool 4)
Guide to Patient & Family Engagement
Insert hospital logo here
Care Transitions from Hospital to
Home: IDEAL Discharge Planning
Training
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 4: IDEAL Discharge Planning (Tool 4)
Today…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-139-section-2.pdf
January 01, 2014 - Section 2, Technical Specifications
Q‐METRIC Sickle Cell Disease Measure 13 Transcranial Doppler Ultrasonography Screening for
Children with Sickle Cell Disease
Technical specifications for Secti…
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psnet.ahrq.gov/node/38212/psn-pdf
April 09, 2009 - Engaging patients as safety partners: some
considerations for ensuring a culturally and linguistically
appropriate approach.
April 9, 2009
Johnstone M-J, Kanitsaki O. Engaging patients as safety partners: some considerations for ensuring a
culturally and linguistically appropriate approach. Health Policy (New York…
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psnet.ahrq.gov/node/38220/psn-pdf
November 12, 2008 - New technologies in radiation therapy: ensuring patient
safety, radiation safety and regulatory issues in radiation
oncology.
November 12, 2008
Amols HI. New technologies in radiation therapy: ensuring patient safety, radiation safety and regulatory
issues in radiation oncology. Health Phys. 2008;95(5):658-665. do…
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psnet.ahrq.gov/node/36561/psn-pdf
January 12, 2011 - Errors in ABO labeling of deceased donor kidneys: case
reports and approach to ensuring patient safety.
January 12, 2011
Friedman AL, Lee KC, Lee GD. Errors in ABO Labeling of Deceased Donor Kidneys: Case Reports and
Approach to Ensuring Patient Safety. American Journal of Transplantation. 2006;7(2). doi:10.1111/j.…
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psnet.ahrq.gov/node/39062/psn-pdf
November 11, 2009 - Ensuring patient safety through effective leadership
behaviour: a literature review.
November 11, 2009
Künzle B, Kolbe M, Grote G. Ensuring patient safety through effective leadership behaviour: A literature
review. Saf Sci. 2009;48(1). doi:10.1016/j.ssci.2009.06.004.
https://psnet.ahrq.gov/issue/ensuring-patient-…