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psnet.ahrq.gov/issue/medication-errors-older-people-mental-health-problems-review
April 27, 2022 - Review
Medication errors in older people with mental health problems: a review.
Citation Text:
doi:10.1002/gps.1943.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/026-assessing-evc-essential-one-pager.docx
October 01, 2024 - When starting or improving an environmental cleaning (EVC) monitoring program, there are five essential steps to address, which are outlined below. This document focuses on the implementation of fluorescent gel (FG) monitoring, which is generally easier to use and implement, especially when starting a new monitoring pr…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/116-cusp-premortem-project-assessment.docx
January 01, 2007 - AHRQ Safety Program for MRSA Prevention
Comprehensive Unit-based Safety Program (CUSP) Premortem Project Assessment
ICU & Non-ICU
Projects often fail, and many factors may contribute to this failure. Understanding potential implementation barriers and challenges before launching a project can help the team mitigate the…
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psnet.ahrq.gov/issue/hazards-diagnosis
April 06, 2022 - Commentary
The hazards of diagnosis.
Citation Text:
Schattner A, Magazanik N, Haran M. The hazards of diagnosis. QJM. 2010;103(8):583-7. doi:10.1093/qjmed/hcq080.
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www.ahrq.gov/ncepcr/research/care-coordination/pcmh/define.html
August 01, 2022 - Defining the PCMH
The medical home model holds promise as a way to improve health care in America by transforming how primary care is organized and delivered. Building on the work of a large and growing community, the Agency for Healthcare Research and Quality (AHRQ) defines a medical home not simply as a place…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/material-guide.html
June 01, 2017 - Material Use Guide - Sustainability Module
Overview
Definition of Sustainability and its Importance in Quality Improvement
Slides 4-8
Linking Sustainability and Spread
Slides 9-10
Planning Early for Sustainability
Slides 11-12
Barriers and Solutions to Sustain…
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psnet.ahrq.gov/issue/11-medicine-mistakes-avoid
March 20, 2024 - Newspaper/Magazine Article
11 medicine mistakes to avoid.
Citation Text:
Crouch M. 11 medicine mistakes to avoid. AARP. August 06, 2024;
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
June 01, 2017 - Sustainability Tool - Sustainability Module
Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts.
How to use this tool: The Implementation Team leader (or individual designated by the leader) should complete this checklist.
Us…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/registries-pros-cons.pdf
June 02, 2025 - Advantages and Disadvantages of Registries
Advantages and Disadvantages of Registries
Electronic health records (EHRs) frequently do not have the functions needed for
population management. Creating and using registries can help ensure that evidence-
based care is delivered to all patients and can be an adjunct…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/healthplan-key-drive-diagram.pdf
June 02, 2025 - Transcranial Doppler Screening for Children with Sickle Cell Anemia: Health Plan - Key Driver Diagram
Transcranial Doppler Screening for Children with Sickle Cell Anemia
Health Plan - Key Driver Diagram
Key Drivers
Strateg…
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psnet.ahrq.gov/issue/plan-quality-improve-patient-safety-point-care
February 01, 2017 - Review
Plan for quality to improve patient safety at the point of care.
Citation Text:
Ehrmeyer SS. Plan for Quality to Improve Patient Safety at the Point of Care. Ann Saudi Med. 2011;31(4). doi:10.4103/0256-4947.83203.
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www.ahrq.gov/talkingquality/plan/manage.html
November 01, 2018 - How Will You Manage a Health Care Quality Reporting Project?
Managing a quality reporting project requires forethought, patience, and creativity. While detailed advice on how to manage this kind of effort is beyond the scope of TalkingQuality, this page offers some basic guidance to help you keep your project…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/talking-points-iodophor.pdf
March 01, 2022 - Talking Points for Nasal Iodophor
Decolonization of
Non-ICU Patients With Devices
Section 14-10 – Talking Points for Nasal Iodophor
Patients may have questions regarding nasal iodophor. Below are some suggested responses to
common patient questions.
REMEMBER: Your enthusiasm and encouragement will be …
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psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
September 05, 2012 - Book/Report
Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees.
Citation Text:
Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. Adler-Milstein JR, Singer SJ, Toffel MW. Cambridge, MA: Harva…
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psnet.ahrq.gov/issue/creating-complex-health-improvement-programs-mindful-organizations-theory-action
October 19, 2022 - Commentary
Creating complex health improvement programs as mindful organizations: from theory to action.
Citation Text:
Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from theory to action. J Health Organ Manag. 2007;21(2):166-83.
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psnet.ahrq.gov/issue/interruptions-and-blood-transfusion-checks-lessons-simulated-operating-room
September 24, 2016 - Study
Interruptions and blood transfusion checks: lessons from the simulated operating room.
Citation Text:
Liu D, Grundgeiger T, Sanderson P, et al. Interruptions and blood transfusion checks: lessons from the simulated operating room. Anesth Analg. 2009;108(1):219-22. doi:10.1213/ane.0…
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psnet.ahrq.gov/issue/misdiagnosis-dangerous-help-your-doctor-get-it-right
August 03, 2022 - Newspaper/Magazine Article
Misdiagnosis is dangerous. Help your doctor get it right.
Citation Text:
Terry K. Misdiagnosis is dangerous. Help your doctor get it right. WebMD. November 11, 2024;
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www.ahrq.gov/hai/clabsi-tools/appendix-9.html
March 01, 2018 - Appendix 9: Back to Basics
Tools for Reducing Central Line-Associated Blood Stream Infections
These tools will help your unit implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI). When used with the CUSP (Comprehensive Unit-based Safety Program) Toolkit, th…
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psnet.ahrq.gov/issue/systems-approach-patient-centered-care
November 21, 2021 - Commentary
A systems approach to patient-centered care.
Citation Text:
Bergeson SC, Dean JD. A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary7.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Using Federal grants to build intellectual capital at the State level
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Table of Contents
Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Intr…