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www.ahrq.gov/sites/default/files/publications/files/cbprbrief.pdf
January 01, 2014 - • Ensuring that capacity-building in
collaborative research occurs for
both the community and the
research
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psnet.ahrq.gov/node/61079/psn-pdf
October 28, 2020 - On the other hand, the pharmacy staff as well as nursing staff should play an
active role in ensuring
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Provide a comprehensive starting point for each unit to consider as it establishes its processes for ensuring
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www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil3.html
April 01, 2018 - Ensuring the project is completed on time.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
April 01, 2022 - were originally inserted, staff concluded that removing central lines as soon as no longer needed, and ensuring
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.pdf
February 08, 2018 - the
hospital’s focus on providing patient- and family-centered care in communications
with staff, ensuring
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - PASS the BATON) as it is in having a unit-recognized procedure for organizing your communications and ensuring
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cds.ahrq.gov/sites/default/files/cds/artifact/1071/2024_CDS_Connect_IG_Healthy_Diet_Physical_Activity.pdf
January 01, 2024 - Facilitating patient action and ensuring that the patient perspective is considered during the CDS
research
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pso.ahrq.gov/pso/listed/geographic
October 01, 2022 - SHARE:
Map of PSOs
There are 116 PSOs
in 37 States and the District of Columbia. This map shows the physical location of each PSO. All PSOs can operate nationally regardless of their home state.
Note: AHRQ updates…
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psnet.ahrq.gov/node/866899/psn-pdf
October 09, 2024 - Diagnostic discordance, uncertainty, and treatment
ambiguity in community-acquired pneumonia: a national
cohort study of 115 U.S. Veterans Affairs hospitals.
October 9, 2024
Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in
community-acquired pneumonia: a national…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide171.html
October 01, 2014 - 171. Systems Strategy 1. Implement a tobacco-user identification system in every clinic
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Action
Strategies for implementation
Implement an office-wide system that ensures that for EVERY patient at EVERY clini…
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psnet.ahrq.gov/node/851189/psn-pdf
July 05, 2023 - So many ways to be wrong: completeness and accuracy
in a prospective study of OR-to-ICU handoff
standardization.
July 5, 2023
Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a
prospective study of OR-to-ICU handoff standardization. Jt Comm J Qual Patient Saf. 2023;49(8)…
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psnet.ahrq.gov/node/866595/psn-pdf
August 28, 2024 - Implementation, Adoption, and Scaling Workgroup:
Landscape Assessment on the Use of Artificial
Intelligence to Scale PC CDS.
August 28, 2024
Kawamoto K, Greysen SR, Heaney-Huls K, et al. Implementation, Adoption, And Scaling Workgroup:
Landscape Assessment On The Use Of Artificial Intelligence To Scale Pc Cds. Roc…
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psnet.ahrq.gov/node/843320/psn-pdf
February 01, 2023 - Society for Maternal-Fetal Medicine Special Statement:
telemedicine in obstetrics-quality and safety
considerations.
February 1, 2023
Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine
in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023…
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psnet.ahrq.gov/node/47368/psn-pdf
September 12, 2018 - Using co-design to develop a collective leadership
intervention for healthcare teams to improve safety
culture.
September 12, 2018
Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for
Healthcare Teams to Improve Safety Culture. Int J Environ Res Public Health. 20…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/procchecklist3b-access-av-fistula-term-dialysis.pdf
June 02, 2025 - Access of Arterial Venous Fistula or Graft for Termination of Dialysis and Post-Dialysis Access Care Procedural Checklist 3b
Access of Arterial Venous Fistula or Graft
for Termination of Dialysis and
Post-Dialysis Access Care
Procedural C…
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psnet.ahrq.gov/node/34735/psn-pdf
June 16, 2014 - An Organisation with a Memory: Report of an Expert
Group on Learning from Adverse Events in the NHS
Chaired by the Chief Medical Officer.
June 16, 2014
Donaldson L. London, UK: The Stationery Office, 2000.
https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-
chaired-ch…
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psnet.ahrq.gov/node/60243/psn-pdf
April 22, 2020 - COVID-19: peer support and crisis communication
strategies to promote institutional resilience.
April 22, 2020
Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote
Institutional Resilience. Ann Intern Med. 2020;172(12):822-823. doi:10.7326/m20-1236.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/44246/psn-pdf
November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to
Prevent Harm.
November 15, 2016
Boston, MA: National Patient Safety Foundation; 2015.
https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
The National Patient Safety Foundation issued these guidelines for improving root cause a…
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psnet.ahrq.gov/node/45674/psn-pdf
September 29, 2017 - Pain Management and Prescription Opioid-related Harms:
Exploring the State of the Evidence: Proceedings of a
Workshop—in Brief.
September 29, 2017
Forstag EH; Committee on Pain Management and Regulatory Strategies to Address Prescription Opioid
Abuse; Health and Medicine Division. Washington, DC: National Academy …